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INDIANA MASONIC HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
INDIANA MASONIC HOME INC (EIN 35-2187477)
Tax period
2011-04-01 to 2012-03-31
Filed
2013-02-11
IRS object ID
201300429349300775
Schema version
2011v1.5
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)
Timestamp2013-02-11T12:43:01-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

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 Date2011-04-01TaxPeriodBeginDate

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)
NameBRIAN LANEName
TitleEXECUTIVE DIRECTORTitle
Phone3173461404Phone
Date Signed2013-02-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCOTT A SCHUSTERName
PTINP00019243PTIN
Phone3175802000Phone
Date Prepared2013-02-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRIAN LANENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1690 STATE STREETAddressLine1
CityFRANKLINCity
StateINState
ZIP Code46131ZIPCode
FieldValueIRS element (for citing)
Gross Receipts37591525GrossReceipts
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 Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees402TotalNbrEmployees
Total Nbr Volunteers120TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7247941ContributionsGrantsPriorYear
Contributions Grants Current Year8634423ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16623131ProgramServiceRevenuePriorYear
Program Service Revenue CY15260272ProgramServiceRevenueCY
Investment Income Prior Year813427InvestmentIncomePriorYear
Investment Income Current Year1405398InvestmentIncomeCurrentYear
Other Revenue Prior Year54783OtherRevenuePriorYear
Other Revenue Current Year26524OtherRevenueCurrentYear
Total Revenue Prior Year24739282TotalRevenuePriorYear
Total Revenue Current Year25326617TotalRevenueCurrentYear
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 Year10852945SalariesEtcPriorYear
Salaries Etc Current Year11699910SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10165940OtherExpensePriorYear
Other Expenses Current Year9653031OtherExpensesCurrentYear
Total Expenses Prior Year21018885TotalExpensesPriorYear
Total Expenses Current Year21352941TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3720397RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3973676RevenuesLessExpensesCY
Total Assets BOY121224171TotalAssetsBOY
Total Assets EOY112931439TotalAssetsEOY
Total Liabilities BOY13420587TotalLiabilitiesBOY
Total Liabilities EOY13354840TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY107803584NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY99576599NetAssetsOrFundBalancesEOY
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
Expense17106006Expense
Revenue14947054Revenue
DescriptionPROVIDE CARE FOR THE AGEDDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense712748Expense
Revenue313218Revenue
DescriptionHOME HEALTHCAREDescription
FieldValueIRS element (for citing)
Total Program Service Expense17818754TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109659NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees402NumberOfEmployees
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 Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
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 (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
GREGORY C WALBRIDGE
GRAND MASTER1.00XX000
GEORGE A INGLES JR
BOARD MEMBER1.00X000
MARK A GENUNG
BOARD MEMBER1.00X000
RICHARD J ELMAN
GRAND SECRETARY1.00XX0797630
KENNETH E WILLIS JR
BOARD MEMBER1.00X000
CHARLES F MARLOWE
BOARD MEMBER1.00X000
JEFFREY P ZARING
BOARD MEMBER1.00X000
MICHAEL D BRUMBACK
BOARD MEMBER1.00X000
ROBERT R STEVENS
BOARD MEMBER1.00X000
JAMES L CHESNEY
BOARD MEMBER1.00X000
GEORGE E GALYEAN
BOARD MEMBER1.00X000
LORETTA RIEHL
BOARD MEMBER1.00X000
RODNEY A MANN
BOARD MEMBER1.00X000
E DREW CARREL
BOARD MEMBER1.00X000
LINVILLE D CONER
BOARD MEMBER1.00X000
PHILIP C THRASHER
BOARD MEMBER1.00X000
STEVE BURNSTEIN
BOARD MEMBER1.00X000
DANIEL L HALL
BOARD MEMBER1.00X000
CLIFFORD G HENDERSON
BOARD MEMBER1.00X000
BRIAN LANE
EXECUTIVE DIRECTOR40.00X153596021883
GREG LIMEBERRY
ADMINISTRATOR40.00X10262200
FieldValueIRS element (for citing)
Total Reportable Comp From Org256218TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs79763TotalReportableCompFrmRltdOrgs
Total Other Compensation21883TotalOtherCompensation
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 102289ATLANTAGA30348FOOD SERVICE2914929
MEYER NAJEM CONSTRUCTION
13099 PARKSIDE DRIVEFISHERSIN46038CONSTRUCTION2452748
ANTHEM BCBS IN GROUP
PO BOX 105674ATLANTAGA30348INSURANCE2064248
THERACARE INC
9957 ALLISONVILLE RDFISHERSIN46038THERAPY700921
LIFE CARE SERVICES
CAPITAL SQUARE 400 LOCUSTDES MOINESIA50309MANAGEMENT SERVICES583218
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Membership Dues941034MembershipDues
Fundraising Events18050FundraisingEvents
All Other Contributions7675339AllOtherContributions
Total Contributions8634423TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENCE SERVICES6230001494705414947054
HOME HEALTH CARE621610313218313218
FieldValueIRS element (for citing)
Total Program Service Revenue15260272TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column360133TotalRevenueColumn
Exclusion$360,133ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real23251Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real23251Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column23251TotalRevenueColumn
Exclusion$23,251ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13300393Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12255128Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1045265Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1045265TotalRevenueColumn
Exclusion$1,045,265ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events8800GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events18050CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses9780FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-980TotalRevenueColumn
Exclusion-$980ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code623990BusinessCode
Total Revenue Column4253TotalRevenueColumn
Exclusion$4,253ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4253TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25326617TotalRevenueColumn
Related Or Exempt Function Income15260272RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,431,922ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total268318Total
Management And General268318ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8515506Total
Program Services7779400ProgramServices
Management And General736106ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total394177Total
Program Services55399ProgramServices
Management And General338778ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1903047Total
Program Services1666427ProgramServices
Management And General236620ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total618862Total
Program Services559483ProgramServices
Management And General59379ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total379938Total
Management And General379938ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total154731Total
Management And General154731ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total66102Total
Management And General66102ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total135068Total
Management And General135068ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total143742Total
Program Services114287ProgramServices
Management And General29455ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total140486Total
Management And General140486ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total262822Total
Program Services112752ProgramServices
Management And General150070ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total21524Total
Program Services8306ProgramServices
Management And General13218ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total388407Total
Program Services69117ProgramServices
Management And General319290ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OUTSIDE SERVICES3720733370488815845
REPAIRS AND MAINTENANCE1337229127185765372
UTILITIES1151988106249789491
MEDICAL FEES, DRUGS, SU7032286972345994

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1047033Total
Program Services717107ProgramServices
Management And General329926ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21352941Total
Program Services17818754ProgramServices
Management And General3534187ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1993442BOY
EOY1056308EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1632267BOY
EOY894320EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY912097BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1542032BOY
EOY1551637EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY31274BOY
EOY31274EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY309020BOY
EOY145870EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10657126BOY
EOY7106963EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2172220BOY
EOY4194281EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY101974693BOY
EOY97950786EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY121224171BOY
EOY112931439EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2857330BOY
EOY1907150EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY6284705BOY
EOY5689360EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4278552BOY
EOY5758330EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13420587BOY
EOY13354840EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5828410BOY
EOY1614003EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY101975174BOY
EOY97962596EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY107803584BOY
EOY99576599EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY121224171BOY
EOY112931439EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3973676ReconcilationRevenueExpenses
Reconcilation Other Changes-12200661ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years6483552CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6101925CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5716039CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7247941CurrentTaxYearMinus1Year
Current Tax Year8634423CurrentTaxYear
Total34183880Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14439731CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14485362CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15695657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16623131CurrentTaxYearMinus1Year
Current Tax Year15260272CurrentTaxYear
Total76504153Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20923283CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20587287CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21411696CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23871072CurrentTaxYearMinus1Year
Current Tax Year23894695CurrentTaxYear
Total110688033Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4185929CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4312960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3737428CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5648388CurrentTaxYearMinus1Year
Current Tax Year6518561CurrentTaxYear
Total24403266Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4185929CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4312960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3737428CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5648388CurrentTaxYearMinus1Year
Current Tax Year6518561CurrentTaxYear
Total24403266Total
FieldValueIRS element (for citing)
Public Support Total50986284767PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years210254CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years543822CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years396968CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year377966CurrentTaxYearMinus1Year
Current Tax Year383384CurrentTaxYear
Total1912394Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years210254CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years543822CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years396968CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year377966CurrentTaxYearMinus1Year
Current Tax Year383384CurrentTaxYear
Total1912394Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35190CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13142CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20007CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-980CurrentTaxYearMinus1Year
Current Tax Year-980CurrentTaxYear
Total66379Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year22872CurrentTaxYearMinus1Year
Current Tax Year4253CurrentTaxYear
Total27125Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21168727CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21144251CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21828671CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24270930CurrentTaxYearMinus1Year
Current Tax Year24281352CurrentTaxYear
Total112693931Total
FieldValueIRS element (for citing)
Public Support Percentage5090.76570PublicSupportPercentage509
Prior Year Support Percentage0.78850PriorYearSupportPercentage
Investment Income Percentage0.01700InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01690PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOMEGeneralExplanation

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

FieldValueIRS element (for citing)
DescriptionINTEREST IN NET ASSETS OF FOUNDATIONDescription
Book Value97950786BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets97950786TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ADVANCE FEES$1,009,500
RESIDENT DEPOSIT$83,343
ACCRUED PENSION LIABILITY$4,665,487
FieldValueIRS element (for citing)
Total Of Amounts5758330TotalOfAmounts
Total Revenue25326617TotalRevenue
Total Expenses21352941TotalExpenses
Excess Or Deficit For Year3973676ExcessOrDeficitForYear
Net Unrealized GL On Investments-1363415NetUnrealizedGLOnInvestments
Other-$10,837,246OtherAmount
Total Adjustments-12200661TotalAdjustments
Excess Or Deficit Per FS-8226985ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt23826585TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1363415NetUnrealizedGainsInvestments
Other Revenues94346OtherRevenues
Revenue Not Rptd F990-1269069RevenueNotRptdF990
Revenue Subtotal25095654RevenueSubtotal
Investment Expenses Not Included135068InvestmentExpensesNotIncluded
Other Revenues Not Included95895OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt230963RevenueNotRptdOnFinStmt
Total Revenue Per Form99025326617TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt21227653TotExpensesEtcAuditedFinclStmt
Other Expenses Included9780OtherExpensesIncluded
Expenses Not Rptd F9909780ExpensesNotRptdF990
Expenses Subtotal21217873ExpensesSubtotal
Investment Expenses Not Included2135068InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt135068ExpensesNotRptdOnFinStmt
Total Expenses Per Form99021352941TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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, 2012 AND 2011. 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 2009.
PART XI, LINE 8 - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS -6,518,562. CHANGE IN INTEREST IN NET ASSETS OF THE FOUNDATION 2,494,655. MINIMUM PENSION LIABILITY ADJUSTMENT -4,130,921. TRANSFER OF ASSETS TO INDIANA MASONIC HOME, INC. -2,682,418. TOTAL TO SCHEDULE D, PART XI, LINE 8: -10,837,246.
PART XII, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTION 84,566. EXPENSES FROM SPECIAL EVENT 9,780.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN TEMPORARILY RESTRICTED NET ASSETS-CONTRIBUTIONS 95,895.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES FROM SPECIAL EVENT 9,780.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event126850GrossReceiptsEvent1
Charitable Contributions Event118050CharitableContributionsEvent1
Gross Revenue Event18800GrossRevenueEvent1
Other Direct Expenses Event19780OtherDirectExpensesEvent1
Gross Receipts Total26850GrossReceiptsTotal
Charitable Contributions Total18050CharitableContributionsTotal
Gross Revenue Total Events8800GrossRevenueTotalEvents
Other Direct Expenses Total Events9780OtherDirectExpensesTotalEvents
Direct Expense Summary Events9780DirectExpenseSummaryEvents
Net Income Summary-980NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
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
Base Compensation Filing Org153596BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org21883NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org175479TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

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 5:NET UNREALIZED LOSSES ON INVESTMENTS: -1,363,415. NET ASSETS RELEASED FROM RESTRICTIONS -6,518,562. CHANGE IN INTEREST IN NET ASSETS OF THE FOUNDATION 2,494,655. MINIMUM PENSION LIABILITY ADJUSTMENT -4,130,921. TRANSFER OF ASSETS TO INDIANA MASONIC HOME, INC. -2,682,418. TOTAL TO FORM 990, PART XI, LINE 5: -12,200,661.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
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
H2682418FAIR MARKET VALUE
INDIANA MASONIC HOME FOUNDATION
C6518561CASH