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WESTMINSTER VILLAGE TERRE HAUTE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER VILLAGE TERRE HAUTE INC (EIN 35-1494162)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201343179349304659
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)
Timestamp2013-11-13T14:33:27-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351494162EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER VILLAGE TERRE HAUTE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone8122327533Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11120 E Davis DriveAddressLine1
CityTerre HauteCity
StateINState
ZIP Code47802ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKYLE EXLINEName
TitleEXECUTIVE DIRECTORTitle
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNicole BencikName
PTINP00756195PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1KYLE EXLINEBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11120 E Davis DriveAddressLine1
CityTerre HauteCity
StateINState
ZIP Code47802ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12424119GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WESTMINSTERVILLAGEIN.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionWESTMINSTER VILLAGE TERRE HAUTE, INC. IS AN INDIANA NOT-FOR-PROFIT CORPORATION ESTABLISHED IN 1980 FOR THE PURPOSE OF OWNING AND OPERATING A CONTINUING CARE RETIREMENT COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees297TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12399048ProgramServiceRevenuePriorYear
Program Service Revenue CY12290614ProgramServiceRevenueCY
Investment Income Prior Year59285InvestmentIncomePriorYear
Investment Income Current Year65675InvestmentIncomeCurrentYear
Other Revenue Prior Year33819OtherRevenuePriorYear
Other Revenue Current Year65034OtherRevenueCurrentYear
Total Revenue Prior Year12492152TotalRevenuePriorYear
Total Revenue Current Year12421323TotalRevenueCurrentYear
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 Year5720617SalariesEtcPriorYear
Salaries Etc Current Year5859693SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7294480OtherExpensePriorYear
Other Expenses Current Year7456133OtherExpensesCurrentYear
Total Expenses Prior Year13015097TotalExpensesPriorYear
Total Expenses Current Year13315826TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-522945RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-894503RevenuesLessExpensesCY
Total Assets BOY20604049TotalAssetsBOY
Total Assets EOY21421551TotalAssetsEOY
Total Liabilities BOY36762428TotalLiabilitiesBOY
Total Liabilities EOY38354094TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-16158379NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-16932543NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAS THE WABASH VALLEY'S ONLY TRUE CONTINUING CARE COMMUNITY, WESTMINSTER VILLAGE OFFERS TERRE HAUTE, THE PERFECT BALANCE IN SENIOR LIVING. WE BRING TOGETHER HELPFUL SERVICES, EXCITING OPPORTUNITIES AND A VARIETY OF RESIDENTIAL OPTIONS ALL IN A RELAXED NEIGHBORHOOD TO GIVE YOU MORE FREEDOM, MORE SECURITY AND MORE CHOICES. (CONTINUED IN SCHEDULE O)MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5547627Expense
Revenue6267108Revenue
DescriptionHEALTH CENTER: MAINTAINS 78-BED HEALTH CARE CENTER; INCLUDES PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY, THREE DAILY MEALS AND SNACKS, COMPREHENSIVE SKILLED NURSING CARE; ALLOWS ACCESS TO THE ORGANIZATION'S ACTIVITIES AND AMENITIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3529925Expense
Revenue2292104Revenue
DescriptionASSISTED-LIVING: MAINTAINS 38 ASSISTED-LIVING APARTMENTS; INCLUDES WEEKLY HOUSEKEEPING, THREE DAILY MEALS, MAINTENANCE AS NEEDED, AND ALL UTILITIES; ALLOWS ACCESS TO THE ORGANIZATION'S ACTIVITIES AND AMENITIES; PERSONALIZED ASSISTANCE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2304951Expense
Revenue3774083Revenue
DescriptionINDEPENDENT-LIVING: MAINTAINS 175 APARTMENTS AND 20 VILLAS; INCLUDES BIWEEKLY HOUSEKEEPING, FLEXIBLE DINING PRIVILEGES, MAINTENANCE AS NEEDED, AND ALL UTILITIES; ALLOWS ACCESS TO THE ORGANIZATION'S ACTIVITIES AND AMENITIES.Description
FieldValueIRS element (for citing)
Total Program Service Expense11382503TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
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 RequiredfalseScheduleJRequired
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 EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109660NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees297NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
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 Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
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 Line1Kyle ExlineBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8122424607TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11120 E Davis DriveAddressLine1
CityTerre HauteCity
StateINState
ZIP Code47802ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
BETH TEVLIN
DIRECTOR0.00X310000
DAN CALLAHAN
DIRECTOR0.00X300000
DAVE GOELLER
SECRETARY/TREASURER/DIRECTOR0.00X300000
FRED RUBEY
DIRECTOR0.00X300000
JIM LEAR
DIRECTOR0.00X310000
PAT FOUTY
PRESIDENT/DIRECTOR0.00X310000
TOM TEMPLETON
VICE PRESIDENT/DIRECTOR0.00X300000
KYLE EXLINE
EXECUTIVE DIRECTOR40.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org21300TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP EAST INC CONTRACT THERAPY DIVISION
PO BOX 5ST LOUISMO63150PAYMENTS FOR MEDICAL AND HEALTH CARE SERVICES790223
SYSCO INDIANAPOLIS LLC
4000 WEST 62ND STREETINDIANAPOLISIN46268PAYMENTS FOR FOOD SERVICES689674
LIFE CARE SERVICES LLC
CAPITAL SQUAREDES MOINESIA50309PAYMENTS FOR MANAGEMENT SERVICES446073
ZILLNER MARKETING CO
8725 ROSEHILL ROADLENEXAKS66215PAYMENTS FOR MARKETING SERVICES193624
MCKESSON MEDICAL-SURGICAL INC
ONE POST STREETSAN FRANCISCOCA94104PAYMENTS FOR MEDICAL AND HEALTH CARE SERVICES157725
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES62300062528816252881
APARTMENT LIVING62300037598563759856
ASSISTED LIVING62300022778772277877
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue12290614TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column62424TotalRevenueColumn
Exclusion$62,424ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real25149Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2796Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real22353Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column22353TotalRevenueColumn
Exclusion$22,353ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3251Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other3251Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3251TotalRevenueColumn
Exclusion$3,251ExclusionAmount

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 (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS INCOME9000994268142681
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue42681TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12421323TotalRevenueColumn
Related Or Exempt Function Income12333295RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$88,028ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total21300Total
Management And General21300ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4848027Total
Program Services4124893ProgramServices
Management And General723134ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total559608Total
Program Services483859ProgramServices
Management And General75749ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total430758Total
Program Services396878ProgramServices
Management And General33880ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total363252Total
Management And General363252ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total10370Total
Management And General10370ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26061Total
Management And General26061ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total509417Total
Program Services495343ProgramServices
Management And General14074ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total275321Total
Management And General275321ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total166453Total
Program Services10440ProgramServices
Management And General156013ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total693182Total
Program Services693182ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total30730Total
Program Services8338ProgramServices
Management And General22392ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total740381Total
Program Services740381ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1439112Total
Program Services1439112ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total131679Total
Management And General131679ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD804282804282
THERAPY786014786014
LOSS ON EXTINGUISHMENT OF DEBT451802451802
SUPPLIES4238874212992588

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total604190Total
Program Services526680ProgramServices
Management And General77510ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13315826Total
Program Services11382503ProgramServices
Management And General1933323ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY875BOY
EOY875EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4044045BOY
EOY5517615EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY731568BOY
EOY1134630EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY62698BOY
EOY44388EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY175365BOY
EOY93764EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis36906964LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22805487LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15132412BOY
EOY14101477EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY457086BOY
EOY528802EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20604049BOY
EOY21421551EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1496670BOY
EOY1621086EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5689833BOY
EOY6066915EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18160000BOY
EOY12175000EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY408899BOY
EOY8761308EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11007026BOY
EOY9729785EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36762428BOY
EOY38354094EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-16158379BOY
EOY-16932543EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-16158379BOY
EOY-16932543EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20604049BOY
EOY21421551EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-894503ReconcilationRevenueExpenses
Reconciliation Unrealized Invest120339ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
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)
Total0Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11064209CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11720845CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11241161CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12399048CurrentTaxYearMinus1Year
Current Tax Year12290614CurrentTaxYear
Total58715877Total

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 Years11064209CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11720845CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11241161CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12399048CurrentTaxYearMinus1Year
Current Tax Year12290614CurrentTaxYear
Total58715877Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total50958715877PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years91698CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years67867CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62823CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year59285CurrentTaxYearMinus1Year
Current Tax Year87573CurrentTaxYear
Total369246Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years91698CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years67867CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62823CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year59285CurrentTaxYearMinus1Year
Current Tax Year87573CurrentTaxYear
Total369246Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years165450CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55064CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54118CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33819CurrentTaxYearMinus1Year
Current Tax Year42681CurrentTaxYear
Total351132Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11321357CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11843776CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11358102CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12492152CurrentTaxYearMinus1Year
Current Tax Year12420868CurrentTaxYear
Total59436255Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98780PublicSupportPercentage509
Prior Year Support Percentage0.98790PriorYearSupportPercentage
Investment Income Percentage0.00620InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00570PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - OTHER INCOME, COLUMN A - 165450, COLUMN B - 55064, COLUMN C - 54118, COLUMN D - 33819, COLUMN E - 42681, COLUMN F - 351132;,GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis364636OtherCostOrOtherBasis
Book Value364636BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31881059OtherCostOrOtherBasis
Depreciation19389686Depreciation
Book Value12491373BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis957118OtherCostOrOtherBasis
Depreciation652431Depreciation
Book Value304687BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3508498OtherCostOrOtherBasis
Depreciation2763370Depreciation
Book Value745128BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis195653OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value195653BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14101477TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY SETTLEMENT$89,393
FAIR VALUE ON INTEREST RATE SWAP$872,730
REFUNDABLE ADVANCE FEES$8,521,198
LIFE CONTRACT DEPOSITS AND SECURITY DEPOSITS PAYABLE$246,464
FieldValueIRS element (for citing)
Total Of Amounts9729785TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationTHE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. CURRENT ACCOUNTING STANDARDS REQUIRE THE ORGANIZATION TO DISCLOSE THE AMOUNT OF POTENTIAL BENEFIT OR OBLIGATION TO BE REALIZED AS A RESULT OF AN EXAMINATION PERFORMED BY A TAXING AUTHORITY. FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION DOES NOT HAVE ANY TAX POSITIONS THAT RESULTED IN ANY UNCERTAINTIES REGARDING THE POSSIBLE IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE UNCERTAIN TAX POSITIONS ARE NOT EXPECTED TO CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO THE UNRECOGNIZED TAX BENEFITS IN INTEREST AND INCOME TAXES, RESPECTIVELY. THE ORGANIZATION HAS NO AMOUNTS ACCRUED FOR INTEREST OR PENALTIES AS OF DECEMBER 31, 2012 AND 2011. THE ORGANIZATION HAS TAX RETURNS OPEN FOR FEDERAL AND STATE PURPOSES FOR 2009 AND AFTER.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 Line1CITY OF TERRE HAUTE INDIANABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN356001210IssuerEIN
CUSIP Number881093AS7CUSIPNumber
Date Issued2012-10-03DateIssued
Issue Price11974478IssuePrice
Description Of PurposeCONSTRUCT AND EQUIP FACILITY; REFUND 2006A BONDS ISSUED ON 8/31/2006DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds11975155TotalProceeds
Amount In Reserve Fund1217524AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds238888IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures127560CapitalExpenditures
Other Spent Proceeds10490862OtherSpentProceeds
Amount Unspent598796AmountUnspent
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Prcntge Prvt Business Use By Others0.0043PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.0000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.0043TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Prcntge Bond Financed Prop0.000000PrcntgeBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YettrueRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuefalseNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Term Of Hedge0.0TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Term Of GIC0.0TermOfGIC
Regulatory Safe Harbor SatisfiedfalseRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqstrueWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

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

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
TOTAL PROCEEDS OF ISSUESCHEDULE K, PART II, LINE 3AMOUNT INCLUDES INVESTMENT EARNINGS ON BOND PROCEEDS.
PRIVATE SECURITY OR PAYMENT TESTSCHEDULE K, PART III, LINE 7THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST.
GROSS PROCEEDS IN RESERVE FUNDSCHEDULE K, PART II, LINE 4GROSS PROCEEDS IN RESERVE FUND INCLUDES TRANSFERRED PROCEEDS FROM THE REFUNDED ISSUE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1(CONTINUED FROM PART III) BETTER YET, YOU CAN COUNT ON OUR STRENGTH AND SUCCESS. WE'RE MANAGED BY LIFE CARE SERVICES, A HIGHLY RESPECTED COMPANY WITH MORE THAN FOUR DECADES OF EXPERIENCE MANAGING SENIOR COMMUNITIES NATIONWIDE.
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aTHE BOARD OF DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE ENTIRE BOARD OF DIRECTORS, MAY DESIGNATE THREE DIRECTORS TO CONSTITUTE AN EXECUTIVE COMMITTEE. DURING INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS AND SUBJECT TO SUCH LIMITATIONS AS MAY BE PROVIDED BY LAW, THESE BY-LAWS OR BY RESOLUTION OF THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION. THE EXECUTIVE COMMITTEE SHALL MAKE A FULL REPORT OF ALL ACTIONS TO THE NEXT MEETING OF THE BOARD OF DIRECTORS.
Delegation of management dutiesForm 990, Part VI, Section A, Line 3LIFE CARE SERVICES, LLC HAS BEEN ENGAGED TO MANAGE THE ORGANIZATIONS OPERATIONS OF THE FACILITY SINCE NOVEMBER 1984 THE CURRENT MANAGEMENT AGREEMENT WAS EFFECTIVE JANUARY 1, 2013 AND EXPIRES DECEMBER 31, 2017 EITHER PARTY MAY TERMINATE THIS AGREEMENT, WITHOUT CAUSE, AT ANY TIME BY GIVING THE OTHER PARTY AT LEAST SIX MONTHS PRIOR NOTICE OF ITS DESIRE TO TERMINATE.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE FORM 990 IS REVIEWED IN DETAIL BY THE ENTIRE BOARD OF DIRECTORS. AFTER ANY QUESTIONS/CHANGES ARE ADDRESSED, THE FINAL DRAFT OF THE FORM 990 IS DISTRIBUTED VIA E-MAIL TO THE BOARD OF DIRECTORS. IT IS THEN FILED ELECTRONICALLY WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cBOARD MEMBERS ANNUALLY SIGN DOCUMENTATION STATING IF THEY HAVE A CONFLICT OF INTEREST THEY WILL DISCLOSE THAT CONFLICT WITH THE BOARD. UPON DISCLOSURE OF A CONFLICT, THE RELATED BOARD MEMBERS OR OFFICERS SHALL ABSTAIN FROM TAKING PART IN THE DISCUSSION OR VOTING.
PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS/KEY EMPLOYEESFORM 990, PART VI, LINE 15THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICE (LCS), THE BOARD NEGOTIATES AND APPROVES THE CONTRACTED SALARY AMOUNT PAID TO LIFE CARE SERVICES FOR THE EXECUTIVE DIRECTORS SERVICES. LCS DOES PERFORM REGULAR NATIONAL SALARY SURVEYS WITH AN INDEPENDENT FIRM. THE DATA IS USED TO SET LCS PAY RANGES, AND IT IS A BASIS FOR ANNUAL INCREASES. THE INFORMATION IS SHARED WITH BOARDS UPON HIRE OF A NEW LCS EMPLOYEE TO THE COMMUNITY, AND DURING ANNUAL INCREASES. THE BOARD IS ALSO INFORMED OF THE LCS BONUS PLANS, AND ASKED TO GIVE INPUT INTO THE PLAN'S DISCRETIONARY FACTORS. THE BOARD ALSO COMPLETES ANNUAL EVALUATIONS ON THE EXECUTIVE DIRECTOR AND ADMINISTRATOR WHICH IS CONSIDERED DURING THE ANNUAL REVIEW PROCESS.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.