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VILLAGE OF GERMATOWN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VILLAGE OF GERMATOWN INC (EIN 62-1827185)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-09
IRS object ID
201342219349300734
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)
Timestamp2013-08-09T10:33:57-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621827185EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE VILLAGE AT GERMANTOWN INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVILLNameControl
Phone9017374242Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17820 WALKING HORSE CIRCLEAddressLine1
CityGERMANTOWNCity
StateTNState
ZIP Code38138ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRON RUKSTADName
TitleEXECUTIVE DIRECTORTitle
Phone9107522524Phone
Date Signed2013-08-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFF PARKERName
PTINP00970069PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRON RUKSTADNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17820 WALKING HORSE CIRCLEAddressLine1
CityGERMANTOWNCity
StateTNState
ZIP Code38138ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15245723GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.VILLAGE-GERMANTOWN.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionTO OPERATE AS A CONTINUING CARE RETIREMENT COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees285TotalNbrEmployees
Total Nbr Volunteers101TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year61429ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16175498ProgramServiceRevenuePriorYear
Program Service Revenue CY15183862ProgramServiceRevenueCY
Investment Income Prior Year413InvestmentIncomePriorYear
Investment Income Current Year432InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year16175911TotalRevenuePriorYear
Total Revenue Current Year15245723TotalRevenueCurrentYear
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 Year5084052SalariesEtcPriorYear
Salaries Etc Current Year5644369SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11609276OtherExpensePriorYear
Other Expenses Current Year11163671OtherExpensesCurrentYear
Total Expenses Prior Year16693328TotalExpensesPriorYear
Total Expenses Current Year16808040TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-517417RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1562317RevenuesLessExpensesCY
Total Assets BOY70682427TotalAssetsBOY
Total Assets EOY71971624TotalAssetsEOY
Total Liabilities BOY87451334TotalLiabilitiesBOY
Total Liabilities EOY93163346TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-16768907NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-21191722NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE VILLAGE AT GERMANTOWN IS TO PROVIDE A QUALITY, STIMULATING, AND SAFE COMMUNITY THAT PROMOTES INDEPENDENCE AND WELLNESS THROUGH INNOVATIVE PROGRAMS, SUPPORTIVE SERVICES, AND AN EXCEPTIONAL STAFF. WE RESPECT AND VALUE THE DIGNITY OF EACH PERSON THROUGH OUR AFFILIATION WITH METHODIST HEALTHCARE. WE SERVE THE COMMUNITY AS A RESOURCE FOR SENIOR WELLNESS PROGRAMS AND INFORMATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense14852454Expense
Revenue15183862Revenue
DescriptionTHE VILLAGE AT GERMANTOWN, INC. (THE COMPANY) WAS FORMED ON JULY 25, 2000 AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS AND REGULATIONS OF THE STATE OF TENNESSEE. THE COMPANY'S PURPOSE IS TO ACQUIRE REAL PROPERTY AND TO DEVELOP, MARKET AND OPERATE THE PROPERTY AS A CONTINUING CARE RETIREMENT COMMUNITY IN SHELBY COUNTY, TENNESSEE, KNOWN AS THE VILLAGE AT GERMANTOWN, INC. (THE PROJECT). THE PROJECT CONSISTS OF 198 INDEPENDENT LIVING UNITS (INCLUDING 170 APARTMENTS AND 28 PATIO HOMES), AND A HEALTHCARE FACILITY CONSISTING OF APPROXIMATELY 13 ASSISTED LIVING UNITS, 8 SPECIAL CARE DEMENTIA UNITS, AND 30 SKILLED NURSING BEDS. PERMANENT FINANCING OF THE PROJECT OCCURRED IN DECEMBER OF 2003 WITH CONSTRUCTION BEGINNING THAT SAME MONTH. THE PROJECT WAS SUBSTANTIALLY AVAILABLE FOR OCCUPANCY BEGINNING ON OCTOBER 2005. WE BILLED 17687 HEALTHCARE DAYS- 2710 FOR DEMENTIA, 4925 FOR ASSISTED LIVING, AND 10052 SKILLED. OF THESE DAYS, 5998 WERE MEDICARE DAYS, 3902 PRIVATE PAY DAYS, AND 152 OTHER INSURANCE BILLABLE DAYS. OUR INDEPENDENT LIVING OCCUPANCY 187 OUT OF 198.Description
Total Program Service Expense14852454TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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 With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees285NumberOfEmployees
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
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JUANITA LAVYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9016844977TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17820 WALKING HORSE CIRCLEAddressLine1
CityGERMANTOWNCity
StateTNState
ZIP Code38138ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MAURICE ELLIOTT
CHAIRMAN1.00XX000
DAVID PECK
VICE-CHAIRMAN1.00XX000
DR JOHN DOBSON
DIRECTOR1.00X000
DONNA ABNEY
DIRECTOR1.00X000
CAMERON WELTON
DIRECTOR1.00X000
CHRIS MCLEAN
DIRECTOR1.00X000
EDDY HERBERT
EXECUTIVE DIRECTOR40.00X01117630
RON RUKSTAD
EXECUTIVE DIRECTOR40.00X01042310
WILLIAM KENLEY
DIRECTOR1.00X000
PAM LEET
DIRECTOR OF MARKETING40.0013033200X
SALLY OSTHIEMER
HC ADMINISTRATOR/ASSISTANT40.0013214300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org262475TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs215994TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE
PO BOX 5035345ST LOUISMO63150CONTRACT THERAPY868621
US FOODS
61 FORSYTH ST SW 8T90ATLANTAGA30384FOOD443904
CRSALCS
400 LOCUST ST SUITE 820DES MOINESIA50309MANAGEMENT SERVICES413093
TYRONE CLAY
1375 BYHALIA ROADHERNANDOMS38632DRYWALL REPAIR/PAINTING199787
ADAMS REESE LLP
PO BOX 2153BIRMINGHAMAL35287LEGAL194537
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
All Other Contributions61429AllOtherContributions
Total Contributions61429TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUDescription
Business Code623000BusinessCode
Total Revenue Column15183862TotalRevenueColumn
Related Or Exempt Function Income15183862RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15183862TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column432TotalRevenueColumn
Exclusion$432ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15245723TotalRevenueColumn
Related Or Exempt Function Income15183862RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$432ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total478469Total
Management And General478469ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4404441Total
Program Services4092496ProgramServices
Management And General311945ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total335837Total
Program Services281474ProgramServices
Management And General54363ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total425622Total
Program Services356725ProgramServices
Management And General68897ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total186078Total
Management And General186078ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total105881Total
Management And General105881ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total663024Total
Program Services500386ProgramServices
Management And General162638ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total209993Total
Program Services90822ProgramServices
Management And General119171ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total106652Total
Program Services64610ProgramServices
Management And General42042ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total88686Total
Management And General88686ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1280770Total
Program Services1231233ProgramServices
Management And General49537ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total45535Total
Program Services20814ProgramServices
Management And General24721ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total28200Total
Program Services13260ProgramServices
Management And General14940ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2444672Total
Program Services2350119ProgramServices
Management And General94553ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3212743Total
Program Services3088483ProgramServices
Management And General124260ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total193749Total
Program Services186255ProgramServices
Management And General7494ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
ANCILLIARY12103031210303
DIETARY759383759383
MAINTENANCE425636425636
HOUSEKEEPING9077990779

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total111587Total
Program Services89676ProgramServices
Management And General21911ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16808040Total
Program Services14852454ProgramServices
Management And General1955586ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3077807BOY
EOY6202065EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY140652BOY
EOY249893EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY833600BOY
EOY1271495EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY30266BOY
EOY27256EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY185601BOY
EOY197126EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis73635900LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17603037LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY57946390BOY
EOY56032863EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8468111BOY
EOY7990926EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY70682427BOY
EOY71971624EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5852953BOY
EOY3453158EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY43542101BOY
EOY45667251EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY34807103BOY
EOY39401079EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY204497BOY
EOY4333339EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3044680BOY
EOY308519EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY87451334BOY
EOY93163346EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-16768907BOY
EOY-21191722EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-16768907BOY
EOY-21191722EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY70682427BOY
EOY71971624EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1562317ReconcilationRevenueExpenses
Reconcilation Other Changes-2860498ReconcilationOtherChanges
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 Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year61429CurrentTaxYear
Total61429Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12536558CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13419939CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14708911CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16175498CurrentTaxYearMinus1Year
Current Tax Year15183862CurrentTaxYear
Total72024768Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12536558CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13419939CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14708911CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16175498CurrentTaxYearMinus1Year
Current Tax Year15245291CurrentTaxYear
Total72086197Total

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 Total50972086197PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years196609CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3618CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years448CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year413CurrentTaxYearMinus1Year
Current Tax Year432CurrentTaxYear
Total201520Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years196609CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3618CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years448CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year413CurrentTaxYearMinus1Year
Current Tax Year432CurrentTaxYear
Total201520Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years51301CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58945CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5426065CurrentTaxYearMinus2Years
Total5536311Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12784468CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13482502CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20135424CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16175911CurrentTaxYearMinus1Year
Current Tax Year15245723CurrentTaxYear
Total77824028Total
FieldValueIRS element (for citing)
Public Support Percentage5090.92630PublicSupportPercentage509
Prior Year Support Percentage0.91850PriorYearSupportPercentage
Investment Income Percentage0.00260InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00650PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5349049OtherCostOrOtherBasis
Book Value5349049BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis64955917OtherCostOrOtherBasis
Depreciation16771198Depreciation
Book Value48184719BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis243782OtherCostOrOtherBasis
Depreciation62943Depreciation
Book Value180839BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2977984OtherCostOrOtherBasis
Depreciation768896Depreciation
Book Value2209088BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis109168OtherCostOrOtherBasis
Book Value109168BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings56032863TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED PRE-OPENING COSTS1743105
DEFERRED FINANCING COSTS1564302
HELD BY TRUSTEE UNDER BOND INDENTURE4683519
FieldValueIRS element (for citing)
Total Book Value Other Assets7990926TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionENTRANCE FEE DEPOSITSDescription
Amount$308,519Amount
FieldValueIRS element (for citing)
Total Of Amounts308519TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt15245723TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal15245723RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015245723TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16808040TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16808040ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016808040TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.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 Line1HEALTH EDUCATION & HOUSING FACILITIES BOARD OF THE COUNTY OF SHELBY TNBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521283414IssuerEIN
CUSIP Number82169JAK9CUSIPNumber
Date Issued2012-12-05DateIssued
Issue Price39401079IssuePrice
Description Of PurposeREFUNDING PRIOR ISSUANCES FROM 2003 AND 2006 AND CAPITAL PROJECTSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds39401079TotalProceeds
Amount In Reserve Fund2520082AmountInReserveFund
Refunding Escrow34090099RefundingEscrow
Issuance Costs From Proceeds788007IssuanceCostsFromProceeds
Capital Expenditures2002891CapitalExpenditures
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
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 Arrangements1AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
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 Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
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

FieldValueIRS element (for citing)
IdentifierSCHEDULE K,PAGE 1, PART II, LINE 15Identifier
Return ReferenceREFUNDING ISSUE DETAILSReturnReference
ExplanationTHESE BONDS WERE ISSUED TO ADVANCE REFUND THE SERIES 2003A AND 2006 BONDS. BOTH OF THOSE ISSUES WERE LEGALLY DEFEASED DURING 2012 AND HAVE ZERO OUTSTANDING PRINCIPAL BALANCE AS OF DECEMBER 31, 2012. AS SUCH THEY HAVE BEEN REMOVED FROM THE 2012 SCHEDULE K.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS AN AGREEMENT WITH LIFE CARE SERVICES (LCS) TO PROVIDE MANAGEMENT SERVICES OF ALL ASPECTS OF NORMAL OPERATIONS INCLUDING BUDGETING, BILLING, ACCOUNTING, AND OTHER MANAGEMENT RESPONSIBILITIES. THE ORGANIZATION INCURRED EXPENSE OF APPROXIMATELY $182,000 UNDER THE TERMS OF THIS AGREEMENT FOR THE YEAR ENDED DECEMBER 31, 2012.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR OF THE ORGANIZATION PRIOR TO FILING WITH THE IRS. EACH BOARD MEMBER RECEIVES A COPY OF THE FORM 990 FOR THEIR REVIEW. THE FORM 990 IS REVIEWED BY THE BOARD AT A BOARD MEETING PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CEMPLOYEES ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. FURTHERMORE, THE POLICY IS EXPLAINED DURING EACH NEW HIRE ORIENTATION AND THE ORGANIZATION MAINTAINS AN OPEN DOOR POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES (LCS), AND LCS DETERMINES HIS ACTUAL COMPENSATION. LCS BILLS THE VILLAGE AT GERMANTOWN FOR THE EXECUTIVE DIRECTOR'S SERVICE PER A WRITTEN EMPLOYMENT CONTRACT. THE CONTRACT WITH LCS IS APPROVED BY THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR DETERMINES COMPENSATION FOR DEPARTMENT DIRECTORS WITH INPUT FROM THE HR DIRECTOR. THE EXECUTIVE DIRECTOR DETERMINES THE COMPENSATION FOR THE KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST DIRECTED TO ITS HOME OFFICE AT 3350 PLAYERS CLUB PKWY, SUITE 300, MEMPHIS, TN 38125. THE ORGANIZATION MAKES ITS AUDITED FINANCIAL STATEMENTS AVAILABLE ON THE INTERNET AT HTTP://EMMA.MSRB.ORG/.
FORM 990, PART XI, LINE 9:LOSS ON REFINANCING -2,860,498.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PAGE 12, PART XII, LINE 2CTHE ORGANIZATION'S POLICY REGARDING THE OVERSIGHT OF THE AUDIT IS CONSISTENT WITH THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LIFE CARE SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 LOCUST SUITE 820AddressLine1
CityDES MOINESCity
StateIAState
ZIP Code50309ZIPCode
FieldValueIRS element (for citing)
Primary ActivityMANAGEMENT OF COMMUNITYPrimaryActivity
Legal Domicile StateIALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
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 Org0LoansOrGuaranteesToOtherOrg
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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CRSALIFE CARE SERVICES
L413093MANAGEMENT AGREEMENT
CRSALIFE CARE SERVICES
O47809EMPLOYMENT CONTRACTS