2024-10-31T11:02:37-05:00 2023-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 46240 990 2023-01-01 352187477 INDIANA MASONIC HOME INC INDI 3177366141 690 STATE STREET FRANKLIN IN 46131 MIKE SPENCER CEO 3177366141 2024-10-25 1 1 CASSE TATE P01271193 3175802000 2024-10-25 2023 2024-10-15 13:58:12Z COMPASS PARK MIKE SPENCER 690 STATE STREET FRANKLIN IN 46131 19105462 0 X WWW.COMPASSPARK.ORG X 2003 IN TO SERVE THE CHARITABLE PURPOSE OF OPERATING THE CONTINUING CARE RETIREMENT COMMUNITY KNOWN AS THE INDIANA MASONIC HOME IN FRANKLIN, INDIANA. 16 15 407 0 244832 0 4391733 4088892 8592105 10372292 478797 940954 952729 378972 14415364 15781110 0 0 0 0 5538887 5432065 0 0 0 5169845 5539565 10708732 10971630 3706632 4809480 101048272 113016503 37960120 35144454 63088152 77872049 TO SERVE THE CHARITABLE PURPOSE OF OPERATING THE CONTINUING CARE RETIREMENT COMMUNITY KNOWN AS THE INDIANA MASONIC HOME IN FRANKLIN, INDIANA. 0 0 7367437 10372292 PROVIDE CARE FOR THE AGED. THE HOME PROVIDES HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RETIREMENT FACILITY CONTAINING INDEPENDENT LIVING HOMES AND APARTMENTS, ASSISTED LIVING APARTMENTS, AND A HEALTH CARE FACILITY LOCATED IN FRANKLIN, INDIANA. 7367437 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 47 0 1 407 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 IN X MIKE SPENCER 3173461404 690 STATE STREET FRANKLIN IN 46131 RICHARD J ELMAN GRAND SECRETARY 1.00 41.30 X X 0 110669 33086 ERIC J VERMEULEN BOARD MEMBER 1.00 40.00 X 0 91471 0 GARY W BRINLEY PRESIDENT 1.00 40.30 X X 0 0 0 CONSTANCE BRANIGAN BOARD MEMBER 1.00 X 0 0 0 RONALD L BUSKIRK VICE PRESIDENT 1.00 1.00 X X 0 0 0 RICHARD L LENTZ BOARD MEMBER 1.00 5.30 X 0 0 0 ANDY HUGHES BOARD MEMBER 1.00 X 0 0 0 BRIAN BATES BOARD MEMBER 1.00 X 0 0 0 CARL E CULMANN BOARD MEMBER 1.00 X 0 0 0 MICHAEL H DAVIS BOARD MEMBER 1.00 X 0 0 0 DON R REYNOLDS II TREASURER 1.00 X X 0 0 0 JERRY B MAPLE BOARD MEMBER 1.00 X 0 0 0 STEVEN A BATES BOARD MEMBER 1.00 5.00 X 0 0 0 WILLIAM STRANTON BOARD MEMBER 1.00 X 0 0 0 STEVEN DOUGLAS BOARD MEMBER 1.00 X 0 0 0 KENNETH CROOKS BOARD MEMBER 1.00 X 0 0 0 NATHAN BILLS BOARD MEMBER 1.00 X 0 0 0 DAVID MORGAN BOARD MEMBER 1.00 5.00 X 0 0 0 MIKE SPENCER CEO 40.00 X 230198 0 19140 MARDENA MCGLACKEN CFO 40.00 X 124974 0 10995 WILLIAM PIERCE ADMINISTRATOR 40.00 X 172990 0 19944 SARAH BRUNER REGISTERED NURSE 40.00 X 172919 0 11982 BETHANY GALLION HUMAN RESOURCE DIRECTOR 40.00 X 113501 0 14899 JENNIFER STEPHENS REGISTERED NURSE 40.00 X 115865 0 13588 MARISSA MEAHL DIRECTOR OF NURSHING 40.00 X 145947 0 685 1076394 202140 124319 8 0 1 0 GORDON FOOD SERVICE PO BOX 2992 1300 GEZON PARKWAY SW GRAND RAPIDS MI 49501 FOOD SERVICES 491388 MCGOWAN INSURANCE GROUP INC 355 INDIANA AVE INDIANAPOLIS IN 46204 INSURANCE BROKERAGE 365373 HTS IN X INC 1500 AMERICAN WAY SUITE 110 GREENWOOD IN 46143 THERAPY 340955 SENTRICS 265 CLYDE MORRIS BLVD SUITE 100 ORMOND BEAVH FL 32174 INFORMATION TECHNOLOGY 154523 ROUNDSTONE MANAGEMENT LTD 15422 DETROIT AVE LAKEWOOD OH 44107 BENEFITS ADVISOR 118461 5 459374 33838 3460948 134732 4088892 RESIDENCE SERVICES 623000 5615000 5615000 MANAGEMENT FEES 623000 1847928 1847928 HEALTH CARE FACILITY 623000 1746266 1746266 HOME HEALTH CARE 623000 1163098 1163098 10372292 435395 435395 3808377 3302818 505559 505559 505559 10131 33838 21534 -11403 -11403 OTHER INCOME 623990 204178 58635 145543 DAYCARE INCOME 624410 186197 186197 390375 15781110 10372292 244832 1075094 385307 385307 2386401 1498239 888162 97129 7579 89550 1717737 1610220 107517 845491 775838 69653 49750 49750 77110 77110 48635 48635 88634 5119 83515 116451 116451 352073 267565 84508 190395 128225 62170 839227 255440 583787 66309 65568 741 1165300 636823 528477 111596 60986 50610 289651 289651 REPAIRS & MAINTENANCE 633574 512027 121547 FOOD SERVICES 460090 460090 MEDICAL FEES, DRUGS, & 395415 395415 BAD DEBT EXPENSE 257274 257274 398081 314578 83503 10971630 7367437 3604193 0 3893752 3816433 686803 735516 70386 64021 119798 312346 6486848 5994409 451886 492439 8808811 10036084 240001 240001 86776835 97319663 101048272 113016503 778923 703072 8479877 9404004 28562833 24920090 138487 117288 37960120 35144454 X -20252517 -16208229 83340669 94080278 63088152 77872049 101048272 113016503 X 4809480 517332 9457085 X X 0 1 X 1 0 X 3828426 6421956 13547011 4391733 4088892 32278018 7221619 9208189 7421687 8592105 10372292 42815892 11050045 15630145 20968698 12983838 14461184 75093910 2758651 3603617 10600384 3598176 3460948 24021776 1110799 3311484 1513919 1072208 1697507 8705917 3869450 6915101 12114303 4670384 5158455 32727693 42366217 166549 163580 158652 215725 435395 1139901 166549 163580 158652 215725 435395 1139901 8984 8984 974872 370475 357645 444463 145543 2292998 12200450 16164200 21484995 13644026 15042122 78535793 0.53950 0.51320 0.01450 0.03360 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: AUDIT ADJUSTMENT AND RECLASSIFICATIONS - 2019 AMOUNT: $ 672,273. OTHER INCOME - 2019 AMOUNT: $ 302,599. 2020 AMOUNT: $ 370,475. 2021 AMOUNT: $ 357,645. 2022 AMOUNT: $ 444,463. 2023 AMOUNT: $ 145,543. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5042689 4659881 382808 1444159 1334528 109631 492439 INTEREST IN NET ASSETS OF FOUNDATION 91579012 BENEFICIAL INTEREST IN TRUST 2467702 INTEREST RATE SWAP - FAIR VALUE 460242 RECEIVABLE FROM JOHNSON MEMORIAL HOSPITAL 2812707 97319663 RESIDENT DEPOSITS 117288 117288 X 15715434 517332 -534373 -17041 15732475 48635 48635 15781110 11048929 125934 125934 10922995 48635 48635 10971630 PART X, LINE 2: THE HOME IS EXEMPT FROM THE PAYMENT OF INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE INTERNAL REVENUE CODE. IN ADDITION, THE HOME HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME TAX FOR THE PERIOD ENDED DECEMBER 31, 2023 AND THE YEAR ENDED DECEMBER 31, 2022. THE HOME FILES U.S. FEDERAL AND STATE OF INDIANA INFORMATION RETURNS. IT IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR FISCAL YEARS BEFORE 2020. MANAGEMENT BELIEVES THAT THE HOME'S INCOME TAX FILING POSITION WILL BE SUSTAINED ON AUDIT AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WILL RESULT IN A MATERIAL CHANGE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF INTEREST RATE SWAP -660,307. EXPENSES FROM SPECIAL EVENT 21,534. RELATED ENTITY FEE RECLASSIFIED TO OFFSET EXPENSE 104,400. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM SPECIAL EVENT 21,534. RELATED ENTITY FEE RECLASSIFIED TO OFFSET EXPENSE 104,400. GOLF OUTING 43969 33838 10131 21534 43969 33838 10131 21534 21534 -11403 X 0 0 0 0 0 0 0 0 0 MIKE SPENCER CEO 230198 0 0 0 0 0 0 0 19140 0 249338 0 0 0 WILLIAM PIERCE ADMINISTRATOR 172990 0 0 0 0 0 3049 0 16895 0 192934 0 0 0 SARAH BRUNER REGISTERED NURSE 172919 0 0 0 0 0 3139 0 8843 0 184901 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT WILL REVIEW THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C CEO SOLICITS INFORMATION ANNUALLY ON POTENTIAL CONFLICTS OF INTEREST. INFORMATION IS REVIEWED BY CEO AND PRESIDENT OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DETERMINED USING COMPARABILITY DATA, APPROVED BY THE BOARD AND DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. ANNUAL STATE DISCLOSURE STATEMENT IS AVAILABLE TO ALL POTENTIAL NEW RESIDENTS. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF THE FOUNDATION 10,468,432. CHANGE IN BENEFICIAL INTEREST IN TRUST 271,177. TRANSFER OF ASSETS TO IMH REALTY -622,217. CHANGE IN INTEREST RATE SWAP -660,307. FORM 990, PART XII, LINE 2C THE REVIEW OF THE AUDIT PROCESS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, PART VI, SECTION B, LINE 14 RECORD RETENTION AND DESTRUCTION POLICY MEDICAL RECORDS OF THE ORGANIZATION ARE GOVERNED BY A RETENTION AND STORAGE POLICY, AS WELL AS A CLOSED CHART POLICY. INDIANA MASONIC HOME FOUNDATION INC 525 N ILLINOIS ST INDIANAPOLIS IN 46204 351091997 PROVIDE SUPPORT TO THE INDIANA MASONIC HOME IN 501(C)(3) LINE 12D, III-O N/A 0 IMH REALTY INC 690 STATE STREET FRANKLIN IN 46131 364513246 PROVIDE PROPERTY TO ENSURE THE RESIDENTIAL AND MEDICAL CARE FOR THE ELDERLY IN 501(C)(2) N/A 0 GRAND LODGE FREE AND ACCEPTED MASONS OF THE STATE OF INDIANA 525 N ILLINOIS ST INDIANAPOLIS IN 46204 350300010 FRATERNAL ORGANIZATION IN 501(C)(8) & (C)(10) N/A 0 ALPHA STAFFING GROUP INC 690 S STATE ST FRANKLIN IN 46131 881241043 STAFFING AGENCY IN INDIANA MASONIC HOME INC C 36777 79700 1.00000 1 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 IMH REALTY I 622217 FAIR MARKET VALUE ALPHA STAFFING GROUP INC F 100000 FAIR MARKET VALUE ALPHA STAFFING GROUP INC M 104400 FAIR MARKET VALUE