2012-08-10T14:41:01-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2011-01-01 480689163 LAKEVIEW VILLAGE INC LAKE 9138881900 9100 PARK STREET LENEXA KS 66215 JAMES K FRAZIER 9138881900 2012-08-02 1 ALLAN LARSON P00028482 3149254300 2011 2016-02-24 21:20:13Z JAMES K FRAZIER 9100 PARK STREET LENEXA KS 66215 41276644 0 X WWW.LAKEVIEWVILLAGE.ORG X 1963 KS TO STRENGTHEN THE LIVES OF OLDER ADULTS WITHIN A FAITH-BASED COMMUNITY. 12 11 684 475 61993 -69326 614285 111165 28535672 34935142 1286061 441730 119819 141753 30555837 35629790 0 0 0 0 13773487 16249607 0 0 0 16883539 20699147 30657026 36948754 -101189 -1318964 130958235 130104322 130741651 129409170 216584 695152 LAKEVIEW VILLAGE, INC. IS A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WHICH OFFERS TYPE A LIFECARE CONTRACTS TO ITS RESIDENTS. ADDITIONALLY, LAKEVIEW FOCUSES ON WHOLE-PERSON WELLNESS AND PERSON-CENTERED CARE. 0 0 34412947 34873149 LAKEVIEW VILLAGE, INC. IS A CONTINUING CARE RETIREMENT COMMUNITY WHICH HAS 580 INDEPENDENT LIVING UNITS AND A 120-BED HEALTH CENTER, 52 BED SHORT TERM REHAB SNF, AND 23 ASSISTED LIVING BEDS. ASIDE FROM THE LIVING AND CARE FACILITIES, THE CCRC PROVIDES ACTIVITIES TO ASSIST IN MAINTAINING THE RESIDENTS' PHYSICAL, SPIRITUAL AND MENTAL WELL-BEING. LAKEVIEW'S 120-BED HEALTH CENTER AND 52-BED SHORT-TERM REHAB SNF ARE MEDICARE AND MEDICAID CERTIFIED AND TAKE ADMISSIONS FROM BOTH INSIDE AND OUTSIDE OF THE LAKEVIEW COMMUNITY. 34412947 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 47 0 1 684 1 1 1 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBBIE CLAUSEN 9137442470 9100 PARK STREET LENEXA KS 66215 ANDY HUCKABA 1.00 X X 2250 0 0 DAVID CAFFREY 1.00 X 500 0 0 SHANNON K CATES 1.00 X 700 0 0 KATHERINE HAGGARD-PERRY 1.00 X 650 0 0 MASON ORMSBY 1.00 X X 2300 0 0 SUSAN LALLY 1.00 X 800 0 0 TEDRICK HOUSH 1.00 X X 1250 0 0 CRAIG DENNY 1.00 X 950 0 0 RAY MAKALOUS 1.00 X 900 0 0 DALE WARMAN 1.00 X 650 0 0 EMERSON HARTZLER 1.00 X 1000 0 0 FR TOM DOLEZAL 1.00 X 200 0 0 RALPH LENO 1.00 X 100 0 0 JAMES K FRAZIER 50.00 X X 200239 0 14820 LINDA JEAN COLE 1.00 X 0 0 0 ROBERT I CLAUSEN JR 50.00 X 120252 0 0 MARY M SCHWORER 50.00 X 125264 0 0 458005 0 14820 3 0 1 0 REHAB CHOICE INTERNATIONAL PO BOX 798257 ST LOUIS MO 63179 THERAPY 2613795 PARTNERS PHARMACY 6437 N COSBY AVE KANSAS CITY MO 64151 PHARMACY SERVICES 589736 SUREWEST COMMUNICATIONS POBOX 414500 KANSAS CITY MO 64141 COMMUNICATION SERVICES 452477 BOVARD INSURANCE GROUP 6950 SQUIBB ROAD SUITE 200 MISSION KS 66202 INSURANCE SERVICES 328747 UNEMPLOYMENT SERVICES TRUST PO BOX 22657 SANTA BARBARA CA 93121 UNEMPLOYMENT CONSULTING 204704 9 111165 111165 RESIDENT FEES 623000 29239011 29239011 ENTRANCE FEES 623000 5376691 5376691 CHILD DAY CARE AND OTH 624410 257447 257447 MANAGEMENT FEES 541900 61993 61993 34935142 602820 602820 81909 0 81909 81909 81909 5485764 5631335 15519 -145571 -15519 -161090 -161090 MISCELLANEOUS 623990 59844 59844 59844 35629790 34873149 61993 583483 472825 472825 12621284 11869155 752129 262264 237729 24535 1676952 1520073 156879 1216282 1102499 113783 12687 12687 83413 83413 249006 184057 64949 181189 181189 39720 39720 120681 114013 6668 1943867 1883209 60658 123481 104879 18602 53280 31348 21932 4623839 4479552 144287 5324031 5157895 166136 318666 308722 9944 CONTRACTED LABOR 2604464 2604464 DIETARY 1720789 1720789 SUPPLIES 1538353 1530773 7580 RENTAL & MAINTENANCE 567306 549603 17703 1194375 1014187 180188 36948754 34412947 2535807 0 3904014 3226397 1933276 2180078 57319 83900 227843 224418 149319278 49286029 103868592 100033249 11960137 15466169 9007054 8890111 130958235 130104322 3938435 4101144 81070894 80050551 45732322 45257475 130741651 129409170 X 216584 695152 216584 695152 130958235 130104322 X -1318964 1797532 X X 0 1 1 X 0 X 41510 64893 25000 614285 111165 856853 24017653 25528780 26079473 28496130 34873149 138995185 24059163 25593673 26104473 29110415 34984314 139852038 0 0 0 139852038 1710150 961286 659610 582277 602820 4516143 1710150 961286 659610 582277 602820 4516143 66044 81223 48139 59229 59618 314253 25835357 26636182 26812222 29751921 35646752 144682434 0.96660 0.95790 0.03120 0.03970 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: EMPLOYEE MEALS MISCELLANEOUS REGISTRATION FEES WELLNESS CONSULTING CAREPARTNER LUNCHEONS BEAUTY PRODUCTS SCRAP METAL AIDE TRAINING FEES COMMUNITY RELATIONS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 373241 373241 136579424 40664777 95914647 12349950 8621252 3728698 16663 16663 100033249 DEBT ISSUE COSTS (NET) 1849764 RESTRICTED FUNDS 6916984 RESIDENT EXTRAS 16689 OTHER ASSETS 106674 8890111 RESIDENT DEPOSITS 138073 REFUNDABLE ENTRANCE FEES 15473170 UNAMORTIZED ENTRANCE FEES 29646232 45257475 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: LAKEVIEW VILLAGE, INC., RIDGEVIEW VILLAGE, RIDGEVIEW VILLAGE II AND THE FOUNDATION ARE TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE ORGANIZATIONS ARE CLASSIFIED AS PUBLICLY SUPPORTED CHARITABLE ORGANIZATIONS UNDER THE CODE AND CONTRIBUTIONS TO THE ORGANIZATIONS QUALIFY AS CHARITABLE TAX DEDUCTIONS FOR THE CONTRIBUTOR. THE ENTITIES FILE AS TAX-EXEMPT ORGANIZATIONS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE ORGANIZATION'S 2008 THROUGH 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. X X X X X X 0 0 0 0 0 0 0 0 0 JAMES K FRAZIER 170000 0 25000 0 5239 0 0 0 14820 0 215059 0 0 0 HEALTH CARE FACILITY REVENUE REFUNDING AND IMPROVEMENT BONDS SERIES 2007 480689163 526039CH3 2007-06-29 67225000 PROVIDING FUNDS TO PAY CERTAIN IMPROVEMENTS TO REFUND OUTSTANDING BONDS 0 0 0 HEALTH CARE FACILITY REVENUE REFUNDING AND IMPROVEMENT BONDS SERIES 2009 480689163 526039CXX 2009-12-03 16000000 PROVIDING FUNDS TO PAY CERTAIN IMPROVEMENTS 0 0 0 41288836 15637583 67995736 1272677 9796639 2010 1 1 1 1 15792204 1343056 546097 315844 13587219 2010 0 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 1 MORGAN STANLEY AND LEHMAN BROTHERS 30.000000000000 1 0 0 0 0 0 0 0 0 DIFFERENCE BETWEEN ISSUE PRICE AND PROCEEDS FOR BOTH BOND ISSUANCES IS DUE TO THE PREMIUM (DISCOUNT) ON THE ISSUANCE AND IS AMORTIZED OVER THE TERM OF THE BONDS. 2007 BOND ISSUANCE REFUNDED OUTSTANDING ISSUANCES FROM 1997 AND 2002. FORM 990, PART VI, SECTION B, LINE 11 MEMBERS OF THE GOVERNING BODY WILL REVIEW AN ELECTRONIC COPY OF THE 990 BEFORE THE RETURN IS SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD IS ASKED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS IF AND WHEN THEY ARISE. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES INCLUDES A MARKET SURVEY ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THEIR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH QUARTERLY DISCLOSURE IN RELATION TO THE BOND DOCUMENT. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 294,423. CHANGE IN FV OF CASH FLOW HEDGE 1,503,109. TOTAL TO FORM 990, PART XI, LINE 5: 1,797,532. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. LAKEVIEW VILLAGE FOUNDATION INC 9100 PARK STREET LENEXA KS 66215 742809238 SUPPORT OF THE ACTIVITIES OF LAKEVIEW VILLAGE KS 501(C)(3) 509(A)(1) LAKEVIEW VILLAGE INC 1 RIDGEVIEW VILLAGE 11830 S SUNSET DR OLATHE KS 66061 481108968 OPERATION OF HUD APARTMENTS KS 501(C)(3) 509(A)(2) LAKEVIEW VILLAGE INC 1 RIDGEVIEW VILLAGE II INC 11830 S SUNSET DR OLATHE KS 66061 431893443 OPERATION OF HUD APARTMENTS KS 501(C)(3) 509(A)(2) LAKEVIEW VILLAGE INC 1 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 LAKEVIEW VILLAGE FOUNDATION INC C 161165 CASH VALUE