FURP.ORG / PUBLIC DATA EXPLORER

HAVEN HUBBARD HOMES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HAVEN HUBBARD HOMES INC (EIN 35-0870110)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-08
IRS object ID
201231299349301468
Schema version
2010v3.4
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)
Timestamp2012-05-08T12:48:36-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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
Phone5746542200Phone
Date Signed2012-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2483522500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts9448895GrossReceipts
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 30,2011 AMOUNTED TO $1,780,993.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees211TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year39883ContributionsGrantsPriorYear
Contributions Grants Current Year7067ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9024075ProgramServiceRevenuePriorYear
Program Service Revenue CY9254796ProgramServiceRevenueCY
Investment Income Prior Year3592InvestmentIncomePriorYear
Investment Income Current Year4616InvestmentIncomeCurrentYear
Other Revenue Prior Year166999OtherRevenuePriorYear
Other Revenue Current Year178323OtherRevenueCurrentYear
Total Revenue Prior Year9234549TotalRevenuePriorYear
Total Revenue Current Year9444802TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4062908SalariesEtcPriorYear
Salaries Etc Current Year4296124SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4542184OtherExpensePriorYear
Other Expenses Current Year4611084OtherExpensesCurrentYear
Total Expenses Prior Year8605092TotalExpensesPriorYear
Total Expenses Current Year8922208TotalExpensesCurrentYear
Revenues Less Expenses Prior Year629457RevenuesLessExpensesPriorYear
Revenues Less Expenses CY522594RevenuesLessExpensesCY
Total Assets BOY17337022TotalAssetsBOY
Total Assets EOY17754004TotalAssetsEOY
Total Liabilities BOY17431765TotalLiabilitiesBOY
Total Liabilities EOY17149250TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-94743NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY604754NetAssetsOrFundBalancesEOY
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
Expense6935273Expense
Grants15000Grants
Revenue9263153Revenue
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 163 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 97 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 18% OF TOTAL REVENUES WERE USED TO PROVIDE COMMUNITY BENEFITS, WHICH INCLUDES THE FOLLOWING AMOUNTS; INDIGENT CARE/CHARITY CARE $1,303,938, MEDICARE WRITE-OFFS $477,055.Description
Total Program Service Expense6935273TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art1CollectionsOfArt
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 Footnote0ReportFin48Footnote
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 With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees211NumberOfEmployees
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 Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CHRIS GRAFF
CHAIR1.00XX000
KAREN WEAVER
VICE CHAIR1.00XX000
CAROLYN HIGGINGS
BOARD MEMBER1.00X000
WILLIAM WELSHEIMER JR
BOARD MEMBER1.00X000
VICKIE VAN NEVEL
BOARD MEMBER1.00X000
TOM HALL
BOARD MEMBER - PARTIAL YEAR1.00X000
SHERMAN W HANSEN
BOARD MEMBER1.00X000
DALE SHENK
TREASURER1.00X010675027761
JAN SEBASTY
SECRETARY40.00X3193209787
DAVID THOMPSON
PRESIDENT40.00X010609721707
FieldValueIRS element (for citing)
Total Reportable Comp From Org31932TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs212847TotalReportableCompFrmRltdOrgs
Total Other Compensation59255TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GREENCROFT RETIREMENT COMMUNITIES INC
PO BOX 819GOSHENIN46527MANAGEMENT AND CORPORATE SERVICES754002
HEALTHCARE THERAPY SERVICES
1411 W COUNTY LINE RD SUITE AGREENWOODIN46142HEALTHCARE SERVICES469367
ADVANCE CUSTODIAL SERVICES
351 SOUTH 525 EASTLAPORTEIN46350CUSTODIAL SERVICES212757
GRANDVIEW PHARMACY
PO BOX 926CONNERSVILLEIN47331HEALTHCARE SERVICES201365
H&G PLUMBING
1355 E STATE ROAD 2LAPORTEIN46350CONSTRUCTION SERVICES126684
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations7067RelatedOrganizations
Total Contributions7067TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING SERVICES62300067096786709678
RESIDENT SERVICES62300024994702499470
MANAGMENT FEES5416104564845648
FieldValueIRS element (for citing)
Total Program Service Revenue9254796TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4128TotalRevenueColumn
Exclusion$4,128ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other4581Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other4093Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other488Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column488TotalRevenueColumn
Exclusion$488ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
LAUNDRY/PHONE/OTHER62399074812$74,812
CAFETERIA/MEALS72221021524$21,524
TRANSPORTATION48000020604$20,604

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column61383TotalRevenueColumn
Related Or Exempt Function Income8357RelatedOrExemptFunctionIncome
Exclusion$53,026ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue178323TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9444802TotalRevenueColumn
Related Or Exempt Function Income9263153RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$174,582ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total15000Total
Program Services15000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total42894Total
Management And General42894ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3563123Total
Program Services3118417ProgramServices
Management And General444706ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total124196Total
Program Services108696ProgramServices
Management And General15500ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total293189Total
Program Services256597ProgramServices
Management And General36592ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total272722Total
Program Services238684ProgramServices
Management And General34038ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total544002Total
Management And General544002ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16272Total
Program Services11215ProgramServices
Management And General5057ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45219Total
Management And General45219ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total21313Total
Management And General21313ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1024968Total
Program Services814884ProgramServices
Management And General210084ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total61219Total
Management And General61219ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total823935Total
Program Services659148ProgramServices
Management And General164787ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total634776Total
Program Services444343ProgramServices
Management And General190433ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total9401Total
Program Services2820ProgramServices
Management And General6581ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total804957Total
Program Services804957ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total545995Total
Program Services409496ProgramServices
Management And General136499ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE4625646256
DUES, LICENSES, & SUBS.1703317033
PROF. DEVELOPMENT802432174807
ACTIVITY EXPENSE33606722688
MISC. DIETARY EXPENSE956191765

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3398Total
Program Services680ProgramServices
Management And General2718ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8922208Total
Program Services6935273ProgramServices
Management And General1986935ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY650BOY
EOY650EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2194365BOY
EOY2689652EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY789961BOY
EOY738968EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY34962BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19938213LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6847546LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13046665BOY
EOY13090667EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY508051BOY
EOY637314EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2596BOY
EOY2685EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY759772BOY
EOY594068EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17337022BOY
EOY17754004EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY479540BOY
EOY472478EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY77754BOY
EOY72184EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12665000BOY
EOY12465000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2065000BOY
EOY2030000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2144471BOY
EOY2109588EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17431765BOY
EOY17149250EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-602794BOY
EOY-32560EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY65972BOY
EOY195235EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY442079BOY
EOY442079EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-94743BOY
EOY604754EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17337022BOY
EOY17754004EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses522594ReconcilationRevenueExpenses
Reconcilation Other Changes176903ReconcilationOtherChanges
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 Minus3 Years337875CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18781CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39883CurrentTaxYearMinus1Year
Current Tax Year7067CurrentTaxYear
Total403606Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4348116CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8844075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8876775CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9024075CurrentTaxYearMinus1Year
Current Tax Year9254796CurrentTaxYear
Total40347837Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years149594CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years188691CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112742CurrentTaxYearMinus1Year
Current Tax Year118399CurrentTaxYear
Total569426Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4348116CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9331544CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9084247CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9176700CurrentTaxYearMinus1Year
Current Tax Year9380262CurrentTaxYear
Total41320869Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year45732CurrentTaxYear
Total45732Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year45732CurrentTaxYear
Total45732Total
FieldValueIRS element (for citing)
Public Support Total50941275137PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10358CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10016CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10152CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3092CurrentTaxYearMinus1Year
Current Tax Year4128CurrentTaxYear
Total37746Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10358CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10016CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10152CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3092CurrentTaxYearMinus1Year
Current Tax Year4128CurrentTaxYear
Total37746Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72995CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-482CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3380CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54257CurrentTaxYearMinus1Year
Current Tax Year59924CurrentTaxYear
Total190074Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4431469CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9341078CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9097779CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9234049CurrentTaxYearMinus1Year
Current Tax Year9444314CurrentTaxYear
Total41548689Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99340PublicSupportPercentage509
Prior Year Support Percentage0.99050PriorYearSupportPercentage
Investment Income Percentage0.00090InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00230PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III - OTHER INCOME 2006 - $72,995, 2007 - $-482, 2008 - $3,380, 2009 - $54,257, 2010 - $59,924.GeneralExplanation

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

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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16665122OtherCostOrOtherBasis
Depreciation4553892Depreciation
Book Value12111230BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis662180OtherCostOrOtherBasis
Depreciation556441Depreciation
Book Value105739BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2211737OtherCostOrOtherBasis
Depreciation1737213Depreciation
Book Value474524BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis351612OtherCostOrOtherBasis
Book Value351612BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13090667TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
RESIDENT SECURITY DEPOSITS$89,560
LIFE LEASE NOTES PAYABLE$256,101
DUE TO AFFILIATE$107,323
DERIVATIVE LIABILITY - INTEREST RATE SWAP$1,608,919
ACCRUED INTEREST PAYABLE$47,685
FieldValueIRS element (for citing)
Total Of Amounts2109588TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
Return ReferencePART III, LINE 1A:ReturnReference
ExplanationTHE 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.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 Grant15000AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
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
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
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)
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 2012, 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 INTERESTS 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 2011 THIS POSITION WAS AT THE 46TH PERCENTILE OF THE RANGE FOR THIS POSITION IN BASE COMPENSATION AND AT THE 56TH PERCENTILE OF THE MARKET FOR THE VARIABLE PAY COMPENSATION. THIS PROCESS WAS LAST CONDUCTED IN FISCAL YEAR 2011.
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, DEVOTE 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 ONE HOUR PER WEEK TO THE HAMILTON FOUNDATION, INC. AND APPROXIMATELY TWO HOURS PER WEEK TO GREENCROFT RETIREMENT COMMUNITIES, INC., A RELATED TAX-EXEMPT ORGANIZATIONS. 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 47,640. EQUITY INCOME FROM RELATED ENTITY 129,263. TOTAL TO FORM 990, PART XI, LINE 5: 176,903.
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 90N/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 INC1
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 Org0GiftGrantOrCapContrToOtherOrg
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 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
L754002ACTUAL COST
CHICAGO TRAIL VILLAGE INC
K203168ACTUAL COST