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WESTMINSTER VILLAGE GREENWOOD INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER VILLAGE GREENWOOD INC (EIN 35-1516199)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-04
IRS object ID
201313089349300501
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)
Timestamp2013-11-04T06:19:08-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN351178661EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE AMERICAN SQUARE 2200AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46282ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351516199EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER VILLAGE GREENWOOD INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone3178812591Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1295 VILLAGE LANEAddressLine1
CityGREENWOODCity
StateINState
ZIP Code46143ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL OLSONName
TitleEXECUTIVE DIRECTORTitle
Phone3178812591Phone
Date Signed2013-11-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMBER KOCHER CPAName
PTINP01286298PTIN
Phone3176334705Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1GREENWOOD VILLAGE SOUTHBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL OLSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1295 VILLAGE LANEAddressLine1
CityGREENWOODCity
StateINState
ZIP Code46143ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20868820GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GREENWOODVILLAGESOUTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTO OPERATE A LONG-TERM CARE AND RETIREMENT FACILITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees467TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10926ContributionsGrantsPriorYear
Contributions Grants Current Year1933ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18345239ProgramServiceRevenuePriorYear
Program Service Revenue CY19097729ProgramServiceRevenueCY
Investment Income Prior Year181212InvestmentIncomePriorYear
Investment Income Current Year126546InvestmentIncomeCurrentYear
Other Revenue Prior Year168162OtherRevenuePriorYear
Other Revenue Current Year-442848OtherRevenueCurrentYear
Total Revenue Prior Year18705539TotalRevenuePriorYear
Total Revenue Current Year18783360TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2178GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3483GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9932866SalariesEtcPriorYear
Salaries Etc Current Year10196466SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11598577OtherExpensePriorYear
Other Expenses Current Year10220884OtherExpensesCurrentYear
Total Expenses Prior Year21533621TotalExpensesPriorYear
Total Expenses Current Year20420833TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2828082RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1637473RevenuesLessExpensesCY
Total Assets BOY39959235TotalAssetsBOY
Total Assets EOY38975771TotalAssetsEOY
Total Liabilities BOY50657912TotalLiabilitiesBOY
Total Liabilities EOY50256079TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-10698677NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-11280308NetAssetsOrFundBalancesEOY
Mission DescriptionTO OPERATE A LONG-TERM CONTINUING CARE AND RETIREMENT FACILITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense17921209Expense
Grants3483Grants
Revenue19169905Revenue
DescriptionTHE PRIMARY BUSINESS ACTIVITY IS TO OPERATE A CONTINUING CARE AND RETIREMENT FACILITY, PROVIDING HOUSING FOR THE AGED IN APARTMENTS AND COTTAGES, ASSISTED LIVING CARE THROUGH ITS LICENSED RESIDENTIAL CARE FACILITY, AND HEALTH CARE THROUGH ITS HEALTH CARE FACILITY IN GREENWOOD, INDIANA. THE ORGANIZATION INCLUDES 202 INDEPENDENT-LIVING APARTMENTS, 58 INDEPENDENT-LIVING COTTAGES, 46 ASSISTED-LIVING APARTMENTS, AND A 137-BED HEALTH CARE CENTER THAT PROVIDES BOTH SKILLED AND IMMEDIATE CARE. WESTMINSTER VILLAGE GREENWOOD, INC PROVIDES THE BENEFITS OF BENEVOLENT CARE TO ITS RESIDENTS, IN WHICH THE ORGANIZATION WILL SUBSIDIZE THE COST OF CARE FOR THE REMAINDER OF THE RESIDENT'S LIFE SHOULD A RESIDENT OUTLIVE THEIR FINANCIAL RESOURCES.Description
Total Program Service Expense17921209TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 With109648NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees467NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
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 Line1JENNIFER EVANSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3178812591TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1295 VILLAGE LANEAddressLine1
CityGREENWOODCity
StateINState
ZIP Code46143ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DANEIL H WAGNER CPA
PRESIDENT2.002.00X000
MERRILL KELSAY
VICE PRESIDENT2.002.00X000
WILLIAM WALKER
SECRETARY2.002.00X000
DAN CALLON
TREASURER2.002.00X000
MICHAEL TAPP
DIRECTOR2.002.00X000
LINDA GIBSON
DIRECTOR2.002.00X000
WILLIAM GRUBE
DIRECTOR2.002.00X000
GEORGE R SMALL JR MD
DIRECTOR2.002.00X000
GAIL RICHARDS
DIRECTOR PARTIAL TERM END 12/122.002.00X000
MICHAEL OLSON
EXECUTIVE DIRECTOR (11/12-6/13)40.000.00000X
JOANN MAZE
EXECUTIVE DIRECTOR (7/12-10/12)40.000.00000X
ALICE BORCHELT
DIRECTOR OF NURSING40.000.0010772300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org107723TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP INCCONTRACT THERAPY DI
PO BOX 5ST LOUISMO63150THERAPY SERVICES1090504
LIFE CARE SERVICES LLC
820 LOCUSTDES MOINESIA50309MANAGEMENT SERVICES609024
PRN PHARMACEUTICAL LP
PRN PHARMACEUTICAL SERVICES LP L27COLUMBUSOH43260PHARMACY SERVICES342073
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions1933AllOtherContributions
Total Contributions1933TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT AND RESIDE6230001705668017056680
ADVANCED FEES62300019818961981896
RENTAL FEES6230005915359153
FieldValueIRS element (for citing)
Total Program Service Revenue19097729TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column95640TotalRevenueColumn
Exclusion$95,640ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2100000Securities
Other16366Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2077277Securities
Other8183Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities22723Securities
Other8183Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column30906TotalRevenueColumn
Exclusion$30,906ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLOSS ON EXTINGUISHMENT OF DEBTDescription
Business Code900099BusinessCode
Total Revenue Column-667694TotalRevenueColumn
Exclusion-$667,694ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column224846TotalRevenueColumn
Related Or Exempt Function Income72176RelatedOrExemptFunctionIncome
Exclusion$152,670ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-442848TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18783360TotalRevenueColumn
Related Or Exempt Function Income19169905RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$388,478ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total3483Total
Program Services3483ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8074446Total
Program Services7290137ProgramServices
Management And General784309ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1534466Total
Program Services1419353ProgramServices
Management And General115113ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total587554Total
Program Services555699ProgramServices
Management And General31855ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total562048Total
Management And General562048ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total39954Total
Management And General39954ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total66219Total
Management And General66219ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1201033Total
Program Services1200909ProgramServices
Management And General124ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total218033Total
Management And General218033ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1149016Total
Program Services1018931ProgramServices
Management And General130085ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total729919Total
Program Services713666ProgramServices
Management And General16253ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total19520Total
Program Services12731ProgramServices
Management And General6789ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total24313Total
Program Services15950ProgramServices
Management And General8363ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1890617Total
Program Services1890086ProgramServices
Management And General531ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1780615Total
Program Services1780615ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total177558Total
Management And General177558ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD133242913324290
REPAIRS & MAINTENANCE40584939046915380
DUES & SUBSCRIPTIONS2326646222804

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total600495Total
Program Services296289ProgramServices
Management And General304206ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20420833Total
Program Services17921209ProgramServices
Management And General2499624ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY565696BOY
EOY363854EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3189199BOY
EOY3436860EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1524214BOY
EOY1760602EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY270000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY164842BOY
EOY163717EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY170228BOY
EOY142437EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis53315176LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27011893LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26397531BOY
EOY26303283EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6925230BOY
EOY5926861EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY465805BOY
EOY362337EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY556490BOY
EOY245820EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY39959235BOY
EOY38975771EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1300140BOY
EOY1238674EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY13327527BOY
EOY13828779EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY31235834EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY35786551BOY
EOY3710442EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY243694BOY
EOY242350EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY50657912BOY
EOY50256079EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-10698677BOY
EOY-11280308EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-10698677BOY
EOY-11280308EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39959235BOY
EOY38975771EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1637473ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-94614ReconciliationUnrealizedInvest
Reconcilation Other Changes1150456ReconcilationOtherChanges
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 SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee0AuditCommittee
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 Years15117CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47504CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8374CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10926CurrentTaxYearMinus1Year
Current Tax Year1933CurrentTaxYear
Total83854Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19147078CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18985091CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19042954CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18366314CurrentTaxYearMinus1Year
Current Tax Year19097729CurrentTaxYear
Total94639166Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19162195CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19032595CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19051328CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18377240CurrentTaxYearMinus1Year
Current Tax Year19099662CurrentTaxYear
Total94723020Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50994723020PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years328038CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years187508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years242918CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year192399CurrentTaxYearMinus1Year
Current Tax Year95640CurrentTaxYear
Total1046503Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years328038CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years187508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years242918CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year192399CurrentTaxYearMinus1Year
Current Tax Year95640CurrentTaxYear
Total1046503Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years383072CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years114667CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years142989CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year168162CurrentTaxYearMinus1Year
Current Tax Year224846CurrentTaxYear
Total1033736Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19873305CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19334770CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19437235CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18737801CurrentTaxYearMinus1Year
Current Tax Year19420148CurrentTaxYear
Total96803259Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97850PublicSupportPercentage509
Prior Year Support Percentage0.97290PriorYearSupportPercentage
Investment Income Percentage0.01080InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01660PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis99787OtherCostOrOtherBasis
Book Value99787BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49125774OtherCostOrOtherBasis
Depreciation24042369Depreciation
Book Value25083405BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4010501OtherCostOrOtherBasis
Depreciation2969524Depreciation
Book Value1040977BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis79114OtherCostOrOtherBasis
Book Value79114BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26303283TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAPPLICANT/TENANT DEPOSIT LIABILITYDescription
Amount$242,350Amount
FieldValueIRS element (for citing)
Total Of Amounts242350TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt19839202TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-94614NetUnrealizedGainsInvestments
Other Revenues1150456OtherRevenues
Revenue Not Rptd F9901055842RevenueNotRptdF990
Revenue Subtotal18783360RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99018783360TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20420833TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal20420833ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020420833TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE VILLAGE AND RECOGNIZE A TAX LIABILITY IF THE 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 THE VILLAGE, AND HAS CONCLUDED THAT AS OF JUNE 30, 2013 AND 2012, 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. THE VILLAGE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED GAIN ON DERIVATIVE INSTRUMENT 1,150,456.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDIANA FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN351602316IssuerEIN
Date Issued2012-12-20DateIssued
Issue Price31350000IssuePrice
Description Of PurposeSEE PART VI BELOWDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds31350103TotalProceeds
Issuance Costs From Proceeds275000IssuanceCostsFromProceeds
Capital Expenditures73926CapitalExpenditures
Other Spent Proceeds29887179OtherSpentProceeds
Amount Unspent1113998AmountUnspent
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts1EngageBondCounselContracts
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet1RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1SEE PART VI BELOWBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge9.953400000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, LINE A, COLUMN F:PURPOSE OF BOND:THE 2012 BONDS WERE USED FOR (1) THE CURRENT REFUNDING OF SERIES 2011 BONDS, (2) THE CURRENT REFUNDING OF SERIES 1998 BONDS, AND (3) PAYING A PORTION OF THE COSTS OF CONSTRUCTING, RENOVATING OR EQUIPPING A CONTINUING CARE RETIREMENT COMMUNITY.
PART II, LINE 3:INVESTMENT EARNINGS:DURING 2012 TAX YEAR, THE TOTAL INVESTMENT EARNINGS FOR THE YEAR WERE $103.43 FROM THE PROJECT FUNDS AND COST OF ISSUANCE FUND. THIS IS THE DIFFERENCE BETWEEN THE AMOUNT LISTED ON PART I, LINE 1, COLUMN (E), ISSUE PRICE AND PART II, LINE 3, TOTAL PROCEEDS OF ISSUE.
PART IV, LINE 4A:NAME OF PROVIDER:THE HUNTINGTON NATIONAL BANK

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3LIFE CARE SERVICES, LLC HAS BEEN ENGAGED TO MANAGE THE VILLAGE'S OPERATIONS OF THE FACILITY SINCE DECEMBER 1981. THE VILLAGE'S MANAGEMENT FEE PAID TO LIFE CARE SERVICES IS LISTED ON PART VII, SECTION B. INDEPENDENT CONTRACTORS. THE FEE PAID IS A FIXED MONTHLY AMOUNT PLUS INCENTIVE FEES EARNED FOR THE ACHIEVEMENT OF CERTAIN GOALS. THE EXECUTIVE DIRECTOR (LISTED AS AN OFFICER ON PART VII, SECTION A) AND THE ADMINISTRATOR (NON-OFFICER EMPLOYEE) ARE EMPLOYED BY THE UNRELATED THIRD PARTY MANAGEMENT COMPANY, LIFE CARE SERVICES, WHICH PAYS THE COMPENSATION FOR THESE TWO POSITIONS.
FORM 990, PART VI, SECTION B, LINE 11THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORM AND REQUIRED SCHEDULES BY THE ORGANIZATION'S ACCOUNTING DIRECTOR AND EXECUTIVE DIRECTOR. EACH VOTING MEMBER OF THE GOVERNING BODY RECEIVES A COPY OF THE FORM 990 INCLUDING REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12THE ORGANIZATION WILL BE ADDING A WRITTEN CONFLICT OF INTEREST POLICY IN FISCAL YEAR 2014 TO SUPPLEMENT ANY APPLICABLE STATE OR FEDERAL LAWS GOVERNING CONFLICT OF INTEREST; ADDING ADDITIONAL MEASURES TO PROTECT THE ORGANIZATION'S INTEREST WHEN CONTEMPLATING TRANSACTIONS OR ARRANGEMENTS THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR DIRECTOR OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 13: THE ORGANIZATION WILL BE ADDING A WRITTEN WHISTLEBLOWER POLICY IN FISCAL YEAR 2014 TO PROVIDE PROCEDURES FOR REPORTING ANY SERIOUS INTERNAL CONCERNS IN ORDER FOR THE ORGANIZATION TO REVIEW AND CORRECT ANY INAPPROPRIATE CONDUCT AND/OR ACTIONS.
THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE UNRELATED THIRD PARTY MANAGEMENT COMPANY, LIFE CARE SERVICES, LLC.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:UNREALIZED GAIN ON DERIVATIVES 1,150,456.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE AUDIT COMMITTEE ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.OVERSIGHT OF AUDIT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER TOWERS GREENWOOD INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1278 VILLAGE LANEAddressLine1
CityGREENWOODCity
StateINState
ZIP Code46143ZIPCode
FieldValueIRS element (for citing)
EIN351516196EIN
Primary ActivitiesOPERATION OF LOW-COST HOUSING FOR ELDERLY & PHYSICALLY DISABLED PERSONSPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER VILLAGE GREENWOOD INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
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 Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER TOWERS GREENWOOD INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeDTransactionType
Amount Involved270000AmountInvolved
Method Of Amt DeterminationCASH PAIDMethodOfAmtDetermination