FURP.ORG / PUBLIC DATA EXPLORER

PULASKI HEALTH FOUNDATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
PULASKI HEALTH FOUNDATION INC (EIN 23-7125454)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201413189349308206
Schema version
2013v3.1
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)
Return2014-11-14T15:29:22-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 N Illinois StreetAddressLine1
CityIndianapolisCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237125454EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PULASKI HEALTH FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% SHARON K MCKINLEYInCareOfNm
Business Name ControlPULABusinessNameControlTxt
Phone5749463394PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 EAST 13TH STREETAddressLine1
Address Line2SuiteAddressLine2
CityWINAMACCity
StateINState
ZIP Code46996ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT FRITZPersonNm
Person TitlePRESIDENT/CHAIRMANPersonTitleTxt
Phone5749463394PhoneNum
Signature2014-11-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE B FISHBACKPreparerPersonNm
PTINP01279475PTIN
Phone5749463394PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PULASKI HEALTH CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerSHARON MCKINLEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 EAST 13TH STREETAddressLine1
CityWINAMACCity
StateINState
ZIP Code46996ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$369,530GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PULASKIHEALTHCARECENTER.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1959FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPULASKI HEALTH CARE CENTER IS DEDICATED TO ENHANCING THE LIVES OF OLDER ADULTS THROUGH QUALITY HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee178TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,188PYContributionsGrantsAmt
CY Contributions Grants$2,468CYContributionsGrantsAmt
PY Program Service Revenue$4,292,699PYProgramServiceRevenueAmt
CY Program Service Revenue$244,185CYProgramServiceRevenueAmt
PY Investment Income$12,664PYInvestmentIncomeAmt
CY Investment Income$87,457CYInvestmentIncomeAmt
PY Other Revenue$30,975PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,345,526PYTotalRevenueAmt
CY Total Revenue$334,110CYTotalRevenueAmt
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$2,677,561PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,709,672PYOtherExpensesAmt
CY Other Expenses$409,686CYOtherExpensesAmt
PY Total Expenses$4,387,233PYTotalExpensesAmt
CY Total Expenses$409,686CYTotalExpensesAmt
PY Revenues Less Expenses-$41,707PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$75,576CYRevenuesLessExpensesAmt
Total Assets BOY$3,149,455TotalAssetsBOYAmt
Total Assets EOY$8,907,710TotalAssetsEOYAmt
Total Liabilities BOY$1,107,771TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,877,297TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,041,684NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,030,413NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE OUR COMMUNITY THROUGH HEALTH AND WELLNESSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$365,549ExpenseAmt
Grant$0GrantAmt
Revenue$220,150RevenueAmt
DescPULASKI HEALTH FOUNDATION, INC., A NOT-FOR-PROFIT ORGAINIZATION, WAS ESTABLISHED IN 1959 TO PROMOTE CHARITABLE AND EDUCATIONAL PURPOSES, BOTH DIRECTLY TO AND BY THE APPLICATION OF FUNDS AND ASSETS TO A HEALTH CARE ORGANIZATION IN PULASKI COUNTY. ITS FIRST PROJECT WAS TO FACILITATE DONATIONS AND BUILD PULASKI MEMORIAL HOSPITAL. PULASKI HEALTH FOUNDATION CONTINUED TO CARE FOR AND IMPROVE LIFE AND HEALTH FOR THOSE WHO CAN NO LONGER DO SO FOR THEMSELVES BY FACILITATING FUNDS, BUILDING AND MANAGING PULASKI HEALTH CARE CENTER, A 58 BED SKILLED NURSING FACILITY, WHICH PROVIDES MEDICARE SHORT STAY RESTORATIVE SERVICES AND LONG-TERM CONTINUED CARE. PULASKI HEALTH CARE CENTER'S COMPREHENSIVE CARE PROGRAMS, DESIGNED TO MEET THE DAILY LIVING NEEDS OF EACH RESIDENT, INCLUDE: 24-HOUR NURSING SERVICES, ASSISTANCE WITH MEDICATION, PERSONAL HYGIENE, AND AMBULATION. THE THERAPY PROGRAM PROVIDES PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THE MEAL SERVICE PROVIDES DINING IN A RESTAURANT STYLE ATMOSPHERE AND INCLUDES THERAPUTIC AND MECHANICALLY ALTERED DIETS. OTHER SERVICES OFFERED TO RESIDENTS ARE ACTIVITIES WITH MANY RECREATIONAL OPPORTUNITIES, SOCIAL SERVICES, LAUNDRY, AND HOUSEKEEPING. PULASKI HEALTH CARE CENTER PROVIDES A HOME LIKE ENVIRONMENT, A FRIENDLY ATMOSPHERE THAT FACILITATES SELF-WORTH AND DIGNITY IN THE PEOPLE THAT RESIDE HERE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$0ExpenseAmt
DescPULASKI HEALTH FOUNDATION'S GOAL TO PROVIDE SAFE, DECENT AND AFFORDABLE HOUSING FOR LOW AND MODERATE INCOME SENIOR CITIZENS IS ACCOMPLISHED THROUGH THE ESTABLISHMENT OF RIVERWOOD COMMONS, A 24 UNIT APARTMENT BUILDING THAT PROVIDES SECURE INDEPENDENT HOUSING FOR LOW AND MODERATE INCOME SENIOR CITIZENS OR DISABLED PERSONS. RIVERWOOD COMMONS WAS ESTABLISHED THROUGH THE USE OF TAX CREDITS AND REMAINS UNDER THE SPECIFIED PROGRAMS OF THE Indiana Housing and Community Development Authority AND FEDERAL HOME LOAN BANK OF INDIANAPOLIS. PULASKI HEALTH FOUNDATION, AS OWNER, PROVIDES ACTIVITY PROGRAMS TO THE RESIDENTS THAT LIVE AT RIVERWOOD COMMONS, CAPITAL FUNDS FOR IMPROVEMENTS TO THE PROPERTY, AND REPLACEMENT OF FURNISHINGS. PULASKI HEALTH FOUNDATION ALSO PROVIDES DIRECT OVERSIGHT OF THE MANAGEMENT COMPANY, PROFESSIONAL PROPERTY MANAGEMENT. PROFESSIONAL PROPERTY MANAGEMENT PERFORMS THE DAILY MANAGEMENT OF THE PROPERTY, PROVIDES INFORMATION FOR AUDITS AND INSPECTIONS, AND ASSISTS TENANTS WITH THEIR FINANCIAL REGULATORY REQUIREMENTS ACCORDING TO THE Indiana Housing and Community Development Authority TAX CREDIT PROGRAMS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$0ExpenseAmt
DescPULASKI HEALTH FOUNDATION'S GOAL TO RECEIVE AND MAINTAIN A FUND (OR FUNDS) OF REAL OR PERSONAL PROPERTY, OR BOTH, (WHICH ARE SUBJECT TO THE RESTRICTIONS AND LIMITATIONS THEREINAFTER SET FORTH TO USE AND APPLY THE WHOLE OR ANY PART OF THE INCOME FOR THE CONSTRUCTION, FURNISHING, EQUIPPING, IMPROVEMENT, REPAIR, OPERATION AND MAINTENANCE OF THE FACILITES AND SERVICES OF HEALTH CARE ORGANIZATIONS OF PULASKI COUNTY) WAS MET BY THE PURCHASE OF PARKVIEW HAVEN, A CONTINUING CARE RETIREMENT COMMUNITY (CRCC) LOCATED IN FRANCESVILLE, INDIANA IN PULASKI COUNTY ON SEPTEMBER 1, 2013. PARKVIEW HAVEN WAS A NOT-FOR-PROFIT CHURCH BASED CCRC THAT SHARED MANY OF THE SAME GOALS AND MISSIONS OF PULASKI HEALTH FOUNDATION. THIS ACQUISITION WOULD FURTHER ADVANCE PULASKI HEALTH FOUNDATION'S MISSION TO CARE FOR AND IMPROVE LIFE AND HEALTH FOR THOSE WHO CAN NO LONGER DO SO FOR THEMSELVES, TO PROVIDE A HOME LIKE ENVIRONMENT WITH A FRIENDLY PLACE THAT ACTIVATES SELF-WORTH AND DIGNITY FOR THE SENIOR POPULATION AND TO PROVIDE SAFE, DECENT AND AFFORDABLE HOUSING FOR LOW AND MODERATE INCOME SENIOR CITIZENS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$365,549TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
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 RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
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 EntYes (true)BusinessRlnWithOfficerEntInd
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 EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee178EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
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 Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
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 FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHARON K MCKINLEYPersonNm
Phone5749463394PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 EAST 13TH STREETAddressLine1
CityWINAMACCity
StateINState
ZIP Code46996ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOfficerOfficerIndOther CompensationOtherCompensationAmt
SCOTT FRITZ
CHARIMAN2.0Yes (X)$0$0
LAURA BAILEY
VICE CHAIRMAN2.0Yes (X)
LINDA MURPHY
SECRETARY1.0Yes (X)
LIN MORRISON
TREASURER1.0Yes (X)
JOHN GOBLE
BOARD MEMBER1.0Yes (X)
JIM PIERROU
BOARD MEMBER1.0Yes (X)
RITA MURRAY
BOARD MEMBER1.0Yes (X)
SHARON MCKINLEY
ADMINISTRATOR45.0$65,480Yes (X)$6,397
ROBERT SWAIN
EXECUTIVE DIRECTOR40.0$75,156Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$140,636TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$6,397TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonBARNES AND THORNBURGPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 N MICHIGAN 600 1ST SOURCE BANKAddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code466011632ZIPCode
FieldValueIRS element (for citing)
ServicesLEGAL SERVICESServicesDesc
Compensation$275,449CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,468AllOtherContributionsAmt
Total Contributions$2,468TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ENTRANCE FEE AMORTIZATION623000$14,721$14,721
MAINTENANCE FEE INCOME623000$16,697$16,697
MANAGEMENT FEES & RENT623000$188,732$188,732
OTHER OPERATING REVENUE900099$24,035$24,035
FieldValueIRS element (for citing)
Total Program Service Revenue$244,185TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,427TotalRevenueColumnAmt
Exclusion$9,427ExclusionAmt

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)
Other$113,450OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$35,420OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$78,030OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,030TotalRevenueColumnAmt
Exclusion$78,030ExclusionAmt

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$334,110TotalRevenueColumnAmt
Related Or Exempt Func Income$244,185RelatedOrExemptFuncIncomeAmt
Exclusion$87,457ExclusionAmt

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$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,750TotalAmt
Program Services$3,750ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$87,554TotalAmt
Program Services$43,777ProgramServicesAmt
Management And General$43,777ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$360TotalAmt
Management And General$360ManagementAndGeneralAmt

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$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,999TotalAmt
Program Services$6,999ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$74,940TotalAmt
Program Services$74,940ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$212,000TotalAmt
Program Services$212,000ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,379TotalAmt
Program Services$10,379ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Total$13,704TotalAmt
Program Services$13,704ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$409,686TotalAmt
Program Services$365,549ProgramServicesAmt
Management And General$44,137ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$508,198BOYAmt
EOY$916,812EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$111,101BOYAmt
EOY$648,275EOYAmt

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$481,546BOYAmt
EOY$541,200EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$17,997BOYAmt
EOY$19,307EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$72,465BOYAmt
EOY$213,535EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,360,401LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,411,576LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,458,520BOYAmt
EOY$5,948,825EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$132,765BOYAmt
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$366,863BOYAmt
EOY$619,756EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,149,455BOYAmt
EOY$8,907,710EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$234,100BOYAmt
EOY$318,525EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

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$873,671BOYAmt
EOY$4,727,378EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,831,394EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,107,771BOYAmt
EOY$6,877,297EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,941,222BOYAmt
EOY$1,929,951EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$100,462BOYAmt
EOY$100,462EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,041,684BOYAmt
EOY$2,030,413EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,149,455BOYAmt
EOY$8,907,710EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$75,576ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$64,305OtherChangesInNetAssetsAmt
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$9,501CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,499CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,974CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,188CurrentTaxYearMinus1YearAmt
Current Tax Year$2,468CurrentTaxYearAmt
Total$28,630TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,674,150CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,075,139CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,359,475CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,292,699CurrentTaxYearMinus1YearAmt
Current Tax Year$244,185CurrentTaxYearAmt
Total$16,645,648TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,540CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,738CurrentTaxYearMinus3YearsAmt
Total$47,278TotalAmt

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$3,713,191CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,096,376CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,363,449CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,301,887CurrentTaxYearMinus1YearAmt
Current Tax Year$246,653CurrentTaxYearAmt
Total$16,721,556TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$140,640CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$100,036CurrentTaxYearMinus1YearAmt
Current Tax Year$195,186CurrentTaxYearAmt
Total$435,862TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$140,640CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$100,036CurrentTaxYearMinus1YearAmt
Current Tax Year$195,186CurrentTaxYearAmt
Total$435,862TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$16,285,694PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,748CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,090CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,933CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,807CurrentTaxYearMinus1YearAmt
Current Tax Year$9,427CurrentTaxYearAmt
Total$78,005TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,748CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,090CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,933CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,807CurrentTaxYearMinus1YearAmt
Current Tax Year$9,427CurrentTaxYearAmt
Total$78,005TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38CurrentTaxYearMinus4YearsAmt
Total$38TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,854CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,789CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,117CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,975CurrentTaxYearMinus1YearAmt
Current Tax Year$24,035CurrentTaxYearAmt
Total$96,770TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,743,831CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,127,255CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,399,499CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,345,669CurrentTaxYearMinus1YearAmt
Current Tax Year$280,115CurrentTaxYearAmt
Total$16,896,369TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96386PublicSupportCY509Pct
Public Support PY5090.97990PublicSupportPY509Pct
Investment Income CY0.00462InvestmentIncomeCYPct
Investment Income PY0.00610InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$339OtherActivitiesAmt
Total Lobbying Expenditures$339TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1(I)FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS ANNUAL DUES TO LEADINGAGE INDIANA F/K/A THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA) AND THE INDIANA ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (IAHSA). THE FOLLOWING PERCENTAGES OF THE ORGANIZATION'S DUES ARE EARMARKED FOR LOBBYING PURPOSES: NATIONAL DUES ALLOCATED FOR LOBBYING EXPENDITURES = 3.3%, STATE DUES ALLOCATED FOR LOBBYING EXPENDITURES = 11.2%.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,705BeginningYearBalanceAmt
Investment Earnings Or Losses$957InvestmentEarningsOrLossesAmt
Grants Or Scholarships$185GrantsOrScholarshipsAmt
Administrative Expenses$67AdministrativeExpensesAmt
End Year Balance$5,410EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,274BeginningYearBalanceAmt
Investment Earnings Or Losses$431InvestmentEarningsOrLossesAmt
End Year Balance$4,705EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,304BeginningYearBalanceAmt
Investment Earnings Or Losses-$30InvestmentEarningsOrLossesAmt
End Year Balance$4,274EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,562BeginningYearBalanceAmt
Contributions$250ContributionsAmt
Investment Earnings Or Losses$549InvestmentEarningsOrLossesAmt
Administrative Expenses$57AdministrativeExpensesAmt
End Year Balance$4,304EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,500BeginningYearBalanceAmt
Contributions$500ContributionsAmt
Investment Earnings Or Losses$584InvestmentEarningsOrLossesAmt
Administrative Expenses$22AdministrativeExpensesAmt
End Year Balance$3,562EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$352,420OtherCostOrOtherBasisAmt
Book Value$352,420BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,177,471OtherCostOrOtherBasisAmt
Depreciation$1,510,018DepreciationAmt
Book Value$4,667,453BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$565,705OtherCostOrOtherBasisAmt
Depreciation$86,190DepreciationAmt
Book Value$479,515BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,264,805OtherCostOrOtherBasisAmt
Depreciation$815,368DepreciationAmt
Book Value$449,437BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$5,948,825TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INVESTMENTS IN SUBSIDIARY$101,007
BENEFICIAL INTEREST IN PCCF$5,408
RECEIVABLE FROM RELATED PARTY$513,341
FieldValueIRS element (for citing)
Total Book Value Other Assets$619,756TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
REFUNDABLE ENTRANCE FEES$1,803,357
DEFERRED ENTRANCE FEES$28,037
FieldValueIRS element (for citing)
Total Liability$1,831,394TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$256,080TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$256,080RevenueSubtotalAmt
Other Revenues Not Included$78,030OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$78,030RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$334,110TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$409,686TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$409,686ExpensesSubtotalAmt
Total Expenses Per Form990$409,686TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS THE ENDOWMENT FUNDS ARE USED SPECIFICALLY TO SUPPORT THE ACTIVITY DEPARTMENT AND RECREATIONAL ACTIVITIES OF THE RESIDENTS OF PULASKI HEALTH CARE CENTER.
PART XI, LINE 4BOTHER ADJUSTMENTS GAIN FROM DISPOSAL OF FIXED ASSETS = 78,030
SCHEDULE D, PART XASC 740 DISCLOSURE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonFIRST NATIONAL BANK OF MONTEREYPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBD MEMBER SP OFFICER BANKRelationshipDescriptionTxt
Transaction$12,541TransactionAmt
Transactionnote payable - interest expTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW FORM 990 THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. THEN, A COPY OF THE FULL FORM 990, INCLUDING ALL APPLICABLE SCHEDULES, IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12B & 12CCONFLICT OF INTEREST POLICY ANNUAL DISCLOSURE IS PROVIDED TO EACH OFFICER AND BOARD MEMBER (THE ORGANIZATION DOES NOT HAVE ANY KEY EMPLOYEES OR HIGHEST COMPENSATED EMPLOYEES). EACH BOARD MEMBER AND OFFICER COMPLETES AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. ONCE THE QUESTIONNAIRES ARE COMPLETED, THE ADMINISTRATOR REVIEWS THE RESPONSES AND DETERMINES WHETHER OR NOT THERE ARE ANY POTENTIAL CONFLICTS OF INTEREST. IF THERE IS A POTENTIAL CONFLICT OF INTEREST, THE ADMINISTRATOR AND THE BOARD PRESIDENT REVIEW THE CORRESPONDING ISSUE AND DETERMINE IF THERE IS AN ACTUAL CONFLICT OF INTEREST. IF AN ACTUAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, THAT PERSON IS EXCLUDED FROM ANY DISCUSSIONS CONCERNING THE CONFLICTING ISSUE. ANY PURCHASES AND/OR BIDDING PROPOSALS ARE ALSO REVIEWED FOR ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO SUBMITTING BIDS OR MAKING PURCHASES. THE BOARD PRESIDENT ATTENDS THE BOARD MEETINGS AND ENSURES THAT COMPLIANCE WITH THESE GUIDELINES ARE FOLLOWED.
FORM 990, PART VI, SECTION B, LINE 15ADETERMINATION OF COMPENSATION THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ORGANIZATION'S ADMINISTRATOR INCLUDED A REVIEW AND APPROVAL BY THE BOARD PRESIDENT AND VICE PRESIDENT, WHO ARE BOTH INDEPENDENT. THE PRESIDENT AND VICE PRESIDENT USED MCKNIGHT'S CAREER GUIDE, WHICH INCLUDED AN AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA) NURSING HOME SALARY AND BENEFITS REPORT, AS WELL AS THE MYERS AND STAUFFER LC LONG-TERM CARE COMPENSATION REPORT. THE INDIANA ASSOCIATION FOR THE HOMES AND SERVICES OF THE AGING'S SALARY AND WAGE SURVEY IS ALSO REFERENCED FOR THE DECISION PROCESSES. ONCE THE PRESIDENT AND VICE PRESIDENT DETERMINED THE COMPENSATION AMOUNT, THEY REPORTED THEIR FINDINGS AND DECISION TO THE FULL BOARD OF DIRECTORS AT A BOARD MEETING. THIS WAS DOCUMENTED IN THE BOARD MEETING MINUTES, AND WAS LAST DONE IN APRIL OF 2011 FOR THE ADMINISTRATOR'S SALARY.
FORM 990, PART VI, SECTION C, LINE 19AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY, AND FINANCIAL STATEMENTS A COPY OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART III, LINE 3CHANGES IN PROGRAM SERVICES On September 1, 2013, the Foundation acquired certain net assets of Apostolic Christian Retirement Home, Inc. and Apostolic Christian Village, Inc. (Parkview Haven), a not-for-profit continuing care retirement community that provides health care services to seniors. As a result of the acquisition, the Foundation will have an opportunity to expand its service area.
FORM 990, PART XIOTHER CHANGES IN NET ASSETS OR FUND BALANCE BARGAIN PURCHASE GAIN = 268,201 LOSS ON EXTINGUISHMENT OF DEBT = -28,438 ACQUISITION COSTS - PARKVIEW HAVEN & VILLAGE = -175,458 TOTAL = 64,305
FORM 990, PART V AND PART VIICOMPENSATION PAID BY THE FOUNDATION IS REIMBURSED BY PULASKI MEMORIAL HOSPITAL.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RIVERWOOD COMMONS LPBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 E 13TH STREETAddressLine1
CityWINAMACCity
StateINState
ZIP Code46996ZIPCode
FieldValueIRS element (for citing)
EIN352120174EIN
Primary ActivitiesLOW INC HOUSINGPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PHA INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRENTAL REAL ESTATEPredominantIncomeTypeTxt
Share Of Total Income-$7ShareOfTotalIncomeAmt
Share Of EOY Assets$93,163ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.00010OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PULASKI HOUSING ASSOCIATES INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1624 EAST 23RD STREETAddressLine1
CityWINAMACCity
StateINState
ZIP Code46996ZIPCode
FieldValueIRS element (for citing)
EIN352120172EIN
Primary ActivitiesAPARTMENT RENTALPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1FILING ORGBusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Share Of Total Income-$6ShareOfTotalIncomeAmt
Share Of EOY Assets$69,872ShareOfEOYAssetsAmt
Ownership0.75000OwnershipPct
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
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 OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RIVERWOOD COMMONS LPBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeDTransactionTypeTxt
Involved$9,028InvolvedAmt
Method Of Amount DeterminationACC INT INCOMEMethodOfAmountDeterminationTxt