2013-11-15T14:42:07-06:00 2012-12-31 CROWE HORWATH LLP 3815 River Crossing Parkway Suite 300 Indianapolis IN 462400977 990 2012-01-01 350883511 THE ESTELLE PEABODY MEMORIAL HOME OF THE SYNOD OF LINCOLN TRAILS OF THE PRE SBYTERIAN CHURCH (USA) ESTE 2609828616 400 West 7th Street North Manchester IN 46962 STAN CLOUSE 2013-11-15 true Nicole Bencik P00756195 3175698989 2012 2016-02-25 16:41:14Z THE PEABODY RETIREMENT COMMUNITY STAN CLOUSE 400 West 7th Street North Manchester IN 46962 17075832 false X WWW.PEABODYRC.ORG X 1930 IN THE PEABODY RETIREMENT COMMUNITY PROVIDES COMPREHENSIVE SERVICES FOR OLDER ADULTS AND SELECTED SERVICES TO OTHERS WITH GRACE, COMPASSION, AND RESPECT FOR THE DIGNITY OF INDIVIDUALS, THEIR FAMILIES, AND COMMUNITIES. 9 9 371 35 0 0 184019 568381 16349859 16102852 255376 54249 95538 279733 16884792 17005215 57785 48692 0 0 10178940 9785313 0 0 46428 11242292 11885544 21479017 21719549 -4594225 -4714334 49379947 47218217 54982159 57313557 -5602212 -10095340 X PEABODY RETIREMENT COMMUNITY PROVIDES INNOVATIVE LIVING OPTIONS FOR SENIORS THROUGH COMPREHENSIVE SERVICES FOUNDED ON GRACE, COMPASSION, RESPECT, AND DIGNITY IN THE NAME OF JESUS CHRIST. THEY ARE COMMITTED TO THE ENRICHMENT OF LIFE, SUPPORTING INDIVIDUAL CHOICE, AND CELEBRATING THE AGELESS SPIRIT. false false 18078536 48692 16102852 THE PEABODY RETIREMENT COMMUNITY (PEABODY) UNDERSTANDS THAT EACH INDIVIDUAL HAS UNIQUE NEEDS, AN EXCITING HISTORY, AND HOLDS BELIEFS ABOUT HOW THEIR CARE SHOULD BE DELIVERED. TO MEET THIS END, PEABODY PROVIDES FIVE VERY DIFFERENT LEVELS OF RESIDENCE -- FROM INDEPENDENT LIVING 'COTTAGE HOMES' TO A SPECIALLY-EQUIPPED MEMORY-ENHANCED NEIGHBORHOOD. PEABODY IS DEDICATED TO THE GOAL OF CREATING A MODEL CAMPUS PROVIDING COST-EFFECTIVE INDIVIDUALIZED CARE THAT REACHES FAR BEYOND THE MINIMAL STANDARDS. ADDITIONAL SERVICES PROVIDED TO RESIDENTS INCLUDE ONSITE THERAPIES, NUTRITIONAL SERVICES, PASTORAL SERVICES, SOCIAL SERVICES, AND RECREATIONAL SERVICES. (CONTINUED IN SCHEDULE O) 18078536 true true false false false false true false true true false false false true true false true false false false false false false false false false false true false false false false false false false false false false false false false false true true true false false true 90 0 true 371 true false false false false false false false false false false X 9 9 false true false false false false false true true false false false true true true true true false false false IN X Stan Clouse 2609828616 400 WEST 7TH STREET NORTH MANCHESTER IN 46962 ALBERT J SCHLITT 1.00 X X 0 0 0 BARBARA HANCHER 1.00 1.00 X X 0 0 0 MARCIA R MORRIS 1.00 X X 0 0 0 STEPHEN E ZAHN 1.00 X X 0 0 0 DOUGLAS C LEHMAN 1.00 X 0 0 0 GARY STEBBINS 1.00 1.00 X 0 0 0 JOSUE NJOCK LIBII 1.00 X 0 0 0 JUDY MOORE 1.00 1.00 X 0 0 0 REV THOMAS E SMITH PHD 1.00 X 0 0 0 IYVONNE SCHUMAKER 40.00 2.00 X 91339 0 26643 JEFF JARECKI 40.00 2.00 X 0 0 0 JILLIAN EVERETT 40.00 X 0 0 0 91339 0 26643 0 false false false LIFE CARE SERVICES 400 LOCUST STREET SUITE 820 DES MOINES IA 50309 MANAGEMENT & CONSULTING SERVICES 854192 HEALTHCARE THERAPY SERVICES 1411 WEST COUNTY LINE ROAD SUITE A GREENWOOD IN 46142 THERAPY SERVICES 715367 ATC HEALTHCARE SERVICES 25393 NETWORK PLACE CHICAGO IL 606731253 AGENCY NURSING ASSISTANT SERVICES 255183 3 456886 111495 568381 NURSING SERVICES 623000 12095214 12095214 RESIDENT SERVICES 623000 4007638 4007638 0 0 0 0 0 0 0 16102852 106523 106523 0 0 0 0 0 18343 70617 -52274 0 -52274 -52274 0 0 0 CAFETERIA REVENUE 722210 36129 36129 CABLE TV/TELEPHONE REVENUE 900099 33368 33368 BEAUTY/GIFT SHOP 900099 10486 10486 199750 0 0 199750 279733 17005215 16102852 0 333982 715 715 47977 47977 0 0 117982 117982 0 7577618 7430464 127414 19740 111404 103593 5249 2562 1269403 1161070 95123 13210 708906 510412 191405 7089 749809 749809 120830 120830 100530 100530 0 0 0 1794649 1523657 269197 1795 369918 369918 386655 353558 32324 773 71868 71868 0 1184527 47381 1137146 34248 16610 16439 1199 0 16534 16534 3008377 3008377 0 2601420 2601420 165989 165989 FOOD EXPENSE 820780 820780 MEDICAL/ANCILLARY SUPPLIES 434206 434206 BAD DEBT EXPENSE 1121 1121 DUES & SUBSCRIPTIONS 7455 567 6828 60 16628 16628 0 0 21719549 18078536 3594585 46428 0 1361 1100 1540148 1514480 1270138 994477 0 0 68754 66433 153175 103557 68347149 27501027 42051882 40846122 2903378 2674991 115174 123391 0 0 1275937 893666 49379947 47218217 1737553 2009610 1333587 1311984 44232325 44407234 0 7678694 9584729 54982159 57313557 X -5864251 -29297049 62039 19001709 200000 200000 -5602212 -10095340 49379947 47218217 X -4714334 224215 -3009 X false true X true false X 833498 259400 313597 184019 568381 2158895 16740215 17571905 16605905 16349859 16102852 83370736 178634 292152 107639 95538 279733 953696 0 0 17752347 18123457 17027141 16629416 16950966 86483327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86483327 453036 274317 234070 167401 106523 1235347 0 453036 274317 234070 167401 106523 1235347 0 0 0 186228 0 186228 18205383 18397774 17447439 16796817 17057489 87904902 0.98380 0.97770 0.01400 0.01790 X OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 0, COLUMN B - 0, COLUMN C - 186228, COLUMN D - 0, COLUMN E - , COLUMN F - 186228;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false 1731746 139962 153999 2025707 1713295 12500 11440 5489 1731746 1587292 10000 121120 5117 1713295 1330181 106296 155202 0 4387 0 1587292 1455069 85106 -209845 0 149 0 1330181 0.35030 0.47970 0.17000 false true true 2749279 2749279 52293080 23174373 29118707 7284883 1793492 5491391 6019907 2533162 3486745 0 40846122 0 ACCRUED BOND INTEREST PAYABLE 8215499 REFUNDABLE ADVANCE FEES 1356987 ENDOWMENT LIABILITIES 12243 9584729 X Collections of art - description of collections Schedule D, Part III, Line 4 THE ORGANIZATION MAINTAINS A COLLECTION OF WATER COLOR PAINTINGS BY A NATIONALLY KNOWN HOOSIER ARTIST. THE PAINTINGS WERE DONATED BY THE WIFE OF THE PAINTER. THEY ARE USED AS DECORATIONS THROUGHOUT OUR CAMPUS. Intended uses of endowment funds Schedule D, Part V, Line 4 THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUND IS TO SUPPORT THE ORGANIZATION'S MISSION AND FURTHER ITS TAX-EXEMPT PURPOSE. IN ADDITION, THE PEABODY HOME FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION, HOLDS ENDOWMENT FUNDS FOR THE BENEFIT OF PEABODY RETIREMENT COMMUNITY. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 PEABODY RETIREMENT COMMUNITY IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE AND CORRESPONDING STATE TAX PROVISIONS. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF INDIANA FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2012 OR 2011. true RESIDENT FINANCIAL ASSISTANCE 50 47977 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 PRC PROVIDES FINANCIAL ASSISTANCE TO RESIDENTS WHO ARE UNABLE TO PAY. AFTER ALL OTHER SOURCES OF FUNDING ARE EXHAUSTED, THE RESIDENT CAN REQUEST FINANCIAL ASSISTANCE FROM PRC. RESIDENTS ARE APPROVED FOR FINANCIAL ASSISTANCE BY THE ORGANIZATION'S CFO ON A CASE BY CASE BASIS. FINANCIAL ASSISTANCE PROVIDED IS CREDITED TO THE RESIDENT'S ACCOUNT TO ENSURE PROPER USE OF FUNDS. PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED FROM PART III) FORM 990, PART III, LINE 4A RESIDENTIAL SERVICES: COTTAGE HOMES - THE 57 INDEPENDENT LIVING COTTAGES OFFER THE FREEDOM OF MAINTENANCE-FREE LIVING ALONG WITH THE COMPANY OF INTERESTING NEIGHBORS WHO CHERISH THEIR INDEPENDENCE AND ARE ALWAYS READY TO LEND A HAND. RESIDENTIAL APARTMENTS AND ASSISTED LIVING CENTER - PEABODY OFFERS 144 RESIDENTIAL AND ASSISTED LIVING UNITS. THE SOUTH HOUSE RESIDENTIAL APARTMENTS OFFER THE CONVENIENCE OF VARIOUS CAMPUS SERVICES, ALONG WITH THE INDEPENDENCE OF YOUR OWN RESIDENCE. MEMORY ENHANCEMENT CENTER - THE FRANK AND LAURA SMOCK MEMORY ENHANCEMENT CENTER, WHICH HAS 48 LICENSED MEMORY CARE BEDS, IS DESIGNED AROUND A SIMPLE PREMISE: SURROUND RESIDENTS WITH FAMILIAR SETTINGS AND ACTIVITIES THAT WILL HELP THEM MAINTAIN AND EVEN ENHANCE THEIR MEMORIES AND ENJOY LIFE. THE HOMELIKE NEIGHBORHOOD DESIGN INCLUDES LIFE STATIONS WHERE RESIDENTS CAN GARDEN, PLAY MUSIC AND ENJOY SPORTS AND SPORTING MEMORABILIA -- ALL TO ENERGIZE EACH INDIVIDUAL THROUGH THE ENVIRONMENT. FOR THOSE IN THE EARLY TO MIDDLE STAGES OF MEMORY LOSS, THERE IS NO MORE COMPLETE AND APPROPRIATE CARE AVAILABLE IN THE AREA. SKILLED HEALTH CENTER - PEABODY'S HEALTH CENTER HAS 192 LICENSED HEALTH CARE BEDS DESIGNED TO HELP INDIVIDUALS ENJOY A BETTER QUALITY OF LIVING THROUGH LATE LIFE. ADDITIONAL SERVICES PROVIDED: NUTRITIONAL SERVICES - OUR DINING STAFF WORKS CLOSELY WITH THE NURSING SERVICES AND MEDICAL STAFF TO ENSURE SPECIAL DIETARY GOALS ARE ACCOMPLISHED. THROUGH CAREFUL MEDICATION MANAGEMENT AND MONITORING BY OUR NUTRITIONAL AND NURSING STAFF, OUR RESIDENTS CAN OFTEN ENJOY FOODS THEY WERE NOT ABLE TO BEFORE JOINING THE PEABODY FAMILY. THERAPY SERVICES - OUR THERAPIES INCLUDE SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY, AND ARE AVAILABLE TO BOTH INPATIENT AND OUTPATIENT RESIDENTS. THIS ALLOWS RESIDENTS TO FOREGO THE OFTEN DIFFICULT TASK OF ARRANGING TRANSPORTATION TO AND FROM THERAPY APPOINTMENTS. SOCIAL SERVICES - STAFF SOCIAL WORKERS PROVIDE PEABODY RESIDENTS AND FAMILIES WITH A VARIETY OF SERVICES TO ENSURE THEIR NEEDS AND DESIRES ARE BEING MET ON A DAILY BASIS. SOCIAL SERVICES COORDINATORS PLAY AN ACTIVE ROLE IN THE ADMISSIONS PROCESS, HELPING TO DETERMINE THE BEST LEVEL OF CARE FOR RESIDENTS, AND PROVIDE EMOTIONAL SUPPORT TO BOTH RESIDENTS AND THEIR FAMILIES DURING TIMES OF TRANSITION. SOCIAL SERVICE COORDINATORS ALSO ASSIST WITH SUPPORTIVE COUNSELING TO INCREASE COPING WITH TRANSITIONS AND ADVOCACY TO ENSURE THAT RESIDENTS' RIGHTS ARE RESPECTED. PASTORAL SERVICES - THE PEABODY MEMORIAL CHAPEL HOLDS SERVICES ON A REGULAR SCHEDULE AND IS CONDUCTED IN THE TRADITION OF VARIOUS DENOMINATIONS. BECAUSE OUR PRIMARY IN-HOUSE WORSHIP SERVICE IS CONDUCTED ON SUNDAY AFTERNOON, MANY RESIDENTS ARE ABLE TO ENJOY RETURNING TO THEIR HOME CONGREGATION FOR MORNING WORSHIP. RECREATIONAL SERVICES - RESIDENTS ARE ABLE TO PARTICIPATE IN MANY GROUPS AND "CLUBS" RANGING FROM BIBLE STUDY TO QUILTING TO CONTEMPORARY FICTION TO VETERAN. IN ADDITION, PEABODY ALSO PROVIDES RESIDENTS WITH MANY OFF-CAMPUS EXCURSIONS. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD OF TRUSTEES. THE EXECUTIVE DIRECTOR SHALL SERVE AS AN EX-OFFICIO, NON-VOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE PRESIDENT SHALL BE THE CHAIRPERSON AND VOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL ACT FOR AND ON BEHALF OF AND WITH THE FULL AUTHORITY OF THE BOARD OF TRUSTEES IN THE INTERIM BETWEEN MEETINGS OF THE BOARD AND SHALL REPORT ITS ACTIONS THROUGH ITS CHAIRPERSON TO THE BOARD OF TRUSTEES AT ITS MEETINGS. THIS COMMITTEE SHALL BE CHARGED WITH CARRYING OUT THE PLANS OF THE BOARD OF TRUSTEES. SPECIFICALLY, THE EXECUTIVE COMMITTEE SHALL: - NOMINATE PERSONS TO SERVE ON THE BOARD OF TRUSTEES AS PROVIDED IN THE BYLAWS; - NOMINATE PERSONS TO BE ELECTED TO EMERITUS STATUS; - NOMINATE OFFICERS TO BE ELECTED BY THE BOARD OF TRUSTEES AT THE ANNUAL MEETING OF THE TRUSTEES; - CONDUCT AN ANNUAL EVALUATION OF THE EXECUTIVE DIRECTOR AND SHARE RESULTS WITH THE BOARD OF TRUSTEES; - ACT ON BEHALF OF THE BOARD OF TRUSTEES ON CRITICAL ISSUES WHICH ARISE BETWEEN BOARD MEETINGS; - CONDUCT AN ANNUAL EVALUATION OF THE BOARD OF TRUSTEES; - RECOMMEND CHANGES TO THE BYLAWS; AND - SERVE AS AN AD HOC SEARCH COMMITTEE FOR THE EXECUTIVE DIRECTOR. Delegation of management duties Form 990, Part VI, Section A, Line 3 IN DECEMBER 2010, THE ORGANIZATION ENTERED INTO A MANAGEMENT CONTRACT WITH LIFE CARE SERVICES, LLC (LCS), AN UNRELATED ORGANIZATION, FOR MANAGEMENT AND ADMINISTRATIVE SERVICES THAT EXTENDS THROUGH DECEMBER 2015. DURING THE TERM OF THE AGREEMENT, THE ORGANIZATION PAYS LCS (A) A MONTHLY MANAGEMENT FEE, (B) A PERFORMANCE INCENTIVE FEE PAYABLE QUARTERLY BASED UPON THE AMOUNT OF THE ORGANIZATION'S ENTRANCE FEES RECEIVED DURING THE QUARTER, AND (C) AN APPLICATION SERVICE PROVIDER FEE. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE ORGANIZATION'S MANAGEMENT REVIEWS A COMPLETED DRAFT OF THE FORM 990 PRIOR TO FILING. Conflict of interest policy Form 990, Part VI, Section B, Line 12c EACH OFFICER, BOARD MEMBER, AND ADMINISTRATIVE STAFF COMPLETES AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. ONCE THE QUESTIONNAIRES ARE COMPLETED, THE EXECUTIVE DIRECTOR REVIEWS THE RESPONSES AND DETERMINES WHETHER OR NOT THERE ARE ANY POTENTIAL CONFLICTS OF INTEREST. IF THERE IS A POTENTIAL CONFLICT OF INTEREST, THE EXECUTIVE DIRECTOR AND BOARD PRESIDENT REVIEW THE CORRESPONDING ISSUE AND DETERMINE IF THERE IS AN ACTUAL CONFLICT OF INTEREST. IF AN ACTUAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, THAT PERSON IS EXCLUDED FROM ANY DISCUSSIONS CONCERNING THE CONFLICTING ISSUE AND IS NOT PERMITTED TO VOTE ON ANY DECISIONS REGARDING THE CONFLICTING ISSUE. ANY PURCHASES AND/OR BIDDING PROPOSALS ARE ALSO REVIEWED FOR ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO SUBMITTING BIDS OR MAKING PURCHASES. THE EXECUTIVE DIRECTOR ATTENDS THE BOARD MEETINGS AS A GUEST TO ENSURE THAT COMPLIANCE WITH THESE GUIDELINES IS FOLLOWED. PROCESS USED TO ESTABLISH COMPENSATION OF OFFICERS/KEY EMPLOYEES FORM 990, PART VI, LINE 15 BEGINNING IN DECEMBER 2010, THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT WITH LIFE CARE SERVICES, LLC (LCS), UNDER WHICH THE CEO/EXECUTIVE DIRECTOR AND ADMINISTRATOR ARE PAID BY LCS. THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWED AND APPROVED THE AMOUNT TO BE PAID TO LCS PURSUANT TO THE AGREEMENT. THE MANAGEMENT AGREEMENT WAS REVIEWED AND APPROVED IN DECEMBER 2011. THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR REVIEWS AND APPROVES THE COMPENSATION FOR THE CFO. THE CEO/EXECUTIVE DIRECTOR UTILIZES LEADING AGE (FORMERLY KNOWN AS AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA)) WAGE SURVEY FOR COMPARABILITY TO DETERMINE THE BASIS FOR THE AMOUNT OF COMPENSATION. THIS REVIEW PROCESS IS COMPLETED ANNUALLY AND WAS LAST DONE IN FEBRUARY 2012. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC AT THIS TIME. Other changes in net assets or fund balances Form 990 , Part XI, Line 9 PRIOR PERIOD ADJUSTMENT - -3009; PEABODY HOME FOUNDATION INC 400 W 7TH STREET NORTH MANCHESTER IN 46962 FUNDRAISING IN 501(C)(3) 7 PEABODY RETIREMENT COMMUNITY true EPH ASSISTANCE CORPORATION ONE MERICAN SQUARE STE 2000 INDIANAPOLIS IN 46282 270467089 INACTIVE IN PEABODY RETIREMENT COMMUNITY C CORPORATION 0 0 1 true false false true false false false false false false false false false false true true false false false false PEABODY HOME FOUNDATION C 456886 BOOK VALUE