2022-08-11T15:42:48-05:00 2021-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2020-10-01 311209757 WESTMINSTER VILLAGE NORTH INC WEST 3178236841 11050 PRESBYTERIAN DRIVE INDIANAPOLIS IN 46236 CHARLES GASKINS CHIEF FINANCIAL OFFICER 3178236841 2022-08-10 1 CHARLES GASKINS 999009999 ANGELA N CRAWFORD CPA P00573197 3176334705 2022-08-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SHELLEY RAUCH 11050 PRESBYTERIAN DRIVE INDIANAPOLIS IN 46236 24734373 0 X WWW.WESTMINSTERVILLAGE.COM X 1972 IN RETIREMENT LIVING WITH SUPPORTIVE SERVICES, ASSISTED LIVING, AND SKILLED NURSING CARE. 10 10 568 10 0 0 38287 3022082 25205434 21540742 126188 27333 137470 113268 25507379 24703425 0 0 0 0 14148030 13002416 0 0 0 12152842 12846288 26300872 25848704 -793493 -1145279 69566280 65231339 64744711 60263169 4821569 4968170 X WESTMINSTER VILLAGE NORTH, A NONPROFIT CONTINUING CARE COMMUNITY, IS COMMITTED TO EXCELLENCE IN RESIDENTIAL AND HEALTH CARE SERVICES FOR SENIOR ADULTS IN A SECURE HOME ENVIRONMENT THAT ENHANCES THEIR MENTAL, PHYSICAL AND SPIRITUAL WELL-BEING. 0 0 22477237 21641002 TO PROVIDE HOUSING, HEALTHCARE, AND FINANCIAL SECURITY PURSUANT TO REV. RUL. 72-124 SATISFYING THE THREE SPECIAL NEEDS OF THE ELDERLY.HOUSING:THE VILLAGE PROVIDES RESIDENTIAL FACILITIES THAT ARE SPECIFICALLY DESIGNED TO MEET THE NEEDS OF SENIOR ADULTS; CONSTRUCTED WITH FIRE-RESISTANT MATERIAL; BATHROOMS EQUIPPED WITH GRAB-BARS; EQUIPPED WITH RAMPS AND ELEVATORS FOR WHEELCHAIR USE; CARPETED CORRIDORS AND HANDRAILS; MAINTENANCE-FREE LIVING; ON-SITE COMMERCIAL SERVICES (STORE & BEAUTY SALON); CHAPEL; EMERGENCY CALL SYSTEM. FINANCIAL SECURITY:WESTMINSTER VILLAGE PROVIDES CONTINUING CARE TO THE VILLAGE RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE FACILITY, NOT ALL RESIDENTS POSSESS THE NECESSARY FINANCIAL RESOURCES TO MAINTAIN THEIR LIVING EXPENSES.DURING THE CURRENT FISCAL YEAR $139,781 OF CHARITY CARE WAS PROVIDED WITH $27,276 RELATED TO MEDICAID CO-INSURANCE LOSSES AND $112,505 RELATED TO DIRECT CHARITY CARE WRITE OFFS. THE VILLAGE PROVIDES CHARITY CARE TO THOSE RESIDENTS WHO HAVE EXHAUSTED THEIR RESOURCES. HEALTHCARE:THE VILLAGE PROVIDES FOR THE PHYSICAL AND MENTAL WELL-BEING OF OUR RESIDENTS; HEALTH CENTER ON PREMISES; SKILLED & INTERMEDIATE NURSING CARE WITH 24-HOUR PROFESSIONAL STAFFING; SCHEDULED PHYSICIAN OUTPATIENT SERVICES; SCHEDULED SPEECH, OCCUPATIONAL, AND PHYSICAL THERAPY; PRESCRIPTION SERVICES; EXERCISE CLASSES AND A WIDE RANGE OF SOCIAL AND RECREATIONAL ACTIVITIES. SOCIAL ACCOUNTABILITY:IN ADDITION, AS A NOT-FOR-PROFIT OTHER PROGRAMS AND SERVICES FOR THE BENEFIT OF THE COMMUNITY ARE PROVIDED, SUCH AS MEALS ON WHEELS DAILY DELIVERIES, HEALTH PROMOTIONS AND EDUCATION SEMINARS, INTERNSHIPS AND SITE VISITS FOR HEALTH CARE STUDENTS, AND OTHER VOLUNTEER ACTIVITIES. WE ALSO ENCOURAGE OUR ASSOCIATES TO TAKE AN ACTIVE PART IN THE COMMUNITY WE SERVE.WESTMINSTER VILLAGE NORTH, INC. OPENS ITS DOORS TO BOTH THE RESIDENTS AND THE COMMUNITY WE SERVE BY PROVIDING PERSONNEL, SPEAKERS, SPACE, SUPPORT, AND TRANSPORTATION TO/FOR THE FOLLOWING ORGANIZATIONS AND EVENTS.ABOUNDING GRACE KINDERGARDENALZHEIMER'S ASSOCIATION DONATIONSALZHEIMER'S ASSOCIATION PUBLICATIONS SUPPORTAMY BEVERLAND BROWNIE TROOPCARF/CCAC SURVEYOR (EXECUTIVE ASSISTANT)CATHEDRAL HIGH SCHOOL STUDENT VOLUNTEER PROGRAMCHRIST PRESBYTERIAN CHURCH - VESPERS LEADERSHIPCITY OF LAWRENCE FIRE DEPARTMENT TRAININGCIVIC THEATRE RESIDENT ATTENDANCECIVIL AIR PATROL MEETING SPACECOMMUNITY HEALTH NETWORKS TOUCHPOINT PROGRAMCOMMUNITY LIFE LINE CHRISTIAN CHURCH (ON-SITE)DEVOURDOWNTOWN.ORGEL BEULAHFAITH PRESBYTERIAN CHURCH, HARTMAN SMALL GROUP VESPERSFOOD DRIVE FOR OUTLOOK CHRISTIAN CHURCHGOOD SAMARITAN ALLIANCE WHEELCHAIR AND WALKER DONATIONSGOODWILLHANCOCK REGIONAL HOSPITAL SENIOR GROUPHARVEST CHURCH, MCCORDSVILLEHEALTH FACILITY ADMINISTRATOR BOARDJUNIOR LEAGUE HOLIDAY BAZAARHOLY CROSS LUTHERAN CHURCH - VESPERS LEADERSHIPIAHSA BOARD OF DIRECTORSIAHSA COMMITTEES INDIANA REPROTORY THEATREINDIANA ATTORNEY GENERAL LIAISONINDIANA HISTORICAL SOCIETYINDIANA STATE MUSEUMINDIANA STATE PARKSINDIANAPOLIS ART CENTERINDIANAPOLIS MUSEUM OF ART RESIDENT ATTENDANCEINDIANAPOLIS SYMPHONY ORCHESTRA RESIDENT ATTENDANCEINDY FIRE RESCUE HOUSEIRVINGTON PRESBYTERIAN CHURCH PRESENTATIONSIVY TECHIUPUI RD PROGRAMJULIAN CENTER SUPPORTKENSINGTON HOMEOWNERS ASSOCIATION MEETING SPACEKIWANIS PRESENTATION - CARMELKIWANIS PRESENTATION - CASTLETONLAWRENCE CENTRAL PERFORMING ARTS PROGRAMSLAWRENCE CHAMBER OF COMMERCE LAWRENCE FAMILY CHARITYLAWRENCE FRATERNAL ORDER OF POLICE MEETINGSLAWRENCE UNITED METHODIST CHURCHLAWRENCE POLICE MERIT COMMISSION MEETINGSLILLY CHOIRLIVING STREAMS CHURCH CHOIRLOCAL CANDIDATE Q&AMEALS ON WHEELSMUD CREEK PLAYERS PRESENTATIONOASIS OUTLOOK CHRISTIAN CHURCH - SMALL GROUP VESPERSOUTREACH TO AREA HIGH SCHOOLS FOR PART TIME EMPLOYMENT OPPORTUNITIESPEOPLE'S BURN FOUNDATIONPOLLING SITE - PRIMARY AND GENERAL ELECTIONSPRAISE & WORSHIP CHURCH LUNCHEON/MEETINGST. SIMON CHURCHSERVANTS OF CHRIST LUTHERAN CHURCH TRANSPORTATIONSUNNYSIDE GUILDTHE PLAYERSTHE WESTMINSTER FOUNDATION RESIDENT/STAFF ART SHOWTURKEY RUN STATE PARKWEEKLY RESIDENT TRANSPORTATION TO COMMUNITY HOSPITAL CAMPUS APPOINTMENTSWHEELER MISSIONWOLF PARK 22477237 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 0 0 0 1 40 0 1 568 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X CHARLES GASKINS CFO 3178236841 11050 PRESBYTERIAN DR INDIANAPOLIS IN 46236 LINDA PENDLETON PRESIDENT 6.00 0.00 X 0 0 0 JON MILLER VICE PRESIDENT 4.00 0.00 X 0 0 0 ALBERT JACKSON TREASURER 4.00 4.00 X 0 0 0 VIRGINIA MAHER SECRETARY 4.00 0.00 X 0 0 0 MARCUS BOWLING MEMBER 4.00 0.00 X 0 0 0 DOUG DALTON MEMBER 4.00 0.00 X 0 0 0 BETH KOSELKE MEMBER 4.00 0.00 X 0 0 0 LAURIE MARTIN MEMBER 4.00 0.00 X 0 0 0 ANTHONY NICHOLAS MEMBER 4.00 0.00 X 0 0 0 BEN SPEDDING MEMBER 4.00 0.00 X 0 0 0 SHELLEY RAUCH CEO 40.00 1.00 X 300741 0 42139 CHARLES GASKINS CFO 40.00 1.00 X 178873 0 43974 SHANNON POOLE HC ADMINISTRATOR 40.00 0.00 X 122297 0 14490 JAQUELINE DAVIDSON DIRECTOR OF NURSING 40.00 0.00 X 140532 0 16903 LAURA ROMAN MARKETING DIRECTOR 40.00 0.00 X 112653 0 3819 JAMIE BLANTON AL MANAGER 40.00 0.00 X 105025 0 33869 ALEXANDRIA BROWN NURSE 40.00 0.00 X 101497 0 3017 1061618 0 158211 7 0 1 0 REHAB STRATEGIES LLC 2091 RIDGEMER WAY GREENWOOD IN 46143 CONTRACT THERAPY 675694 MEDICAL STAFFING NETWORK PO BOX 840292 DALLAS TX 75284 CONTRACT STAFFING 649498 CAREER STAFF UNLIMINTED PO BOX 301076 DALLAS TX 75303 CONTRACT STAFFING 351566 STAFFING STRATEGIES 2091 RIDGEMER WAY GREENWOOD IN 46143 CONTRACT STAFFING 246166 HOLT CONSTRUCTION 8846 E 33RD STREET INDIANAPOLIS IN 46226 CONSTRUCTION 205865 8 200196 2768368 53518 3022082 MANAGEMENT SERVICES FEES 623000 13075476 13075476 RESIDENTIAL SERVICES REVENUE 623000 3810808 3810808 LEASE REVENUE 623000 3044760 3044760 LIFE OCCUPANCY FEES 623000 1609698 1609698 21540742 58281 58281 72000 72000 15636 0 15636 15636 15636 30948 -30948 -30948 -30948 25632 28260 -2628 25632 24703425 21641002 0 40341 X 702514 597839 104675 9685188 8264185 1421003 124897 110034 14863 1647180 1427939 219241 842637 742363 100274 135621 127212 8409 51760 48551 3209 3616003 3391812 224191 154940 7902 147038 197775 165538 32237 271712 254866 16846 1286912 1093875 193037 1041 976 65 17018 15963 1055 1581124 1549502 31622 2844345 2417693 426652 554814 471592 83222 MEDICAL SUPPLIES AND FO 1964942 1644656 320286 DUES AND SUBSCRIPTIONS 51586 48388 3198 116695 96351 20344 25848704 22477237 3371467 0 4879753 1913389 8224214 8413591 98261 98261 89766 59680 85828598 32042117 54563244 53786481 1711042 959937 69566280 65231339 1683489 1587413 10558308 11407146 46516260 45401545 2768368 0 3218286 1867065 64744711 60263169 X 4821569 4968170 4821569 4968170 69566280 65231339 X -1145279 -46203 1338083 X X 0 1 X 1 0 X 75000 50000 1121360 38287 3022082 4306729 23142344 21888386 24104408 25205434 21540742 115881314 2524 28530 18171 24344 -2628 70941 23219868 21966916 25243939 25268065 24560196 120258984 0 0 0 120258984 149386 211269 272670 199330 145917 978572 149386 211269 272670 199330 145917 978572 43833 28046 28260 100139 23369254 22178185 25560442 25495441 24734373 121337695 0.99110 0.99110 0.00810 0.00830 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 43,833. 2019 AMOUNT: $ 28,046. 2020 AMOUNT: $ 28,260. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 162833 162833 80894766 28669664 52225102 4770999 3372453 1398546 53786481 APARTMENT DEPOSITS 54350 OTHER LIABILITIES 126927 DERIVATIVE LIABILITY 1685788 1867065 X 25995305 -46203 1338083 1291880 24703425 0 24703425 25848704 0 25848704 0 25848704 PART X, LINE 2: FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 SUPERSEDED BY FASB CODIFICATION: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE VILLAGE AND RECOGNIZE A TAX LIABILITY IF THE VILLAGE HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS AS OF SEPTEMBER 30, 2021 AND 2020, AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE VILLAGE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS - DERIVATIVES 1,338,083. X X 0 0 0 0 0 0 0 0 0 SHELLEY RAUCH CEO 273464 0 26377 0 900 0 6045 0 36094 0 342880 0 0 0 CHARLES GASKINS CFO 148077 0 20200 0 10596 0 5212 0 38762 0 222847 0 0 0 JAQUELINE DAVIDSON DIRECTOR OF NURSING 126481 0 9200 0 4851 0 4240 0 12663 0 157435 0 0 0 A CITY OF LAWRENCE INDIANA 356005584 2016-03-31 35731912 SEE PART VI BELOW 1 0 0 B CITY OF LAWRENCE INDIANA 356005584 2016-03-31 15282000 SEE PART VI BELOW 0 0 0 A 783287 35731912 2012 1 0 1 1 B 312000 15282000 226617 576858 11896807 3385193 2017 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 0 1 1 THE HUNTINGTON NATIONAL BANK 10.000000000000 0 1 0 0 1 B 0 0 0 0 1 1 FIRST FINANCIAL 10.000000000000 0 1 0 0 1 A 1 B 1 PART I, COLUMN (F), DESCRIPTION OF PURPOSE: ECONOMIC DEVELOPMENT FACILITIES REVENUE IMPROVEMENT BONDS, SERIES 2016B AND 2016A BONDS ARE TO PROVIDE FUNDS TO CONSTRUCT (A) A NEW ASSISTED LIVING BUILDING WITH 50 INDIVIDUAL RESIDENTIAL UNITES, (B) A NEW COOLING TOWER, (C) A NEW ELECTRICAL ROOM AND DISTRIBUTION SYSTEM, AND (D) CERTAIN OTHER MECHANICAL RENOVATIONS AND RENOVATIONS TO THE CAMPUS OF THE COMPREHENSIVE RETIREMENT CARE COMMUNITY; AND, REFUND THE OUTSTANDING PRINCIPAL AMOUNT OF THE ADJUSTABLE RATE DEMAND ECONOMIC DEVELOPMENT REVENUE REFUNDING AND IMPROVEMENT BONDS SERIES 2012 AND PAY ISSUANCE COSTS. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORM 990 BY THE CFO. THE GOVERNING BODY REVIEWS THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE BOARD PRESIDENT. THE SCOPE OF THIS POLICY INCLUDES ALL CORPORATE OFFICERS AND BOARD MEMBERS AND THE POLICY IS IN PLACE TO PREVENT FINANCIAL INTEREST IN A TRANSACTION BETWEEN THE COVERED PERSON AND THE ORGANIZATION. THE COVERED PERSONS WILL AVOID ENGAGEMENT IN ANY SITUATION OR CIRCUMSTANCE IN WHICH A CONFLICT OF INTEREST MAY ARISE. A SELF-DISCLOSURE FROM COVERED PERSONS TO THE BOARD PRESIDENT IS MADE ON ANY POTENTIAL CONFLICTS OF INTEREST AND THE COVERED PERSONS REFRAIN FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. IN ADDITION EACH YEAR THE BOARD MEMBERS COMPLETE A "CONFLICT OF INTEREST" FORM. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR AND OTHER MEMBERS OF THE WVN LEADERSHIP TEAM INCLUDES 1) A REVIEW AND APPROVAL BY INDEPENDENT MEMBERS OF THE BOARD'S COMPENSATION COMMITTEE AND FINANCE COMMITTEE 2) THE HUMAN RESOURCE DIRECTOR PROVIDES A COMPARABLE DATA REVIEW TO THE PERSONNEL COMMITTEE'S CHAIR 3) THE PERSONNEL COMMITTEE CHAIR INDICATES TO THE BOARD THAT THE COMPENSATION IS REASONABLE, AND 4) THE BOARDS DELIBERATION AND DECISION TO APPROVE THE COMPENSATION IS DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S ANNUAL DISCLOSURE REPORT IS AVAILABLE ON REQUEST. THE ARTICLES OF INCORPORATION ARE AVAILABLE ON THE INDIANA SECRETARY OF STATE WEBPAGE. FORM 990, PART IX, LINE 11G PURCHASE SERVICES: PROGRAM SERVICE EXPENSES 1,250,771. MANAGEMENT AND GENERAL EXPENSES 82,674. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,333,445. CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 1,846,156. MANAGEMENT AND GENERAL EXPENSES 122,027. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,968,183. CONSULTANT: PROGRAM SERVICE EXPENSES 46,165. MANAGEMENT AND GENERAL EXPENSES 3,051. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,216. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 84,983. MANAGEMENT AND GENERAL EXPENSES 5,617. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,600. LAB SERVICES: PROGRAM SERVICE EXPENSES 19,962. MANAGEMENT AND GENERAL EXPENSES 1,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,281. OTHER FEES: PROGRAM SERVICE EXPENSES 143,775. MANAGEMENT AND GENERAL EXPENSES 9,503. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 153,278. FORM 990, PART XI, LINE 9: UNREALIZED GAIN/LOSS - DERIVATIVES 1,338,083. FORM 990, PART XI, LINE 2C, AUDIT OVERSIGHT: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. THE WESTMINISTER FOUNDATION 11050 PRESBYTERIAN DRIVE INDIANAPOLIS IN 46236 351603830 ASSIST WESTMINISTER VILLAGE NORTH IN 501(C)(3) LINE 7 N/A 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0