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WESTMINSTER VILLAGE TERRE HAUTE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER VILLAGE TERRE HAUTE INC (EIN 35-1494162)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-04-30
IRS object ID
201221219349300742
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)
Timestamp2012-04-30T13:56:08-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN205804172EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BGBC PARTNERS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 N MERIDIAN ST STE 1100AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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 Code478024065ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKYLE EXLINEName
TitleEXECUTIVE DIRECTORTitle
Phone8122327533Phone
Date Signed2012-04-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSHELLEY A MATTALIANO CPAName
PTINP01278792PTIN
Phone3176334700Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKYLE EXLINENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11120 E DAVIS DRIVEAddressLine1
CityTERRE HAUTECity
StateINState
ZIP Code47802ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12492152GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
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. THE ORGANIZATION INCLUDES 174 INDEPENDENT-LIVING APARTMENTS, 20 INDEPENDENT-LIVING VILLAS, 38 ASSISTED-LIVING APARTMENTS, AND A 78-BED HEALTH CARE CENTER THAT PROVIDES BOTH SKILLED AND INTERMEDIATE CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees234TotalNbrEmployees
Total Nbr Volunteers24TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11241161ProgramServiceRevenuePriorYear
Program Service Revenue CY12399048ProgramServiceRevenueCY
Investment Income Prior Year62823InvestmentIncomePriorYear
Investment Income Current Year59285InvestmentIncomeCurrentYear
Other Revenue Prior Year54118OtherRevenuePriorYear
Other Revenue Current Year33819OtherRevenueCurrentYear
Total Revenue Prior Year11358102TotalRevenuePriorYear
Total Revenue Current Year12492152TotalRevenueCurrentYear
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 Year5457147SalariesEtcPriorYear
Salaries Etc Current Year5720617SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6670366OtherExpensePriorYear
Other Expenses Current Year7294480OtherExpensesCurrentYear
Total Expenses Prior Year12127513TotalExpensesPriorYear
Total Expenses Current Year13015097TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-769411RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-522945RevenuesLessExpensesCY
Total Assets BOY21178114TotalAssetsBOY
Total Assets EOY20604049TotalAssetsEOY
Total Liabilities BOY36464021TotalLiabilitiesBOY
Total Liabilities EOY36762428TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-15285907NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-16158379NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
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. THE ORGANIZATION INCLUDES 174 INDEPENDENT-LIVING APARTMENTS, 20 INDEPENDENT-LIVING VILLAS, 38 ASSISTED-LIVING APARTMENTS, AND A 78-BED HEALTH CARE CENTER THAT PROVIDES BOTH SKILLED AND INTERMEDIATE CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4109540Expense
Revenue4274317Revenue
DescriptionINDEPENDENT-LIVING: MAINTAINS 174 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

Activity2 Activity2

FieldValueIRS element (for citing)
Expense970780Expense
Revenue1542800Revenue
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)
Expense5880244Expense
Revenue6615750Revenue
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
FieldValueIRS element (for citing)
Total Program Service Expense10960564TotalProgramServiceExpense
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 Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109657NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees234NumberOfEmployees
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
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 Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
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 Line1CONNIE CADDELL DIRECTOR OF ACCOUNTINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8122424607TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11120 E DAVIS DRAddressLine1
CityTERRE HAUTECity
StateINState
ZIP Code47802ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
PAT FOUTY
PRESIDENT/DIRECTOR0.50X320000
TOM TEMPLETON
VICE PRESIDENT/DIRECTOR0.50X320000
DAVE GOELLER
SECRETARY/TREASURER/DIRECT0.50X310000
JIM LEAR
DIRECTOR0.50X300000
BETH TEVLIN
DIRECTOR0.50X310000
DAN CALLAHAN
DIRECTOR0.50X350000
FRED RUBEY
DIRECTOR0.50X350000
KYLE EXLINE
EXECUTIVE DIRECTOR40.00000X
ELIZABETH M TESSMAN-ROBERTSON
EMPLOYEE40.00110016010908X
FieldValueIRS element (for citing)
Total Reportable Comp From Org132616TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation10908TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 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 SER616434
LIFE CARE SERVICES LLC
CAPITAL SQUAREDES MOINESIA50309PAYMENTS FOR MANAGEMENT SERVICES415918
PRN PHARMACEUTICAL LP
OMNICARE INC PO BOX 715268COLUMBUSOH43271PAYMENTS FOR MEDICAL AND HEALTH CARE SER157972
MEDICAL STAFFING SOLUTIONS LLC
KENTUCKY AVENUEEVANSVILLEIN47725PAYMENTS FOR MEDICAL AND HEALTH CARE SER127170
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES62300062146326214632
APARTMENT LIVING62300035866863586686
ASSISTED LIVING62300014854971485497

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1112233TotalRevenueColumn
Related Or Exempt Function Income1112233RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12399048TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column59285TotalRevenueColumn
Exclusion$59,285ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column33819TotalRevenueColumn
Related Or Exempt Function Income33819RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue33819TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12492152TotalRevenueColumn
Related Or Exempt Function Income12432867RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$59,285ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total22600Total
Management And General22600ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4586914Total
Program Services4077799ProgramServices
Management And General509115ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total746926Total
Program Services680747ProgramServices
Management And General66179ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total364177Total
Program Services327837ProgramServices
Management And General36340ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total578757Total
Program Services15000ProgramServices
Management And General563757ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total108811Total
Management And General108811ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40454Total
Management And General40454ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total64591Total
Program Services52876ProgramServices
Management And General11715ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total343547Total
Management And General343547ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total488298Total
Program Services441763ProgramServices
Management And General46535ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total585711Total
Program Services511829ProgramServices
Management And General73882ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total50625Total
Program Services41101ProgramServices
Management And General9524ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1149692Total
Program Services1149692ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1428658Total
Program Services1428658ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total138754Total
Management And General138754ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD738710738710
THERAPY738459738459
MAINTENANCE & REPAIR21727920544211837
DRUGS178487178487

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total443647Total
Program Services372164ProgramServices
Management And General71483ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13015097Total
Program Services10960564ProgramServices
Management And General2054533ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY622903BOY
EOY647725EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY598741BOY
EOY731568EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY53082BOY
EOY62698EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY185699BOY
EOY175365EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis36525354LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21392942LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15866846BOY
EOY15132412EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3850843BOY
EOY3854281EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21178114BOY
EOY20604049EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1362695BOY
EOY1496670EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY20732407BOY
EOY20818913EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14368919BOY
EOY14446845EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36464021BOY
EOY36762428EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-15285907BOY
EOY-16158379EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-15285907BOY
EOY-16158379EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21178114BOY
EOY20604049EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-522945ReconcilationRevenueExpenses
Reconcilation Other Changes-349527ReconcilationOtherChanges
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 Years11313622CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11064209CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11720845CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11241161CurrentTaxYearMinus1Year
Current Tax Year12399048CurrentTaxYear
Total57738885Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11313622CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11064209CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11720845CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11241161CurrentTaxYearMinus1Year
Current Tax Year12399048CurrentTaxYear
Total57738885Total

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 Total50957738885PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years53240CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91698CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67867CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62823CurrentTaxYearMinus1Year
Current Tax Year59285CurrentTaxYear
Total334913Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years53240CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91698CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67867CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62823CurrentTaxYearMinus1Year
Current Tax Year59285CurrentTaxYear
Total334913Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years61613CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years165450CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years55064CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54118CurrentTaxYearMinus1Year
Current Tax Year33819CurrentTaxYear
Total370064Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11428475CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11321357CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11843776CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11358102CurrentTaxYearMinus1Year
Current Tax Year12492152CurrentTaxYear
Total58443862Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98790PublicSupportPercentage509
Prior Year Support Percentage0.94460PriorYearSupportPercentage
Investment Income Percentage0.00570InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00550PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Basis31633765OtherCostOrOtherBasis
Depreciation18139939Depreciation
Book Value13493826BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3452289OtherCostOrOtherBasis
Depreciation2629986Depreciation
Book Value822303BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1074664OtherCostOrOtherBasis
Depreciation623017Depreciation
Book Value451647BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15132412TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS440011
CASH EQUIVALENTS - BOARD RESTRICTED1894522
COST OF ACQUIRING CONTRACTS17075
CASH EQUIVALENTS - BOND RESTRICTED1502673
FieldValueIRS element (for citing)
Total Book Value Other Assets3854281TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ADVANCE FEES$8,550,369
DEFERRED ENDOWMENT INCOME$5,689,833
SECURITY DEPOSITS PAYABLE$206,643
FieldValueIRS element (for citing)
Total Of Amounts14446845TotalOfAmounts
Total Revenue12492152TotalRevenue
Total Expenses13015097TotalExpenses
Excess Or Deficit For Year-522945ExcessOrDeficitForYear
Other-$349,527OtherAmount
Total Adjustments-349527TotalAdjustments
Excess Or Deficit Per FS-872472ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12492152TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12492152RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012492152TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13364624TotExpensesEtcAuditedFinclStmt
Other Expenses Included349527OtherExpensesIncluded
Expenses Not Rptd F990349527ExpensesNotRptdF990
Expenses Subtotal13015097ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013015097TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:UNCERTAINTY EXISTS REGARDING TAX POSITIONS TAKEN IN PREVIOUSLY FILED TAX RETURNS STILL SUBJECT TO EXAMINATION AND POSITIONS TO BE TAKEN IN FUTURE RETURNS. THERE WERE NO UNCERTAIN TAX POSITIONS FOR THE YEARS ENDED DECEMBER 2011 AND 2010; AND ACCORDINGLY, THE ORGANIZATION HAS NO ACCRUED INTEREST OR PENALTIES RECORDED. THE TAX YEARS 2008 - 2011 REMAIN OPEN TO EXAMINATION BY THE TAXING JURISDICTIONS TO WHICH THE ORGANIZATION IS SUBJECT. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY THE TAXING JURISDICTIONS FOR YEARS PRIOR TO 2008.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF DERIVATIVE INSTRUMENT -349,527.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF DERIVATIVE INSTRUMENT 349,527.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3LIFE CARE SERVICES, LLC HAS BEEN ENGAGED TO MANAGE THE ORGANIZATION'S OPERATIONS OF THE FACILITY SINCE NOVEMBER 1984. THE CURRENT MANAGEMENT AGREEMENT WAS EFFECTIVE JANUARY 1, 2008 AND EXPIRES JANUARY 31, 2013. 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.
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE AND THE ORGANIZATION'S EXECUTIVE DIRECTOR AND CONTROLLER REVIEW FORM 990 PRIOR TO FILING. ONCE REVIEWED THE EXECUTIVE DIRECTOR SIGNS THE RETURN; THEN IT IS FILED.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:CHANGE IN VALUE OF DERIVATIVE INSTRUMENT -349,527. TOTAL TO FORM 990, PART XI, LINE 5: -349,527.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2(C)THE PROCESS OF THE ORGANIZATION'S AUDIT COMMITTEE OVERSIGHT RESPONSIBILITIES HAS NOT CHANGED FROM THE PRIOR YEAR.CHANGES TO PROCESS OF AUDIT COMMITTEE OVERSIGHT RESPONSIBILITIES: