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INDIANA MASONIC HOME INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
INDIANA MASONIC HOME INC (EIN 35-2187477)
Tax period
2012-04-01 to 2013-03-31
Filed
2014-01-31
IRS object ID
201410319349300411
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-01-31T10:51:34-06:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN352123203EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KSM BUSINESS SERVICES INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 40857AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code462400857ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN352187477EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INDIANA MASONIC HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINDINameControl
Phone3177366141Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1690 STATE STREETAddressLine1
CityFRANKLINCity
StateINState
ZIP Code46131ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAWN WENDELName
TitleEXECUTIVE DIRECTORTitle
Phone3173461404Phone
Date Signed2014-01-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCOTT A SCHUSTERName
PTINP00019243PTIN
Phone3175802000Phone
Date Prepared2014-01-27DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAWN WENDELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1690 STATE STREETAddressLine1
CityFRANKLINCity
StateINState
ZIP Code46131ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26753834GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.INDIANAMASONS.ORG/IMHWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTO SERVE THE CHARITABLE PURPOSE OF OPERATING THE CONTINUING CARE RETIREMENT COMMUNITY KNOWN AS THE INDIANA MASONIC HOME IN FRANKLIN, INDIANA.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees348TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8634423ContributionsGrantsPriorYear
Contributions Grants Current Year4962539ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15260272ProgramServiceRevenuePriorYear
Program Service Revenue CY15299964ProgramServiceRevenueCY
Investment Income Prior Year1405398InvestmentIncomePriorYear
Investment Income Current Year590835InvestmentIncomeCurrentYear
Other Revenue Prior Year26524OtherRevenuePriorYear
Other Revenue Current Year33170OtherRevenueCurrentYear
Total Revenue Prior Year25326617TotalRevenuePriorYear
Total Revenue Current Year20886508TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11699910SalariesEtcPriorYear
Salaries Etc Current Year10724016SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9653031OtherExpensePriorYear
Other Expenses Current Year8607281OtherExpensesCurrentYear
Total Expenses Prior Year21352941TotalExpensesPriorYear
Total Expenses Current Year19331297TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3973676RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1555211RevenuesLessExpensesCY
Total Assets BOY112931439TotalAssetsBOY
Total Assets EOY121647620TotalAssetsEOY
Total Liabilities BOY13354840TotalLiabilitiesBOY
Total Liabilities EOY12827232TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY99576599NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY108820388NetAssetsOrFundBalancesEOY
Mission DescriptionTO SERVE THE CHARITABLE PURPOSE OF OPERATING THE CONTINUING CARE RETIREMENT COMMUNITY KNOWN AS THE INDIANA MASONIC HOME IN FRANKLIN, INDIANA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16173728Expense
Revenue15257987Revenue
DescriptionPROVIDE CARE FOR THE AGEDDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense330076Expense
Revenue41977Revenue
DescriptionHOME HEALTHCAREDescription
FieldValueIRS element (for citing)
Total Program Service Expense16503804TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees348NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LYNN AUFFARTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3177366141TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1690 STATE STREETAddressLine1
CityFRANKLINCity
StateINState
ZIP Code46131ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
GREGORY C WALBRIDGE
BOARD MEMBER0.50X000
GEORGE A INGLES JR
GRAND MASTER0.50X000X
MARK A GENUNG
BOARD MEMBER0.50X000
RICHARD J ELMAN
BOARD SECRETARY0.50X0821290X
KENNETH E WILLIS JR
BOARD MEMBER0.50X000
CHARLES F MARLOWE
BOARD MEMBER0.50X000
MICHAEL D BRUMBACK
BOARD MEMBER0.50X000
ROBERT R STEVENS
BOARD PRESIDENT0.50X000X
ERIC RUCKERSFELDT
BOARD MEMBER0.50X000
JAMES THOMAS
BOARD MEMBER0.50X000
LORETTA RIEHL
BOARD MEMBER0.50X000
RODNEY A MANN
BOARD MEMBER0.50X000
E DREW CARREL
BOARD MEMBER0.50X000
LINVILLE D CONER
BOARD MEMBER0.50X000
STEVEN GATEWOOD
BOARD MEMBER0.50X000
GEORGE GALYEAN
BOARD MEMBER0.50X000
PHIL THRASHER
BOARD MEMBER0.50X000
LARRY BROWN
BOARD MEMBER0.50X000
BRIAN LANE
EXECUTIVE DIRECTOR40.00156166025550X
GREG LIMEBERRY
ADMINISTRATOR40.0010446300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org260629TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs82129TotalReportableCompFrmRltdOrgs
Total Other Compensation25550TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA303682289FOOD SERVICE2763077
THERACARE INC
9957 ALLISONVILLE RDFISHERSIN46038THERAPY786344
LIFE CARE SERVICES
CAPITAL SQUARE 400 LOCUSTDES MOINESIA503092334MANAGEMENT SERVICES740234
MCGOWAN INSURANCE GROUP
355 INDIANA SQUARE SUITE 200INDIANAPOLISIN462041705LIABILITY INSURANCE571430
DUKE ENERGY
1000 E MAIN STPLAINFIELDIN46168UTILITIES558503
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Membership Dues922220MembershipDues
Fundraising Events22942FundraisingEvents
Related Organizations3511780RelatedOrganizations
All Other Contributions505597AllOtherContributions
Total Contributions4962539TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENCE SERVICES6230001525798715257987
HOME HEALTH CARE6216104197741977
FieldValueIRS element (for citing)
Total Program Service Revenue15299964TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column351191TotalRevenueColumn
Exclusion$351,191ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real12476Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real12476Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column12476TotalRevenueColumn
Exclusion$12,476ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6099193Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5859549Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities239644Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column239644TotalRevenueColumn
Exclusion$239,644ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events6722GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events22942CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses7777FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-1055TotalRevenueColumn
Exclusion-$1,055ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code623990BusinessCode
Total Revenue Column21749TotalRevenueColumn
Exclusion$21,749ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue21749TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20886508TotalRevenueColumn
Related Or Exempt Function Income15299964RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$624,005ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total269613Total
Management And General269613ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7538606Total
Program Services6988664ProgramServices
Management And General549942ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total577157Total
Program Services434983ProgramServices
Management And General142174ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1689878Total
Program Services1576139ProgramServices
Management And General113739ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total648762Total
Program Services561756ProgramServices
Management And General87006ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total508973Total
Management And General508973ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total87883Total
Management And General87883ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total78709Total
Management And General78709ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total95586Total
Management And General95586ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total200022Total
Program Services146657ProgramServices
Management And General53365ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total110806Total
Management And General110806ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total123306Total
Program Services45733ProgramServices
Management And General77573ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total16695Total
Program Services6829ProgramServices
Management And General9866ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total402409Total
Program Services85259ProgramServices
Management And General317150ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OUTSIDE SERVICES3625269358795037319
UTILITIES107330299919674106
REPAIRS AND MAINTENANCE80406976827435795
MEDICAL FEES, DRUGS, SU64219861066331535

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total838054Total
Program Services691701ProgramServices
Management And General146353ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19331297Total
Program Services16503804ProgramServices
Management And General2827493ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1056308BOY
EOY2075466EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY894320BOY
EOY1246667EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1551637BOY
EOY930902EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY31274BOY
EOY31274EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY145870BOY
EOY138067EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7106963BOY
EOY7500650EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4194281BOY
EOY4425226EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY97950786BOY
EOY105299368EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY112931439BOY
EOY121647620EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1907150BOY
EOY1464427EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5689360BOY
EOY5666168EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5758330BOY
EOY5696637EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13354840BOY
EOY12827232EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1614003BOY
EOY3509203EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY97962596BOY
EOY103385002EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY1926183EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY99576599BOY
EOY108820388EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY112931439BOY
EOY121647620EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1555211ReconcilationRevenueExpenses
Reconciliation Unrealized Invest411876ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment1812838ReconcilationPriorAdjustment
Reconcilation Other Changes5463864ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6101925CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5716039CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7247941CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8634423CurrentTaxYearMinus1Year
Current Tax Year4962539CurrentTaxYear
Total32662867Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14485362CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15695657CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16623131CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15260272CurrentTaxYearMinus1Year
Current Tax Year15299964CurrentTaxYear
Total77364386Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20587287CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21411696CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23871072CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23894695CurrentTaxYearMinus1Year
Current Tax Year20262503CurrentTaxYear
Total110027253Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4312960CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3737428CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5648388CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6518562CurrentTaxYearMinus1Year
Current Tax Year3511780CurrentTaxYear
Total23729118Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year5400CurrentTaxYear
Total5400Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4312960CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3737428CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5648388CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6518562CurrentTaxYearMinus1Year
Current Tax Year3517180CurrentTaxYear
Total23734518Total
FieldValueIRS element (for citing)
Public Support Total50986292735PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years543822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years396968CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years377966CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year383384CurrentTaxYearMinus1Year
Current Tax Year363667CurrentTaxYear
Total2065807Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years543822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years396968CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years377966CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year383384CurrentTaxYearMinus1Year
Current Tax Year363667CurrentTaxYear
Total2065807Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13142CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20007CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-980CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-980CurrentTaxYearMinus1Year
Current Tax Year-1055CurrentTaxYear
Total30134Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years22872CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4253CurrentTaxYearMinus1Year
Current Tax Year21749CurrentTaxYear
Total48874Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21144251CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21828671CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24270930CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24281352CurrentTaxYearMinus1Year
Current Tax Year20646864CurrentTaxYear
Total112172068Total
FieldValueIRS element (for citing)
Public Support Percentage5090.76930PublicSupportPercentage509
Prior Year Support Percentage0.76570PriorYearSupportPercentage
Investment Income Percentage0.01840InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01700PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2010 AMOUNT: $ 22,872. 2011 AMOUNT: $ 4,253. 2012 AMOUNT: $ 21,749.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
INTEREST IN NET ASSETS OF FOUNDATION103342716
BENEFICIAL INTEREST IN TRUSTS1956652
FieldValueIRS element (for citing)
Total Book Value Other Assets105299368TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ADVANCE FEES$1,014,619
ACCRUED PENSION LIABILITY$4,584,605
RESIDENTIAL DEPOSITS$97,413
FieldValueIRS element (for citing)
Total Of Amounts5696637TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt21136079TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments411876NetUnrealizedGainsInvestments
Other Revenues7777OtherRevenues
Revenue Not Rptd F990419653RevenueNotRptdF990
Revenue Subtotal20716426RevenueSubtotal
Investment Expenses Not Included95586InvestmentExpensesNotIncluded
Other Revenues Not Included74496OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt170082RevenueNotRptdOnFinStmt
Total Revenue Per Form99020886508TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19168999TotExpensesEtcAuditedFinclStmt
Other Expenses Included7777OtherExpensesIncluded
Expenses Not Rptd F9907777ExpensesNotRptdF990
Expenses Subtotal19161222ExpensesSubtotal
Investment Expenses Not Included295586InvestmentExpensesNotIncluded2
Other Expenses Not Included74489OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt170075ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019331297TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE HOME IS EXEMPT FROM THE PAYMENT OF INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR PROVISIONS OF INDIANA TAX LAWS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. IN ADDITION, THE HOME HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEARS ENDED MARCH 31, 2013 AND 2012. THE HOME FILES U.S. FEDERAL AND STATE OF INDIANA INFORMATION RETURNS. IT IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010.
PART XI, LINE 2D - OTHER ADJUSTMENTS:EXPENSES FROM SPECIAL EVENT 7,777.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN TEMPORARILY RESTRICTED NET ASSETS-CONTRIBUTIONS 7. CONTRA ACCOUNT CLASSIFIED AS REVENUE ON BOOKS NOT TAX 74,489.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES FROM SPECIAL EVENT 7,777.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CONTRA ACCOUNT CLASSIFIED AS REVENUE ON BOOKS NOT TAX 74,489.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event129664GrossReceiptsEvent1
Charitable Contributions Event122942CharitableContributionsEvent1
Gross Revenue Event16722GrossRevenueEvent1
Other Direct Expenses Event17777OtherDirectExpensesEvent1
Gross Receipts Total29664GrossReceiptsTotal
Charitable Contributions Total22942CharitableContributionsTotal
Gross Revenue Total Events6722GrossRevenueTotalEvents
Other Direct Expenses Total Events7777OtherDirectExpensesTotalEvents
Direct Expense Summary Events7777DirectExpenseSummaryEvents
Net Income Summary-1055NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonBRIAN LANENamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org130800BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org25366BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org25550NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org181716TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationGREG LIMEBERRY RECEIVED $12,118 IN SEVERANCE PAYMENTS IN FYE 2013.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3EXECUTIVE DIRECTOR BRIAN LANE IS AN EMPLOYEE OF LIFE CARE SERVICES, AN OUTSITE MANAGEMENT COMPANY WHICH MANAGES, OPERATES AND MAINTAINS THE INDIANA MASONIC HOME
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT WILL REVIEW THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CREVIEW NOTATIONS ON CONFLICT OF INTEREST POLICY AND DISCUSS AND RESOLVE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF THE OUTSIDE MANAGEMENT COMPANY. HIS SALARY IS DETERMINED BY THE MANAGEMENT COMPANY.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST. ANNUAL STATE DISCLOSURE STATEMENT THAT IS AVAILABLE TO ALL POTENTIAL NEW RESIDENTS.
FORM 990, PART XI, LINE 9:NET ASSETS RELEASED FROM RESTRICTIONS -3,511,780. CHANGE IN INTEREST IN NET ASSETS OF THE FOUNDATION 8,903,710. MINIMUM PENSION LIABILITY ADJUSTMENT 400,087. TRANSFER OF ASSETS TO INDIANA MASONIC HOME, INC. -471,967. CHANGE IN BENEFICIAL INTEREST IN TRUST 143,814.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE PROCESS HAD NOT CHANGED.
FORM 990, PART VI, SECTION B, LINE 14RECORD RETENTION AND DESTRUCTION POLICY MEDICAL RECORDS OF THE ORGANIZATION ARE GOVERNED BY A RETENTION AND STORAGE POLICY, AS WELL AS A CLOSED CHART POLICY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
INDIANA MASONIC HOME FOUNDATION INC
525 N ILLINOIS STINDIANAPOLISIN46204351091997PROVIDE SUPPORT TO THE INDIANA MASONIC HOMEIN501(C)(3)509(A)(3)0
IMH REALTY INC
690 STATE STREETFRANKLININ46131364513246PROVIDE PROPERTY TO ENSURE THE RESIDENTIAL AND MEDIAL CARE FOR THE ELDERLYIN501(C)(2)0
GRAND LODGE
525 N ILLINOIS STINDIANAPOLISIN46204350300010FRATERNAL ORGANIZATIONIN501(C)(10)0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
IMH REALTY
I471967FAIR MARKET VALUE
INDIANA MASONIC HOME FOUNDATION
C3511780CASH