2011-11-05T07:03:28-05:00 2010-12-31 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 462400857 990 2010-01-01 350931432 BAPTIST HOMES OF INDIANA INC BAPT 3178733371 5415 BEARBERRY LANE INDIANAPOLIS IN 46268 ROGER E WEIDEMAN II 3178733371 2011-10-27 1 KEITH T GAMBREL 3175802000 2010 2016-03-07 17:11:31Z ROGER E WEIDEMAN II 5415 BEARBERRY LANE INDIANAPOLIS IN 46268 45698958 0 X N/A X 1903 IN THE MISSION OF BAPTIST HOMES OF INDIANA, INC. IS TO ENHANCE THE QUALITY OF LIFE FOR OLDER ADULTS WITHIN A SECURE ENVIRONMENT WHICH SUPPORTS THEIR NEEDS, VALUES, INTERESTS AND INDEPENDENCE WHILE ENCOURAGING PERSONAL AND SPIRITUAL DEVELOPMENT. 14 12 598 20 0 0 73351 142286 33607178 33903065 -271734 1531793 46526 25599 33455321 35602743 0 0 0 0 16857015 16570654 0 0 0 15183498 15732173 32040513 32302827 1414808 3299916 111538735 115330443 77213341 76129879 34325394 39200564 THE MISSION OF BAPTIST HOMES OF INDIANA, INC. IS TO ENHANCE THE QUALITY OF LIFE FOR OLDER ADULTS WITHIN A SECURE ENVIRONMENT WHICH SUPPORTS THEIR NEEDS, VALUES, INTERESTS AND INDEPENDENCE WHILE ENCOURAGING PERSONAL AND SPIRITUAL DEVELOPMENT. 0 0 27760700 0 33922864 BAPTIST HOMES OF INDIANA, INC. IS A NOT-FOR-PROFIT CORPORATION, PROVIDING CONTINUING CARE SERVICES TO THE ELDERLY UNDER THE TERMS OF CONTINUING CARE AGREEMENTS. 27760700 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 119 0 598 1 0 0 0 0 0 0 0 0 0 0 X 14 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X ROGER E WEIDEMAN II 3178733371 5415 BEARBERRY LANE INDIANAPOLIS IN 46268 RICHARD H KEENAN 40.00 X X 271525 0 12503 ROGER E WEIDEMAN II 40.00 X X 82565 0 3387 JAMES W MCDANIEL 40.00 X X 188099 0 811013 NORMAN D CURRY 1.00 X 0 0 0 DR MARVIN A HENRY 1.00 X 0 0 0 WILLIAM B BYRUM 2.00 X X 0 0 0 RONALD S LANE 1.00 X 0 0 0 MARGARET A MCFRYE 1.00 X 0 0 0 WENDY L MEREDITH 1.00 X 0 0 0 ROGER D MILLER 1.00 X 0 0 0 MARJORIE D PAUSZEK 1.00 X 0 0 0 RAYMOND E MOTT 3.00 X X 0 0 0 JANE A SEIGEL 3.00 X X 0 0 0 WILLIAM R HURT 1.00 X 0 0 0 HARRY KENNERK 1.00 X 0 0 0 SALLY SPENCER KEENAN 40.00 X 150689 0 6873 JOHN DATTILO 40.00 X 151279 0 0 B DANIEL CARR 40.00 X 148377 0 7233 992534 0 841009 5 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE MANAGEMENT 1372245 BEDROCK BUILDERS INC 14701 CUMBERLAND ROAD SUITE 170 NOBLESVILLE IN 46060 CONSTRUCTION OF BUILDINGS 1115409 HEALTHCARE THERAPY SERVICES 1411 W COUNTY LINE ROAD SUITE A GREENWOOD IN 46142 THERAPY SERVICES 878344 DUKE ENERGY PO BOX 9001076 LOUISVILLE KY 40290 ELECTRICITY 663959 GORDON FOOD SERVICE DEPT CH 10490 PALATINE IL 60055 FOOD DELIVERY 644003 22 142286 142286 SERVICE FEES 623000 27100119 27100119 ANCILLARY SERVICES 623000 4176521 4176521 ENTRANCE FEES 623000 2460227 2460227 PROCESS AND APPLICATIO 623000 101250 101250 HUD MANAGEMENT FEE 623000 64948 64948 33903065 905480 905480 5800 5800 5800 5800 10722528 10096215 626313 626313 626313 MISCELLANEOUS 900099 19799 19799 19799 35602743 33922864 0 1537593 1833543 569209 1264334 11782202 11769266 12936 2954909 2653822 301087 35653 35653 84708 84708 121040 121040 212160 212160 32641 32641 12000 12000 102225 56645 45580 95590 47842 47748 2275566 400008 1875558 3360530 3198619 161911 436239 436239 CONTRACTS AND SERVICES 2319113 2243441 75672 FOOD & SUPPLIES 2307286 2307286 UTILITIES 1565289 1540651 24638 NURSING EXPENSES 1391497 1391497 REPAIRS & MAINTENANCE 841113 525338 315775 539523 408677 130846 32302827 27760700 4542127 0 325548 43148 10755160 11412892 2227605 2349249 135240 145457 316947 351607 101866038 38627767 62039094 63238271 30897437 33684542 4841704 4105277 111538735 115330443 3979997 2562356 27667535 28886168 45565809 44681355 77213341 76129879 X 34325394 39200564 34325394 39200564 111538735 115330443 X 3299916 1575254 X X 0 1 1 X 0 X 2775 75553 69597 73351 142286 363562 26421268 28178688 32468959 33607125 33903065 154579105 26424043 28254241 32538556 33680476 34045351 154942667 0 0 0 154942667 3084987 3457563 1777864 825087 911280 10056781 3084987 3457563 1777864 825087 911280 10056781 4247711 4394192 5103 39751 19799 8706556 33756741 36105996 34321523 34545314 34976430 173706004 0.89200 0.87880 0.05790 0.06270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1105823 8274079 9379902 68703684 30070933 38632751 9348870 2889114 6459756 12274601 5667720 6606881 2158981 2158981 63238271 35602743 32302827 3299916 1575254 1575254 4875170 37027231 1575254 1575254 35451977 150766 150766 35602743 32260393 0 32260393 42434 42434 32302827 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. IN ADDITION, THE ORGANIZATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE PRIVATE FOUNDATIONS WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2010, 2009, OR 2008. THE ORGANIZATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND IN THE STATE OF INDIANA. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007. PART XII, LINE 4B - OTHER ADJUSTMENTS: CLASSIFICATION DIFFERENCES 42,434. CHANGE IN BAPTIST HOMES OF INDIANA RETIREMENT COMMUNITY 108,332. PART XIII, LINE 4B - OTHER ADJUSTMENTS: CLASSIFICATION DIFFERENCES 42,434. 1 X X X 0 1 0 0 0 0 0 0 0 RICHARD H KEENAN 252878 0 10000 0 8647 0 0 0 12503 0 284028 0 0 0 JAMES W MCDANIEL 180599 0 7500 0 0 0 810917 0 96 0 999112 0 0 0 SALLY SPENCER KEENAN 141184 0 3000 0 6505 0 0 0 6873 0 157562 0 0 0 JOHN DATTILO 142752 0 2500 0 6027 0 0 0 0 0 151279 0 0 0 B DANIEL CARR 139407 0 0 0 8970 0 0 0 7233 0 155610 0 0 0 PART I, LINE 4B JAMES MCDANIEL WAS THE ONLY EMPLOYEE TO PARTICIPATE IN A 457 RETIREMENT PLAN. SUPPLEMENTAL INFORMATION PART III PART II, COLUMN B(III): $810,917 WAS PAID TO JIM MCDANIEL FROM THE 457 RETIREMENT PLAN DUE TO HIS REACHING AGE 65. INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING AUTHORITY 351611409 454795AY1 2005-12-21 48638627 SEE SCHEDULE O 0 0 0 48638627 3208245 723301 21844231 2009 1 0 1 1 0 0 1 0 1 0.00000 0.00000 0.00000 1 1 0 0 0 1 0 SCHEDULE K, PART I, LINE A(F) DESCRIPTION OF PURPOSE: TO MAKE CERTAIN CAPITAL ADDITIONS AND IMPROVEMENTS TO THE ORGANIZATION'S FACILITIES; TO CURRENT REFUND THE OUTSTANDING BALANCE OF THE INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING AUTHORITY VARIABLE RATE DEMAND REVENUE BONDS (BAPTIST HOMES OF INDIANA) SERIES 2000 ORIGINALLY ISSUED ON NOVEMBER 1, 2000; TO FUND A DEBT SERVICE RESERVE FUND; AND TO PAY FOR CERTAIN COSTS IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2005 BONDS. FORM 990, PART VI, SECTION A, LINE 2 RICHARD KEENAN (PRESIDENT, CEO) AND SALLY SPENCER KEENAN (EXECUTIVE DIRECTOR OF HOOSIER VILLAGE) ARE MARRIED. FORM 990, PART VI, SECTION B, LINE 11 THE CFO AND THE CEO HAVE REVIEWED THE 990 PRIOR TO FILING. A DRAFT COPY OF THE 990 IS MADE AVAILABLE TO ALL DIRECTORS FOR THEIR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, PRIOR TO THE ANNUAL MEETING, EACH BOARD MEMBER AND KEY STAFF COMPLETE A CONFLICT OF INTERST FORM. THE FORMS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, WHO REPORTS THE FINDINGS TO THE COMPLIANCE COMMITTEE OF THE BOARD. ANY NOTATIONS ON THE FORM ARE REVIEWED AND APPROVED BY THE COMMITTEE, WHICH IN TURN REPORTS THE POTENTIAL CONFLICTS TO THE BOARD FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 15 PERSONNEL COMMITTEE RECOMMENDS SALARY OF CEO, CFO AND TOP MANAGEMENT OFFICIALS TO THE BOARD OF DIRECTORS FOR APPROVAL. COMMITTEE REVIEWS SALARIES IN THE CONTEXT OF SIMILAR NOT-FOR-PROFIT ORGANIZATIONS, PERFORMANCE EVALUATIONS, AND JOB DESCRIPTIONS. FORM 990, PART VI, SECTION C, LINE 18 AVAILABLE AT THE MAIN OFFICE, 5415 BEARBERRY LANE, INDIANAPOLIS, IN 46268. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS NOT MADE THESE POLICIES GENERALLY AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,575,254. OVERSIGHT OF FINANCIAL STATEMENTS FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR. THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. HOOSIER MANOR INC 5415 BEARBERRY LANE INDIANAPOLIS IN 46268 311011190 TO PROVIDE LOW INCOME HOUSING TO THE ELDERLY. IN 501(C)(3) 509(A)(2) N/A 0 FOUR SEASONS VILLAS INC 5415 BEARBERRY LANE INDIANAPOLIS IN 46268 311011187 TO PROVIDE LOW INCOME HOUSING TO THE ELDERLY. IN 501(C)(3) 509(A)(2) N/A 0 BHI FOUNDATION INC 5415 BEARBERRY LANE INDIANAPOLIS IN 46268 351680796 TO ENHANCE THE QUALITY OF LIFE OF OLDER ADULTS WITHIN A SECURE ENVIRONMENT. IN 501(C)(3) 509(A)(3) BAPTIST HOMES OF INDIANA INC 0 BHI RETIREMENT COMMUNITIES INC 5415 BEARBERRY LANE INDIANAPOLIS IN 46268 260262903 TO ENHANCE THE QUALITY OF LIFE OF OLDER ADULTS WITHIN A SECURE ENVIRONMENT. IN 501(C)(3) 509(A)(3) BAPTIST HOMES OF INDIANA INC 0 PRAIRIE LANDING COMMUNITY INC 5415 BEARBERRY LANE INDIANAPOLIS IN 46268 262053830 TO ENHANCE THE QUALITY OF LIFE OF OLDER ADULTS WITHIN A SECURE ENVIRONMENT. IN 501(C)(3) 509(A)(2) N/A 0 0 0 1 1 0 0 0 0 0 0 1 0 1 1 0 1 0 0 BHI FOUNDATION INC C 142286 FMV HOOSIER MANOR INC C 480 FMV FOUR SEASONS VILLAS INC D BHI RETIREMENT COMMUNITIES INC K HOOSIER MANOR INC K 39159 FOUR SEASONS VILLAS INC K 25795 BHI FOUNDATION INC M BHI RETIREMENT COMMUNITIES INC M HOOSIER MANOR INC N 44250 FOUR SEASONS VILLAS INC N 19476 BHI FOUNDATION INC N 55000 BHI RETIREMENT COMMUNITIES INC N HOOSIER MANOR INC P FOUR SEASONS VILLAS INC P 7181 BHI FOUNDATION INC P 136338