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VILLAGE OF GERMATOWN INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
VILLAGE OF GERMATOWN INC (EIN 62-1827185)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-01
IRS object ID
201211229349300906
Schema version
2011v1.2
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)
Timestamp2012-05-01T14:35:56-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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)
NameEDDY HERBERTName
TitleEXECUTIVE DIRECTORTitle
Phone9107374242Phone
Date Signed2012-04-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALLAN LARSONName
PTINP00028482PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEDDY HERBERTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17820 WALKING HORSE CIRCLEAddressLine1
CityGERMANTOWNCity
StateTNState
ZIP Code38138ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16175911GrossReceipts
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 Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees287TotalNbrEmployees
Total Nbr Volunteers135TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14708911ProgramServiceRevenuePriorYear
Program Service Revenue CY16175498ProgramServiceRevenueCY
Investment Income Prior Year448InvestmentIncomePriorYear
Investment Income Current Year413InvestmentIncomeCurrentYear
Other Revenue Prior Year5426065OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year20135424TotalRevenuePriorYear
Total Revenue Current Year16175911TotalRevenueCurrentYear
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 Year5245559SalariesEtcPriorYear
Salaries Etc Current Year5084052SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11123723OtherExpensePriorYear
Other Expenses Current Year11609276OtherExpensesCurrentYear
Total Expenses Prior Year16369282TotalExpensesPriorYear
Total Expenses Current Year16693328TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3766142RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-517417RevenuesLessExpensesCY
Total Assets BOY71549521TotalAssetsBOY
Total Assets EOY70682427TotalAssetsEOY
Total Liabilities BOY87801011TotalLiabilitiesBOY
Total Liabilities EOY87451334TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-16251490NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-16768907NetAssetsOrFundBalancesEOY
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
Expense14782398Expense
Revenue16175498Revenue
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 199 INDEPENDENT LIVING UNITS (INCLUDING 171 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 16,858 HEALTHCARE DAYS- 2,835 FOR DEMENTIA, 4,615 FOR ASSISTED LIVING, AND 9,408 SKILLED. OF THESE DAYS, 6,349 WERE MEDICARE DAYS AND 3,059 PRIVATE PAY DAYS. INDEPENDENT LIVING OCCUPANCY WAS 183 OUT OF 199.Description
Total Program Service Expense14782398TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds1InvestTaxExemptBonds
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees287NumberOfEmployees
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 Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 (8 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
EDDY HERBERT
EXECUTIVE DIRECTOR40.00X02140720
PAM LEET
DIRECTOR OF MARKETING40.0012066900X
SALLY OSTHEIMER
HC ADMINISTRATOR/ASSISTANT ED40.0011318900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org233858TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs214072TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
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 503534ST LOUISMO63105CONTRACT THERAPY905219
CRSALCS
3350 PLAYERS CLUB PARKWAY SUITE 30GERMANTOWNTN38125MANAGEMENT SERVICES422478
US FOODS
61 FORSYTH ST SW 8T90ATLANTAGA30384FOOD398243
OMNICARE INC
1504 SOUTH GRAND BLVDST LOUISMO63104PHARMACY COMPANCY235357
TYRONE CLAY
1375 BYHALIA ROADHERNANDOMS38632DRYWALL REPAIR/PAINTING169725
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUDescription
Business Code623000BusinessCode
Total Revenue Column16175498TotalRevenueColumn
Related Or Exempt Function Income16175498RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue16175498TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column413TotalRevenueColumn
Exclusion$413ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16175911TotalRevenueColumn
Related Or Exempt Function Income16175498RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$413ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4388157Total
Program Services4052453ProgramServices
Management And General335704ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total278731Total
Program Services238648ProgramServices
Management And General40083ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total417164Total
Program Services357174ProgramServices
Management And General59990ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total550054Total
Management And General550054ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total175797Total
Management And General175797ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total669651Total
Program Services471561ProgramServices
Management And General198090ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total174568Total
Program Services75501ProgramServices
Management And General99067ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total107640Total
Program Services61880ProgramServices
Management And General45760ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total89200Total
Management And General89200ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1221289Total
Program Services1174053ProgramServices
Management And General47236ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total27857Total
Program Services17524ProgramServices
Management And General10333ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total37025Total
Program Services16751ProgramServices
Management And General20274ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2515333Total
Program Services2418047ProgramServices
Management And General97286ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3206158Total
Program Services3082153ProgramServices
Management And General124005ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total185139Total
Program Services177978ProgramServices
Management And General7161ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
ANCILLIARY12750531275053
DIETARY740957740957
MAINTENANCE384076384076
LETTER OF CREDIT AND BA9622196221

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total153258Total
Program Services142368ProgramServices
Management And General10890ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16693328Total
Program Services14782398ProgramServices
Management And General1910930ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1237995BOY
EOY3077807EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY192575BOY
EOY140652EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY768794BOY
EOY833600EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY27745BOY
EOY30266EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY135159BOY
EOY185601EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis73184510LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15238120LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY59873222BOY
EOY57946390EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9314031BOY
EOY8468111EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY71549521BOY
EOY70682427EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3238740BOY
EOY5852953EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY45895674BOY
EOY43542101EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY35363287BOY
EOY34807103EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY206727BOY
EOY204497EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3096583BOY
EOY3044680EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY87801011BOY
EOY87451334EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-16251490BOY
EOY-16768907EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-16251490BOY
EOY-16768907EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY71549521BOY
EOY70682427EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-517417ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11121905CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12536558CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13419939CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14708911CurrentTaxYearMinus1Year
Current Tax Year16175498CurrentTaxYear
Total67962811Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11121905CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12536558CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13419939CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14708911CurrentTaxYearMinus1Year
Current Tax Year16175498CurrentTaxYear
Total67962811Total

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 Total50967962811PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years281149CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years196609CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3618CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year448CurrentTaxYearMinus1Year
Current Tax Year413CurrentTaxYear
Total482237Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years281149CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years196609CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3618CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year448CurrentTaxYearMinus1Year
Current Tax Year413CurrentTaxYear
Total482237Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9750CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years51301CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58945CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5426065CurrentTaxYearMinus1Year
Total5546061Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11412804CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12784468CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13482502CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20135424CurrentTaxYearMinus1Year
Current Tax Year16175911CurrentTaxYear
Total73991109Total
FieldValueIRS element (for citing)
Public Support Percentage5090.91850PublicSupportPercentage509
Prior Year Support Percentage0.92030PriorYearSupportPercentage
Investment Income Percentage0.00650InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00950PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Basis64724727OtherCostOrOtherBasis
Depreciation14548625Depreciation
Book Value50176102BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis215675OtherCostOrOtherBasis
Depreciation48478Depreciation
Book Value167197BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2851790OtherCostOrOtherBasis
Depreciation641017Depreciation
Book Value2210773BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis43269OtherCostOrOtherBasis
Book Value43269BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings57946390TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED PRE-OPENING COSTS2407145
DEFERRED FINANCING COSTS2682098
HELD BY TRUSTEE UNDER BOND INDENTURE3378868
FieldValueIRS element (for citing)
Total Book Value Other Assets8468111TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LONG-TERM ACCRUED INTEREST PAYABLE$1,433,000
ENTRANCE FEE DEPOSITS PAYABLE$184,680
FEES PAYABLE$1,427,000
FieldValueIRS element (for citing)
Total Of Amounts3044680TotalOfAmounts
Total Revenue16175911TotalRevenue
Total Expenses16693328TotalExpenses
Excess Or Deficit For Year-517417ExcessOrDeficitForYear
Excess Or Deficit Per FS-517417ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16175911TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal16175911RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99016175911TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16693328TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16693328ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016693328TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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 2008 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonEDDY HERBERTNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs189325CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs24747BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs214072TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
HEALTH EDUCATION & HOUSING FACILITIES BOARD OF THE COUNTY OF SHELBY TN
51128341482169JAB92003-12-1875620946CONSTRUCTION AND OPERATIONS000
HEALTH EDUCATION & HOUSING FACILITIES BOARD OF THE COUNTY OF SHELBY TN
52128341482169JAG82006-07-012400000CONSTRUCTION AND OPERATIONS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
427709467562094633788681505207155334336480006553552820061011
2200000240000048000235200020060011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
01001
01001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000010
000010
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K, PAGE 1, PART II, LINE 14REFUNDING ISSUE DETAILSTHE BONDS REFUNDED BY THIS ISSUE WERE ISSUED ON SEPTEMBER 20, 2000.
SCHEDULE K,PAGE 2, PART IV, LINE 2THE 2003 BONDS INCLUDED A FIXED RATE AND VARIABLE RATE ISSUANCE. AS OF 12/31/11, THE VARIABLE RATE ISSUANCE BONDS WERE RETIRED.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 $196,000 UNDER THE TERMS OF THIS AGREEMENT FOR THE YEAR ENDED DECEMBER 31, 2011.
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 ITS GOVERNING DOCUMENTS AND CONLICT OF INTEREST POLICY AVAILABLE UPON REQUEST DIRECTED TO ITS HOME OFFICE AT 7820 WALKING HORSE CIRCLE, GERMANTOWN, TN 38138. THE ORGANIZATION MAKES ITS AUDITED FINANCIAL STATMENTS AVAILABLE ON THE INTERNET AT HTTP://EMMA.MSRB.ORG/.
FORM 990, PART XI, LINE 2CTHE ORGANIZATION'S POLICY REGARDING 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
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
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
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
L196000MANAGEMENT AGREEMENT
CRSALIFE CARE SERVICES
N354054EMPLOYMENT CONTRACTS