2013-11-04T06:19:08-06:00 2013-06-30 351178661 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2012-07-01 351516199 WESTMINSTER VILLAGE GREENWOOD INC WEST 3178812591 295 VILLAGE LANE GREENWOOD IN 46143 MICHAEL OLSON 3178812591 2013-11-03 1 AMBER KOCHER CPA P01286298 3176334705 2012 2015-11-30 17:44:51Z GREENWOOD VILLAGE SOUTH MICHAEL OLSON 295 VILLAGE LANE GREENWOOD IN 46143 20868820 0 X WWW.GREENWOODVILLAGESOUTH.COM X 1981 IN TO OPERATE A LONG-TERM CARE AND RETIREMENT FACILITY. 8 8 467 125 0 0 10926 1933 18345239 19097729 181212 126546 168162 -442848 18705539 18783360 2178 3483 0 0 9932866 10196466 0 0 0 11598577 10220884 21533621 20420833 -2828082 -1637473 39959235 38975771 50657912 50256079 -10698677 -11280308 TO OPERATE A LONG-TERM CONTINUING CARE AND RETIREMENT FACILITY. 0 0 17921209 3483 19169905 THE PRIMARY BUSINESS ACTIVITY IS TO OPERATE A CONTINUING CARE AND RETIREMENT FACILITY, PROVIDING HOUSING FOR THE AGED IN APARTMENTS AND COTTAGES, ASSISTED LIVING CARE THROUGH ITS LICENSED RESIDENTIAL CARE FACILITY, AND HEALTH CARE THROUGH ITS HEALTH CARE FACILITY IN GREENWOOD, INDIANA. THE ORGANIZATION INCLUDES 202 INDEPENDENT-LIVING APARTMENTS, 58 INDEPENDENT-LIVING COTTAGES, 46 ASSISTED-LIVING APARTMENTS, AND A 137-BED HEALTH CARE CENTER THAT PROVIDES BOTH SKILLED AND IMMEDIATE CARE. WESTMINSTER VILLAGE GREENWOOD, INC PROVIDES THE BENEFITS OF BENEVOLENT CARE TO ITS RESIDENTS, IN WHICH THE ORGANIZATION WILL SUBSIDIZE THE COST OF CARE FOR THE REMAINDER OF THE RESIDENT'S LIFE SHOULD A RESIDENT OUTLIVE THEIR FINANCIAL RESOURCES. 17921209 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 48 0 1 467 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 IN X JENNIFER EVANS 3178812591 295 VILLAGE LANE GREENWOOD IN 46143 DANEIL H WAGNER CPA 2.00 2.00 X 0 0 0 MERRILL KELSAY 2.00 2.00 X 0 0 0 WILLIAM WALKER 2.00 2.00 X 0 0 0 DAN CALLON 2.00 2.00 X 0 0 0 MICHAEL TAPP 2.00 2.00 X 0 0 0 LINDA GIBSON 2.00 2.00 X 0 0 0 WILLIAM GRUBE 2.00 2.00 X 0 0 0 GEORGE R SMALL JR MD 2.00 2.00 X 0 0 0 GAIL RICHARDS 2.00 2.00 X 0 0 0 MICHAEL OLSON 40.00 0.00 X 0 0 0 JOANN MAZE 40.00 0.00 X 0 0 0 ALICE BORCHELT 40.00 0.00 X 107723 0 0 107723 0 0 1 0 0 0 REHABCARE GROUP INCCONTRACT THERAPY DI PO BOX 5 ST LOUIS MO 63150 THERAPY SERVICES 1090504 LIFE CARE SERVICES LLC 820 LOCUST DES MOINES IA 50309 MANAGEMENT SERVICES 609024 PRN PHARMACEUTICAL LP PRN PHARMACEUTICAL SERVICES LP L27 COLUMBUS OH 43260 PHARMACY SERVICES 342073 3 1933 1933 NET PATIENT AND RESIDE 623000 17056680 17056680 ADVANCED FEES 623000 1981896 1981896 RENTAL FEES 623000 59153 59153 19097729 95640 95640 2100000 16366 2077277 8183 22723 8183 30906 30906 LOSS ON EXTINGUISHMENT OF DEBT 900099 -667694 -667694 224846 72176 152670 -442848 18783360 19169905 0 -388478 3483 3483 8074446 7290137 784309 1534466 1419353 115113 587554 555699 31855 562048 562048 39954 39954 66219 66219 1201033 1200909 124 218033 218033 1149016 1018931 130085 729919 713666 16253 19520 12731 6789 24313 15950 8363 1890617 1890086 531 1780615 1780615 177558 177558 FOOD 1332429 1332429 0 REPAIRS & MAINTENANCE 405849 390469 15380 DUES & SUBSCRIPTIONS 23266 462 22804 600495 296289 304206 20420833 17921209 2499624 0 565696 363854 3189199 3436860 1524214 1760602 270000 164842 163717 170228 142437 53315176 27011893 26397531 26303283 6925230 5926861 465805 362337 556490 245820 39959235 38975771 1300140 1238674 13327527 13828779 0 31235834 35786551 3710442 243694 242350 50657912 50256079 X -10698677 -11280308 -10698677 -11280308 39959235 38975771 X -1637473 -94614 1150456 X X 0 1 X 0 0 X 15117 47504 8374 10926 1933 83854 19147078 18985091 19042954 18366314 19097729 94639166 19162195 19032595 19051328 18377240 19099662 94723020 0 0 0 94723020 328038 187508 242918 192399 95640 1046503 328038 187508 242918 192399 95640 1046503 383072 114667 142989 168162 224846 1033736 19873305 19334770 19437235 18737801 19420148 96803259 0.97850 0.97290 0.01080 0.01660 X 99787 99787 49125774 24042369 25083405 4010501 2969524 1040977 79114 79114 26303283 APPLICANT/TENANT DEPOSIT LIABILITY 242350 242350 X 19839202 -94614 1150456 1055842 18783360 0 18783360 20420833 0 20420833 0 20420833 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: 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 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 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED GAIN ON DERIVATIVE INSTRUMENT 1,150,456. A INDIANA FINANCE AUTHORITY 351602316 2012-12-20 31350000 SEE PART VI BELOW 0 0 0 A 31350103 275000 73926 29887179 1113998 2012 1 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 1 SEE PART VI BELOW 9.953400000000 0 0 0 0 1 A 1 PART I, LINE A, COLUMN F: PURPOSE OF BOND: THE 2012 BONDS WERE USED FOR (1) THE CURRENT REFUNDING OF SERIES 2011 BONDS, (2) THE CURRENT REFUNDING OF SERIES 1998 BONDS, AND (3) PAYING A PORTION OF THE COSTS OF CONSTRUCTING, RENOVATING OR EQUIPPING A CONTINUING CARE RETIREMENT COMMUNITY. PART II, LINE 3: INVESTMENT EARNINGS: DURING 2012 TAX YEAR, THE TOTAL INVESTMENT EARNINGS FOR THE YEAR WERE $103.43 FROM THE PROJECT FUNDS AND COST OF ISSUANCE FUND. THIS IS THE DIFFERENCE BETWEEN THE AMOUNT LISTED ON PART I, LINE 1, COLUMN (E), ISSUE PRICE AND PART II, LINE 3, TOTAL PROCEEDS OF ISSUE. PART IV, LINE 4A: NAME OF PROVIDER: THE HUNTINGTON NATIONAL BANK FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES, LLC HAS BEEN ENGAGED TO MANAGE THE VILLAGE'S OPERATIONS OF THE FACILITY SINCE DECEMBER 1981. THE VILLAGE'S MANAGEMENT FEE PAID TO LIFE CARE SERVICES IS LISTED ON PART VII, SECTION B. INDEPENDENT CONTRACTORS. THE FEE PAID IS A FIXED MONTHLY AMOUNT PLUS INCENTIVE FEES EARNED FOR THE ACHIEVEMENT OF CERTAIN GOALS. THE EXECUTIVE DIRECTOR (LISTED AS AN OFFICER ON PART VII, SECTION A) AND THE ADMINISTRATOR (NON-OFFICER EMPLOYEE) ARE EMPLOYED BY THE UNRELATED THIRD PARTY MANAGEMENT COMPANY, LIFE CARE SERVICES, WHICH PAYS THE COMPENSATION FOR THESE TWO POSITIONS. FORM 990, PART VI, SECTION B, LINE 11 THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORM AND REQUIRED SCHEDULES BY THE ORGANIZATION'S ACCOUNTING DIRECTOR AND EXECUTIVE DIRECTOR. EACH VOTING MEMBER OF THE GOVERNING BODY RECEIVES A COPY OF THE FORM 990 INCLUDING REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12 THE ORGANIZATION WILL BE ADDING A WRITTEN CONFLICT OF INTEREST POLICY IN FISCAL YEAR 2014 TO SUPPLEMENT ANY APPLICABLE STATE OR FEDERAL LAWS GOVERNING CONFLICT OF INTEREST; ADDING ADDITIONAL MEASURES TO PROTECT THE ORGANIZATION'S INTEREST WHEN CONTEMPLATING TRANSACTIONS OR ARRANGEMENTS THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 13: THE ORGANIZATION WILL BE ADDING A WRITTEN WHISTLEBLOWER POLICY IN FISCAL YEAR 2014 TO PROVIDE PROCEDURES FOR REPORTING ANY SERIOUS INTERNAL CONCERNS IN ORDER FOR THE ORGANIZATION TO REVIEW AND CORRECT ANY INAPPROPRIATE CONDUCT AND/OR ACTIONS. THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE UNRELATED THIRD PARTY MANAGEMENT COMPANY, LIFE CARE SERVICES, LLC. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON DERIVATIVES 1,150,456. OVERSIGHT OF AUDIT FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. WESTMINSTER TOWERS GREENWOOD INC 278 VILLAGE LANE GREENWOOD IN 46143 351516196 OPERATION OF LOW-COST HOUSING FOR ELDERLY & PHYSICALLY DISABLED PERSONS IN 501(C)(3) LINE 9 WESTMINSTER VILLAGE GREENWOOD INC 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WESTMINSTER TOWERS GREENWOOD INC D 270000 CASH PAID