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HENRY FORD VILLAGE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HENRY FORD VILLAGE (EIN 38-3087328)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201313199349307106
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)
Timestamp2013-11-15T13:40:25-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 OTTAWA AVE NW STE 300AddressLine1
CityGRAND RAPIDSCity
StateMIState
ZIP Code49503ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383087328EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HENRY FORD VILLAGE INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DAVID HENRYInCareOfName
Name ControlHENRNameControl
Phone3135841000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line115101 FORD ROADAddressLine1
Address Line2SuiteAddressLine2
CityDEARBORNCity
StateMIState
ZIP Code48126ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRUCE BLALOCKName
TitleEXECUTIVE DIRECTORTitle
Phone3135841000Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKathleen GuiderName
Phone6167747000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRUCE BLALOCKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line115101 FORD ROADAddressLine1
CityDEARBORNCity
StateMIState
ZIP Code48126ZIPCode
FieldValueIRS element (for citing)
Gross Receipts45261075GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionPROMOTION OF HEALTH FOR THE ELDERLY BY PROVIDING A CONTINUING CARE RESIDENTIAL COMMUNITY LOCATED IN DEARBORN, MICHIGAN WITH RECREATIONAL, SOCIAL, AND RELIGIOUS ACTIVITES FOR RESIDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees712TotalNbrEmployees
Total Nbr Volunteers350TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year372331ContributionsGrantsPriorYear
Contributions Grants Current Year407247ContributionsGrantsCurrentYear
Program Service Revenue Prior Year36721957ProgramServiceRevenuePriorYear
Program Service Revenue CY36935849ProgramServiceRevenueCY
Investment Income Prior Year1242683InvestmentIncomePriorYear
Investment Income Current Year407154InvestmentIncomeCurrentYear
Other Revenue Prior Year-19371OtherRevenuePriorYear
Other Revenue Current Year115769OtherRevenueCurrentYear
Total Revenue Prior Year38317600TotalRevenuePriorYear
Total Revenue Current Year37866019TotalRevenueCurrentYear
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 Year18405022SalariesEtcPriorYear
Salaries Etc Current Year17550085SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19013452OtherExpensePriorYear
Other Expenses Current Year19795988OtherExpensesCurrentYear
Total Expenses Prior Year37418474TotalExpensesPriorYear
Total Expenses Current Year37346073TotalExpensesCurrentYear
Revenues Less Expenses Prior Year899126RevenuesLessExpensesPriorYear
Revenues Less Expenses CY519946RevenuesLessExpensesCY
Total Assets BOY115565326TotalAssetsBOY
Total Assets EOY111684345TotalAssetsEOY
Total Liabilities BOY135454346TotalLiabilitiesBOY
Total Liabilities EOY131110023TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-19889020NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-19425678NetAssetsOrFundBalancesEOY
Mission DescriptionPROMOTION OF HEALTH FOR THE ELDERLY BY PROVIDING A CONTINUING CARE RESIDENTIAL COMMUNITY LOCATED IN DEARBORN, MICHIGAN WITH RECREATIONAL, SOCIAL, AND RELIGIOUS ACTIVITIES FOR RESIDENTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense33264504Expense
Revenue36935849Revenue
DescriptionHENRY FORD VILLAGE, INC. IS A MICHIGAN NON-STOCK CORPORATION ESTABLISHED TO OPERATE A NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY LOCATED IN DEARBORN, MICHIGAN. THE PROPERTY IS PRESENTLY ZONED FOR 856 INDEPENDENT LIVING UNITS (INCLUDING TWO GUEST ROOMS AND TWO MODELS), 96 ASSISTED LIVING UNITS, AND 89 SKILLED NURSING BEDS. AS OF DECEMBER 31, 2012 THERE WERE 826 OCCUPIED UNITS, WHICH CONSISTED OF 654 INDEPENDENT LIVING UNITS, 84 ASSISTED LIVING UNITS, AND 88 SKILLED NURSING BEDS.Description
Total Program Service Expense33264504TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109658NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees712NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionstrueNonDeductibleContributions
Non Deductible DisclosuretrueNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID HENRYNamePerson
Telephone Number3138467270TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line115101 FORD ROADAddressLine1
CityDEARBORNCity
StateMIState
ZIP Code48126ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationKey EmployeeKeyEmployeeReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOHN BYRNE
MEMBER4.0X
GARY KUHLMANN
MEMBER4.0X
STEVE CHOWEN
MEMBER4.0X
BOB MUELLER
CHAIRPERSON4.0X
GARY GLENN
MEMBER4.0X
DR KAREN ROSS
MEMBER4.0X1.0
MARK GUIDO
MEMBER4.0X
WALTER TALAMONTI MD
MEMBER4.0X
KEN HOLLOWAY
MEMBER4.0X
LYNN FORD ALANDT
HONORARY MEMBER4.0X
BRUCE BLALOCK
ORGANIZATION MANAGEMENT4.0X7625
STAN CLOUSE
EXECUTIVE DIRECTOR40.01.0202966X022716
JENNIE KLEPINGER
CFO/TREASURER/SECRETARY40.0120464011261X
SANDRA KRAVITZ
SALES & MARKETING DIRECTOR40.09396010440X
LESLIE SHANLIAN
NURSING HOME ADMINISTRATOR40.011009812903X
FieldValueIRS element (for citing)
Total Reportable Comp From Org535113TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation57320TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LIFE CARE SERVICES LLC
CAPITAL SQUARE 400 LOCUST SUITE 8DES MOINESIA503092334MANAGEMENT SERVICES1160667
DRIVEN SOLUTIONS
320 W NINE MILE ROAD SUITE BFERNDALEMI48220ADVERTISING/MARKET.337627
TOP FABRICATORS
3726 MONROEDEARBORNMI48124INSTALLATION639273
GLYNNDEVINS ADVERTISING MARKETING
11230 COLLEGE BOULEVARDOVERLAND PARKKS66210ADVERTISING/MARKET.316328
HERITAGE HEALTHCARE INC
536 OLD HOWELL ROADGREENVILLESC29615REHABILITATION585180
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Related Organizations200000RelatedOrganizations
All Other Contributions207247AllOtherContributions
Total Contributions407247TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NON-REFUNDABLE DEPOSIT62300012982901298290
OCCUPANCY REVENUE6230002522658925226589
ANCILLARY FEES62300069080416908041
RESIDENT FEE AMORTIZATION62300032287683228768
CLINIC REVENUE623000120000120000

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column154161TotalRevenueColumn
Related Or Exempt Function Income154161RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue36935849TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column244183TotalRevenueColumn
Exclusion$244,183ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7558027Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7395056Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities162971Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column162971TotalRevenueColumn
Exclusion$162,971ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCOLLECTIONS FOR EMPLOYEE BONUSESDescription
Business Code623000BusinessCode
Total Revenue Column115769TotalRevenueColumn
Exclusion$115,769ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue115769TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37866019TotalRevenueColumn
Related Or Exempt Function Income36935849RelatedOrExemptFunctionIncome
Exclusion$522,923ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total593060Total
Program Services0ProgramServices
Management And General593060ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13562125Total
Program Services12017520ProgramServices
Management And General1544605ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2226539Total
Program Services1972956ProgramServices
Management And General253583ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1168361Total
Program Services1035295ProgramServices
Management And General133066ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total582399Total
Program Services0ProgramServices
Management And General582399ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total250314Total
Program Services221805ProgramServices
Management And General28509ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total83385Total
Program Services73888ProgramServices
Management And General9497ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total40324Total
Program Services35731ProgramServices
Management And General4593ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1368993Total
Program Services1213077ProgramServices
Management And General155916ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1030191Total
Program Services912861ProgramServices
Management And General117330ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total239072Total
Program Services211844ProgramServices
Management And General27228ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total207698Total
Program Services184043ProgramServices
Management And General23655ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1875204Total
Program Services1875204ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total74015Total
Program Services65585ProgramServices
Management And General8430ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total2882335Total
Program Services2882335ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4909154Total
Program Services4909154ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total470584Total
Program Services470584ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BLDG, GROUNDS & MAINTENANCE10155028998451156570
RESIDENT RELATIONS396133510145120
REAL ESTATE TAXES51678251678200
SUPPLIES371549832923364231620

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total494925Total
Program Services438558ProgramServices
Management And General56367ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total37346073Total
Program Services33264504ProgramServices
Management And General4081569ManagementAndGeneral
Fundraising0Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY939540BOY
EOY2067468EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3090662BOY
EOY1709850EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2643634BOY
EOY3509165EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY683077BOY
EOY658077EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY125084BOY
EOY129754EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY635241BOY
EOY712511EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis157499351LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec65272940LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY95422012BOY
EOY92226411EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9220221BOY
EOY2278020EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2805855BOY
EOY8393089EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY115565326BOY
EOY111684345EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3985292BOY
EOY4727356EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY41561628BOY
EOY41202384EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY890023BOY
EOY839869EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY89017403BOY
EOY84340414EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY135454346BOY
EOY131110023EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-20122563BOY
EOY-19553750EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY233543BOY
EOY128072EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-19889020BOY
EOY-19425678EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY115565326BOY
EOY111684345EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses519946ReconcilationRevenueExpenses
Reconciliation Unrealized Invest46909ReconciliationUnrealizedInvest
Reconcilation Other Changes-103513ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years53861CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58514CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19513CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year372331CurrentTaxYearMinus1Year
Current Tax Year407247CurrentTaxYear
Total911466Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37070973CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38253483CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37071718CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36721957CurrentTaxYearMinus1Year
Current Tax Year36821693CurrentTaxYear
Total185939824Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37124834CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38311997CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37091231CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37094288CurrentTaxYearMinus1Year
Current Tax Year37228940CurrentTaxYear
Total186851290Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Total0Total
FieldValueIRS element (for citing)
Public Support Total509186851290PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years546176CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years530106CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years537747CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year475864CurrentTaxYearMinus1Year
Current Tax Year358339CurrentTaxYear
Total2448232Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years546176CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years530106CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years537747CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year475864CurrentTaxYearMinus1Year
Current Tax Year358339CurrentTaxYear
Total2448232Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-130510CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-19371CurrentTaxYearMinus1Year
Current Tax Year115769CurrentTaxYear
Total-34112Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37671010CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38842103CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37498468CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37550781CurrentTaxYearMinus1Year
Current Tax Year37703048CurrentTaxYear
Total189265410Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98725PublicSupportPercentage509
Prior Year Support Percentage0.98438PriorYearSupportPercentage
Investment Income Percentage0.01294InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01641PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance233543BeginningOfYearBalance
Contributions116408Contributions
Investment Earnings Or Losses-103513InvestmentEarningsOrLosses
Other Expenditures118366OtherExpenditures
End Of Year Balance128072EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance221620BeginningOfYearBalance
Contributions111704Contributions
Investment Earnings Or Losses24659InvestmentEarningsOrLosses
Other Expenditures124440OtherExpenditures
End Of Year Balance233543EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance-4090BeginningOfYearBalance
Contributions157031Contributions
Investment Earnings Or Losses229794InvestmentEarningsOrLosses
Other Expenditures161115OtherExpenditures
End Of Year Balance221620EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance88701BeginningOfYearBalance
Contributions132475Contributions
Investment Earnings Or Losses-73678InvestmentEarningsOrLosses
Other Expenditures151588OtherExpenditures
End Of Year Balance-4090EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance235262BeginningOfYearBalance
Contributions122547Contributions
Investment Earnings Or Losses-145116InvestmentEarningsOrLosses
Other Expenditures123992OtherExpenditures
End Of Year Balance88701EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4992523OtherCostOrOtherBasis
Book Value4992523BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis143775823OtherCostOrOtherBasis
Depreciation57934207Depreciation
Book Value85841616BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4972294OtherCostOrOtherBasis
Depreciation4427386Depreciation
Book Value544908BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3758711OtherCostOrOtherBasis
Depreciation2911347Depreciation
Book Value847364BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings92226411TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
INTEREST IN CHARITABLE FOUND.88375
BOARD-DESIGNATED FUNDS5891324
LINE 11 INVESTMENTS-2278020
OF AMORTIZATION820694
RESTRICTED FUNDS3759276
DEFERRED TRANSITION COSTS111440
FieldValueIRS element (for citing)
Total Book Value Other Assets8393089TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
RESIDENT DEPOSITS$82,092,279
FUNDS HELD FOR RESIDENTS$79,418
REFUNDS DUE TO RESIDENTS$1,692,343
CLAIMS RESERVE$312,374
ACCOUNTS PAYABLE - RELATED PARTY$164,000
FieldValueIRS element (for citing)
Total Of Amounts84340414TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt36674814TotRevenueEtcAuditedFinclStmt
Other Revenues118366OtherRevenues
Revenue Not Rptd F990118366RevenueNotRptdF990
Revenue Subtotal36556448RevenueSubtotal
Other Revenues Not Included1309571OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1309571RevenueNotRptdOnFinStmt
Total Revenue Per Form99037866019TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt36152910TotExpensesEtcAuditedFinclStmt
Expenses Subtotal36152910ExpensesSubtotal
Other Expenses Not Included1193163OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1193163ExpensesNotRptdOnFinStmt
Total Expenses Per Form99037346073TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF REVENUESCHEDULE D, PART XI, LINES 2D AND 4BOTHER AMOUNTS INCLUDED IN AUDIT INCOME BUT NOT FORM 990 INCOME INCLUDE ASSETS RELEASED FROM RESTRICTIONS OF $118,366 THAT WERE RECORDED AS CONTRIBUTION INCOME IN PRIOR YEAR(S). OTHER AMOUNTS INCLUDED IN FORM 990 INCOME BUT NOT IN AUDIT INCOME INCLUDE $162,971 OF REALIZED CAPITAL GAIN, $1,030,192 OF AMORTIZED RESIDENT DEPOSITS, AND $116,408 OF TEMPORARILY RESTRICTED CONTRIBUTIONS.
RECONCILIATION OF EXPENSESSCHEDULE D, PART XII, LINE 4BOTHER AMOUNTS INCLUDED IN FORM 990 EXPENSES BUT NOT IN AUDIT EXPENSES INCLUDE $162,971 OF REALIZED CAPITAL GAIN THAT REDUCED AUDIT EXPENSES, AND $1,030,192 OF MARKETING EXPENSE.
FIN 48 DISCLOSURESCHEDULE D, PART XIVIN 2008, HENRY FORD VILLAGE, INC. ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD'S (FASB) STANDARD RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ADOPTION OF THIS STANDARD DID NOT HAVE A MATERIAL EFFECT ON THE FINANCIALS STATEMENTS AND HFV DID NOT HAVE ANY MATERIALLY UNCERTAIN TAX POSITIONS. THE COMMUNITY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE APPLICABLE MICHIGAN STATE INCOME TAX REGULATIONS. IN ADDITION, THE COMMUNITY QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(2).
ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4HENRY FORD VILLAGE, INC. ADMINISTERS THREE ENDOWMENT FUNDS WITH THE PURPOSE TO CARRY OUT THE CHARITABLE PURPOSE OF HENRY FORD VILLAGE, INC.: 1) THE BENEVOLENT CARE FUND, 2) THE SCHOLARSHIP FUND, AND 3) THE STAFF APPRECIATION FUND. THE TOTAL ASSETS IN ALL THREE FUNDS AT 12/31/2012 WAS $128,072, which is comprised of $39,380 in the staff appreciation fund, $317 IN THE SCHOLARSHIP FUND, and a $88,375 interest in the net assets of the henry ford village foundation.
ESCROW ACCOUNTSSCHEDULE D, PART IV, LINE 2BResidents are required to remit entrance deposits, which may vary in amount depending upon the unit to be occupied. Prospective residents are required to make certain installment payments prior to the final settlement of the given unit. These amounts are included in escrow cash and advance deposits in the accompanying balance sheets. Deposit timing differences may cause escrow cash not to be equal to advance deposits. As of 12/31/2012, Escrow cash and advance deposits were $1,006,835 and $839,869, respectively.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSTAN CLOUSENamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org153384BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org49582BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org10646DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org12070NontaxableBenefitsFilingOrg
Total Compensation Filing Org225682TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCONTINGENT FEES BASED ON REVENUEIdentifier
Return ReferenceSCHEDULE J, LINE 5AReturnReference
ExplanationOn December 1, 2010, HFV contracted with Life Care Services (LCS) for management services. The LCS contract term is for five years. HFV pays a monthly management fee equal to the greater of $50,000 or 2% of operating revenues through May 31, 2011. Management fees due on and after June 1, 2011 will vary based upon quarterly operating results of the prior period. For the period December 1, 2011 through November 30, 2012, management fees paid will not be less than $450,000 and will not exceed $899,000. In subsequent years, the minimum and maximum payment shall be adjusted based on an agreed-upon index. MANAGEMENT FEES PAID TO LCS WERE $582,399 AND $628,286 DURING 2012 AND 2011, RESPECTIVELY. The executive director, associate executive director, administrator, and IT director are employees of LCS, but their salaries and related employee benefits are reimbursed by HFV. REIMBURSEMENT PAID TO LCS FOR LCS EMPLOYEES IN 2012 TOTALED $593,060. Other corporate services that HFV may obtain are not required contractually and will be on an as-needed basis.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1EDC OF CITY OF DEARBORNBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521310485IssuerEIN
CUSIP Number242563AWYCUSIPNumber
Date Issued2008-10-01DateIssued
Issue Price42535000IssuePrice
Description Of PurposeREFINANCE A 1998 VAR. RATE BONDDescriptionOfPurpose
DefeasedtrueDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds41842922TotalProceeds
Amount In Reserve Fund3317550AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow34540625RefundingEscrow
Issuance Costs From Proceeds836858IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures3147889CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent3984747AmountUnspent
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
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 TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Prcntge Bond Financed Prop0.00000PrcntgeBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BDAVID HENRY (DIRECTOR OF FINANCE) AND A MEMBER OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEW THE 2012 form 990 PRIOR TO FILING.
CONFLICT OF INTEREST POLICY MONITORING AND COMPLIANCEFORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE WITH THE CONFLICT OF INTEREST, WHISTLEBLOWER, AND DOCUMENT RETENTION AND DESTRUCTION POLICIES WAS MONITORED BY THE MANAGEMENT COMPANY, LIFE CARE SERVICES, LLC. BOARD MEMBERS SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS.
COMPENSATION DETERMINATION PROCESSFORM 990, PART VI, SECTION B, LINE 15A/BMANAGEMENT (HENRY FORD VILLAGE, INC. & LIFE CARE SERVICES, LLC) CONDUCTS MARKET SURVEYS ON AN ANNUAL BASIS TO DETERMINE IF AN EQUITY ADJUSTMENT IS NEEDED. BASED ON THIS INFORMATION MANAGEMENT RECOMMENDS ANNUAL SALARIES, TYPICALLY A PERCENTAGE INCREASE FROM THE PRIOR YEAR. THE BOARD APPROVES THE BUDGET ON AN ANNUAL BASIS.
PROMISSORY NOTES RECEIVABLEFORM 990, PART X, LINE 7PROMISSORY NOTES RECEIVABLE CONSIST OF SHORT-TERM RECEIVABLES RELATED TO THE PAYMENT OF THE FINAL INSTALLMENT OF A RESIDENT DEPOSIT. OFTEN THERE IS A TIMING DIFFERENCE BETWEEN WHEN THE SALE OF THE PROSPECTIVE RESIDENT'S HOME WILL BE FINALIZED AND THE DUE DATE OF THE FINAL INSTALLMENT ON THE RESIDENT DEPOSIT. IN THESE CASES, A SHORT-TERM PROMISSORY NOTE IS ISSUED TO THE RESIDENT. IF THE RESIDENT PAYS THE NOTE ON OR BEFORE THE AGREED-UPON DUE DATE, NO INTEREST IS CHARGED. IF THE RESIDENT DOES NOT PAY THE NOTE BY THE AGREED-UPON DUE DATE, INTEREST IS CHARGED FROM THE DAY THE NOTE WAS ISSUED THROUGH THE DATE OF PAYMENT. THE DECEMBER 31, 2011 BALANCE OF $25,000 WAS PAID IN 2012.
BOND AMORTIZATIONFORM 990, PART X, LINE 15Deferred financing costs related to the 2008 issuance of bonds totaled $1,004,757 and will be amortized over the bond term of 35 years. Amortization of deferred financing costs in the year ended December 31, 2012 was $41,141. Deferred financing fees, net of accumulated amortization, were $820,694 as of December 31, 2012.
RESIDENT REFUNDS PAYABLEFORM 990, PART X, LINE 25RESIDENTS ARE REQUIRED TO REMIT ENTRANCE DEPOSITS, WHICH VARY IN AMOUNT DEPENDING ON THE UNIT TO BE OCCUPIED. RESIDENT DEPOSITS ARE REFUNDABLE WHEN THE UNIT HAS BEEN VACATED AND RELEASED, ALL OUTSTANDING OBLIGATIONS OF THE RESIDENT HAVE BEEN PAID, AND THE UNIT HAS BEEN RE-SETTLED AND PAID FOR BY A NEW RESIDENT. AMORTIZATION OF RESIDENT DEPOSITS IS RECOGNIZED AS OPERATING REVENUE ON A STRAIGHT-LINE BASIS OVER A 40-YEAR PERIOD OR THE REMAINING USEFUL LIFE OF THE BUILDINGS. THE NET RESIDENT DEPOSITS LIABILITY WAS $82,092,279 AS OF DECEMBER 31, 2012. THE CURRENT YEAR INCOME AMORTIZATION WAS $3,228,768.
MANAGEMENT COMPANY AND GOVERNANCEFORM 990, Part VI, Line 3Life Care Services, LLC IS A FOR-PROFIT Iowa LIMITED LIABILITY COMPANY WHICH OPERATES AND MANAGES a variety of CONTINUING CARE RETIREMENT COMMUNITIES nationwide, INCLUDING HENRY FORD VILLAGE, INC. effective December 1, 2010. HENRY FORD VILLAGE, INC. IS GOVERNED BY AN INDEPENDENT BOARD OF DIRECTORS AND IS ADVISED BY A RESIDENTS COUNCIL ELECTED BY THE HENRY FORD VILLAGE COMMUNITY. THREE MEMBERS OF THE HENRY FORD VILLAGE, INC. BOARD ALSO SERVE ON THE HENRY FORD VILLAGE FOUNDATION BOARD OF DIRECTORS.
MANAGEMENT AGREEMENTSCHEDULE O, GENERAL INFORMATIONOn December 1, 2010, HFV contracted with Life Care Services (LCS) for management services. The LCS contract term is for five years. HFV pays a monthly management fee equal to the greater of $50,000 or 2% of operating revenues through May 31, 2011. Management fees due on and after June 1, 2011 will vary based upon quarterly operating results of the prior period. For the period December 1, 2011 through November 30, 2012, management fees paid will not be less than $450,000 and will not exceed $899,000. In subsequent years, the minimum and maximum payment shall be adjusted based on an agreed-upon index. MANAGEMENT FEES PAID TO LCS WERE $582,399 AND $628,286 DURING 2012 AND 2011, RESPECTIVELY. The executive director, associate executive director, administrator, and IT director are employees of LCS, but their salaries and related employee benefits are reimbursed by HFV. REIMBURSEMENT PAID TO LCS FOR LCS EMPLOYEES IN 2012 TOTALED $593,060. Other corporate services that HFV may obtain are not required contractually and will be on an as-needed basis.
LEASE REVENUEFORM 990, PART VIII, LINE 2FHENRY FORD VILLAGE, INC. LEASES SPACE TO VARIOUS ENTITIES FOR THE PROVISION OF SERVICES SUCH AS PHYSICIAN CARE, DENTAL CARE, AND COSMETOLOGY. THESE SERVICES ARE PROVIDED solely FOR THE BENEFIT AND CONVENIENCE OF THE RESIDENTS OF HENRY FORD VILLAGE. THE REVENUE RELATED TO THESE FACILITIES LEASES FOR 2012 WAS $114,156.
DOCUMENT DISCLOSUREFORM 990, PART VI, LINE 19THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. DAVID HENRY, HENRY FORD VILLAGE DIRECTOR OF FINANCE, HAS PUBLIC INSPECTION COPIES AVAILABLE AT 15101 FORD ROAD, DEARBORN, MI 48126.
CONTRIBUTIONS NOT TAX DEDUCTIBLEFORM 990, PART V, LINE 6A/BHENRY FORD VILLAGE, INC. HAS AN ANNUAL CAMPAIGN TO RAISE FUNDS FOR THE STAFF APPRECIATION FUND, WHICH PROVIDES END-OF-THE-YEAR BONUS CHECKS TO HENRY FORD VILLAGE, INC. EMPLOYEES. CONTRIBUTORS ARE NOTIFIED THAT DONATIONS TO THE FUND ARE NOT TAX DEDUCTIBLE.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 5THIS AMOUNT REFLECTS CHANGES IN INTEREST OF TEMPORARILY RESTRICTED NET ASSETS OF THE HENRY FORD VILLAGE FOUNDATION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HENRY FORD VILLAGE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line115101 FORD ROADAddressLine1
CityDEARBORNCity
StateMIState
ZIP Code48126ZIPCode
FieldValueIRS element (for citing)
EIN542159197EIN
Primary ActivitiesSUPPORTPrimaryActivities
Legal Domicile StateMILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg