WESTMINSTER VILLAGE NORTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER VILLAGE NORTH INC (EIN 31-1209757)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-04-22
IRS object ID
201311129349300016
Schema version
2011v1.5
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)
Timestamp2013-04-22T12:52:29-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN351178661EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE AMERICAN SQUARE 2200AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46282ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311209757EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER VILLAGE NORTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone3178236841Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111050 PRESBYTERIAN DRIVEAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46236ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM LEEName
TitleCFOTitle
Phone3178236841Phone
Date Signed2013-04-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMBER KOCHER CPAName
PTINP01286298PTIN
Phone3176334705Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM LEENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111050 PRESBYTERIAN DRIVEAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46236ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19969510GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WESTMINSTERVILLAGE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionSATISFY NEEDS OF THE ELDERLY BY PROVIDING HOUSING, HEALTHCARE, & FINANCIAL SECURITYActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees449TotalNbrEmployees
Total Nbr Volunteers115TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year137819ContributionsGrantsPriorYear
Contributions Grants Current Year100725ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19578785ProgramServiceRevenuePriorYear
Program Service Revenue CY19710541ProgramServiceRevenueCY
Investment Income Prior Year112579InvestmentIncomePriorYear
Investment Income Current Year-406958InvestmentIncomeCurrentYear
Other Revenue Prior Year46125OtherRevenuePriorYear
Other Revenue Current Year58226OtherRevenueCurrentYear
Total Revenue Prior Year19875308TotalRevenuePriorYear
Total Revenue Current Year19462534TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year127853GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY72173GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10355036SalariesEtcPriorYear
Salaries Etc Current Year10665490SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8212285OtherExpensePriorYear
Other Expenses Current Year8031168OtherExpensesCurrentYear
Total Expenses Prior Year18695174TotalExpensesPriorYear
Total Expenses Current Year18768831TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1180134RevenuesLessExpensesPriorYear
Revenues Less Expenses CY693703RevenuesLessExpensesCY
Total Assets BOY50585728TotalAssetsBOY
Total Assets EOY48712040TotalAssetsEOY
Total Liabilities BOY40647948TotalLiabilitiesBOY
Total Liabilities EOY39823066TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9937780NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8888974NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWESTMINSTER VILLAGE NORTH, A NONPROFIT CONTINUING CARE COMMUNITY, IS COMMITTED TO EXCELLENCE IN RESIDENTIAL AND HEALTH CARE SERVICES FOR SENIOR ADULTS IN A SECURE HOME ENVIRONMENT THAT ENHANCES THEIR MENTAL, PHYSICAL AND SPIRITUAL WELL-BEING.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense16328881Expense
Grants99173Grants
Revenue19752541Revenue
DescriptionTO PROVIDE HOUSING, HEALTHCARE, AND FINANCIAL SECURITY PURSUANT TO REV. RUL. 72-124 SATISFYING THE THREE SPECIAL NEEDS OF THE ELDERLY.HOUSING:THE VILLAGE PROVIDES RESIDENTIAL FACILITIES THAT ARE SPECIFICALLY DESIGNED TO MEET THE NEEDS OF THE ELDERLY; CONSTRUCTED WITH FIRE-RESISTANT MATERIAL; BATHROOMS EQUIPPED WITH GRAB-BARS; EQUIPPED WITH RAMPS AND ELEVATORS FOR WHEELCHAIR USE; CARPETED CORRIDORS AND HANDRAILS; MAINTENANCE-FREE LIVING; ON-SITE COMMERCIAL SERVICES (BANK, STORE, BEAUTY SALON); CHAPEL; EMERGENCY CALL SYSTEM.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionFINANCIAL SECURITY:WESTMINSTER VILLAGE PROVIDES CONTINUING CARE TO THE VILLAGE RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE FACILITY, NOT ALL RESIDENTS POSSESS THE NECESSARY FINANCIAL RESOURCES TO MAINTAIN THEIR LIVING EXPENSES. SERVICES ARE AND WERE PROVIDED TO MEDICARE, MEDICAID, AND HOSPICE RESIDENTS. DURING THE CURRENT FISCAL YEAR $388,065 OF CHARITY CARE WAS PROVIDED WITH $256,665 RELATED TO MEDICAID LOSSES AND $131,400 RELATED TO DIRECT CHARITY CARE WRITE OFFS. THE VILLAGE PROVIDES CHARITY CARE TO THOSE RESIDENTS WHO HAVE EXHAUSTED THEIR RESOURCES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionHEALTHCARE:THE VILLAGE PROVIDES FOR THE PHYSICAL AND MENTAL WELL-BEING OF OUR RESIDENTS; HEALTH CENTER ON PREMISES; SKILLED & INTERMEDIATE NURSING CARE WITH 24-HOUR PROFESSIONAL STAFFING; SCHEDULED PHYSICIAN OUTPATIENT SERVICES; SCHEDULED SPEECH, OCCUPATIONAL, AND PHYSICAL THERAPY; PRESCRIPTION SERVICES; EXERCISE CLASSES AND A WIDE RANGE OF SOCIAL AND RECREATIONAL ACTIVITIES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionSOCIAL ACCOUNTABILITY:IN ADDITION, AS A NOT-FOR-PROFIT OTHER PROGRAMS AND SERVICES FOR THE BENEFIT OF THE COMMUNITY ARE PROVIDED, SUCH AS MEALS ON WHEELS DAILY DELIVERIES, HEALTH PROMOTIONS AND EDUCATION SEMINARS, INTERNSHIPS AND SITE VISITS FOR HEALTH CARE STUDENTS, AND OTHER VOLUNTEER ACTIVITIES. WE ALSO ENCOURAGE OUR ASSOCIATES TO TAKE AN ACTIVE PART IN THE COMMUNITY WE SERVE.WESTMINSTER VILLAGE NORTH, INC. OPENS ITS DOORS TO BOTH THE RESIDENTS AND THE COMMUNITY WE SERVE BY PROVIDING PERSONNEL, SPEAKERS, SPACE, SUPPORT, AND TRANSPORTATION TO/FOR THE FOLLOWING ORGANIZATIONS AND EVENTS.ABOUNDING GRACE KINDERGARDENALZHEIMER'S ASSOCIATION DONATIONSALZHEIMER'S ASSOCIATION FALL CAREGIVER CONFERENCE SPONSORSHIPALZHEIMER'S ASSOCIATION GOLF OUTING SPONSORSHIPALZHEIMER'S ASSOCIATION PUBLICATIONS SUPPORTAMY BEVERLAND BROWNIE TROUPCARF/CCAC SURVEYOR (EXECUTIVE ASSISTANT)CATHEDRAL HIGH SCHOOLCALVARY CHAPEL BIBLE COLLEGECHRISTMAS GIFT AND HOBBY SHOWCITY OF LAWRENCE FIRE DEPARTMENT TRAININGCIVIC THEATRE RESIDENT ATTENDANCECIVIL AIR PATROL MEETING SPACECLIFTY FALLS PARK TRIPCOMMUNITY HEALTH NETWORKS SENIOR HEALTH FAIR "A FAIR TO REMEMBER"COMMUNITY LIFE LINE CHRISTIAN CHURCH (ON-SITE)COMPUTER AGEDCOUPON CUTTERS FOR THE MILITARYCREATIVE MEMORIESDAISY GIRL SCOUTS #98DANCE KALEIDOSCOPEDEVOURDOWNTOWN.ORGELDER ABUSE SYMPOSIUM (CICOA, STATE ATTORNEY GENERAL, STATE ADULT SERVICES)FOOD DRIVE FOR OUTLOOK CHRISTIAN CHURCHFRANKLIN RD. BAPTIST CHURCHGRANDFATHER/GRANDDAUGHTER BRUNCHGREAT DECISIONS SERIES AT BUTLER UNIVERSITYHARBOR LIGHT HOSPICEHARVEST CHURCH, MCCORDSVILLEHEALTH FACILITY ADMINISTRATOR BOARDHOLIDAY BAZAARHOLY CROSS LUTHERAN PRESCHOOLHOPE CHURCH (A SERVICE OF CORNERSTONE BAPTIST CHURCH)HORIZON CHURCH FURNITURE DONATIONSIAHSA BOARD OF DIRECTORSIAHSA COMMITTEES IAICINDIANA ACTORS' THEATREINDIANA ATTORNEY GENERAL LIAISONINDIANA HISTORICAL SOCIETYINDIANA STATE MUSEUMINDIANA STATE PARKSINDIANA STATE UNIVERSITYINDIANAPOLIS ART CENTERINDIANAPOLIS MUSEUM OF ART RESIDENT ATTENDANCEINDIANAPOLIS SYMPHONY ORCHESTRA RESIDENT ATTENDANCEINDIANAPOLIS ZOOINDY AIRES SINGERSINDY FIRE RESCUE HOUSEINDY HOPE HOUSEIRVINGTON PRESBYTERIAN CHURCH HOME TOURIRVINGTON PRESBYTERIAN CHURCH PRESENTATIONSIVY TECHIUPUI RD PROGRAMJOHN MARSHALL COMMUNITY HSJULIAN CENTER SUPPORTKENSINGTON HOMEOWNERS ASSOCIATION MEETING SPACEKIWANIS DOLL PROJECTKIWANIS PRESENTATION - CARMEL KIWANIS PRESENTATION - CASTLETONLAWRENCE CHAMBER OF COMMERCE BUSINESS AFTER HOURSLAWRENCE CHAMBER OF COMMERCE HEALTH FAIRLAWRENCE CHAMBER OF COMMERCE WOMEN'S BREAKFASTLAWRENCE FAMILY CHARITYLAWRENCE FRATERNAL ORDER OF POLICE MEETINGSLAWRENCE METHODIST PRESCHOOLLAWRENCE NORTH JAZZ BANDLAWRENCE POLICE MERIT COMMISSION MEETINGSLILLY CHOIRLIVING STREAMS CHURCH CHOIRLOCAL CANDIDATE Q&AMAENNERCHOR MUSICAL PERFORMANCEMEALS ON WHEELSMUD CREEK PLAYERS PRESENTATIONMUD CREEK PLAYERS RESIDENT ATTENDANCEOMICRON PI @ IUPUIORCHARD PARK PRESBYTERIAN CHURCH LUNCHEONPEO PRESENTATIONPEOPLE'S BURN FOUNDATIONPOLITICAL FORUMSPOLLING SITE - PRIMARY AND GENERAL ELECTIONSPRAISE & WORSHIP CHURCH LUNCHEON/MEETING (X2)PROJECT LINUSPURDUE UNIVERSITY GLEE CLUBROCK OF FAITHRHYTHM DISCOVERYST. SIMON CHURCHSCOTTISH RITE CATHEDRALSECOND PRESBYTERIAN CHURCH SENIOR LUNCHEONSEN. JIM MERRITT REPORTS TO CONSTITUENTS ON CAMPUSSENIOR HEALTH FAIR PRESENTATION, LIVE 40 MAGAZINESERTOMA MEETINGS ON SITESERVANTS OF CHRIST LUTHERAN CHURCH TRANSPORTATIONTASTE OF HOPE BENEFITING FAIRBANKS HOPE ACADEMY SPONSORSHIPTHE INDIANA HARMONY BRIGADE AT CRISPUS ATTUCKS MEDICAL MAGNET HIGH SCHOOLTHE PLAYERSTHE WESTMINSTER FOUNDATION RESIDENT/STAFF ART SHOWTURKEY RUN STATE PARKVIRGINIA B. FAIRBANKS ART & NATURE PARK AT IMAVOCEWEEKLY RESIDENT TRANSPORTATION TO COMMUNITY HOSPITAL CAMPUS APPOINTMENTSWFYI CHARITY GOLF OUTINGWFYI MARKETING SUPPORTWFYI SPEAKING OF WOMEN'S HEALTHWOLF PARKDescription
FieldValueIRS element (for citing)
Total Program Service Expense16328881TotalProgramServiceExpense
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 Endowments1TermOrPermanentEndowments
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 Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees449NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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 Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WILLIAM ROBERT LEE CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3178236841TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111050 PRESBYTERIAN DRAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46236ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
BRIAN MADDEN
PRESIDENT4.00X000
ANTHONY NICHOLAS
VICE PRESIDENT4.00X000
FRANK NEESE
TREASURER4.00X000
LINDA PENDLETON
SECRETARY4.00X000
BRAD HITZFIELD
MEMBER4.00X000
ALBERT JACKSON
MEMBER4.00X000
VIRGINIA MAHER
MEMBER4.00X000
JON MILLER
MEMBER4.00X000
BETTYE PARKS
MEMBER4.00X000
WILLIAM RIGGS
MEMBER4.00X000
MARY STEINKE
MEMBER4.00X000
ELIZABETH COFFEY
EMERITUS - NON-VOTING4.00X000
SHELLY RAUCH
CEO40.00276965018807X
WILLIAM ROBERT LEE
CFO40.0011010507766X
STEPHANIE JAMES
HC ADMINISTRATOR40.0097522011474X
FieldValueIRS element (for citing)
Total Reportable Comp From Org484592TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation38047TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHAB STRATEGIES LLC
2091 RIDGEMER WAYGREENWOODIN46143CONTRACT THERAPY1317659
SENIOR CARE PHARMACY
6530 CORPORATE DRIVE BUILDING AINDIANAPOLISIN46278PHARMACY PROVIDER623512
INTERDESIGN
141 E OHIO STREETINDIANAPOLISIN46204ARCHITECTURAL SERVICES616438
BARNES & THORNBURG LLP
11 SOUTH MERIDIAN STINDIANAPOLISIN46204LEGAL SERVICES235754
WILLOW MARETING MANAGEMENT INC
3590 NORTH MERIDIAN ST STE200INDIANAPOLISIN46208MARKETING SERVICES197551
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Related Organizations60000RelatedOrganizations
All Other Contributions40725AllOtherContributions
Total Contributions100725TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT SERVICES FE62300086907238690723
NET PATIENT SERVICE RE62300079011127901112
LIFE OCCUPANCY FEES62300016110441611044
LEASE REVENUE62300015076621507662
FieldValueIRS element (for citing)
Total Program Service Revenue19710541TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column100018TotalRevenueColumn
Exclusion$100,018ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column42000TotalRevenueColumn
Related Or Exempt Function Income42000RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real13736Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real13736Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column13736TotalRevenueColumn
Exclusion$13,736ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other506976Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-506976Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-506976TotalRevenueColumn
Exclusion-$506,976ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2490TotalRevenueColumn
Exclusion$2,490ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2490TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19462534TotalRevenueColumn
Related Or Exempt Function Income19752541RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$390,732ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total72173Total
Program Services72173ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total555774Total
Program Services416830ProgramServices
Management And General138944ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7972914Total
Program Services7574268ProgramServices
Management And General398646ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total31153Total
Program Services28972ProgramServices
Management And General2181ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1431829Total
Program Services1331601ProgramServices
Management And General100228ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total673820Total
Program Services626653ProgramServices
Management And General47167ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total60776Total
Management And General60776ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40548Total
Management And General40548ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1899521Total
Program Services1652583ProgramServices
Management And General246938ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total209465Total
Management And General209465ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total143620Total
Program Services135969ProgramServices
Management And General7651ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total86791Total
Program Services75508ProgramServices
Management And General11283ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total869234Total
Program Services825772ProgramServices
Management And General43462ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total46848Total
Program Services37478ProgramServices
Management And General9370ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2731Total
Program Services2048ProgramServices
Management And General683ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total928723Total
Management And General928723ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1721170Total
Program Services1566265ProgramServices
Management And General154905ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total174363Total
Program Services174363ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL SUPPLIES AND FO17221291722129
BAD DEBT EXPENSE5926959269

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total65980Total
Program Services27000ProgramServices
Management And General38980ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18768831Total
Program Services16328881ProgramServices
Management And General2439950ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1421669BOY
EOY2056856EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5664754BOY
EOY6500000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1053946BOY
EOY785EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY233724BOY
EOY120899EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY226945BOY
EOY189872EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis56310640LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18496434LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY37167541BOY
EOY37814206EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4817149BOY
EOY2029422EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY50585728BOY
EOY48712040EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1443808BOY
EOY1283829EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY14499910BOY
EOY13820574EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY22310000BOY
EOY22831596EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2394230BOY
EOY1887067EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY40647948BOY
EOY39823066EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9829724BOY
EOY8851861EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY108056BOY
EOY37113EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9937780BOY
EOY8888974EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY50585728BOY
EOY48712040EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses693703ReconcilationRevenueExpenses
Reconcilation Other Changes-1742509ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years1367321CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1306139CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1702900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year137819CurrentTaxYearMinus1Year
Current Tax Year100725CurrentTaxYear
Total4614904Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13700347CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15636936CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16814396CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19588685CurrentTaxYearMinus1Year
Current Tax Year19752541CurrentTaxYear
Total85492905Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years134778CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years115851CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years102294CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46125CurrentTaxYearMinus1Year
Current Tax Year16226CurrentTaxYear
Total415274Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15202446CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17058926CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18619590CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19772629CurrentTaxYearMinus1Year
Current Tax Year19869492CurrentTaxYear
Total90523083Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50990523083PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years510121CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years420038CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years134940CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112579CurrentTaxYearMinus1Year
Current Tax Year100018CurrentTaxYear
Total1277696Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years510121CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years420038CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years134940CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112579CurrentTaxYearMinus1Year
Current Tax Year100018CurrentTaxYear
Total1277696Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15712567CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17478964CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18754530CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19885208CurrentTaxYearMinus1Year
Current Tax Year19969510CurrentTaxYear
Total91800779Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98610PublicSupportPercentage509
Prior Year Support Percentage0.97960PriorYearSupportPercentage
Investment Income Percentage0.01390InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02040PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance108056BeginningOfYearBalance
Contributions75725Contributions
Grants Or Scholarships134173GrantsOrScholarships
Other Expenditures12494OtherExpenditures
End Of Year Balance37114EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance188239BeginningOfYearBalance
Contributions77819Contributions
Grants Or Scholarships127853GrantsOrScholarships
Other Expenditures30149OtherExpenditures
End Of Year Balance108056EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance201388BeginningOfYearBalance
Contributions164730Contributions
Grants Or Scholarships119946GrantsOrScholarships
Other Expenditures57933OtherExpenditures
End Of Year Balance188239EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance71854BeginningOfYearBalance
Contributions255621Contributions
Grants Or Scholarships66508GrantsOrScholarships
Other Expenditures4360OtherExpenditures
Administrative Expenses55219AdministrativeExpenses
End Of Year Balance201388EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis162833OtherCostOrOtherBasis
Book Value162833BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis50795993OtherCostOrOtherBasis
Depreciation15257564Depreciation
Book Value35538429BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3981101OtherCostOrOtherBasis
Depreciation2990701Depreciation
Book Value990400BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1370713OtherCostOrOtherBasis
Depreciation248169Depreciation
Book Value1122544BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37814206TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
APARTMENT DEPOSITS$29,847
DERIVATIVE LIABILITY$1,742,509
OTHER LIABILITIES$114,711
FieldValueIRS element (for citing)
Total Of Amounts1887067TotalOfAmounts
Total Revenue19462534TotalRevenue
Total Expenses18768831TotalExpenses
Excess Or Deficit For Year693703ExcessOrDeficitForYear
Net Unrealized GL On Investments-1742509NetUnrealizedGLOnInvestments
Total Adjustments-1742509TotalAdjustments
Excess Or Deficit Per FS-1048806ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17720025TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1742509NetUnrealizedGainsInvestments
Revenue Not Rptd F990-1742509RevenueNotRptdF990
Revenue Subtotal19462534RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99019462534TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18768831TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18768831ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018768831TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:TEMPORARILY RESTRICTED NET ASSETS ARE THOSE ASSETS WHOSE USE BY THE ORGANIZATION HAS BEEN LIMITED BY DONORS PRIMARILY FOR CAPITAL PROJECTS, USE IN OPERATIONS, OR A SPECIFIC PERIOD OR PURPOSE. UNLESS OTHERWISE RESTRICTED, EARNINGS ON THESE FUNDS ARE UNRESTRICTED AND INCLUDED WITH NON-OPERATING GAINS. THE TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR CERTAIN OPERATIONAL USES INCLUDING CHARITY CARE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 SUPERSEDED BY FASB CODIFICATION: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE VILLAGE AND RECOGNIZE A TAX LIABILITY IF THE VILLAGE HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE VILLAGE, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2012 AND 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE VILLAGE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantVEAL TUITION PROGAMTypeOfGrant
Number Of Recipients17NumberOfRecipients
Amount Of Cash Grant72173AmountOfCashGrant
Description Of Non Cash AssistancePROVIDES SCHOLARSHIPS FOR EMPLOYEES FURTHERING THEIR EDUCATION.DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ASSISTANCE IS PROVIDED FOR TUITION REIMBURSEMENT WHICH IS MONITORED BY THE DIRECTOR OF HUMAN RESOURCES. THE DIRECTOR OF HUMAN RESOURCES REVIEWS THE GRADES AND TUITION EXPENSES INCURRED BY AN EMPLOYEE AND VERFIES THE INDIVIDUAL RECEIVED A "C" OR HIGHER LETTER GRADE AND HAS BEEN WORKING FOR THE ORGANIZATION FOR ONE YEAR.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSHELLY RAUCHNamePerson
Base Compensation Filing Org276965BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org1888DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org16919NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org295772TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF LAWRENCE INDIANABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN356005584IssuerEIN
Date Issued2012-04-02DateIssued
Issue Price37750000IssuePrice
Description Of PurposeREFINANCEDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds37750000TotalProceeds
Issuance Costs From Proceeds245285IssuanceCostsFromProceeds
Working Capital Expenditures15685000WorkingCapitalExpenditures
Other Spent Proceeds21819715OtherSpentProceeds
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1THE HUNTINGTONBusinessNameLine1
Business Name Line2NATIONAL BANKBusinessNameLine2
FieldValueIRS element (for citing)
Term Of Hedge10.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3DURING 2012, THE VILLAGE ENTERED INTO AN ARRANGEMENT TRANSFERRING THE LICENSED HEALTH CENTER AND ASSISTED LIVING RESIDENTIAL BEDS AND ASSOCIATED REVENUE TO HANCOCK REGIONAL HOSPITAL (THE HOSPITAL), AN INDIANA COUNTY HOSPITAL AND TAX-EXEMPT GOVERNMENT AGENCY. AS PART OF THE ARRANGEMENT, THE VILLAGE ENTERED INTO LEASE AND MANAGEMENT AGREEMENTS LEASING THE HEALTH CENTER AND ASSISTED LIVING FACILITIES TO THE HOSPITAL WHILE THE VILLAGE CONTINUES TO MANAGE THESE FACILITIES. FROM THE REVENUE GENERATED, THE HOSPITAL PAYS THE VILLAGE FOR THE PROVISION OF MANAGEMENT SERVICES INCLUDING COMPENSATION FOR THE ASSOCIATED OPERATING EXPENSES INCURRED AS WELL AS DEFINED MANAGEMENT FEES; USAGE OF THE LEASED FACILITIES; AND THE ROYALTY FEE. THE MANAGEMENT FEES CONSIST OF A BASE FEE, A SUBORDINATED MANAGEMENT FEE, AND IF APPLICABLE, AN INCENTIVE MANAGEMENT FEE.
FORM 990, PART VI, SECTION B, LINE 11THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORM 990 BY THE CFO. THE GOVERNING BODY REVIEWS THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR THE BOARD MEMBERS COMPLETE A "CONFLICT OF INTEREST" FORM.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION COMMITTEE OF THE BOARD AS WELL AS THE FIANANCE COMMITTEE REVIEW THE EXECUTIVE DIRECTOR'S COMPENSATION EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S ANNUAL REPORT IS AVAILABLE ON ITS WEBPAGE AT WWW.WESTMINSTERVILLAGENORTH.COM/ANNUAL-REPORTS. THE ARTICLES OF INCORPORATION ARE AVAILABLE ON THE INDIANA SECRETARY OF STATE WEBPAGE.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -1,742,509.
AUDIT OVERSIGHTFORM 990, PART XI, LINE 2CTHE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1THE WESTMINISTER FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111050 PRESBYTERIAN DRIVEAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46236ZIPCode
FieldValueIRS element (for citing)
EIN351603830EIN
Primary ActivitiesASSIST WESTMINISTER VILLAGE NORTHPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
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 Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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