2023-05-15T08:19:24-05:00 2022-06-30 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT STE 300 AUBURN HILLS MI 48326 990 2021-07-01 351163961 GOLDEN YEARS HOMESTEAD INC GOLD 2607499655 3136 GOEGLEIN ROAD FORT WAYNE IN 46815 SCOTT MARTIN CORPORATE TREASURER 5745374000 2023-05-03 1 SCOTT MARTIN 999009999 DAVID LOWENTHAL P00378651 2483757100 2023-05-03 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SCOTT MARTIN 3136 GOEGLEIN ROAD FORT WAYNE IN 46815 16291337 0 X WWW.GOLDENYEARSHOME.ORG X 1967 IN GOLDEN YEARS HOMESTEAD INC IS A RETIREMENT & HEALTH CARE CENTER. OUR NON-FOR-PROFIT, CHRISTIAN COMMITMENT HAS ALLOWED US TO HOLD OUR AGING IN REVERENCE BY PROVIDING MULTIPLE CARE OPTIONS FROM INDEPENDENT LIVING AND SHORT-TERM REHABILITATION STAYS TO LONG TERM CARE. 15 15 274 23 0 0 1556355 15039 14350725 14307842 449098 554394 324420 385909 16680598 15263184 0 0 0 0 6735378 6975738 0 0 0 6003107 6944065 12738485 13919803 3942113 1343381 41801306 39874515 16411867 14309980 25389439 25564535 X GOLDEN YEARS HOMESTEAD INC IS A RETIREMENT & HEALTH CARE CENTER. OUR NON-FOR-PROFIT, CHRISTIAN COMMITMENT HAS ALLOWED US TO HOLD OUR AGING IN REVERENCE BY PROVIDING MULTIPLE CARE OPTIONS FROM INDEPENDENT LIVING AND SHORT-TERM REHABILITATION STAYS TO LONG TERM CARE. 0 0 10641033 0 14692141 THE ORGANIZATION PROVIDES NURSING CARE IN A HOME AS WELL AS IN INDEPENDENT LIVING UNITS FOR THE ELDERLY. OUR NURSING FACILITY CONTAINS 111 COMPREHENSIVE CARE BEDS. RESIDENTS MAY CHOOSE BETWEEN PRIVATE AND SEMI-PRIVATE ROOMS. EIGHTY-FIVE OF THE 111 BEDS ARE MEDICAL, AND THE REMAINING 26 ARE SECURE CARE. SECURE CARE HAS BEEN DESIGNED WITH THE SPECIAL NEEDS OF ALZHEIMER'S RESIDENTS IN MIND. THIRTEEN BEDS ARE UTILIZED FOR SHORT-TERM PHYSICAL REHAB (LESS THAN 100 DAYS) WITHIN THE FACILITY. WE OFFER 44 ASSISTED LIVING ROOMS WITH 24-HOUR CARE. INDEPENDENT LIVING CONSISTS OF 72 VILLAS IN OUR FORT WAYNE, IN CAMPUS.5% OF TOTAL REVENUE WAS USED TO PROVIDE COMMUNITY BENEFITS, WHICH INCLUDE THE FOLLOWING AMOUNTS; INDIGENT CARE/CHARITY CARE $726,667 FOR FYE JUNE 30, 2022. 10641033 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 23 0 1 274 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IN X SCOTT MARTIN 5745374000 1721 GREENCROFT BLVD GOSHEN IN 46526 X CYNDY ELICK CHAIR 1.00 1.00 X X 0 0 0 DALE D DEAN VICE CHAIR 1.00 1.00 X X 0 0 0 DENISE HENTZ BOARD MEMBER 1.00 1.00 X 0 0 0 RAY MCINTOSH BOARD MEMBER 1.00 1.00 X 0 0 0 DONNA MISNER BOARD MEMBER 1.00 1.00 X 0 0 0 THOMAS PHILLIPS BOARD MEMBER 1.00 1.00 X 0 0 0 DON SCHMIDT BOARD MEMBER 1.00 1.00 X 0 0 0 LINDA SMITH BOARD MEMBER 1.00 1.00 X 0 0 0 ANDREA VAN WYNGARDEN BOARD MEMBER 1.00 1.00 X 0 0 0 JEANNINE NB VILLARREAL BOARD MEMBER 1.00 1.00 X 0 0 0 DR GEORGE BULLION BOARD MEMBER 1.00 1.00 X 0 0 0 MICHAEL CARPENTER BOARD MEMBER 1.00 1.00 X 0 0 0 DONALD GOFF BOARD MEMBER 1.00 1.00 X 0 0 0 JOHN HARRIS BOARD MEMBER 1.00 1.00 X 0 0 0 JOE HEINS BOARD MEMBER 1.00 1.00 X 0 0 0 STEVE SCHAAF VP OF OPERATIONS/PRESIDENT 35.00 5.00 X 0 0 0 SCOTT MARTIN TREASURER 1.00 0.40 X 0 0 0 DALE SHENK ASSISTANT TREASURER 0.40 0.40 X 0 0 0 RYDELL BONTRAGER SECRETARY 1.00 0.30 X 0 0 0 AIMEE RIEMKE ASSISTANT SECRETARY 0.20 0.20 X 0 0 0 0 0 0 0 0 0 0 LIBERTY DEVELOPING INC 3702 RUPP DRIVE SUITE 2 FORT WAYNE IN 46815 CONSTRUCTION SERVICES 1455351 EV CONSTRUCTION 86 EAST 6TH ST HOLLAND MI 49423 CONSTRUCTION SERVICES 1127854 KEVIN STEURY MANAGEMENT 8526 UNION CHAPEL ROAD FORT WAYNE IN 46845 CONSTRUCTION SERVICES 915453 ROSEWOOD STAFFING INC PO BOX 577 WEST BEND WI 530950577 AGENCY STAFFING SERVICES 714444 HTS IN IV INC 1500 AMERICAN WAY SUITE 110 GREENWOOD IN 46143 THERAPY SERVICES 372278 8 15039 15039 CARE SERVICES 561000 7013696 7013696 RESIDENT SERVICES 623000 3640955 3640955 BUILDING USE 531390 2890664 2890664 MANAGEMENT FEES 541610 762527 762527 14307842 258366 258366 180000 180000 1610 0 1610 1610 1610 1324181 1028153 296028 296028 296028 INCOME FROM SAMARITAN ALLIANCE 900099 142565 142565 GUEST MEALS/VENDING 722513 49916 49916 LAUNDRY/HOUSEKEEPING 623990 4349 4349 7469 7469 204299 15263184 14692141 0 556004 X 5579372 5257280 322092 174414 164386 10028 801438 755358 46080 420514 396238 24276 574126 194016 380110 7832 7832 49464 49464 2169814 733252 1436562 61378 61378 1100327 347506 752821 677987 677987 19584 19584 11943 11943 539937 539937 1081841 893225 188616 134456 134456 REPAIRS & MAINTENANCE 298985 257852 41133 BAD DEBTS 120799 120799 GIFT AND SNACK SHOP 39354 39354 FOOD & DIETARY 21188 21188 35050 27237 7813 13919803 10641033 3278770 0 3277344 774225 45256 5183 922358 922107 7876 9727 36878942 11839630 24112279 25039312 13418351 11748699 17842 81589 0 1293673 41801306 39874515 1085826 886430 324911 395430 12012427 11365630 6500 0 2982203 1662490 16411867 14309980 X 25389439 25564535 25389439 25564535 41801306 39874515 X 1343381 -2402818 1234533 X X 0 1 X 1 0 X 20642 11101 17470 1556355 15039 1620607 10334278 5752241 11743459 14672366 14692141 57194485 10354920 5763342 11760929 16228721 14707180 58815092 0 224820 114216 80530 40980 460546 224820 114216 80530 40980 460546 58354546 185754 158705 223620 228491 259976 1056546 185754 158705 223620 228491 259976 1056546 5869 5869 10546543 5922047 11984549 16457212 14967156 59877507 0.97460 0.97080 0.01760 0.01810 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME PART III BECAUSE OF THE SHORT YEAR-END FILING, THE COLUMNS IN SCHEDULE A PART III CORRESPOND TO THE FOLLOWING TAX YEARS: 2017 = FYE 12/31/18 2018 = SHORT YEAR-END 6/30/19 2019 = FYE 6/30/20 2020 = FYE 6/30/21 2021 = FYE 6/30/22 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 4609423 4609423 30017244 10248421 19768823 2252275 1591209 661066 25039312 INTEREST RATE SWAP 1080585 REFUNDABLE ENTRANCE FEES 581905 1662490 PART IV, LINE 2B: THE ORGANIZATION REQUIRES SECURITY DEPOSITS FROM EACH RESIDENT. THE FUNDS ARE DEPOSITED INTO THE ORGANIZATION'S ACCOUNT, WHICH EARNS INTEREST THROUGHOUT THE YEAR. FUNDS ARE DESIGNATED FOR RECOVERY OF DAMAGES CAUSED BY THE RESIDENTS. A INDIANA FINANCE AUTHORITY 351602316 2014-10-17 22800000 REFUNDING 2010 BOND ISSUANCE 0 0 0 A 6766001 22800000 209630 22590370 2014 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 SCHEDULE K, PART I: THE ORGANIZATION DID NOT HAVE WRITTEN POLICIES AND PROCEDURES IN PLACE GOVERNING POST-ISSUANCE COMPLIANCE FOR ITS TAX-EXEMPT BONDS FOR THE 2021 YEAR. FORM 990, PART VI, SECTION A, LINE 1A ALL COMMITTEE MEMBERS ARE BOARD MEMBERS. THE EXECUTIVE COMMITTEE INTERVIEWS NEW BOARD MEMBERS, HAS THE AUTHORITY TO MAKE EMERGENCY DECISIONS WHEN THE FULL BOARD CANNOT MEET, AND THEY MAKE RECOMMENDATIONS TO THE BOARD. OTHER COMMITTEES CAN MAKE RECOMMENDATIONS TO THE BOARD BUT DO NOT HAVE THE AUTHORITY TO ACT ON THEIR OWN. FORM 990, PART VI, SECTION A, LINE 3 GREENCROFT COMMUNITIES PROVIDES EXECUTIVE SUPPORT FOR THE BOARD GOVERNANCE FUNCTIONS, THE SERVICES OF CEO AND CFO, AND PROVIDES THE SERVICES OF THE VP OF HUMAN RESOURCES, MARKETING, INFORMATION SERVICES AND CORPORATE COMPLIANCE. THE FOLLOWING OFFICERS LISTED ON PART VII WERE COMPENSATED BY GREENCROFT COMMUNITIES. THE PRORATED PORTION OF COMPENSATION FOR SERVICES PROVIDED TO THIS ORGANIZATION IS AS FOLLOWS: STEVE SCHAAF, VP OF OPERATIONS - $208,877 SCOTT MARTIN, TREASURER - $6,598 RYDELL BONTRAGER, SECRETARY - $5,553 DALE SHENK, ASSISTANT TREASURER - $3,469 AIMEE RIEMKE, ASSISTANT SECRETARY - $1,606 FORM 990, PART VI, SECTION A, LINE 6 CHRISTIAN MINISTRIES, INC SHALL BE THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION SHALL SELECT AND APPOINT THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B VACANCIES IN THE BOARD MEMBERSHIP BY DEATH, RESIGNATION, OR REMOVAL, SHALL BE FILLED BY APPOINTMENT BY THE SOLE MEMBER, BASED ON NOMINATIONS FROM THE CORPORATION. NO AMENDMENT OF THE BYLAWS SHALL TAKE EFFECT UNTIL APPROVED BY THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B A FULL COPY OF THE FORM 990 WILL BE PROVIDED TO THE FINANCE (AUDIT) COMMITTEE AND REVIEWED BEFORE THE FILING OF THE RETURN. THE REMAINDER OF THE BOARD WILL BE PROVIDED A COPY OF FORM 990 TO REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE GOVERNING BODY MAINTAINS RECORDS OF INTEREST THAT MIGHT CAUSE CONFLICTS AND UPDATES THIS AT EACH QUARTERLY MEETING. IN ORDER TO AVOID CONFLICT OF INTEREST, MEMBERS OF OUR BOARD OF DIRECTORS WHO HAVE A BUSINESS RELATIONSHIP WITH THE CORPORATION WILL BE EXCUSED FROM THE MEETING DURING ANY DISCUSSION OR VOTE REGARDING THE DIRECTOR'S BUSINESS RELATIONSHIP WITH THE CORPORATION. CONFLICT OF INTEREST QUESTIONNAIRES ARE SENT OUT ANNUALLY TO ALL BOARD MEMBERS AND OFFICERS. THE QUESTIONNAIRES WERE REVIEWED BY MANAGEMENT FOR POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS PAID BY THE MANAGEMENT COMPANY THEREFORE, THE FORM 990 INSTRUCTIONS REQUIRE THIS TO BE ANSWERED "NO". LINE 15B: COMPENSATION FOR THE ORGANIZATION'S OTHER OFFICERS ARE PAID BY THE MANAGEMENT COMPANY THEREFORE, THE FORM 990 INSTRUCTIONS REQUIRE THIS TO BE ANSWERED "NO". FORM 990, PART VI, SECTION C, LINE 19 GOVERNING 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 IX, LINE 11G PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 36,731. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,731. CLINICAL SERVICES: PROGRAM SERVICE EXPENSES 61,659. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,659. OTHER OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 671,593. MANAGEMENT AND GENERAL EXPENSES 1,399,831. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,071,424. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENTS 1,234,533. FORM 990, PART XII, LINE 2C: FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. GREAT LAKES CHRISTIAN HOMES 3136 GOEGLEIN ROAD FORT WAYNE IN 46815 510139244 INDEPENDENT LIVING CENTER MI 501(C)(3) LINE 10 CHRISTIAN MINISTRIES INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0