FURP.ORG / PUBLIC DATA EXPLORER

OAK GROVE CHRISTIAN RETIREMENT VILLAGE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OAK GROVE CHRISTIAN RETIREMENT VILLAGE INC (EIN 35-1986767)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-10
IRS object ID
201421009349300127
Schema version
2012v2.1
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)
Timestamp2014-04-10T13:07:52-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 307AddressLine1
CitySOUTHFIELDCity
StateMIState
ZIP Code480370307ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351986767EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OAK GROVE CHRISTIAN RETIREMENT VILLAGE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOAKGNameControl
Phone2199877005Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1221 WEST DIVISION ROADAddressLine1
CityDEMOTTECity
StateINState
ZIP Code46310ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDALE SHENKName
TitleTREASURERTitle
Phone2199877005Phone
Date Signed2014-03-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBETSY ARETZ P00996282Name
PTINP00996282PTIN
Phone2483522500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROSEMARY WEEKSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1221 WEST DIVISION ROADAddressLine1
CityDEMOTTECity
StateINState
ZIP Code46310ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5090175GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OAKGROVECRV.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionOAK GROVE CHRISTIAN RETIREMENT VILLAGE PROVIDES HOUSING AND CARE FOR THE AGED IN AN ATMOSPHERE OF CHRISTIAN FELLOWSHIP WITH OTHERS. CHARITY CARE FYE JUNE 30, 2013 AMOUNTED TO $611,495.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees153TotalNbrEmployees
Total Nbr Volunteers55TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year38868ContributionsGrantsPriorYear
Contributions Grants Current Year75140ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5032711ProgramServiceRevenuePriorYear
Program Service Revenue CY4951938ProgramServiceRevenueCY
Investment Income Prior Year-68948InvestmentIncomePriorYear
Investment Income Current Year78InvestmentIncomeCurrentYear
Other Revenue Prior Year232751OtherRevenuePriorYear
Other Revenue Current Year63019OtherRevenueCurrentYear
Total Revenue Prior Year5235382TotalRevenuePriorYear
Total Revenue Current Year5090175TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2616769SalariesEtcPriorYear
Salaries Etc Current Year2725419SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2156699OtherExpensePriorYear
Other Expenses Current Year2450042OtherExpensesCurrentYear
Total Expenses Prior Year4773468TotalExpensesPriorYear
Total Expenses Current Year5175461TotalExpensesCurrentYear
Revenues Less Expenses Prior Year461914RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-85286RevenuesLessExpensesCY
Total Assets BOY5806651TotalAssetsBOY
Total Assets EOY8619653TotalAssetsEOY
Total Liabilities BOY4051939TotalLiabilitiesBOY
Total Liabilities EOY6991177TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1754712NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1628476NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOAK GROVE CHRISTIAN RETIREMENT VILLAGE, INC. IS A NON-PROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF INDIANA FOR THE PURPOSE OF PROVIDING HOUSING AND CARE FOR THE AGED. THE ORGANIZATION CONSISTS OF 39 ASSISTED LIVING UNITS AND 49 NURSING CARE BEDS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3464887Expense
Revenue3955308Revenue
DescriptionNURSING SERVICES - OAK GROVE'S SKILLED AND LONG-TERM NURSING CARE FACILITY CONSISTS OF 49 NURSING CARE BEDS, IS MEDICARE AND MEDICAID CERTIFIED, AND WAS REGISTERED WITH THE STATE OF INDIANA IN 2006 AS A CONTINUING CARE RETIREMENT COMMUNITY (CCRC). OAK GROVE IS A PLACE WHERE GENUINE LOVING CHRISTIAN CARE IS GIVEN TO ALL WHO RESIDE HERE AND TO ALL PEOPLE WHO ENTER ITS DOORS, WHETHER IT BE FAMILY OR FRIENDS, TO BE SHOWN WITH THE SAME KIND OF COURTESY. WE PLEDGE TO PROVIDE THE FINEST PERSONAL SERVICE AND FACILITIES FOR OUR RESIDENTS, WHO WILL ALWAYS ENJOY A WARM, RELAXED, AND REFINED ENVIRONMENT. OAK GROVE OFFERS SKILLED AND LONG-TERM NURSING CARE WHICH INCLUDES OUR NEW SHORT-TERM REHAB UNIT PROVIDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. RESIDENTS WHO DO NOT MISUSE THEIR ASSETS MAY BE ELIGIBLE FOR SUPPORT FROM OAK GROVE IF THEIR ASSETS RUN OUT. OVER 30% OF TOTAL REVENUES WERE USED TO PROVIDE COMMUNITY BENEFITS, WHICH INCLUDES THE FOLLOWING AMOUNTS: INDIGENT CARE/CHARITY CARE - $611,495, MEDICARE WRITE-OFFS - $915,818.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense979748Expense
Revenue996630Revenue
DescriptionASSISTED LIVING AND DIETARY SERVICES - OAK GROVE CHRISTIAN RETIREMENT VILLAGE (OG) IS A CHRISTIAN RETIREMENT COMMUNITY WITH INDEPENDENT AND ASSISTED LIVING. OUR BEAUTIFUL TWO-STORY VICTORIAN ARCHITECTURE OFFERS SPACIOUS ACCOMMODATIONS AND PERSONALIZED CARE TO PROMOTE INDEPENDENCE. THE 39 INDEPENDENT AND ASSISTED LIVING FACILITIES OFFER BOTH STUDIO AND ONE BEDROOM APARTMENTS EQUIPPED WITH FULL KITCHENS. OG PROVIDES CCRC SERVICES INCLUDING ASSISTED LIVING AND SKILLED NURSING CARE. INDEPENDENT LIVING RESIDENTS PAY A LIFE-LEASE ENTRY FEE TO OCCUPY THE RESIDENCE AND PAY A MONTHLY SERVICE FEE FOR SERVICES RENDERED. ASSISTED LIVING AND SKILLED NURSING RESIDENTS PAY A MONTHLY OR DAILY FEE FOR SERVICES RENDERED. ADDITIONALLY, THEY HAVE SOME A LA CARTE FEES FOR INCIDENTALS AND SUPPLIES.Description
FieldValueIRS element (for citing)
Total Program Service Expense4444635TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees153NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMELYN GRIFFINNamePerson
Telephone Number2199877005TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1221 WEST DIVISION ROADAddressLine1
CityDEMOTTECity
StateINState
ZIP Code46310ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROBERT KAPER
CHAIR1.000.00XX000
DAVE GRUBE
VICE CHAIR1.000.00XX000
STANLEY SCHOLL
VICE CHAIR ELECT1.000.00XX000
OLIVER DORN
BOARD MEMBER1.000.00X000
RON FIELDHOUSE
BOARD MEMBER1.000.00X000
MIKE PETERSON
BOARD MEMBER1.000.00X000
TOM POSTMA
BOARD MEMBER1.000.00X000
JOEL SCHURMAN
BOARD MEMBER1.000.00X000
WESLEY VAN BRUGGEN
BOARD MEMBER1.000.00X000
ROSEMARY WEEKS
PRESIDENT40.000.00X000
DAVID RIEGSECKER
PRESIDENT - PARTIAL YEAR40.000.00X09444922832
DALE SHENK
TREASURER1.0047.00X011397030720
JAMELYN GRIFFIN
SECRETARY40.000.00X47475017422
FieldValueIRS element (for citing)
Total Reportable Comp From Org47475TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs208419TotalReportableCompFrmRltdOrgs
Total Other Compensation70974TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GREENCROFT RETIREMENT COMMUNITIES
PO BOX 819GOSHENIN46527MANAGEMENT & CORPORATE SERVICES311037
HEALTHCARE THERAPY SERVICES INC
5214 SOUTH EAST STREETINDIANAPOLISIN46227THERAPY SERVICES284314
GRANDVIEW PHARMACY
PO BOX 926CONNERSVILLEIN47331PHARMACY SERVICES165143
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions75140AllOtherContributions
Total Contributions75140TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING SERVICES62300039553083955308
RESIDENT SERVICES623000996630996630
FieldValueIRS element (for citing)
Total Program Service Revenue4951938TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column78TotalRevenueColumn
Exclusion$78ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
BEAUTY/BARBER/MASSAGE62399032654$32,654
TV/LAUNDRY/TRANSPORT90009919511$19,511
GUEST MEALS/VENDING7222108624$8,624

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2230TotalRevenueColumn
Exclusion$2,230ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue63019TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5090175TotalRevenueColumn
Related Or Exempt Function Income4951938RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$63,097ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total65542Total
Management And General65542ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2223669Total
Program Services2118269ProgramServices
Management And General105400ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total69716Total
Program Services66412ProgramServices
Management And General3304ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total201531Total
Program Services191979ProgramServices
Management And General9552ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total164961Total
Program Services157142ProgramServices
Management And General7819ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total256226Total
Management And General256226ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total60367Total
Management And General60367ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20857Total
Management And General20857ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2116Total
Management And General2116ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total546474Total
Program Services447931ProgramServices
Management And General98543ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total22243Total
Management And General22243ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total493254Total
Program Services471618ProgramServices
Management And General21636ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total357869Total
Program Services357869ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total5826Total
Program Services2622ProgramServices
Management And General3204ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total234960Total
Program Services234960ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total312644Total
Program Services312644ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total12995Total
Program Services11046ProgramServices
Management And General1949ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIRS & MAINTENANCE567971476742030
BAD DEBTS3161831618
PROF. DEVELOPMENT815263591793
DUES, LICENSE & SUBS.70077007

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total20637Total
Program Services19399ProgramServices
Management And General1238ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5175461Total
Program Services4444635ProgramServices
Management And General730826ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY100BOY
EOY300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY486635BOY
EOY570627EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY248880BOY
EOY367833EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY22684BOY
EOY15631EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11468168LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3895236LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4860771BOY
EOY7572932EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2585BOY
EOY2585EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY184996BOY
EOY89745EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5806651BOY
EOY8619653EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY186251BOY
EOY604711EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY15000BOY
EOY30011EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3385000BOY
EOY6219314EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY465688BOY
EOY137141EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4051939BOY
EOY6991177EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1735151BOY
EOY1617890EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19561BOY
EOY10586EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1754712BOY
EOY1628476EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5806651BOY
EOY8619653EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-85286ReconcilationRevenueExpenses
Reconcilation Other Changes-40950ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25979CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15648CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62667CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38868CurrentTaxYearMinus1Year
Current Tax Year75140CurrentTaxYear
Total218302Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5045771CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5043509CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5146479CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5041250CurrentTaxYearMinus1Year
Current Tax Year4951938CurrentTaxYear
Total25228947Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years29348CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55735CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71702CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year60370CurrentTaxYearMinus1Year
Current Tax Year60789CurrentTaxYear
Total277944Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5101098CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5114892CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5280848CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5140488CurrentTaxYearMinus1Year
Current Tax Year5087867CurrentTaxYear
Total25725193Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years20000CurrentTaxYearMinus2Years
Total20000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years238758CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years608845CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year705533CurrentTaxYearMinus1Year
Current Tax Year685330CurrentTaxYear
Total2238466Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years238758CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years628845CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year705533CurrentTaxYearMinus1Year
Current Tax Year685330CurrentTaxYear
Total2258466Total
FieldValueIRS element (for citing)
Public Support Total50923466727PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1081CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3653CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years858CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year428CurrentTaxYearMinus1Year
Current Tax Year78CurrentTaxYear
Total6098Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1081CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3653CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years858CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year428CurrentTaxYearMinus1Year
Current Tax Year78CurrentTaxYear
Total6098Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26348CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4884CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11811CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year157993CurrentTaxYearMinus1Year
Current Tax Year2230CurrentTaxYear
Total203266Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5128527CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5123429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5293517CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5298909CurrentTaxYearMinus1Year
Current Tax Year5090175CurrentTaxYear
Total25934557Total
FieldValueIRS element (for citing)
Public Support Percentage5090.90480PublicSupportPercentage509
Prior Year Support Percentage0.93010PriorYearSupportPercentage
Investment Income Percentage0.00020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00030PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUSGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis396000OtherCostOrOtherBasis
Book Value396000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6516314OtherCostOrOtherBasis
Depreciation2550505Depreciation
Book Value3965809BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis13225OtherCostOrOtherBasis
Depreciation7948Depreciation
Book Value5277BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1553767OtherCostOrOtherBasis
Depreciation1336783Depreciation
Book Value216984BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2988862OtherCostOrOtherBasis
Book Value2988862BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7572932TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATE$81,891
ACCRUED INTEREST PAYABLE$14,538
LIFE LEASE NOTES PAYABLE$40,712
FieldValueIRS element (for citing)
Total Of Amounts137141TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt5046443TotRevenueEtcAuditedFinclStmt
Other Revenues-40950OtherRevenues
Revenue Not Rptd F990-40950RevenueNotRptdF990
Revenue Subtotal5087393RevenueSubtotal
Other Revenues Not Included2782OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2782RevenueNotRptdOnFinStmt
Total Revenue Per Form9905090175TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5172679TotExpensesEtcAuditedFinclStmt
Other Expenses Included-2782OtherExpensesIncluded
Expenses Not Rptd F990-2782ExpensesNotRptdF990
Expenses Subtotal5175461ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905175461TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE INTERNAL REVENUE SERVICE HAS RULED THAT THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS BEEN DETERMINED TO BE A PUBLICLY SUPPORTED ORGANIZATION AND NOT A PRIVATE FOUNDATION. ACCORDINGLY, THE ORGANIZATION'S NET INVESTMENT INCOME IS NOT SUBJECT TO EXCISE TAX AND GIFTS MADE TO THE ORGANIZATION ARE DEDUCTIBLE ON THE PART OF DONORS, SUBJECT TO SPECIFIED LIMITATIONS FOR CHARITABLE CONTRIBUTIONS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2013 AND 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2010.
PART XI, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED LOSS ON INTEREST RATE SWAP -7,500. LOSS ON REFINANCING -33,450.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RECLASSIFICATION OF INCOME AND EXPENSES 2,782.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RECLASSIFICATION OF INCOME AND EXPENSES -2,782.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MISSION STATEMENTFORM 990, PART III, LINE 1EACH YEAR THE ORGANIZATION STRIVES TO BE A GOOD NEIGHBOR IN THE COMMUNITY WHERE WE SERVE. WE HAVE A HISTORY OF ADDING VALUE TO OUR RESIDENTS, TO SENIORS LIVING OUTSIDE OF OUR COMMUNITY, AND TO THE BROADER COMMUNITY WE SERVE. WE STRIVE TO IMPROVE THE QUALITY OF CARE BY CELEBRATING THE LIVES OF THE SENIORS LIVING IN OUR COMMUNITY AND WORKING WITH THEM TO ENSURE THEY HAVE OPPORTUNITIES TO LIVE LIFE OUT TO THE FULLEST AND TO WORK TOGETHER TO ADDRESS THE CHALLENGES OF AGING. THE BOARD HAS BEEN INTENTIONAL ABOUT UNDERSTANDING COMMUNITY BENEFIT. THESE ARE AMONG THE COMPONENTS OF WHAT WE INCLUDE AS COMMUNITY BENEFIT: FREE OR REDUCED COST SERVICES WHEN A RESIDENT IS NOT ABLE TO PAY FOR THE FULL COST OF SERVICES PROVIDED, INDIGENT CARE, SERVICES TO THE VERY POOR NOT REIMBURSED BY OTHER SOURCES, AND UNREIMBURSED SERVICES FROM THIRD PARTY PAYERS, SUCH AS MEDICARE.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION IS UNDER A MANAGEMENT/AFFILIATION CONTRACT WITH GREENCROFT RETIREMENT COMMUNITIES, INC. (GRC), A RELATED TAX-EXEMPT ORGANIZATION. ACCORDING TO THE AGREEMENT, GRC HAS THE SOLE AND EXCLUSIVE RIGHT TO SUPERVISE, MANAGE, AND OPERATE THE ORGANIZATION'S FACILITY ("THE FACILITY"). IN ADDITION, GRC HAS THE SOLE CONTROL AND DISCRETION WITH REGARD TO THE OPERATION AND MANAGEMENT OF THE FACILITY FOR ALL CUSTOMARY PURPOSES, AS WELL AS THE RIGHT TO DETERMINE ALL OPERATING POLICIES AFFECTING OR CONCERNING THE APPEARANCE AND MAINTENANCE STANDARDS OF OPERATION, AND ANY OTHER MATTER AFFECTING THE FACILITY OR THE OPERATION THEREOF. THE AGREEMENT TERMINATES IN JUNE 2014, AND IS RENEWABLE ANNUALLY FOR ADDITIONAL ONE YEAR PERIODS.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS ONE MEMBER, GREENCROFT RETIREMENT COMMUNITIES, INC. (GRC), WHO IS ALSO A RELATED TAX-EXEMPT ORGANIZATION. THE RESERVED POWERS OF THE SOLE MEMBER ARE AS FOLLOWS: 1. APPROVAL TO ANY CHANGES IN CORPORATE MISSION, WHICH MAY BE PROPOSED BY THE ORGANIZATION, BUT WHICH SHALL BECOME EFFECTIVE ONLY UPON APPROVAL OF GRC 2. APPROVAL OF NOMINATED CANDIDATES TO SERVE AS DIRECTOR OF THE ORGANIZATION 3. THE CREATION OR DISCONTINUATION OF PROGRAMS OR SERVICES OFFERED BY THE ORGANIZATION 4. AMENDMENTS TO THE BYLAWS AND ARTICLES OF INCORPORATION 5. APPROVAL OR THE ADOPTION OF THE ANNUAL BUDGET 6. APPROVAL OF NON-BUDGETED CONTRACTS AND/OR NON-BUDGETED PURCHASES OF OVER $50,000 7. THE INCURRENCE OF INDEBTEDNESS OF OVER $500,000 8. THE SALE OF REAL ESTATE 9. THE DONATION OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS 10. ANY MERGER OR CONSOLIDATION WITH ANY OTHER ORGANIZATION, OR THE PARTIAL OR TOTAL DISSOLUTION OF THE ORGANIZATION 11. THE CREATION OF SUBSIDIARY CORPORATIONS, LLCS, PARTNERSHIPS, OR OTHER ENTERPRISES 12. THE ACQUISITION OF CONTROLLING INTERESTS IN ANOTHER ENTITY 13. THE APPOINTMENT OF THE PRESIDENT/CEO, CFO, SECRETARY, AND TREASURER OF THE CORPORATION (BUT NOT THE OFFICERS OF THE BOARD OF DIRECTORS) 14. THE REMOVAL OF THE CHAIR OF THE BOARD OF DIRECTORS, WITH OR WITHOUT CAUSE 15. THE REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS, WITH OR WITHOUT CAUSE NOTWITHSTANDING THESE RESERVED POWERS, THE MEMBER HAS NO FINANCIAL OBLIGATIONS OR RESPONSIBILITIES FOR ANY ACTIONS OF THE ORGANIZATION BY REASON OF SERVING AS A MEMBER.
FORM 990, PART VI, SECTION A, LINE 7ASEE NARRATIVE FOR PART VI, SECTION A, LINE 6
FORM 990, PART VI, SECTION A, LINE 7BSEE NARRATIVE FOR PART VI, SECTION A, LINE 6
FORM 990, PART VI, SECTION B, LINE 11A FINAL DRAFT OF THE FULL FORM 990, INCLUDING ALL APPLICABLE SCHEDULES, IS PRESENTED BY OUR TAX ADVISORS TO THE ORGANIZATION'S AUDIT COMMITTEE AT A REGULARLY SCHEDULED MEETING. A COPY OF THE FINAL DRAFT IS THEN PROVIDED TO EACH BOARD MEMBER PRIOR TO ITS FILING. THIS ALLOWS THE BOARD OF DIRECTORS AND MANAGEMENT TO REVIEW AND PROVIDE COMMENTS AND EXPLANATIONS REGARDING THE FORM.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THEY MAY HAVE WITH THE ORGANIZATION. THE TREASURER REVIEWS EACH POLICY STATEMENT SIGNED BY THESE INDIVIDUALS TO DETERMINE IF ANY CONFLICTS HAVE OCCURRED AND NEED TO BE BROUGHT TO THE ATTENTION OF THE BOARD. IF CONFLICT ARISES, THE RESPECTIVE BOARD MEMBER WILL ABSTAIN HIM/HERSELF FROM ANY RELATED DISCUSSION, VOTE OR SIMILAR ACTION ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15OAK GROVE'S (OG) PHILOSOPHY IS TO COMPENSATE TEAM MEMBERS IN A FAIR MANNER FOR THE WORTH OF WORK PROVIDED WITHIN THE CURRENT MARKET VALUE RANGE FOR EACH POSITION IN THE ORGANIZATION. OG CONDUCTS PERIODIC REVIEW OF THE MARKET TO DEVELOP AVERAGE WAGES FOR POSITIONS WITHIN OAK GROVE. OAK GROVE STARTS EMPLOYEES THAT MEET THE MINIMUM REQUIREMENTS FOR THE POSITION AT/OR NEAR THE STARTING WAGE. WE MAKE ADJUSTMENTS TO THE STARTING WAGE BASED ON YEARS OF EXPERIENCE IN THAT SPECIFIC POSITION. OUR COMPENSATION PHILOSOPHY FOR STAFF OF OUR ORGANIZATION IS BASED ON VARIOUS TIERS. THE FIRST TIER IS GENERAL STAFF. WE HAVE HIRED AN OUTSIDE CONSULTANT TO DEVELOP A COMPENSATION SYSTEM FOR ALL OF OAK GROVE'S POSITIONS. THE CONSULTANTS DEVELOPED A SYSTEM WITH WAGE SCALES THAT USE THE MARKETPLACE AVERAGE FOR KEY POSITIONS AS THE STARTING POINT FOR THE SCALES. THE WAGES SCALES HAVE A MINIMUM, A 25TH PERCENTILE, A 50TH PERCENTILE (AVERAGE) A 75TH PERCENTILE AND A MAXIMUM. WE STRIVE TO KEEP OUR AVERAGE FOR POSITIONS AT THE MID-POINT OF A RANGE DEVELOPED BY OUR CONSULTANTS. PERIODICALLY WE HIRE A CONSULTANT TO UPDATE THE MARKETPLACE AVERAGE FOR SEVERAL KEY POSITIONS. THE CONSULTANT WILL USE AREA MARKETPLACE DATA, LEADINGAGE DATA, AND OTHER INDUSTRY DATA TO DEVELOP THE AVERAGE. OUR COMPENSATION PHILOSOPHY FOR MANAGEMENT AND EXECUTIVE STAFF (DIRECTORS AND VICE PRESIDENT) OF OUR ORGANIZATION IS SLIGHTLY DIFFERENT. THE SECOND TIER IS MANAGEMENT STAFF. THE WAGE SCALE SYSTEM IS THE SAME FOR OUR STAFF. HOWEVER, OUR POLICY STATES THAT DIRECTORS ARE LIKE OTHER STAFF AND CAN EARN UP TO THE 100TH PERCENTILE OF THE RANGE FOR THEIR POSITION. OUR THIRD TIER IS VICE PRESIDENT STAFF. THE WAGE SCALE SYSTEM IS THE SAME FOR OUR STAFF. HOWEVER, THERE IS ONE DIFFERENCE. THE POLICY STATES THAT VICE PRESIDENTS CAN EARN UP TO THE 85TH PERCENTILE OF THE RANGE FOR THEIR POSITION. THE RANGE USES THE MEDIAN AS THE MID-POINT NOT THE AVERAGE. GENERALLY THE MEDIAN IS BELOW THE AVERAGE. THE OVERALL COMPENSATION POLICY AND THE VP COMPENSATION POLICY ARE APPROVED BY THE GREENCROFT COMMUNITIES (GC) BOARD OF DIRECTORS. THE OAK GROVE (OG) BOARD REVIEWS THE COMPENSATION POLICIES. ANNUALLY THE GC BOARD AND THE OG BOARD REVIEW THE COMPENSATION OF THEIR RESPECTIVE EXECUTIVE TEAMS. THEY COMPARE CURRENT WAGES WITH NATIONAL DATA PROVIDED BY, LEADINGAGE, FORMERLY AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA). THE BOARDS REVIEW THE CURRENT WAGE, THE PERCENTILE RANKING OF THE EMPLOYEE IN HIS/HER RESPECTIVE RANGE AND THE MEDIAN OF THE MARKETPLACE COMPARED TO THE MID-POINT OF THE EMPLOYEE'S RANGE. THE BOARDS DOCUMENT THESE MEETINGS AND ACTIONS TAKEN IN THEIR BOARD MINUTES. THE OG BOARD HAS REVIEWED THE BASE WAGE AND THE VARIABLE PAY FOR THE PRESIDENT OF OAK GROVE. IN THE FISCAL YEAR 2013 THIS POSITION WAS AT THE 72TH PERCENTILE OF THE RANGE FOR THIS POSITION IN BASE COMPENSATION AND NO VARIABLE PAY COMPENSATION FOR FY 2013. THIS PROCESS WAS LAST PERFORMED IN FISCAL YEAR 2013.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
OTHER FEESFORM 990, PART IX, LINE 11GOUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 447,931. MANAGEMENT AND GENERAL EXPENSES 36,116. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 484,047. CORPORATE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 60,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,000. OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,427. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,427.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 9:UNREALIZED LOSS ON INTEREST RATE SWAP -7,500. LOSS ON REFINANCING -33,450.
FORM 990, PART XII, LINE 2C:THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
GREENCROFT CENTRAL MANOR INC
PO BOX 819GOSHENIN46527356047318HOUSINGIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT COMMUNITIES FOUNDATION INC
PO BOX 819GOSHENIN46527237126990FUNDRAISINGIN501(C)(3)LINE 7GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT GOSHEN INC
PO BOX 819GOSHENIN46527351270709HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT MANOR III INC
PO BOX 819GOSHENIN46527351431475HOUSINGIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT MANOR II INC
PO BOX 819GOSHENIN46527351377430HOUSINGIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT MIDDLEBURY INC
PO BOX 819GOSHENIN46527300036865HOUSINGIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT RETIREMENT COMMUNITIES INC
PO BOX 819GOSHENIN46527300036587MANAGEMENTIN501(C)(3)LINE 11C, III-FI0N/A
GREENCROFT HOME HEALTH SERVICES INC
PO BOX 819GOSHENIN46527351606010HOME HEALTHIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
HAVEN HUBBARD HOMES INC DBA HAMILTON GROVE
31869 CHICAGO TRAILNEW CARLISLEIN46552350870110HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
SOUTHFIELD VILLAGE INC
6450 MIAMI CIRCLESOUTH BENDIN46614351866553HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
WALNUT HILLS RETIREMENT COMMUNITIES INC
PO BOX 129WALNUT CREEKOH44687351317338HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
HAMILTON FOUNDATION INC
31869 CHICAGO TRAILNEW CARLISLEIN46552351764275FUNDRAISINGIN501(C)(3)LINE 11A, IHAVEN HUBBARD HOMES INC DBA HAMILTON GROVE1
CHICAGO TRAIL VILLAGE INC
31869 CHICAGO TRAILNEW CARLISLEIN46552310990629HOUSINGIN501(C)(3)LINE 9HAVEN HUBBARD HOMES INC DBA HAMILTON GROVE1
MENNONITE HEALTH SERVICES
234 S MAIN STREET SUITE AGOSHENIN46526231421919HEALTHCAREIN501(C)(3)LINE 90N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1GREENCROFT MANAGEMENT INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 819AddressLine1
CityGOSHENCity
StateINState
ZIP Code46527ZIPCode
FieldValueIRS element (for citing)
EIN270259652EIN
Primary ActivityMANAGEMENT SERVICESPrimaryActivity
Legal Domicile StateINLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1GREENCROFT RETIREMENT COMMUNITIES INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeMTransactionType
Amount Involved316226AmountInvolved
Method Of Amt DeterminationACTUAL COSTMethodOfAmtDetermination