2021-05-13T17:01:58-05:00 2020-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN STREET SUITE 200 INDIANAPOLIS IN 46204 990 2019-07-01 351516199 WESTMINSTER VILLAGE GREENWOOD INC WEST 3178812591 295 VILLAGE LANE GREENWOOD IN 46143 JORDAN MORROW EXECUTIVE DIRECTOR 3178812591 2021-05-12 1 ANGELA N CRAWFORD CPA P00573197 3176334705 2021-05-12 2019 2022-09-23 18:48:47Z GREENWOOD VILLAGE SOUTH JORDAN MORROW 295 VILLAGE LANE GREENWOOD IN 46143 29029018 0 X WWW.GREENWOODVILLAGESOUTH.COM X 1981 IN TO OPERATE A LONG-TERM CARE AND RETIREMENT FACILITY. 9 9 499 0 0 0 53001 58906 24954956 26248876 47087 168265 184262 205675 25239306 26681722 0 0 0 0 12705708 13151130 0 0 735 10833720 11086916 23539428 24238046 1699878 2443676 47241450 52079148 52297099 54926397 -5055649 -2847249 TO OPERATE A LONG-TERM CONTINUING CARE AND RETIREMENT FACILITY. 0 0 18855300 26254876 THE PRIMARY BUSINESS ACTIVITY IS TO OPERATE A CONTINUING CARE AND RETIREMENT FACILITY, PROVIDING HOUSING FOR THE AGED IN APARTMENTS AND COTTAGES, ASSISTED LIVING CARE THROUGH ITS LICENSED RESIDENTIAL CARE FACILITY, AND HEALTH CARE THROUGH ITS HEALTH CARE FACILITY IN GREENWOOD, INDIANA. THE ORGANIZATION INCLUDES 198 INDEPENDENT-LIVING APARTMENTS, 58 INDEPENDENT-LIVING COTTAGES, 46 ASSISTED-LIVING APARTMENTS, AND A 133-BED HEALTH CARE CENTER THAT PROVIDES BOTH SKILLED AND IMMEDIATE CARE. WESTMINSTER VILLAGE GREENWOOD, INC. PROVIDES THE BENEFITS OF BENEVOLENT CARE TO ITS RESIDENTS, IN WHICH THE ORGANIZATION WILL SUBSIDIZE THE COST OF CARE FOR THE REMAINDER OF THE RESIDENT'S LIFE SHOULD A RESIDENT OUTLIVE THEIR FINANCIAL RESOURCES. 18855300 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 1 0 0 0 1 63 0 1 499 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IN X JENNIFER EVANS 3178812591 295 VILLAGE LANE GREENWOOD IN 46143 X DANIEL H WAGNER CPA PRESIDENT 2.00 X X 0 0 0 MICHAEL TAPP VICE PRESIDENT 2.00 X X 0 0 0 LINDA GIBSON SECRETARY 2.00 X X 0 0 0 DAN CALLON TREASURER 2.00 X X 0 0 0 KEVIN HOOVER DIRECTOR 2.00 X 0 0 0 PHILLIP C GETTUM DIRECTOR 2.00 X 0 0 0 JERRY CRIPPS DIRECTOR 2.00 X 0 0 0 STEVE POWELL DIRECTOR 2.00 X 0 0 0 DR BARBARA STURM DIRECTOR 2.00 X 0 0 0 JORDAN MORROW EXECUTIVE DIRECTOR 40.00 X 0 0 0 JENNIFER EVANS ACCOUNTING DIRECTOR 40.00 X 113031 0 31322 MARILYN CARR CLINICAL LIAISON 40.00 X 120807 0 0 JANICE MERRIS HUMAN RESOURCES DIRECTOR 40.00 X 102602 0 30421 KAREN EICKMAN MARKETING DIRECTOR 40.00 X 129265 0 38827 MAUREEN JENKINS DIRECTOR OF NURSING 40.00 X 107953 0 11541 573658 0 112111 5 0 1 1 REHABCARE GROUP EAST INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 1119586 LIFE CARE SERVICES LLC 400 LOCUST ST STE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 911734 PRN PHARMACEUTICAL LP PO BOX 715628 COLUMBUS OH 43271 PHARMACY SERVICES 275469 WILLIAM J GUIDONE 1291 N OLIVE CHURCH ROAD PARAGON IN 46166 ROOFING SERVICES 247200 JAMES R FISHER PO BOX 11 BROWNSBURG IN 46112 CONSTRUCTION SERVICES 129434 5 58906 58906 MANAGEMENT SERVICES REVENUE 623000 17535431 17535431 NET PATIENT AND RESIDENT SERVICE 623000 6303914 6303914 LIFE OCCUPANCY FEES 623000 2349658 2349658 RENTAL FEES 623000 59873 59873 26248876 221952 221952 6000 6000 2293609 2281806 65490 11803 -65490 -53687 -53687 199675 199675 199675 26681722 26254876 0 367940 10491522 8256832 2234690 109342 74296 35046 1810071 1229904 580167 740195 502947 237248 777640 521081 256559 82912 82228 684 54697 54246 451 1453236 1441242 11994 248525 247790 735 1343944 1287448 56496 1185824 936218 249606 16447 4020 12427 35692 25984 9708 1227887 813805 414082 2416930 1628223 788707 255911 171460 84451 FOOD 1456072 1456072 DUES & SUBSCRIPTIONS 27348 480 26868 503851 121024 382827 24238046 18855300 5382011 735 3740171 3681328 5535368 8566809 64799 24279 82 26 126180 173971 121695 96109 66891055 35797428 28921990 31093627 7230896 7387636 94175 105058 1406094 950305 47241450 52079148 1176590 1316688 20443994 20458199 29169536 28311548 725970 3624386 781009 1215576 52297099 54926397 X -5055649 -2847249 -5055649 -2847249 47241450 52079148 X 2443676 173333 -408609 X X 0 1 X 0 0 X 622 1500 8004 53001 58906 122033 22687870 23977308 24560737 24954956 26248876 122429747 22688492 23978808 24568741 25007957 26307782 122551780 0 0 0 122551780 104343 133825 142792 165703 227952 774615 104343 133825 142792 165703 227952 774615 165048 137703 155442 178262 199675 836130 22957883 24250336 24866975 25351922 26735409 124162525 0.98700 0.98790 0.00620 0.00520 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2015 AMOUNT: $ 165,048. 2016 AMOUNT: $ 137,703. 2017 AMOUNT: $ 155,442. 2018 AMOUNT: $ 178,262. 2019 AMOUNT: $ 199,675. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 484787 484787 59941169 32855726 27085443 4264334 2941702 1322632 2200765 2200765 31093627 APPLICANT/TENANT DEPOSIT LIABILITY 1215576 1215576 X 26446446 173333 -408609 -235276 26681722 0 26681722 24238046 0 24238046 0 24238046 PART X, LINE 2: 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 TAKEN BY THE VILLAGE, AND HAS CONCLUDED THAT AS OF JUNE 30, 2020 AND 2019, 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 GAIN ON DERIVATIVE INSTRUMENT -408,609. 0 0 0 0 0 0 0 0 0 KAREN EICKMAN MARKETING DIRECTOR 129265 0 0 0 0 0 8181 0 30646 0 168092 0 0 0 FORM 990, PART VII, SECTION A, LINE 5 LIFE CARE SERVICES, LLC HAS BEEN ENGAGED TO MANAGE THE VILLAGE'S OPERATIONS OF THE FACILITY SINCE DECEMBER 1981. THE VILLAGE'S MANAGEMENT FEE PAID TO LIFE CARE SERVICES IS LISTED ON PART VII, SECTION B. INDEPENDENT CONTRACTORS. THE FEE PAID IS A FIXED MONTHLY AMOUNT PLUS INCENTIVE FEES EARNED FOR THE ACHIEVEMENT OF CERTAIN GOALS. THE EXECUTIVE DIRECTOR (LISTED AS AN OFFICER ON PART VII, SECTION A) AND THE ADMINISTRATOR (NON-OFFICER EMPLOYEE) ARE EMPLOYED BY THE UNRELATED THIRD PARTY MANAGEMENT COMPANY, LIFE CARE SERVICES, WHICH PAYS THE COMPENSATION FOR THESE TWO POSITIONS. A INDIANA FINANCE AUTHORITY 351602316 2012-12-20 31350000 SEE PART VI BELOW 0 0 0 A 857988 31350000 275000 1187821 29887179 2012 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 0 0 1 1 1 SEE PART VI BELOW 10.000000000000 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: INDIANA FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/16/2015 PART I, LINE A, COLUMN F: THE 2012 BONDS WERE USED FOR (1) THE CURRENT REFUNDING OF SERIES 2011 BONDS ISSUED ON JUNE 30, 2011, (2) THE CURRENT REFUNDING OF SERIES 1998 BONDS ISSUED ON APRIL 15, 1998, AND (3) PAYING A PORTION OF THE COSTS OF CONSTRUCTING, RENOVATING OR EQUIPPING A CONTINUING CARE RETIREMENT COMMUNITY. PART IV, LINE 4A: THE HUNTINGTON NATIONAL BANK FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES, LLC HAS BEEN ENGAGED TO MANAGE THE VILLAGE'S OPERATIONS OF THE FACILITY SINCE DECEMBER 1981. THE VILLAGE'S MANAGEMENT FEE PAID TO LIFE CARE SERVICES IS LISTED ON PART VII, SECTION B. INDEPENDENT CONTRACTORS. THE FEE PAID IS A FIXED MONTHLY AMOUNT PLUS INCENTIVE FEES EARNED FOR THE ACHIEVEMENT OF CERTAIN GOALS. THE EXECUTIVE DIRECTOR (LISTED AS AN OFFICER ON PART VII, SECTION A) AND THE ADMINISTRATOR (NON-OFFICER EMPLOYEE) ARE EMPLOYED BY THE UNRELATED THIRD PARTY MANAGEMENT COMPANY, LIFE CARE SERVICES, WHICH PAYS THE COMPENSATION FOR THESE TWO POSITIONS. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORM AND REQUIRED SCHEDULES BY THE ORGANIZATION'S ACCOUNTING DIRECTOR AND EXECUTIVE DIRECTOR. EACH VOTING MEMBER OF THE GOVERNING BODY RECEIVES A COPY OF THE FORM 990 INCLUDING REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY. IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO UNVEIL ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE UNRELATED THIRD PARTY MANAGEMENT COMPANY, LIFE CARE SERVICES, LLC. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED GAIN/LOSS ON DERIVATIVE -408,609. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. WESTMINSTER TOWERS GREENWOOD INC 295 VILLAGE LANE GREENWOOD IN 46143 351516196 OPERATION OF LOW-COST HOUSING FOR ELDERLY & PHYSICALLY DISABLED PERSONS IN 501(C)(3) LINE 10 WESTMINSTER VILLAGE GREENWOOD INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0