FURP.ORG / PUBLIC DATA EXPLORER

SOUTHFILED VILLAGE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SOUTHFILED VILLAGE INC (EIN 35-1866553)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201331349349302913
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)
EIN351866553EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHFIELD VILLAGE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone5742311000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16450 MIAMI CIRCLEAddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code46614ZIPCode

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

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOE DORANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11721 GREENCROFT BLVDAddressLine1
CityGOSHENCity
StateINState
ZIP Code46526ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8016385GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SOUTHFIELDVILLAGE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionSOUTHFIELD VILLAGE PROVIDES ACTIVE, AFFORDABLE RETIREMENT LIVING WITH SUPPORTIVE SERVICES, ASSISTED LIVING AND SKILLED NURSING CARE. CHARITY CARE FOR FYE JUNE 30, 2012 AMOUNTED TO $670,088.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees154TotalNbrEmployees
Total Nbr Volunteers19TotalNbrVolunteers
Total Gross UBI30663TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9000ContributionsGrantsPriorYear
Contributions Grants Current Year9196ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7717558ProgramServiceRevenuePriorYear
Program Service Revenue CY7475150ProgramServiceRevenueCY
Investment Income Prior Year83907InvestmentIncomePriorYear
Investment Income Current Year84007InvestmentIncomeCurrentYear
Other Revenue Prior Year711436OtherRevenuePriorYear
Other Revenue Current Year448032OtherRevenueCurrentYear
Total Revenue Prior Year8521901TotalRevenuePriorYear
Total Revenue Current Year8016385TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY19196GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3424817SalariesEtcPriorYear
Salaries Etc Current Year3555875SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4073935OtherExpensePriorYear
Other Expenses Current Year4096399OtherExpensesCurrentYear
Total Expenses Prior Year7508752TotalExpensesPriorYear
Total Expenses Current Year7671470TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1013149RevenuesLessExpensesPriorYear
Revenues Less Expenses CY344915RevenuesLessExpensesCY
Total Assets BOY17442874TotalAssetsBOY
Total Assets EOY18107810TotalAssetsEOY
Total Liabilities BOY16953031TotalLiabilitiesBOY
Total Liabilities EOY17273052TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY489843NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY834758NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF SOUTHFIELD VILLAGE 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 COMMUNITY WHERE WE SERVE. WE HAVE A HISTORY OFMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6316462Expense
Grants10000Grants
Revenue7481431Revenue
DescriptionSOUTHFIELD VILLAGE (SV) IS A NON-PROFIT COMMUNITY BENEFIT CORPORATION THAT PROVIDES CONTINUING CARE RETIREMENT COMMUNITY (CCRC) SERVICES TO 107 RESIDENTS ON A 19-ACRE CAMPUS. SV PROVIDES CCRC SERVICES INCLUDING ASSISTED LIVING AND SKILLED NURSING CARE. INDEPENDENT LIVING RESIDENTS PAY A LIFE-LEASE ENTRY FEE TO OCCUPY THE RESIDENCE AND PAY A MONTHLY SERVICE FEE FOR SERVICES RENDERED. ASSISTED LIVING AND SKILLED NURSING RESIDENTS PAY A MONTHLY OR DAILY FEE FOR SERVICES RENDERED. THEY ALSO HAVE SOME A LA CARTE FEES FOR INCIDENTALS AND SUPPLIES. RESIDENTS WHO DO NOT MISUSE THEIR ASSETS MAY BE ELIGIBLE FOR SUPPORT FROM SOUTHFIELD VILLAGE IF THEIR ASSETS RUN OUT. OVER 16% OF TOTAL REVENUES WERE USED TO PROVIDE COMMUNITY BENEFITS, WHICH INCLUDES THE FOLLOWING AMOUNTS: INDIGENT CARE/CHARITY CARE - $670,088 MEDICARE WRITE-OFFS - $594,588.Description
Total Program Service Expense6316462TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
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 With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees154NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
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 (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
REV DAVID SUTTER
CHAIR1.00XX000
PAUL D SCHOENLE
VICE CHAIR1.00XX000
CAROL ANDERSON
BOARD MEMBER1.00X000
J PAUL HERR
BOARD MEMBER1.00X000
JIM KAPSA
BOARD MEMBER1.00X000
MARSHA MCCLURE
BOARD MEMBER1.00X000
CINDI PENNINGTON
BOARD MEMBER1.00X000
DON TROYER
BOARD MEMBER1.00X000
JIM WELLING
BOARD MEMBER1.00X000
FATHER JOHN DELANEY
BOARD MEMBER - PARTIAL YEAR1.00X000
REV HOSEA DRAKE
BOARD MEMBER - PARTIAL YEAR1.00X000
DR KEIM HOUSER
BOARD MEMBER - PARTIAL YEAR1.00X000
LEROY TROYER
BOARD MEMBER - PARTIAL YEAR1.00X000
JOSEPH DORAN
PRESIDENT40.00X000
AMY CALDERONE
PRESIDENT - PARTIAL YEAR40.00X08986617661
DALE SHENK
TREASURER1.00X010872037720
CAROLE GURNEY
SECRETARY40.00X3750209508
SUZANNE KINCAID
SECRETARY - PARTIAL YEAR40.00X03804618379
FieldValueIRS element (for citing)
Total Reportable Comp From Org37502TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs236632TotalReportableCompFrmRltdOrgs
Total Other Compensation83268TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GREENCROFT RETIREMENT COMMUNITIES INC
PO BOX 819GOSHENIN46527CORPORATE AND MANAGEMENT SERVICES541043
HEALTHCARE THERAPY SERVICES
1411 W COUNTY LINE RD SUITE AGREENWOODIN46142THERAPY SERVICES355414
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations9196RelatedOrganizations
Total Contributions9196TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING SERVICES62300059339375933937
RESIDENT SERVICES62300015412131541213
FieldValueIRS element (for citing)
Total Program Service Revenue7475150TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column84007TotalRevenueColumn
Exclusion$84,007ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1095Real
Personal6281Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1095Real
Personal6281Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7376TotalRevenueColumn
Related Or Exempt Function Income6281RelatedOrExemptFunctionIncome
Exclusion$1,095ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
INSURANCE REFUND900099342557$342,557
BEAUTY/BARBER SHOP62399046334$46,334
TOURS INCOME5615203066330663

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column21102TotalRevenueColumn
Exclusion$21,102ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue440656TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8016385TotalRevenueColumn
Related Or Exempt Function Income7481431RelatedOrExemptFunctionIncome
Unrelated Business Revenue30663UnrelatedBusinessRevenue
Exclusion$495,095ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10000Total
Program Services10000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total9196Total
Program Services9196ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total52540Total
Management And General52540ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2676026Total
Program Services2467314ProgramServices
Management And General208712ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total100722Total
Program Services92866ProgramServices
Management And General7856ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total526426Total
Program Services485368ProgramServices
Management And General41058ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total200161Total
Program Services184550ProgramServices
Management And General15611ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total378473Total
Management And General378473ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3505Total
Management And General3505ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31879Total
Management And General31879ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2500Total
Management And General2500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total850106Total
Program Services668091ProgramServices
Management And General182015ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total59546Total
Management And General59546ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total949388Total
Program Services825500ProgramServices
Management And General123888ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total284462Total
Program Services213346ProgramServices
Management And General71116ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3597Total
Program Services2698ProgramServices
Management And General899ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total941106Total
Program Services941106ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total465521Total
Program Services349141ProgramServices
Management And General116380ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE3963439634
TOURS EXPENSE2367523675
DUES, LICENSES & SUBS.1308732729815
PROF. DEVELOPMENT88528852

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total41068Total
Program Services15528ProgramServices
Management And General25540ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7671470Total
Program Services6316462ProgramServices
Management And General1355008ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1200BOY
EOY1340EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2976046BOY
EOY3017445EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY609408BOY
EOY574779EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY36436BOY
EOY38837EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY34470BOY
EOY3131EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17521014LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5038200LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12094121BOY
EOY12482814EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1338205BOY
EOY1657506EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2584BOY
EOY2584EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY350404BOY
EOY329374EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17442874BOY
EOY18107810EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY284685BOY
EOY770421EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY119193BOY
EOY152920EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY15043733BOY
EOY14642991EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY372460BOY
EOY637849EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY23330BOY
EOY114966EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1109630BOY
EOY953905EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16953031BOY
EOY17273052EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY484057BOY
EOY828972EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5786BOY
EOY5786EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY489843BOY
EOY834758EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17442874BOY
EOY18107810EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses344915ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Years2948CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years411702CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16377CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9000CurrentTaxYearMinus1Year
Current Tax Year9196CurrentTaxYear
Total449223Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6337286CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7423218CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7243484CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7717558CurrentTaxYearMinus1Year
Current Tax Year7481431CurrentTaxYear
Total36202977Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50501CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45657CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44251CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48090CurrentTaxYearMinus1Year
Current Tax Year55087CurrentTaxYear
Total243586Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6390735CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7880577CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7304112CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7774648CurrentTaxYearMinus1Year
Current Tax Year7545714CurrentTaxYear
Total36895786Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years318932CurrentTaxYearMinus3Years
Total318932Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year443931CurrentTaxYearMinus1Year
Current Tax Year741510CurrentTaxYear
Total1185441Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years318932CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year443931CurrentTaxYearMinus1Year
Current Tax Year741510CurrentTaxYear
Total1504373Total
FieldValueIRS element (for citing)
Public Support Total50935391413PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years145992CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102458CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88829CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87566CurrentTaxYearMinus1Year
Current Tax Year85102CurrentTaxYear
Total509947Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years145992CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102458CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88829CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87566CurrentTaxYearMinus1Year
Current Tax Year85102CurrentTaxYear
Total509947Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years816CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year21733CurrentTaxYearMinus1Year
Current Tax Year30663CurrentTaxYear
Total53212Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25152CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years159716CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10327CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13520CurrentTaxYearMinus1Year
Current Tax Year12349CurrentTaxYear
Total221064Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6561879CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8143567CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7403268CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7897467CurrentTaxYearMinus1Year
Current Tax Year7673828CurrentTaxYear
Total37680009Total
FieldValueIRS element (for citing)
Public Support Percentage5090.93930PublicSupportPercentage509
Prior Year Support Percentage0.95680PriorYearSupportPercentage
Investment Income Percentage0.01350InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01620PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1197353OtherCostOrOtherBasis
Book Value1197353BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13769842OtherCostOrOtherBasis
Depreciation3965335Depreciation
Book Value9804507BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis203850OtherCostOrOtherBasis
Depreciation72820Depreciation
Book Value131030BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1339307OtherCostOrOtherBasis
Depreciation1000045Depreciation
Book Value339262BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1010662OtherCostOrOtherBasis
Book Value1010662BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12482814TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
RESIDENT REFUNDS AND DEPOSITS$26,025
DUE TO AFFILIATES$67,444
ACCRUED INTEREST PAYABLE$204,110
LIFE LEASE NOTES PAYABLE$656,326
FieldValueIRS element (for citing)
Total Of Amounts953905TotalOfAmounts
Total Revenue8016385TotalRevenue
Total Expenses7671470TotalExpenses
Excess Or Deficit For Year344915ExcessOrDeficitForYear
Excess Or Deficit Per FS344915ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8016385TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal8016385RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908016385TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7671470TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal7671470ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907671470TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE INTERNAL REVENUE SERVICE HAS RULED THAT THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS BEEN DETERMINED TO BE A PUBLICLY SUPPORTED ORGANIZATION AND NOT A PRIVATE FOUNDATION. ACCORDINGLY, THE ORGANIZATION'S NET INVESTMENT INCOME IS NOT SUBJECT TO EXCISE TAX AND GIFTS MADE TO THE ORGANIZATION ARE DEDUCTIBLE ON THE PART OF DONORS, SUBJECT TO SPECIFIED LIMITATIONS FOR CHARITABLE CONTRIBUTIONS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 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 ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2009.Explanation

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 Grant10000AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantTO SUPPORT ITS CHARITABLE PURPOSEPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantRESIDENT FINANCIAL ASSISTANCETypeOfGrant
Number Of Recipients1NumberOfRecipients
Amount Of Cash Grant9196AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance

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 UNRESTRICTED AND CAN BE USED IN ANY WAY THE DONEE ORGANIZATION SEES FIT TO FURTHER ITS TAX-EXEMPT PURPOSE. RESIDENT FINANCIAL ASSISTANCE IS GIVEN TO INDIVIDUALS NEEDING ASSISTANCE PAYING BILLS, PURCHASING NECESSITIES, ETC. THE FUNDS ARE GIVEN TO INDIVIDUALS AND CAN BE USED AT THEIR DISCRETION.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Purpose Of LoanPurposeOfLoanLoan To OrganizationLoanToOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
LEROY TROYER
TO FINANCE START-UP OF NON-PROFITX$319,886572615011
TERRY TROYER
TO FINANCE START-UP OF NON-PROFITX$18,16832617011
RONALD TROYER
TO FINANCE START-UP OF NON-PROFITX$18,16832617011
FieldValueIRS element (for citing)
Total Balance Due637849TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MISSION STATEMENTFORM 990, PART III, LINE 1ADDING VALUE TO OUR RESIDENTS, TO SENIORS LIVING OUTSIDE OF OUR COMMUNITY, AND TO THE BROADER COMMUNITY WE SERVE. WE STRIVE TO IMPROVE THE QUALITY OF CARE BY CELEBRATING THE LIVES OF THE SENIORS LIVING IN OUR COMMUNITY AND WORKING WITH THEM TO ENSURE THEY HAVE OPPORTUNITIES TO LIVE LIFE OUT TO THE FULLEST AND TO WORK TOGETHER TO ADDRESS THE CHALLENGES OF AGING. THE BOARD HAS BEEN INTENTIONAL ABOUT UNDERSTANDING COMMUNITY BENEFIT. THESE ARE AMONG THE COMPONENTS OF WHAT WE INCLUDE AS COMMUNITY BENEFIT: FREE OR REDUCED COST SERVICES WHEN A RESIDENT IS NOT ABLE TO PAY FOR THE FULL COST OF SERVICES PROVIDED, INDIGENT CARE, SERVICES TO THE VERY POOR NOT REIMBURSED BY OTHER SOURCES, AND UNREIMBURSED SERVICES FROM THIRD PARTY PAYERS, SUCH AS MEDICARE.
FORM 990, PART VI, SECTION A, LINE 2DON TROYER AND LEROY TROYER HAD A FAMILY RELATIONSHIP DURING THE YEAR.
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 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 15SOUTHFIELD VILLAGE'S (SV) 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. SV CONDUCTS PERIODIC REVIEW OF THE MARKET TO DEVELOP AVERAGE WAGES FOR POSITIONS WITHIN SOUTHFIELD VILLAGE. SOUTHFIELD VILLAGE 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 SOUTHFIELD VILLAGE'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 SOUTHFIELD VILLAGE (SV) BOARD REVIEWS THE COMPENSATION POLICIES. ANNUALLY THE GC BOARD AND THE SV 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 SV BOARD HAS REVIEWED THE BASE WAGE AND THE VARIABLE PAY FOR THE PRESIDENT OF SOUTHFIELD VILLAGE. IN THE FISCAL YEAR 2012 THIS POSITION WAS AT THE 41ST 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. HAVEN HUBBARD HOMES, INC. D/B/A HAMILTON GROVE HAMILTON FOUNDATION WALNUT HILLS RETIREMENT COMMUNITIES, INC. OAK GROVE CHRISTIAN RETIREMENT VILLAGE, INC. GREENCROFT MANAGEMENT, INC. VARIOUS BOARD MEMBERS ALSO CONTRIBUTE TIME TO OTHER RELATED ORGANIZATIONS REPORTED IN SCHEDULE R.
FORM 990, PART XII, LINE 2C:THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
GREENCROFT CENTRAL MANOR INC
PO BOX 819GOSHENIN46527356047318HOUSINGIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT COMMUNITIES FOUNDATION INC
PO BOX 819GOSHENIN46527237126990FUNDRAISINGIN501(C)(3)LINE 7GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT GOSHEN INC
PO BOX 819GOSHENIN46527351270709HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT MANOR III INC
PO BOX 819GOSHENIN46527351431475HOUSINGIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT MANOR II INC
PO BOX 819GOSHENIN46527351377430HOUSINGIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT MIDDLEBURY INC
PO BOX 819GOSHENIN46527300036865HOUSINGIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT RETIREMENT COMMUNITIES INC
PO BOX 819GOSHENIN46527300036587MANAGEMENTIN501(C)(3)LINE 11C, III-FI0N/A
GREENCROFT HOME HEALTH SERVICES INC
PO BOX 819GOSHENIN46527351606010HOME HEALTHIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
HAVEN HUBBARD HOMES INC DBA HAMILTON GROVE
31869 CHICAGO TRAILNEW CARLISLEIN46552350870110HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
OAK GROVE CHRISTIAN RETIREMENT VILLAGE INC
221 WEST DIVISION ROADDEMOTTEIN46310351986767HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
WALNUT HILLS RETIREMENT COMMUNITIES INC
PO BOX 129WALNUT CREEKOH44687351317338HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
HAMILTON FOUNDATION INC
31869 CHICAGO TRAILNEW CARLISLEIN46552351764275FUNDRAISINGIN501(C)(3)LINE 11A, IHAVEN HUBBARD HOMES INC DBA HAMILTON GROVE1
CHICAGO TRAIL VILLAGE INC
31869 CHICAGO TRAILNEW CARLISLEIN46552310990629HOUSINGIN501(C)(3)LINE 9HAVEN HUBBARD HOMES INC DBA HAMILTON GROVE1
MENNONITE HEALTH SERVICES
234 S MAIN STREET SUITE AGOSHENIN46526231421919HEALTHCAREIN501(C)(3)LINE 90N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1GREENCROFT MANAGEMENT INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 819AddressLine1
CityGOSHENCity
StateINState
ZIP Code46527ZIPCode
FieldValueIRS element (for citing)
EIN270259652EIN
Primary ActivityMANAGEMENT SERVICESPrimaryActivity
Legal Domicile StateINLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
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 Org1GiftGrantOrCapContrFrOtherOrg
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 Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1GREENCROFT RETIREMENT COMMUNITIES INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeLTransactionType
Amount Involved530473AmountInvolved
Method Of Amt DeterminationACTUAL COSTMethodOfAmtDetermination