2019-11-13T16:47:28-06:00 2018-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2018-01-01 463385153 INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES INC INDI 8123329295 226 S COLLEGE SQ BLOOMINGTON IN 47404 KATHY ETTENSOHN TREASURER 8123329295 2019-11-13 1 ANGELA N CRAWFORD CPA P00573197 3176334705 2019-11-13 38.109.186.2 2019-11-13 16:34:40 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AF923E04E140C4DE71FD41AF2127CF5344A3E036 2018 2020-03-31 21:24:44Z CEDAR VILLAGE SENIOR LIVING KATHY ETTENSOHN 226 S COLLEGE SQ BLOOMINGTON IN 47404 11829990 0 X N/A X 2013 IN ISH STRIVES TO PROMOTE, PROVIDE, AND SUPPORT RESIDENTIAL, CUSTODIAL, NURSING, MEDICAL, AND HOSPITAL CARE FOR THE ELDERLY BY OPERATING AND MAINTAIN FACILITIES FOR THE CARE OF THE AGED AND ELDERLY. 4 4 334 50 0 10527 0 193441 1299996 11305234 0 0 0 331315 1299996 11829990 84000 102981 0 0 18000 5149467 0 0 0 1141014 7396619 1243014 12649067 56982 -819077 16197144 40158148 15866608 30152638 330536 10005510 X ISH STRIVES TO PROMOTE, PROVIDE, AND SUPPORT RESIDENTIAL, CUSTODIAL, NURSING, MEDICAL, AND HOSPITAL CARE FOR THE ELDERLY BY OPERATING AND MAINTAIN FACILITIES FOR THE CARE OF THE AGED AND ELDERLY. 1 0 9795983 102981 11632483 ISH STRIVES TO PROMOTE, PROVIDE, AND SUPPORT RESIDENTIAL, CUSTODIAL, NURSING, MEDICAL, AND HOSPITAL CARE FOR THE ELDERLY BY OPERATING AND MAINTAIN FACILITIES FOR THE CARE OF THE AGED AND ELDERLY. 9795983 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 0 0 0 1 81 0 1 334 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 IN X THE ORGANIZATION 8123329295 226 S COLLEGE SQ BLOOMINGTON IN 47404 JAMES LOWELL WHITLACH PRESIDENT 2.00 X X 4500 0 0 KATHY ETTENSOHN TREASURER 2.00 X X 4500 0 0 DENNIS MCGUIRE SECRETARY 2.00 X X 4500 0 0 HIRSCH WISE BOARD MEMBER 2.00 X 3000 0 0 KERRIE WEINZAPFEL BOARD MEMBER-TERM ENDED 6/30 2.00 X 1500 0 0 MICHAEL MOBLEY ADMINISTRATOR 22.00 X 118269 0 8146 136269 0 8146 1 0 0 0 UNIDINE CORPORATION 1000 WASHINGTON ST STE 510 BOSTON MA 02118 FOOD SERVICES 1784222 LIFESPAN THERAPY 118 MEDICAL DRIVE CARMEL IN 46032 THERAPY 731077 CARDON MANAGEMENT COMPANY LLC 2749 EAST COVENANTER DRIVE BLOOMINGTON IN 47401 MANAGEMENT SERVICES 686839 HEALTHPRO HERITAGE 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY 307864 SKILLED CARE PHARM OF OHIO 6175 HI-TECK COURT MASON OH 28201 PHARMACY 220640 5 193441 193441 PATIENT & RESIDENT SERVICE REVENU 900099 11305234 11305234 11305234 327249 0 327249 327249 327249 4066 4066 4066 11829990 11632483 0 4066 X 102981 102981 144415 144415 4291461 3647638 643823 6415 5275 1140 294040 241790 52250 413136 339724 73412 686839 532924 153915 71949 60987 10962 14808 12552 2256 3169505 2423979 745526 74701 57852 16849 135683 104283 31400 70957 60146 10811 474105 619 473486 12450 9642 2808 1026221 840566 185655 581219 477149 104070 57905 44844 13061 MEDICAL SUPPLIES 466194 466194 QUALITY ASSESSMENT FEE 442613 343427 99186 DUES & SUB. 30230 23411 6819 81240 81240 12649067 9795983 2853084 0 373978 547199 2633787 2607 125942 37070670 450149 15796249 36620521 24310 0 230699 16197144 40158148 44114 560229 15822494 26793849 0 2798560 15866608 30152638 X 330536 10005510 330536 10005510 16197144 40158148 X -819077 10494051 X 1 X 0 0 0 X 193441 193441 11305234 11305234 11498675 11498675 0 0 0 11498675 327249 327249 327249 327249 4066 4066 11829990 11829990 0.97200 0.02770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5045400 5045400 30179791 377247 29802544 47962 1152 46810 1797517 71750 1725767 36620521 INTERCOMPANY PAYABLES 2399397 OTHER LIABILITIES 399163 2798560 X PART X, LINE 2: CEDAR VILLAGE IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION UNDER SECTION 501 OF THE UNITED STATES INTERNAL REVENUE CODE. AS SUCH, CEDAR VILLAGE IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, CEDAR VILLAGE IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATIONAL RETURN ONLY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY ISH AND RECOGNIZE A TAX LIABILITY IF CEDAR 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 CEDAR VILLAGE, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2018, 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. CEDAR VILLAGE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 SOLARBRON POINTE INC 1501 MCDOWELL ROAD EVANSVILLE IN 47712 351544098 501C3 84000 TO PROVIDE MONETARY ASSISTANCE ON CAPITAL EXPENDITURES 1 PART I, LINE 2: GRANTS ARE MONITORED THROUGH A CAPITAL EXPENSE BUDGET. FORM 990, PART III, LINE 2 INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES, INC. (ISH) PURCHASED SUBSTANTIALLY ALL OF THE REAL AND PERSONAL PROPERTY OF JEWISH HOME OF CINCINNATI, INC. D/B/A CEDAR VILLAGE, AN EXISTING 266-BED INDEPENDENT LIVING, ASSISTED LIVING, AND SKILLED NURSING FACILITY IN MASON, OHIO. ISH THEN BEGAN DOING BUSINESS AS CEDAR VILLAGE SENIOR LIVING (CEDAR VILLAGE). CEDAR VILLAGE'S MISSION IS TO PROVIDE A COMMUNITY OF SERVICES AND SUPPORT TO ADULTS AND THEIR FAMILIES THROUGH ALL STAGES OF AGING GUIDED BY THE VALUES OF COMPASSION, CARING AND RESPECT. FORM 990, PART VI, SECTION A, LINE 3 CEDAR VILLAGE HAS A MANAGEMENT AGREEMENT WITH A THIRD PARTY, CARDON MANAGEMENT COMPANY LLC (MANAGER), AN EXPERIENCED MULTI-FACILITY LONG-TERM CARE MANAGER, TO MANAGE THE FACILITY ON BEHALF OF CEDAR VILLAGE FOR AN INITIAL TERM THAT EXPIRES ON MAY 31, 2025. THE AGREEMENT STATES THE GOVERNING BOARD OF CEDAR VILLAGE WILL RETAIN ULTIMATE AUTHORITY AND LEGAL RESPONSIBILITY FOR THE OPERATION AND CONTROL OF THE FACILITY. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION HAS BEEN RECLASSIFIED AS A CHARITY DESCRIBED IN IRC SECTION 509(A)(1) AND 170(B)(1)(A)(VI) FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS REVIEWED AND SIGNED BY THE TREASURER. THE SECRETARY ALSO RECEIVES A COPY OF FORM 990 TO RETAIN IN THE ORGANIZATION'S RECORDS AND IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC JAMES LOWELL WHITLACH - 226 S COLLEGE SQ, BLOOMINGTON, IN 47404. KATHY ETTENSOHN - 21 SE THIRD STREET STE 500, EVANSVILLE, IN 47708. DENNIS MCGUIRE - 3690 STERLING AVE, BLOOMINGTON, IN 47401. HIRSCH WISE - 8150 CORP PARK DR STE 160, CINCINNATI, OH 45242. KERRIE WEINZAPFEL - 226 S COLLEGE SQ, BLOOMINGTON, IN 47404. MICHAEL MOBLEY - 226 S COLLEGE SQ, BLOOMINGTON, IN 47404. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,059,033. MANAGEMENT AND GENERAL EXPENSES 325,719. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,384,752. DIETARY SERVICES: PROGRAM SERVICE EXPENSES 1,364,946. MANAGEMENT AND GENERAL EXPENSES 419,807. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,784,753. FORM 990, PART XI, LINE 9: EXCESS OF ASSETS ACQUIRED OVER CASH PAID IN ACQUISITION 10,923,000. UNREALIZED LOSS ON DERIVATIVE -428,949. SOLARBRON POINTE INC 1501 MCDOWELL ROAD EVANSVILLE IN 47712 351544098 PROVIDES HOUSING FOR THE ELDERLY IN 501C3 PF N/A 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0