2020-03-05T09:04:27-06:00 2019-06-30 381357951 PLANTE & MORAN PLLC 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 990 2018-07-01 351866553 SOUTHFIELD VILLAGE INC SOUT 5742311000 6450 MIAMI CIRCLE SOUTH BEND IN 46614 SCOTT MARTIN VP OF FINANCE 5745374000 2020-02-18 1 DAVID LOWENTHAL P00378651 2483522500 2020-02-18 67.59.56.33 2020-02-18 15:32:13 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 DF303116002C04F1BB1570DF7ACB4F93053CE256 2018 2020-09-23 17:36:50Z JOE DORAN 1721 GREENCROFT BLVD GOSHEN IN 46526 5370897 0 X WWW.SOUTHFIELDVILLAGE.ORG X 1991 IN SOUTHFIELD VILLAGE PROVIDES ACTIVE, AFFORDABLE RETIREMENT LIVING WITH SUPPORTIVE SERVICES, ASSISTED LIVING AND SKILLED NURSING CARE. CHARITY CARE FOR FYE JUNE 30, 2019 AMOUNTED TO $2,238,301. 9 9 211 26 31413 -21706 6847 3470 6044453 5323265 -833 0 126525 44162 6176992 5370897 17731 7931 0 0 3774765 4261723 0 0 0 2090175 1810016 5882671 6079670 294321 -708773 15493293 14781968 15015882 15150247 477411 -368279 X SOUTHFIELD VILLAGE CREATES A DYNAMIC LIVING COMMUNITY THAT EMBRACES THE CREATIVITY, CONTRIBUTIONS AND CHALLENGES OF AGING FOR ALL, GROUNDED IN SERVICE EXCELLENCE, COMPASSIONATE CARE AND CHRIST-LIKE VALUES. 0 0 5182833 7931 5336014 SOUTHFIELD VILLAGE (SV) IS A NON-PROFIT COMMUNITY BENEFIT CORPORATION THAT PROVIDES CONTINUING CARE RETIREMENT COMMUNITY (CCRC) SERVICES TO 120 RESIDENTS ON A 19-ACRE CAMPUS. SV PROVIDES CCRC SERVICES INCLUDING ASSISTED LIVING AND SKILLED NURSING CARE. 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. THEY ALSO HAVE SOME A LA CARTE FEES FOR INCIDENTALS AND SUPPLIES. RESIDENTS WHO DO NOT MISUSE THEIR ASSETS MAY BE ELIGIBLE FOR SUPPORT FROM SOUTHFIELD VILLAGE IF THEIR ASSETS RUN OUT. OVER 40% OF TOTAL REVENUES WERE USED TO PROVIDE COMMUNITY BENEFITS, WHICH INCLUDES THE FOLLOWING AMOUNTS: INDIGENT CARE/CHARITY CARE - $2,238,301, MEDICARE WRITE-OFFS - $732,898. 5182833 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 45 0 1 211 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X SCOTT MARTIN 5745374000 1721 GREENCROFT BLVD GOSHEN IN 46526 JIM KAPSA CHAIR 1.00 0.00 X X 0 0 0 JIM WELLING VICE CHAIR 1.00 0.00 X X 0 0 0 REG WAGLE BOARD MEMBER (PART YEAR) 1.00 0.00 X 0 0 0 PAUL CROWLEY BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES DOUGLAS BOARD MEMBER 1.00 0.00 X 0 0 0 J PAUL HERR BOARD MEMBER 1.00 0.00 X 0 0 0 GAIL MANCINI BOARD MEMBER 1.00 0.00 X 0 0 0 DON TROYER BOARD MEMBER 1.00 0.00 X 0 0 0 SUZANNE MORGAN BOARD MEMBER 1.00 0.00 X 0 0 0 JACKIE RUCKER BOARD MEMBER 1.00 0.00 X 0 0 0 JOSEPH DORAN PRESIDENT 40.00 0.00 X 0 132157 9149 DALE SHENK ASSISTANT TREASURER 0.40 17.80 X 0 130184 16223 KATHY BREWTON SECRETARY (PART YEAR) 1.00 42.70 X 0 136302 33692 RYDELL BONTRAGER SECRETARY 1.00 42.70 X 0 113091 37719 SCOTT MARTIN TREASURER 1.00 42.60 X 0 42592 600 AIMEE RIEMKE ASSISTANT SECRETARY 0.20 39.40 X 0 91309 45016 0 645635 142399 0 0 1 0 HTS IN II INC 1411 W COUNTY LINE ROAD SUITE A GREENWOOD IN 46142 THERAPY SERVICES 506942 ATC HEALTHCARE SERVICES INC 75 REMITTANCE DRIVE DEPT 6773 CHICAGO IL 60675 NURSE STAFFING AGENCY 244348 TC STAFFING INC 611 E MCGALLIARD RD MUNCIE IN 47303 NURSE STAFFING AGENCY 216108 ROSEWOOD STAFFING INC PO BOX 577 WEST BEND WI 53095 NURSE STAFFING AGENCY 193849 4 3470 3470 CONTRACT LABOR 561000 4230019 4230019 BUILDING USE 531390 1385172 1385172 RESIDENT SERVICES 623000 281854 281854 MANAGEMENT FEES 541610 -573780 -573780 5323265 6000 6000 TOURS INCOME 561520 31413 31413 SPECIAL EVENTS 900099 860 860 MAINTENANCE INCOME 811000 86 86 5803 5803 38162 5370897 5336014 31413 0 6125 6125 1806 1806 3308199 3058038 250161 115609 106867 8742 597131 551977 45154 240784 222576 18208 238420 238420 678 678 33655 33655 46668 34668 12000 35230 35230 43708 4132 39576 43405 32554 10851 714902 714902 560260 420195 140065 1470 1470 TOURS EXPENSE 53119 53119 BAD DEBT EXPENSE 27913 27913 DUES 4320 1080 3240 RESIDENT EVENTS 4173 4173 2095 2095 6079670 5182833 896837 0 1200 1200 2906356 2447134 991166 882093 4140 19767395 8545712 11368109 11221683 226462 225718 15493293 14781968 813706 328081 563478 643283 12218925 12002970 1419773 2175913 15015882 15150247 X 450949 -393997 26462 25718 477411 -368279 15493293 14781968 X -708773 -136917 X X 0 1 X 1 0 X 3500 4442 39806 6847 3470 58065 7820352 6545336 6270409 6081886 5336014 32053997 69356 21890 0 0 0 91246 7893208 6571668 6310215 6088733 5339484 32203308 0 615054 840731 1045375 1316357 1160326 4977843 615054 840731 1045375 1316357 1160326 4977843 27225465 1766 276 0 1 0 2043 1766 276 1 2043 26714 5077 31791 7921688 6577021 6310215 6088734 5339484 32237142 0.84450 0.86860 0.00010 0.00120 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS 1197353 1197353 15704729 6838660 8866069 742454 230379 512075 1890726 1451944 438782 232133 24729 207404 11221683 ACCRUED INTEREST PAYABLE 79147 LIFE LEASE NOTES PAYABLE 1592786 INTEREST RATE SWAP LIABILITY 229467 DUE TO AFFILIATES 98513 RESIDENT REFUNDS 176000 2175913 1 GREENCROFT COMMUNITES FOUNDATION INC PO BOX 819 GOSHEN IN 46527 237126990 IRC SEC. 501(C)(3) 6000 N/A N/A TO SUPPORT ITS CHARITABLE PURPOSE 1 0 PART I, LINE 2: CONTRIBUTIONS MADE ARE UNRESTRICTED AND CAN BE USED IN ANY WAY THE DONEE ORGANIZATION SEES FIT TO FURTHER ITS TAX-EXEMPT PURPOSE. 0 0 0 0 0 0 0 0 0 KATHY BREWTON SECRETARY (PART YEAR) 0 132906 0 3000 0 396 0 8300 0 25392 0 169994 0 0 RYDELL BONTRAGER SECRETARY 0 110001 0 3000 0 90 0 5000 0 32719 0 150810 0 0 SCHEDULE J, PART I THIS ENTITY RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE PRESIDENT/CEO: 1. COMPENSATION SURVEY OR STUDY 2. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE A INDIANA FINANCE AUTHORITY 351602316 45506DKU8 2013-12-27 13521148 SEE PART VI 0 0 0 A 770835 13521148 819265 270422 13250726 1 0 1 1 A 0 0 1 1 0 0.00000 0.00580 0.00580 0 0 1 A 0 1 0 0 0 0 0 0 0 A 0 SCHEDULE K, PART I: THE 2013A BONDS WERE ISSUED FOR THE BENEFIT OF GREENCROFT GOSHEN, INC., ("GOSHEN") AND SOUTHFIELD VILLAGE, INC. ("SOUTHFIELD"). 30.89% OF THE PROCEEDS OF THE 2013A BONDS IS ALLOCABLE TO SOUTHFIELD AND THE AMOUNTS IN PARTS I AND II REFLECT SUCH ALLOCATION. THE PORTION OF THE 2013A BONDS ALLOCABLE TO GOSHEN IS BEING REPORTED ON SCHEDULE K TO GOSHEN'S FORM 990. SCHEDULE K, PART I, LINE A: (F) DESCRIPTION OF PURPOSE: THE SOUTHFIELD PORTION OF THE 2013A BONDS WAS USED TO REFUND THE CITY OF SOUTH BEND, INDIANA ECONOMIC DEVELOPMENT REVENUE BONDS, SERIES 1999A (SOUTHFIELD VILLAGE PROJECT) ISSUED ON MAY 14, 1999. SCHEDULE K, PART III, LINE 3A: THE ORGANIZATION HAS ENTERED INTO CERTAIN MANAGEMENT CONTRACT(S) WHICH DO NOT CONSTITUTE PRIVATE BUSINESS USE. FORM 990, PART VI, SECTION A, LINE 3 THE 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 2028. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, GREENCROFT RETIREMENT COMMUNITIES, INC. (GRC), THAT 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 7A SEE NARRATIVE FOR PART VI, SECTION A, LINE 6 FORM 990, PART VI, SECTION A, LINE 7B SEE NARRATIVE FOR PART VI, SECTION A, LINE 6 FORM 990, PART VI, SECTION B, LINE 11B A 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 12C BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST 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 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 15 SOUTHFIELD VILLAGE'S (SV) 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. SV CONDUCTS PERIODIC REVIEW OF THE MARKET TO DEVELOP AVERAGE WAGES FOR POSITIONS WITHIN SOUTHFIELD VILLAGE SOUTHFIELD VILLAGE 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 SOUTHFIELD VILLAGE'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, LEADINGAGE 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 SOUTHFIELD VILLAGE (SV) BOARD REVIEWS THE COMPENSATION POLICIES. ANNUALLY THE GC BOARD AND THE SV BOARD REVIEW THE COMPENSATION OF THE EXECUTIVE TEAM. THEY COMPARE CURRENT WAGES WITH NATIONAL DATA PROVIDED BY LEADINGAGE (FORMERLY THE 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 SV BOARD HAS REVIEWED THE BASE WAGE AND THE VARIABLE PAY FOR THE PRESIDENT OF SOUTHFIELD VILLAGE. IN THE FISCAL YEAR 2019 THIS POSITION WAS AT THE 83RD PERCENTILE OF THE RANGE FOR THIS POSITION IN BASE COMPENSATION. THIS PROCESS WAS LAST PERFORMED IN FISCAL YEAR 2019. 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 XI, LINE 9: LOSS ON INTEREST RATE SWAP AGREEMENT -137,605. GAIN ON FAIR VALUE OF PERPETUAL TRUST 688. FORM 990, PART XII, LINE 2C: THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. GREENCROFT CENTRAL MANOR INC PO BOX 819 GOSHEN IN 46527 356047318 HOUSING IN 501(C)(3) LINE 10 GREENCROFT RETIREMENT COMMUNITIES INC 1 GREENCROFT COMMUNITIES FOUNDATION INC PO BOX 819 GOSHEN IN 46527 237126990 FUNDRAISING IN 501(C)(3) LINE 7 GREENCROFT RETIREMENT COMMUNITIES INC 1 GREENCROFT GOSHEN INC PO BOX 819 GOSHEN IN 46527 351270709 HEALTHCARE IN 501(C)(3) LINE 10 GREENCROFT RETIREMENT COMMUNITIES INC 1 GREENCROFT MANOR III INC PO BOX 819 GOSHEN IN 46527 351431475 HOUSING IN 501(C)(3) LINE 10 GREENCROFT RETIREMENT COMMUNITIES INC 1 GREENCROFT MANOR II INC PO BOX 819 GOSHEN IN 46527 351377430 HOUSING IN 501(C)(3) LINE 10 GREENCROFT RETIREMENT COMMUNITIES INC 1 GREENCROFT MIDDLEBURY INC PO BOX 819 GOSHEN IN 46527 300036865 HOUSING IN 501(C)(3) LINE 10 GREENCROFT RETIREMENT COMMUNITIES INC 1 GREENCROFT RETIREMENT COMMUNITIES INC PO BOX 819 GOSHEN IN 46527 300036587 MANAGEMENT IN 501(C)(3) LINE 12C, III-FI N/A 0 GREENCROFT HOME HEALTH SERVICES INC PO BOX 819 GOSHEN IN 46527 351606010 HOME HEALTH IN 501(C)(3) LINE 10 GREENCROFT RETIREMENT COMMUNITIES INC 1 HAVEN HUBBARD HOMES INC DBA HAMILTON GROVE 31869 CHICAGO TRAIL NEW CARLISLE IN 46552 350870110 HEALTHCARE IN 501(C)(3) LINE 10 GREENCROFT RETIREMENT COMMUNITIES INC 1 OAK GROVE CHRISTIAN RETIREMENT VILLAGE INC 221 WEST DIVISION ROAD DEMOTTE IN 46310 351986767 HEALTHCARE IN 501(C)(3) LINE 10 GREENCROFT RETIREMENT COMMUNITIES INC 1 WALNUT HILLS RETIREMENT COMMUNITIES INC PO BOX 129 WALNUT CREEK OH 44687 351317338 HEALTHCARE IN 501(C)(3) LINE 10 GREENCROFT RETIREMENT COMMUNITIES INC 1 CHICAGO TRAIL VILLAGE INC 31869 CHICAGO TRAIL NEW CARLISLE IN 46552 310990629 HOUSING IN 501(C)(3) LINE 10 HAVEN HUBBARD HOMES INC DBA HAMILTON GROVE 1 MENNONITE HEALTH SERVICES 234 S MAIN STREET SUITE A GOSHEN IN 46526 231421919 HEALTHCARE IN 501(C)(3) LINE 10 N/A 0 EDGEWATER PLACE INC 11351 LAFAYETTE PLAIN CITY ROAD PLAIN CITY OH 43064 823596152 HEALTHCARE IN 501(C)(3) LINE 10 GREENCROFT RETIREMENT COMMUNITIES INC 1 GREENCROFT MANAGEMENT INC PO BOX 819 GOSHEN IN 46527 270259652 MANAGEMENT SERVICES IN N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1 GREENCROFT RETIREMENT COMMUNITIES INC M 250420 ACTUAL COST