2013-04-22T12:52:29-05:00 2012-09-30 351178661 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2011-10-01 311209757 WESTMINSTER VILLAGE NORTH INC WEST 3178236841 11050 PRESBYTERIAN DRIVE INDIANAPOLIS IN 46236 WILLIAM LEE 3178236841 2013-04-17 1 AMBER KOCHER CPA P01286298 3176334705 2011 2016-02-25 16:41:14Z WILLIAM LEE 11050 PRESBYTERIAN DRIVE INDIANAPOLIS IN 46236 19969510 0 X WWW.WESTMINSTERVILLAGE.COM X 1972 IN SATISFY NEEDS OF THE ELDERLY BY PROVIDING HOUSING, HEALTHCARE, & FINANCIAL SECURITY 11 11 449 115 0 0 137819 100725 19578785 19710541 112579 -406958 46125 58226 19875308 19462534 127853 72173 0 0 10355036 10665490 0 0 0 8212285 8031168 18695174 18768831 1180134 693703 50585728 48712040 40647948 39823066 9937780 8888974 X WESTMINSTER 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. 0 1 16328881 99173 19752541 TO 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. FINANCIAL 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. HEALTHCARE: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. SOCIAL 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 PARK 16328881 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 15 0 1 449 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 IN X WILLIAM ROBERT LEE CFO 3178236841 11050 PRESBYTERIAN DR INDIANAPOLIS IN 46236 BRIAN MADDEN 4.00 X 0 0 0 ANTHONY NICHOLAS 4.00 X 0 0 0 FRANK NEESE 4.00 X 0 0 0 LINDA PENDLETON 4.00 X 0 0 0 BRAD HITZFIELD 4.00 X 0 0 0 ALBERT JACKSON 4.00 X 0 0 0 VIRGINIA MAHER 4.00 X 0 0 0 JON MILLER 4.00 X 0 0 0 BETTYE PARKS 4.00 X 0 0 0 WILLIAM RIGGS 4.00 X 0 0 0 MARY STEINKE 4.00 X 0 0 0 ELIZABETH COFFEY 4.00 X 0 0 0 SHELLY RAUCH 40.00 X 276965 0 18807 WILLIAM ROBERT LEE 40.00 X 110105 0 7766 STEPHANIE JAMES 40.00 X 97522 0 11474 484592 0 38047 2 0 1 0 REHAB STRATEGIES LLC 2091 RIDGEMER WAY GREENWOOD IN 46143 CONTRACT THERAPY 1317659 SENIOR CARE PHARMACY 6530 CORPORATE DRIVE BUILDING A INDIANAPOLIS IN 46278 PHARMACY PROVIDER 623512 INTERDESIGN 141 E OHIO STREET INDIANAPOLIS IN 46204 ARCHITECTURAL SERVICES 616438 BARNES & THORNBURG LLP 11 SOUTH MERIDIAN ST INDIANAPOLIS IN 46204 LEGAL SERVICES 235754 WILLOW MARETING MANAGEMENT INC 3590 NORTH MERIDIAN ST STE200 INDIANAPOLIS IN 46208 MARKETING SERVICES 197551 8 60000 40725 100725 MANAGEMENT SERVICES FE 623000 8690723 8690723 NET PATIENT SERVICE RE 623000 7901112 7901112 LIFE OCCUPANCY FEES 623000 1611044 1611044 LEASE REVENUE 623000 1507662 1507662 19710541 100018 100018 42000 42000 13736 0 13736 13736 13736 506976 -506976 -506976 -506976 2490 2490 2490 19462534 19752541 0 -390732 72173 72173 555774 416830 138944 7972914 7574268 398646 31153 28972 2181 1431829 1331601 100228 673820 626653 47167 60776 60776 40548 40548 1899521 1652583 246938 209465 209465 143620 135969 7651 86791 75508 11283 869234 825772 43462 46848 37478 9370 2731 2048 683 928723 928723 1721170 1566265 154905 174363 174363 MEDICAL SUPPLIES AND FO 1722129 1722129 BAD DEBT EXPENSE 59269 59269 65980 27000 38980 18768831 16328881 2439950 0 1421669 2056856 5664754 6500000 1053946 785 233724 120899 226945 189872 56310640 18496434 37167541 37814206 4817149 2029422 50585728 48712040 1443808 1283829 14499910 13820574 22310000 22831596 2394230 1887067 40647948 39823066 X 9829724 8851861 108056 37113 9937780 8888974 50585728 48712040 X 693703 -1742509 X X 0 1 1 X 0 X 1367321 1306139 1702900 137819 100725 4614904 13700347 15636936 16814396 19588685 19752541 85492905 134778 115851 102294 46125 16226 415274 15202446 17058926 18619590 19772629 19869492 90523083 0 0 0 90523083 510121 420038 134940 112579 100018 1277696 510121 420038 134940 112579 100018 1277696 15712567 17478964 18754530 19885208 19969510 91800779 0.98610 0.97960 0.01390 0.02040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 108056 75725 134173 12494 37114 188239 77819 127853 30149 108056 201388 164730 119946 57933 188239 71854 255621 66508 4360 55219 201388 1.00000 0 0 162833 162833 50795993 15257564 35538429 3981101 2990701 990400 1370713 248169 1122544 37814206 APARTMENT DEPOSITS 29847 DERIVATIVE LIABILITY 1742509 OTHER LIABILITIES 114711 1887067 19462534 18768831 693703 -1742509 -1742509 -1048806 17720025 -1742509 -1742509 19462534 0 19462534 18768831 0 18768831 0 18768831 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. 1 X VEAL TUITION PROGAM 17 72173 PROVIDES SCHOLARSHIPS FOR EMPLOYEES FURTHERING THEIR EDUCATION. PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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. X X 0 0 0 0 0 0 0 0 0 SHELLY RAUCH 276965 0 0 0 0 0 1888 0 16919 0 295772 0 0 0 CITY OF LAWRENCE INDIANA 356005584 2012-04-02 37750000 REFINANCE 0 0 0 37750000 245285 15685000 21819715 2012 1 0 1 0 0 0 1 THE HUNTINGTON NATIONAL BANK 10.000000000000 0 0 0 0 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 DURING 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 11 THE 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 12C EACH YEAR THE BOARD MEMBERS COMPLETE A "CONFLICT OF INTEREST" FORM. FORM 990, PART VI, SECTION B, LINE 15 THE 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 19 THE 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 OVERSIGHT FORM 990, PART XI, LINE 2C THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. THE WESTMINISTER FOUNDATION 11050 PRESBYTERIAN DRIVE INDIANAPOLIS IN 46236 351603830 ASSIST WESTMINISTER VILLAGE NORTH IN 501(C)(3) LINE 7 N/A 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0