FURP.ORG / PUBLIC DATA EXPLORER

HAVEN HUBBARD HOMES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HAVEN HUBBARD HOMES INC (EIN 35-0870110)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201321349349302912
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)
Timestamp2013-05-14T11:23:00-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN350870110EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HAVEN HUBBARD HOMES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHAVENameControl
Phone5746542200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line131869 CHICAGO TRAILAddressLine1
CityNEW CARLISLECity
StateINState
ZIP Code46552ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDALE SHENKName
TitleTREASURERTitle
Phone5745374000Phone
Date Signed2013-04-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN MIENCIERName
PTINP00842339PTIN
Phone2483522500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HAMILTON GROVEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID THOMPSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line131869 CHICAGO TRAILAddressLine1
CityNEW CARLISLECity
StateINState
ZIP Code46552ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8733502GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HAMILTONCOMM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1920YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionHAMILTON GROVE PROVIDES ACTIVE, AFFORDABLE RETIREMENT LIVING WITH SUPPORTIVE SERVICES, ASSISTED LIVING, AND SKILLED NURSING CARE. CHARITY CARE FOR FYE JUNE 30,2012 AMOUNTED TO $1,524,626.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees218TotalNbrEmployees
Total Nbr Volunteers38TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7067ContributionsGrantsPriorYear
Contributions Grants Current Year2050ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9254796ProgramServiceRevenuePriorYear
Program Service Revenue CY8503995ProgramServiceRevenueCY
Investment Income Prior Year4616InvestmentIncomePriorYear
Investment Income Current Year2562InvestmentIncomeCurrentYear
Other Revenue Prior Year178323OtherRevenuePriorYear
Other Revenue Current Year223549OtherRevenueCurrentYear
Total Revenue Prior Year9444802TotalRevenuePriorYear
Total Revenue Current Year8732156TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4296124SalariesEtcPriorYear
Salaries Etc Current Year4441737SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4611084OtherExpensePriorYear
Other Expenses Current Year4418934OtherExpensesCurrentYear
Total Expenses Prior Year8922208TotalExpensesPriorYear
Total Expenses Current Year8875671TotalExpensesCurrentYear
Revenues Less Expenses Prior Year522594RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-143515RevenuesLessExpensesCY
Total Assets BOY17754004TotalAssetsBOY
Total Assets EOY17285465TotalAssetsEOY
Total Liabilities BOY17149250TotalLiabilitiesBOY
Total Liabilities EOY17533199TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY604754NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-247734NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF HAVEN HUBBARD HOMES, INC D/B/A HAMILTON GROVE IS TO PROVIDE ACTIVE, AFFORDABLE RETIREMENT LIVING IN HOMES WITH SUPPORTIVE SERVICES, ASSISTED LIVING, AND SKILLED NURSING CARE. EACH YEAR THE ORGANIZATION STRIVES TO BE A GOOD NEIGHBOR IN THE COMMUNITYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7502653Expense
Grants15000Grants
Revenue8509164Revenue
DescriptionHAVEN HUBBARD HOMES, INC D/B/A HAMILTON GROVE (HG) IS A NON-PROFIT COMMUNITY BENEFIT CORPORATION THAT PROVIDES CONTINUING CARE RETIREMENT COMMUNITY (CCRC) SERVICES TO 150 RESIDENTS ON A 250-ACRE CAMPUS. HG IS AFFILIATED WITH A HUD HOUSING ORGANIZATION ON ITS CAMPUS THAT IS INTEGRATED INTO HG'S SERVICES. THIS ORGANIZATION SERVES OVER 100 RESIDENTS. HG PROVIDES CCRC SERVICES INCLUDING INDEPENDENT LIVING, ASSISTED LIVING, AND SKILLED NURSING CARE. THE ORGANIZATION ALSO PROVIDES MANAGEMENT SERVICES TO CHICAGO TRAIL VILLAGE, A RELATED TAX-EXEMPT ORGANIZATION THAT PROVIDES AFFORDABLE HUD HOUSING, PROGRAMS, AND SERVICES FOR OLDER ADULTS. 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. RESIDENTS WHO DO NOT MISUSE THEIR ASSETS MAY BE ELIGIBLE FOR SUPPORT FROM HG IF THEIR ASSETS RUN OUT. OVER 23% OF TOTAL REVENUES WERE USED TO PROVIDE COMMUNITY BENEFITS, WHICH INCLUDES THE FOLLOWING AMOUNTS; INDIGENT CARE/CHARITY CARE $1,524,626, MEDICARE WRITE-OFFS $772,500.Description
Total Program Service Expense7502653TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art1CollectionsOfArt
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 Stmt0IndependentAuditFinancialStmt
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 Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
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 Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees218NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 PersonDALE SHENKNamePerson
Telephone Number5745374000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11721 GREENCROFT BLVDAddressLine1
CityGOSHENCity
StateINState
ZIP Code46526ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CAROLYN HIGGINS
CHAIR1.00XX000
CHRIS GRAFF
CHAIR - PARTIAL YEAR1.00XX000
DENNIS GALLOWAY
BOARD MEMBER1.00X000
SHERMAN W HANSEN
BOARD MEMBER1.00X000
EVELYN KIRKWOOD
BOARD MEMBER1.00X000
EVAN LASH
BOARD MEMBER1.00X000
VICKIE VAN NEVEL
BOARD MEMBER1.00X000
KAREN WEAVER
BOARD MEMBER1.00X000
WILLIAM WELSHEIMER JR
BOARD MEMBER1.00X000
DAVID THOMPSON
PRESIDENT40.00X010286822967
DALE SHENK
TREASURER1.00X010872037720
JAN SEBASTY
SECRETARY40.00X35652010057
FieldValueIRS element (for citing)
Total Reportable Comp From Org35652TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs211588TotalReportableCompFrmRltdOrgs
Total Other Compensation70744TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GREENCROFT RETIREMENT COMMUNITIES INC
PO BOX 819GOSHENIN46527MANAGEMENT AND CORPORATE SERVICES756279
HEALTHCARE THERAPY SERVICES
1411 W COUNTY LINE RD SUITE AGREENWOODIN46142HEALTHCARE SERVICES465545
ADVANCE CUSTODIAL SERVICES
351 SOUTH 525 EASTLAPORTEIN46350CUSTODIAL SERVICES218875
GRANDVIEW PHARMACY
PO BOX 926CONNERSVILLEIN47331HEALTHCARE SERVICES167416
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions2050AllOtherContributions
Total Contributions2050TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING SERVICES62300062204126220412
RESIDENT SERVICES62300022396422239642
MANAGEMENT FEES5416104394143941
FieldValueIRS element (for citing)
Total Program Service Revenue8503995TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2562TotalRevenueColumn
Exclusion$2,562ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3731Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1346Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2385Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2385TotalRevenueColumn
Exclusion$2,385ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
LAUNDRY/PHONE/OTHER623990101009$101,009
TRANSPORTATION48000024555$24,555
CAFETERIA/MEALS72221021449$21,449

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column74151TotalRevenueColumn
Related Or Exempt Function Income5169RelatedOrExemptFunctionIncome
Exclusion$68,982ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue221164TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8732156TotalRevenueColumn
Related Or Exempt Function Income8509164RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$220,942ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total15000Total
Program Services15000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total48194Total
Management And General48194ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3602078Total
Program Services3318969ProgramServices
Management And General283109ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total131421Total
Program Services123182ProgramServices
Management And General8239ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total382849Total
Program Services359935ProgramServices
Management And General22914ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total277195Total
Program Services255409ProgramServices
Management And General21786ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total349481Total
Management And General349481ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9158Total
Program Services6492ProgramServices
Management And General2666ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35508Total
Management And General35508ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total21056Total
Management And General21056ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1023981Total
Program Services791034ProgramServices
Management And General232947ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total76699Total
Management And General76699ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total763779Total
Program Services732833ProgramServices
Management And General30946ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total608337Total
Program Services425836ProgramServices
Management And General182501ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total9745Total
Program Services2924ProgramServices
Management And General6821ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total797034Total
Program Services797034ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total598488Total
Program Services598488ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE6423164231
DUES, LICENSES, & SUBS.1785317853
PROF. DEVELOPMENT1168646747012
DIETARY EXPENSE291291

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total31607Total
Program Services6321ProgramServices
Management And General25286ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8875671Total
Program Services7502653ProgramServices
Management And General1373018ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY650BOY
EOY650EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2689652BOY
EOY2462759EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY738968BOY
EOY706203EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY43000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19797082LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7072840LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13090667BOY
EOY12724242EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY637314BOY
EOY637319EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2685BOY
EOY33196EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY594068BOY
EOY678096EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17754004BOY
EOY17285465EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY472478BOY
EOY405077EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY72184BOY
EOY66730EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12465000BOY
EOY12220000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2030000BOY
EOY2025000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2109588BOY
EOY2816392EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17149250BOY
EOY17533199EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-32560BOY
EOY-885053EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY195235BOY
EOY195240EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY442079BOY
EOY442079EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY604754BOY
EOY-247734EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17754004BOY
EOY17285465EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-143515ReconcilationRevenueExpenses
Reconcilation Other Changes-708973ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years337875CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18781CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39883CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7067CurrentTaxYearMinus1Year
Current Tax Year2050CurrentTaxYear
Total405656Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8844075CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8876775CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9024075CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9254796CurrentTaxYearMinus1Year
Current Tax Year8509164CurrentTaxYear
Total44508885Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years149594CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years188691CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years112742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year118399CurrentTaxYearMinus1Year
Current Tax Year167508CurrentTaxYear
Total736934Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9331544CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9084247CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9176700CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9380262CurrentTaxYearMinus1Year
Current Tax Year8678722CurrentTaxYear
Total45651475Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year45732CurrentTaxYearMinus1Year
Current Tax Year120247CurrentTaxYear
Total165979Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year45732CurrentTaxYearMinus1Year
Current Tax Year120247CurrentTaxYear
Total165979Total
FieldValueIRS element (for citing)
Public Support Total50945485496PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10016CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10152CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3092CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4128CurrentTaxYearMinus1Year
Current Tax Year6293CurrentTaxYear
Total33681Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10016CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10152CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3092CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4128CurrentTaxYearMinus1Year
Current Tax Year6293CurrentTaxYear
Total33681Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-482CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3380CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54257CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year59924CurrentTaxYearMinus1Year
Current Tax Year48487CurrentTaxYear
Total165566Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9341078CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9097779CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9234049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9444314CurrentTaxYearMinus1Year
Current Tax Year8733502CurrentTaxYear
Total45850722Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99200PublicSupportPercentage509
Prior Year Support Percentage0.99340PriorYearSupportPercentage
Investment Income Percentage0.00070InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00090PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOMEGeneralExplanation

Schedule D IRS990ScheduleD

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Assets In Part X93136AssetsInPartX
FieldValueIRS element (for citing)
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Collect Used For PreservationXCollectUsedForPreservation
Solicited Assets For Sale0SolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance625451BeginningOfYearBalance
Investment Earnings Or Losses2552InvestmentEarningsOrLosses
End Of Year Balance628003EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance533465BeginningOfYearBalance
Investment Earnings Or Losses91986InvestmentEarningsOrLosses
End Of Year Balance625451EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance488046BeginningOfYearBalance
Investment Earnings Or Losses45519InvestmentEarningsOrLosses
End Of Year Balance533565EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance575823BeginningOfYearBalance
Investment Earnings Or Losses-87777InvestmentEarningsOrLosses
End Of Year Balance488046EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.70390PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.29610TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis47562OtherCostOrOtherBasis
Book Value47562BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16800882OtherCostOrOtherBasis
Depreciation4997061Depreciation
Book Value11803821BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis668566OtherCostOrOtherBasis
Depreciation568187Depreciation
Book Value100379BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2237577OtherCostOrOtherBasis
Depreciation1507592Depreciation
Book Value729985BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis42495OtherCostOrOtherBasis
Book Value42495BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12724242TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
RESIDENT SECURITY DEPOSITS$84,205
LIFE LEASE NOTES PAYABLE$256,101
DUE TO AFFILIATE$109,293
DERIVATIVE LIABILITY - INTEREST RATE SWAP$2,317,892
ACCRUED INTEREST PAYABLE$48,901
FieldValueIRS element (for citing)
Total Of Amounts2816392TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART III, LINE 1A:THE ORGANIZATION'S COLLECTIONS OF ART CONSIST PRIMARILY OF DONATED WORKS OF ART THAT ARE ON DISPLAY IN PUBLIC SPACES, AS WELL AS IN PATIENT ROOMS. THESE WORKS OF ART ARE USED TO PROVIDE A WELCOMING ENVIRONMENT FOR HAMILTON GROVE PATIENTS, WHICH IS IN LINE WITH THE ORGANIZATI0N'S MISSION TO PROVIDE ACTIVE, AFFORDABLE RETIREMENT LIVING.
PART V, LINE 4:ENDOWMENT FUNDS ARE HELD BY HAMILTON FOUNDATION INC. FOR THE BENEFIT OF HAVEN HUBBARD HOMES, INC. HAMILTON FOUNDATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PERPETUAL SOURCE OF SUPPORT TO PROGRAMS SUPPORTED BY ITS ENDOWMENTS WHILE SEEKING TO PRESERVE THE PURCHASING POWER OF THE ENDOWMENT ASSETS. THE PURPOSE OF THE ENDOWMENTS IS TO PROVIDE SUPPORT FOR THE CHARITABLE PROGRAMS OF HAVEN HUBBARD HOMES, INC.DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X:THE INTERNAL REVENUE SERVICE HAS RULED THAT THE OBLIGATED GROUP IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE OBLIGATED GROUP HAS BEEN DETERMINED TO BE A PUBLICLY SUPPORTED ORGANIZATION AND NOT A PRIVATE FOUNDATION. ACCORDINGLY, THE OBLIGATED GROUP'S NET INVESTMENT INCOME IS NOT SUBJECT TO EXCISE TAX AND GIFTS MADE TO THE OBLIGATED GROUP 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 OBLIGATED GROUP AND RECOGNIZE A TAX LIABILITY IF THE OBLIGATED GROUP 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 OBLIGATED GROUP AND HAS CONCLUDED THAT AS OF JUNE 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 FINANCIAL STATEMENTS. THE OBLIGATED GROUP 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, 2009.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1GREENCROFT COMMUNITIES FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 819AddressLine1
CityGOSHENCity
StateINState
ZIP Code46527ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient237126990EINOfRecipient
IRC SectionIRC SEC. 501(C)(3)IRCSection
Amount Of Cash Grant15000AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantTO PROMOTE CHARITABLE MISSIONPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

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: CONTRIBUTIONS MADE ARE UNRESTRICED AND CAN BE USED IN ANY WAY THE DONEE ORGANIZATION SEES FIT TO FURTHER ITS TAX-EXEMPT PURPOSE.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDIANA FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN351602316IssuerEIN
CUSIP Number455057MC0CUSIPNumber
Date Issued2008-04-24DateIssued
Issue Price12935000IssuePrice
Description Of PurposeTO REFUND AND RETIRE OUTSTANDING BONDS AND TO FUND CAPITAL PROJECTSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds12946611TotalProceeds
Refunding Escrow11737905RefundingEscrow
Issuance Costs From Proceeds369095IssuanceCostsFromProceeds
Capital Expenditures539023CapitalExpenditures
Amount Unspent288977AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts0EngageBondCounselContracts
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1LASALLE BANKBusinessNameLine1
Business Name Line2NATIONALBusinessNameLine2
FieldValueIRS element (for citing)
Term Of Hedge10.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Regulatory Safe Harbor Satisfied0RegulatorySafeHarborSatisfied
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF ORGANIZATION MISSION:FORM 990, PART III, LINE 1: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 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 OF 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 -UNREIMBURSED SERVICES FROM THIRD PARTY PAYERS, SUCH AS MEDICARE AND MEDICAID
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 2013, 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 A 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 15HAMILTON GROVE, CHICAGO TRAIL VILLAGE AND HAMILTON FOUNDATION'S (HG) 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. HG CONDUCTS PERIODIC REVIEW OF THE MARKET TO DEVELOP AVERAGE WAGES FOR POSITIONS WITHIN HAMILTON GROVE. HAMILTON 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 HAMILTON 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, AAHSA 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 HAMILTON GROVE (HG) BOARD REVIEWS THE COMPENSATION POLICIES. ANNUALLY THE GC BOARD AND THE HG BOARD REVIEW THE COMPENSATION OF THE EXECUTIVE TEAM. THEY COMPARE CURRENT WAGES WITH NATIONAL DATA PROVIDED BY 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 HG BOARD HAS REVIEWED THE BASE WAGE AND THE VARIABLE PAY FOR THE PRESIDENT OF HAMILTON GROVE. IN THE FISCAL YEAR 2012 THIS POSITION WAS AT THE 61ST PERCENTILE OF THE RANGE FOR THIS POSITION IN BASE COMPENSATION AND AT THE 0 PERCENTILE OF THE MARKET FOR THE VARIABLE PAY COMPENSATION. THIS PROCESS WAS LAST PERFORMED IN FISCAL YEAR 2012.
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.
FORM 990, PART VII, SECTION A:DALE SHENK, TREASURER, DEVOTES APPROXIMATELY 40 HOURS PER WEEK TO GREENCROFT RETIREMENT COMMUNITIES, INC., A RELATED TAX-EXEMPT ORGANIZATION. HE ALSO DEVOTES APPROXIMATELY ONE HOUR PER WEEK TO THE FOLLOWING RELATED ORGANIZATIONS: CHICAGO TRAIL VILLAGE, INC. GREENCROFT COMMUNITIES FOUNDATION, INC. GREENCROFT GOSHEN, INC. GREENCROFT CENTRAL MANOR, INC. GREENCROFT MANOR II, INC. GREENCROFT MANOR III, INC. GREENCROFT MIDDLEBURY, INC. GREENCROFT HOME HEALTH SERVICES, INC. SOUTHFIELD VILLAGE, INC. HAMILTON FOUNDATION WALNUT HILLS RETIREMENT COMMUNITIES, INC. OAK GROVE CHRISTIAN RETIREMENT VILLAGE, INC. GREENCROFT MANAGEMENT, INC. DAVID THOMPSON, PRESIDENT, AND JAN SEBASTY, SECRETARY, DEVOTE APPROXIMATELY 2 HOURS PER WEEK TO THE FOLLOWING RELATED TAX-EXEMPT ORGANIZATIONS: GREENCROFT RETIREMENT COMMUNITIES, INC. CHICAGO TRAIL VILLAGE, INC. HAMILTON FOUNDATION VARIOUS BOARD MEMBERS ALSO CONTRIBUTE TIME TO OTHER RELATED ORGANIZATIONS REPORTED IN SCHEDULE R.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:UNREALIZED GAIN ON INTEREST RATE SWAP -708,973. TOTAL TO FORM 990, PART XI, LINE 5: -708,973.
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 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 CENTRAL MANOR INC
PO BOX 819GOSHENIN46527356047318HOUSINGIN501(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
OAK GROVE CHRISTIAN RETIREMENT VILLAGE INC
221 WEST DIVISION ROADDEMOTTEIN46310351986767HEALTHCAREIN501(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
GREENCROFT HOME HEALTH SERVICES INC
PO BOX 819GOSHENIN46527351606010HOME HEALTHIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
CHICAGO TRAIL VILLAGE INC
31891 CHICAGO TRAILNEW CARLISLEIN46552310990629HOUSINGIN501(C)(3)LINE 9HAVEN HUBBARD HOMES INC DBA HAMILTON GROVE1
HAMILTON FOUNDATION INC
31891 CHICAGO TRAILNEW CARLISLEIN46552351764275FUNDRAISINGIN501(C)(3)LINE 11A, I1N/A
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
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
GREENCROFT RETIREMENT COMMUNITIES INC
L555481ACTUAL COST
CHICAGO TRAIL VILLAGE INC
K197413ACTUAL COST