2012-04-30T13:56:08-05:00 2011-12-31 205804172 BGBC PARTNERS LLP 300 N MERIDIAN ST STE 1100 INDIANAPOLIS IN 46204 990 2011-01-01 351494162 WESTMINSTER VILLAGE TERRE HAUTE INC WEST 8122327533 1120 E DAVIS DRIVE TERRE HAUTE IN 478024065 KYLE EXLINE 8122327533 2012-04-25 1 SHELLEY A MATTALIANO CPA P01278792 3176334700 2011 2016-02-24 21:20:13Z KYLE EXLINE 1120 E DAVIS DRIVE TERRE HAUTE IN 47802 12492152 0 X WWW.WESTMINSTERVILLAGEIN.COM X 1980 IN WESTMINSTER VILLAGE TERRE HAUTE, INC. IS AN INDIANA NOT-FOR-PROFIT CORPORATION ESTABLISHED IN 1980 FOR THE PURPOSE OF OWNING AND OPERATING A CONTINUING CARE RETIREMENT COMMUNITY. THE ORGANIZATION INCLUDES 174 INDEPENDENT-LIVING APARTMENTS, 20 INDEPENDENT-LIVING VILLAS, 38 ASSISTED-LIVING APARTMENTS, AND A 78-BED HEALTH CARE CENTER THAT PROVIDES BOTH SKILLED AND INTERMEDIATE CARE. 7 7 234 24 0 0 0 0 11241161 12399048 62823 59285 54118 33819 11358102 12492152 0 0 0 0 5457147 5720617 0 0 0 6670366 7294480 12127513 13015097 -769411 -522945 21178114 20604049 36464021 36762428 -15285907 -16158379 X WESTMINSTER VILLAGE TERRE HAUTE, INC. IS AN INDIANA NOT-FOR-PROFIT CORPORATION ESTABLISHED IN 1980 FOR THE PURPOSE OF OWNING AND OPERATING A CONTINUING CARE RETIREMENT COMMUNITY. THE ORGANIZATION INCLUDES 174 INDEPENDENT-LIVING APARTMENTS, 20 INDEPENDENT-LIVING VILLAS, 38 ASSISTED-LIVING APARTMENTS, AND A 78-BED HEALTH CARE CENTER THAT PROVIDES BOTH SKILLED AND INTERMEDIATE CARE. 0 0 4109540 4274317 INDEPENDENT-LIVING: MAINTAINS 174 APARTMENTS AND 20 VILLAS; INCLUDES BIWEEKLY HOUSEKEEPING, FLEXIBLE DINING PRIVILEGES, MAINTENANCE AS NEEDED, AND ALL UTILITIES; ALLOWS ACCESS TO THE ORGANIZATION'S ACTIVITIES AND AMENITIES. 970780 1542800 ASSISTED-LIVING: MAINTAINS 38 ASSISTED-LIVING APARTMENTS; INCLUDES WEEKLY HOUSEKEEPING, THREE DAILY MEALS, MAINTENANCE AS NEEDED, AND ALL UTILITIES; ALLOWS ACCESS TO THE ORGANIZATION'S ACTIVITIES AND AMENITIES; PERSONALIZED ASSISTANCE. 5880244 6615750 HEALTH CENTER: MAINTAINS 78-BED HEALTH CARE CENTER; INCLUDES PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY, THREE DAILY MEALS AND SNACKS, COMPREHENSIVE SKILLED NURSING CARE; ALLOWS ACCESS TO THE ORGANIZATION'S ACTIVITIES AND AMENITIES. 10960564 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 57 0 1 234 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 1 0 0 0 IN X CONNIE CADDELL DIRECTOR OF ACCOUNTING 8122424607 1120 E DAVIS DR TERRE HAUTE IN 47802 PAT FOUTY 0.50 X 3200 0 0 TOM TEMPLETON 0.50 X 3200 0 0 DAVE GOELLER 0.50 X 3100 0 0 JIM LEAR 0.50 X 3000 0 0 BETH TEVLIN 0.50 X 3100 0 0 DAN CALLAHAN 0.50 X 3500 0 0 FRED RUBEY 0.50 X 3500 0 0 KYLE EXLINE 40.00 X 0 0 0 ELIZABETH M TESSMAN-ROBERTSON 40.00 X 110016 0 10908 132616 0 10908 1 0 0 0 REHABCARE GROUP EAST INC CONTRACT THERAPY DIVISION PO BOX 5 ST LOUIS MO 63150 PAYMENTS FOR MEDICAL AND HEALTH CARE SER 616434 LIFE CARE SERVICES LLC CAPITAL SQUARE DES MOINES IA 50309 PAYMENTS FOR MANAGEMENT SERVICES 415918 PRN PHARMACEUTICAL LP OMNICARE INC PO BOX 715268 COLUMBUS OH 43271 PAYMENTS FOR MEDICAL AND HEALTH CARE SER 157972 MEDICAL STAFFING SOLUTIONS LLC KENTUCKY AVENUE EVANSVILLE IN 47725 PAYMENTS FOR MEDICAL AND HEALTH CARE SER 127170 4 PATIENT SERVICES 623000 6214632 6214632 APARTMENT LIVING 623000 3586686 3586686 ASSISTED LIVING 623000 1485497 1485497 1112233 1112233 12399048 59285 59285 33819 33819 33819 12492152 12432867 0 59285 22600 22600 4586914 4077799 509115 746926 680747 66179 364177 327837 36340 578757 15000 563757 108811 108811 40454 40454 64591 52876 11715 343547 343547 488298 441763 46535 585711 511829 73882 50625 41101 9524 1149692 1149692 1428658 1428658 138754 138754 FOOD 738710 738710 THERAPY 738459 738459 MAINTENANCE & REPAIR 217279 205442 11837 DRUGS 178487 178487 443647 372164 71483 13015097 10960564 2054533 0 622903 647725 598741 731568 53082 62698 185699 175365 36525354 21392942 15866846 15132412 3850843 3854281 21178114 20604049 1362695 1496670 20732407 20818913 14368919 14446845 36464021 36762428 X -15285907 -16158379 -15285907 -16158379 21178114 20604049 X -522945 -349527 X X 0 1 1 X 0 X 11313622 11064209 11720845 11241161 12399048 57738885 11313622 11064209 11720845 11241161 12399048 57738885 0 0 0 57738885 53240 91698 67867 62823 59285 334913 53240 91698 67867 62823 59285 334913 61613 165450 55064 54118 33819 370064 11428475 11321357 11843776 11358102 12492152 58443862 0.98790 0.94460 0.00570 0.00550 X 364636 364636 31633765 18139939 13493826 3452289 2629986 822303 1074664 623017 451647 15132412 DEFERRED FINANCING COSTS 440011 CASH EQUIVALENTS - BOARD RESTRICTED 1894522 COST OF ACQUIRING CONTRACTS 17075 CASH EQUIVALENTS - BOND RESTRICTED 1502673 3854281 REFUNDABLE ADVANCE FEES 8550369 DEFERRED ENDOWMENT INCOME 5689833 SECURITY DEPOSITS PAYABLE 206643 14446845 12492152 13015097 -522945 -349527 -349527 -872472 12492152 0 12492152 0 12492152 13364624 349527 349527 13015097 0 13015097 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: UNCERTAINTY EXISTS REGARDING TAX POSITIONS TAKEN IN PREVIOUSLY FILED TAX RETURNS STILL SUBJECT TO EXAMINATION AND POSITIONS TO BE TAKEN IN FUTURE RETURNS. THERE WERE NO UNCERTAIN TAX POSITIONS FOR THE YEARS ENDED DECEMBER 2011 AND 2010; AND ACCORDINGLY, THE ORGANIZATION HAS NO ACCRUED INTEREST OR PENALTIES RECORDED. THE TAX YEARS 2008 - 2011 REMAIN OPEN TO EXAMINATION BY THE TAXING JURISDICTIONS TO WHICH THE ORGANIZATION IS SUBJECT. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY THE TAXING JURISDICTIONS FOR YEARS PRIOR TO 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF DERIVATIVE INSTRUMENT -349,527. PART XIII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF DERIVATIVE INSTRUMENT 349,527. FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES, LLC HAS BEEN ENGAGED TO MANAGE THE ORGANIZATION'S OPERATIONS OF THE FACILITY SINCE NOVEMBER 1984. THE CURRENT MANAGEMENT AGREEMENT WAS EFFECTIVE JANUARY 1, 2008 AND EXPIRES JANUARY 31, 2013. EITHER PARTY MAY TERMINATE THIS AGREEMENT, WITHOUT CAUSE, AT ANY TIME BY GIVING THE OTHER PARTY AT LEAST SIX MONTHS' PRIOR NOTICE OF ITS DESIRE TO TERMINATE. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE AND THE ORGANIZATION'S EXECUTIVE DIRECTOR AND CONTROLLER REVIEW FORM 990 PRIOR TO FILING. ONCE REVIEWED THE EXECUTIVE DIRECTOR SIGNS THE RETURN; THEN IT IS FILED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN VALUE OF DERIVATIVE INSTRUMENT -349,527. TOTAL TO FORM 990, PART XI, LINE 5: -349,527. CHANGES TO PROCESS OF AUDIT COMMITTEE OVERSIGHT RESPONSIBILITIES: FORM 990, PART XI, LINE 2(C) THE PROCESS OF THE ORGANIZATION'S AUDIT COMMITTEE OVERSIGHT RESPONSIBILITIES HAS NOT CHANGED FROM THE PRIOR YEAR.