PULASKI HEALTH FOUNDATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PULASKI HEALTH FOUNDATION INC (EIN 23-7125454)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201343199349307514
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T14:10:59-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 TRADE CENTRE WAY STE 300 | AddressLine1 |
| City | PORTAGE | City |
| State | MI | State |
| ZIP Code | 49002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237125454 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PULASKI HEALTH FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PULA | NameControl |
| Phone | 5749463394 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 EAST 13TH STREET | AddressLine1 |
| City | WINAMAC | City |
| State | IN | State |
| ZIP Code | 46996 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SCOTT FRITZ | Name |
| Title | PRESIDENT/CHAIRMAN | Title |
| Phone | 5749463394 | Phone |
| Date Signed | 2013-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CAROL LALONDE CPA | Name |
| PTIN | P00181637 | PTIN |
| Phone | 2695674500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PULASKI HEALTH CARE CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SHARON MCKINLEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 EAST 13TH STREET | AddressLine1 |
| City | WINAMAC | City |
| State | IN | State |
| ZIP Code | 46996 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4349504 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PULASKIHEALTHCARECENTER.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1959 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | PULASKI HEALTH CARE CENTER IS DEDICATED TO ENHANCING THE LIVES OF OLDER ADULTS THROUGH QUALITY HEALTH CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 129 | TotalNbrEmployees |
| Total Nbr Volunteers | 40 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3974 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 9188 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4359475 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4292699 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11346 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12664 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 22117 | OtherRevenuePriorYear |
| Other Revenue Current Year | 30975 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4396912 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4345526 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2659412 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2677561 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1564749 | OtherExpensePriorYear |
| Other Expenses Current Year | 1709672 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4224161 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4387233 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 172751 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -41707 | RevenuesLessExpensesCY |
| Total Assets BOY | 3381655 | TotalAssetsBOY |
| Total Assets EOY | 3149455 | TotalAssetsEOY |
| Total Liabilities BOY | 1298695 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1107771 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2082960 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2041684 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IMPROVE OUR COMMUNITY THROUGH HEALTH AND WELLNESS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 3671764 | Expense |
| Revenue | 4292699 | Revenue |
| Description | DIGNITY, QUALITY OF LIFE, AND PROFESSIONAL COMPETENCE - THIS IS THE FOUNDATION OF CARE YOU CAN EXPECT AT PULASKI HEALTH CARE CENTER (PHCC). WHEN A FAMILY MEMBER OR LOVED ONE IS NO LONGER ABLE TO CARE FOR HIMSELF OR HERSELF, WE OFFER COMFORTABLE, SECURE, LIFE CARE IN A SUPPORTIVE ENVIRONMENT. AS A NOT-FOR-PROFIT, SKILLED NURSING FACILITY, PHCC IS DEDICATED TO ENHANCING THE LIVES OF OLDER ADULTS THROUGH QUALITY HEALTH CARE. THE CENTER WAS DEVELOPED AND BUILT BY THE PULASKI HEALTH FOUNDATION, A NOT-FOR-PROFIT ORGANIZATION, WHOSE PRIMARY GOAL WAS TO DESIGN A FACILITY IN PULASKI COUNTY THAT PROVIDED SUPERIOR LONG-TERM CARE FOR OLDER ADULTS. PHCC OFFERS THE SERVICES OUR RESIDENTS NEED, INCLUDING SHORT-TERM RESTORATIVE SERVICES, MEDICARE SHORT STAY SERVICES, AND LONG-TERM CONTINUED CARE. THE COMPREHENSIVE CARE PROGRAM IS DESIGNED TO MEET THE DAILY LIVING NEEDS OF EACH RESIDENT. ALL OF OUR PROGRAMS INCLUDE 24-HOUR NURSING SERVICES, THERAPIES (PHYSICAL, OCCUPATIONAL, AND SPEECH), MEAL SERVICE, INCLUDING SPECIAL DIETS, ASSISTANCE WITH MEDICATION, PERSONAL HYGIENE, AND AMBULATION, SOCIAL SERVICES, ACTIVITIES AND RECREATION, LAUNDRY AND HOUSEKEEPING SERVICES. THE ORGANIZATION'S OCCUPANCY PERCENTAGE FOR THE YEAR ENDED DECEMBER 31, 2012 WAS 93%, WITH 58 LICENSED BEDS AVAILABLE. THE ORGANIZATION'S AVERAGE DAILY RESIDENT CENSUS WAS 54. THE ORGANIZATION'S PROGRAM SERVICE REVENUES APPROXIMATED $218 PER RESIDENT PER DAY. | Description |
| Total Program Service Expense | 3671764 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 14 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 129 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARON K MCKINLEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5749463394 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 EAST 13TH STREET | AddressLine1 |
| City | WINAMAC | City |
| State | IN | State |
| ZIP Code | 46996 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| SCOTT FRITZ | ||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 |
| LAURA BAILEY | ||||||
| VICE CHAIRMAN | 2.50 | X | X | 0 | 0 | 0 |
| LINDA MURPHY | ||||||
| SECRETARY | 0.50 | X | X | 0 | 0 | 0 |
| LIN MORRISON | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| JOHN GOBLE | ||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | |
| JIM PIERROU | ||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | |
| RITA MURRAY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SHARON MCKINLEY | ||||||
| ADMINISTRATOR | 50.00 | X | 68042 | 0 | 6184 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 68042 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 6184 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HEALTH CARE THERAPY SERVICES | |||||
| 1411 W COUNTY LINE RD | GREENWOOD | IN | 46142 | THERAPY SERVICES | 334675 |
| GORDON FOOD SERVICE | |||||
| DEPT CH 10490 | PALATINE | IL | 60055 | FOOD PURCHASES | 196405 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| All Other Contributions | 9188 | AllOtherContributions |
| Total Contributions | 9188 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENT SERVICE REVEN | 623000 | 3735175 | 3735175 |
| CONTRACTED LABOR | 623000 | 446520 | 446520 |
| MANAGEMENT FEES & RENT | 623000 | 111004 | 111004 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4292699 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12807 | TotalRevenueColumn |
| Exclusion | $12,807 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3835 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3978 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -143 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -143 | TotalRevenueColumn |
| Exclusion | -$143 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| VENDING/CATERING INCOM | 900099 | 9399 | $9,399 |
| BEAUTY/BARBER SHOP INC | 900099 | 4458 | $4,458 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17118 | TotalRevenueColumn |
| Exclusion | $17,118 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 30975 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4345526 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4292699 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $43,639 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74226 | Total |
| Management And General | 74226 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2189207 | Total |
| Program Services | 2083511 | ProgramServices |
| Management And General | 105696 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 280721 | Total |
| Program Services | 255221 | ProgramServices |
| Management And General | 25500 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133407 | Total |
| Program Services | 121249 | ProgramServices |
| Management And General | 12158 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28865 | Total |
| Management And General | 28865 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256893 | Total |
| Management And General | 256893 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25110 | Total |
| Management And General | 25110 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 307888 | Total |
| Program Services | 305892 | ProgramServices |
| Management And General | 1996 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13294 | Total |
| Management And General | 13294 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37388 | Total |
| Management And General | 37388 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23386 | Total |
| Management And General | 23386 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84315 | Total |
| Program Services | 78413 | ProgramServices |
| Management And General | 5902 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5137 | Total |
| Management And General | 5137 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15706 | Total |
| Management And General | 15706 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165723 | Total |
| Program Services | 147478 | ProgramServices |
| Management And General | 18245 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32278 | Total |
| Management And General | 32278 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVIDER TAXES | 281921 | 281921 | |
| NURSING SUPPLIES AND OT | 229943 | 229943 | |
| FOOD | 153542 | 146804 | 6738 |
| EMPLOYEE RELATIONS/EDUC | 17503 | 17503 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30780 | Total |
| Program Services | 21332 | ProgramServices |
| Management And General | 9448 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4387233 | Total |
| Program Services | 3671764 | ProgramServices |
| Management And General | 715469 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 410548 | BOY |
| EOY | 508198 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 413150 | BOY |
| EOY | 111101 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 472518 | BOY |
| EOY | 481546 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17509 | BOY |
| EOY | 17997 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79336 | BOY |
| EOY | 72465 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3710225 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2251705 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1592126 | BOY |
| EOY | 1458520 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 290687 | BOY |
| EOY | 132765 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105281 | BOY |
| EOY | 366863 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3381655 | BOY |
| EOY | 3149455 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 264318 | BOY |
| EOY | 234100 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1034377 | BOY |
| EOY | 873671 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1298695 | BOY |
| EOY | 1107771 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1982498 | BOY |
| EOY | 1941222 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100462 | BOY |
| EOY | 100462 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2082960 | BOY |
| EOY | 2041684 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3381655 | BOY |
| EOY | 3149455 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -41707 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 431 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3254 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9501 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3499 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3974 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9188 | CurrentTaxYear |
| Total | 29416 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3707509 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3674150 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4075139 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4359475 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4292699 | CurrentTaxYear |
| Total | 20108972 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 41217 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 29540 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17738 | CurrentTaxYearMinus2Years |
| Total | 88495 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3751980 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3713191 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4096376 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4363449 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4301887 | CurrentTaxYear |
| Total | 20226883 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 140640 | CurrentTaxYearMinus2Years |
| Current Tax Year | 100036 | CurrentTaxYear |
| Total | 240676 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 140640 | CurrentTaxYearMinus2Years |
| Current Tax Year | 100036 | CurrentTaxYear |
| Total | 240676 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 19986207 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 27374 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25748 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16090 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13933 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12807 | CurrentTaxYear |
| Total | 95952 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 27374 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25748 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16090 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13933 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12807 | CurrentTaxYear |
| Total | 95952 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 208 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 38 | CurrentTaxYearMinus3Years |
| Total | 246 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 4854 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14789 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22117 | CurrentTaxYearMinus1Year |
| Current Tax Year | 30975 | CurrentTaxYear |
| Total | 72735 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3779562 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3743831 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4127255 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4399499 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4345669 | CurrentTaxYear |
| Total | 20395816 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97990 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98400 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00470 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00610 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $220 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 220 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE ORGANIZATION PAYS ANNUAL DUES TO THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA) AND THE INDIANA ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (IAHSA). THE FOLLOWING PERCENTAGES OF THE ORGANIZATION'S DUES ARE EARMARKED FOR LOBBYING PURPOSES: AAHSA = 5.3%, IAHSA = 5.9% | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Included On FS | 1 | IncludedOnFS |
| Explanation In Part XIII | X | ExplanationInPartXIII |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4274 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 431 | InvestmentEarningsOrLosses |
| End Of Year Balance | 4705 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4304 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -30 | InvestmentEarningsOrLosses |
| End Of Year Balance | 4274 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3562 | BeginningOfYearBalance |
| Contributions | 250 | Contributions |
| Investment Earnings Or Losses | 549 | InvestmentEarningsOrLosses |
| Administrative Expenses | 57 | AdministrativeExpenses |
| End Of Year Balance | 4304 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2500 | BeginningOfYearBalance |
| Contributions | 500 | Contributions |
| Investment Earnings Or Losses | 584 | InvestmentEarningsOrLosses |
| Administrative Expenses | 22 | AdministrativeExpenses |
| End Of Year Balance | 3562 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 2500 | Contributions |
| End Of Year Balance | 2500 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25015 | OtherCostOrOtherBasis |
| Book Value | 25015 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2450198 | OtherCostOrOtherBasis |
| Depreciation | 1448762 | Depreciation |
| Book Value | 1001436 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69755 | OtherCostOrOtherBasis |
| Depreciation | 62658 | Depreciation |
| Book Value | 7097 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1165257 | OtherCostOrOtherBasis |
| Depreciation | 740285 | Depreciation |
| Book Value | 424972 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1458520 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENT IN SUBSIDIARY | 101007 |
| BENEFICIAL INTEREST IN PCCF | 4705 |
| RECEIVABLE FROM PULASKI MEMORIAL HOSPITAL | 261151 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 366863 | TotalBookValueOtherAssets |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 4345669 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 4345669 | RevenueSubtotal |
| Other Revenues Not Included | -143 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -143 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4345526 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4154730 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 143 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 143 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4154587 | ExpensesSubtotal |
| Other Expenses Not Included | 232646 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 232646 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4387233 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION HAS A RESIDENT TRUST ACCOUNT SET UP FOR RESIDENTS' PERSONAL FUNDS. RESIDENTS AND/OR THEIR AUTHORIZED REPRESENTATIVE ARE REQUIRED TO SIGN AN AUTHORIZATION FORM GIVING THE ORGANIZATION THE RIGHT TO MANAGE THE RESIDENTS' PERSONAL FUNDS WHILE HE OR SHE RESIDES AT THE FACILITY. RESIDENTS AND/OR THEIR AUTHORIZED REPRESENTATIVE RECEIVE QUARTERLY REPORTS THAT PROVIDE AN ACCOUNTING OF THE ACTIVITY DURING THAT PERIOD. | |
| PART V, LINE 4: | THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUND IS TO SUPPORT THE ORGANIZATION'S ACTIVITIES. | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: |
| PART X, LINE 2: | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF UNCERTAIN TAX POSITIONS ARE TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION'S FEDERAL TAX RETURNS FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2009 ARE NO LONGER SUBJECT TO EXAMINATION. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| LOSS ON SALE OF FIXED ASSETS -143. | PART XI, LINE 4B - OTHER ADJUSTMENTS: | |
| LOSS ON SALE OF FIXED ASSETS 143. | PART XII, LINE 2D - OTHER ADJUSTMENTS: | |
| DUE DILIGENCE LEGAL FEES - PARKVIEW HAVEN 232,646. | PART XII, LINE 4B - OTHER ADJUSTMENTS: |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | BEGINNING ON NOVEMBER 1, 2012, PHCC CEASED DIRECT OWNERSHIP OF ITS LICENSED BEDS AND ENTERED INTO AN ARRANGEMENT WITH PULASKI MEMORIAL HOSPITAL TO MANAGE THE OPERATIONS OF THE SKILLED NURSING FACILITY THAT PREVIOUSLY WAS PHCC'S OPERATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. THEN A COPY OF THE FULL FORM 990, INCLUDING ALL APPLICABLE SCHEDULES, IS PROVIDED TO EACH BOARD MEMBER AND REVIEWED WITH THE ORGANIZATION'S TAX ADVISORS AT A SCHEDULED BOARD MEETING PRIOR TO FILING WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUAL DISCLOSURE IS PROVIDED TO EACH OFFICER AND BOARD MEMBER (THE ORGANIZATION DOES NOT HAVE ANY KEY EMPLOYEES OR HIGHEST COMPENSATED EMPLOYEES). EACH BOARD MEMBER AND OFFICER COMPLETES AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. ONCE THE QUESTIONNAIRES ARE COMPLETED, THE ADMINISTRATOR REVIEWS THE RESPONSES AND DETERMINES WHETHER OR NOT THERE ARE ANY POTENTIAL CONFLICTS OF INTEREST. IF THERE IS A POTENTIAL CONFLICT OF INTEREST, THE ADMINISTRATOR AND THE BOARD PRESIDENT REVIEW THE CORRESPONDING ISSUE AND DETERMINE IF THERE IS AN ACTUAL CONFLICT OF INTEREST. IF AN ACTUAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, THAT PERSON IS EXCLUDED FROM ANY DISCUSSIONS CONCERNING THE CONFLICTING ISSUE. ANY PURCHASES AND/OR BIDDING PROPOSALS ARE ALSO REVIEWED FOR ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO SUBMITTING BIDS OR MAKING PURCHASES. THE BOARD PRESIDENT ATTENDS THE BOARD MEETINGS AND ENSURES THAT COMPLIANCE WITH THESE GUIDELINES ARE FOLLOWED. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ORGANIZATION'S ADMINISTRATOR INCLUDED A REVIEW AND APPROVAL BY THE BOARD PRESIDENT AND VICE PRESIDENT, WHO ARE BOTH INDEPENDENT. THE PRESIDENT AND VICE PRESIDENT USED MCKNIGHT'S CAREER GUIDE, WHICH INCLUDED AN AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA) NURSING HOME SALARY AND BENEFITS REPORT, AS WELL AS THE MYERS AND STAUFFER LC LONG TERM CARE COMPENSATION REPORT. THE INDIANA ASSOCIATION FOR THE HOMES AND SERVICES OF THE AGING'S SALARY AND WAGE SURVEY IS ALSO REFERENCED FOR THE DECISION PROCESSES. ONCE THE PRESIDENT AND VICE PRESIDENT DETERMINED THE COMPENSATION AMOUNT, THEY REPORTED THEIR FINDINGS AND DECISION TO THE FULL BOARD OF DIRECTORS AT A BOARD MEETING. THIS WAS DOCUMENTED IN THE BOARD MEETING MINUTES, AND WAS LAST DONE IN APRIL OF 2011 FOR THE ADMINISTRATOR'S SALARY. | |
| FORM 990, PART VI, SECTION C, LINE 19 | A COPY OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST 431. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PULASKI HOUSING ASSOCIATES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 EAST 13TH STREET | AddressLine1 |
| City | WINAMAC | City |
| State | IN | State |
| ZIP Code | 46996 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352120172 | EIN |
| Primary Activity | APARTMENT RENTAL | PrimaryActivity |
| Legal Domicile State | IN | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PULASKI HEALTH FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | -5 | ShareOfTotalIncome |
| Share Of EOY Assets | 70634 | ShareOfEOYAssets |
| Percentage Ownership | 0.75000 | PercentageOwnership |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |