2011-12-07T09:30:02-06:00 2011-06-30 CLIFTON GUNDERSON LLP 8112 MARYLAND AVE SUITE 400 ST LOUIS MO 63105 990 2010-07-01 237333148 FRIENDSHIP VILLAGE OF WEST COUNTY FRIE 6365321515 15201 OLIVE BOULEVARD CHESTERFIELD MO 63017 CHARLES WALDRON 6365321515 2011-11-21 1 GREG SCHMITTGENS 3149666622 2010 2016-02-24 21:20:13Z FRIENDSHIP VILLAGE CHESTERFIELD CHARLES WALDRON 15201 OLIVE BOULEVARD CHESTERFIELD MO 63017 27743363 0 X WWW.FVCHESTERFIELD.COM X 1973 MO THE VILLAGE SHALL BE OPERATED BY HIGH MORAL STANDARDS IN CONDUCTING ITS PERSONAL AND BUSINESS AFFAIRS, IN MAKING THE VILLAGE EACH RESIDENT'S HOME, IN CARING FOR EACH RESIDENT AND STAFF MEMBER, IN PROVIDING OPPORTUNITIES AND CHALLENGES FOR THE GROWTH OF EACH RESIDENT AND STAFF MEMBER ACCORDING TO BIBLICAL PRINCIPLES. 17 17 339 20 0 0 61100 33550 14541737 14799996 913214 1435241 275997 214075 15792048 16482862 0 18450 0 0 7016891 6942961 0 0 0 8579422 8745481 15596313 15706892 195735 775970 58505839 54011662 62317050 56126066 -3811211 -2114404 X FRIENDSHIP VILLAGE OF WEST COUNTY WILL BE OPERATED BY HIGH MORAL STANDARDS IN CONDUCTING ITS PERSONAL AND BUSINESS AFFAIRS, IN MAKING THE VILLAGE EACH RESIDENT'S HOME, IN CARING FOR EACH RESIDENT AND STAFF MEMBER, IN PROVIDING OPPORTUNITIES AND CHALLENGES FOR THE GROWTH OF EACH RESIDENT AND STAFF MEMBER. 0 0 7564403 10282313 THE VILLAGE IS A LIFE CARE SENIOR LIVING COMMUNITY, DESIGNED TO ACCOMMODATE PERSONS 62 YEARS OF AGE OR OLDER IN A DIGNIFIED MANNER. CURRENTLY, THE VILLAGE HAS 289 RESIDENCES AND A LICENSED 121-BED SKILLED NURSING FACILITY (THE "HEALTH CENTER"). THE PRIMARY INTENT OF FRIENDSHIP VILLAGE OF CHESTERFIELD, IS TO ASSURE THE RESIDENTS OF LIFE CARE THROUGHOUT THEIR RETIREMENT YEARS. THE VILLAGE IS DESIGNED TO CREATE AN ENVIRONMENT THAT WILL ENRICH THE LIVES OF THE PEOPLE WHO LIVE AND WORK THERE. THE DESIGN OF THE MAIN COMMON FACILITIES PROVIDES LARGE AREAS FOR DINING AND MEETINGS WITHOUT DETRACTING FROM THE HOMELIKE ENVIRONMENT OF THE VILLAGE. IN ADDITION TO PROVIDING A RESIDENCE FOR LIFETIME USE BY THE RESIDENT, FVC WILL PROVIDE: MAINTENANCE OF THE RESIDENCES AND COMMON AREAS; WEEKLY FLAT LAUNDRY SERVICE; FOOD SERVICE, INCLUDING ONE MEAL FOR EACH DAY IN THE MONTH AT NO ADDITIONAL CHARGE; THE SERVICES OF A CHAPLAIN AND RESIDENT SOCIAL DIRECTOR; SCHEDULED TRANSPORTATION SERVICES; 24-HOUR NURSING CARE IN THE HEALTH CENTER SEE ADDITIONAL PROGRAM DESCRIPTION; BIWEEKLY HOUSEKEEPING; A CALL SYSTEM; VARIOUS ADMINISTRATIVE SERVICES; AND ALL UTILITIES EXCEPT LONG DISTANCE TELEPHONE. 4837804 4731758 HEALTH CENTER - THE VILLAGE'S 121-BED HEALTH CENTER IS LICENSED TO PROVIDE SKILLED NURSING CARE. HEALTH CENTER SERVICES ARE AVAILABLE TO ALL RESIDENTS OF THE VILLAGE, AND RESIDENTS MAY BE ADMITTED DIRECTLY TO THE HEALTH CENTER FROM THEIR RESIDENCES, AND NEED NOT COME FROM A HOSPITAL. RESIDENTS ARE ENCOURAGED TO RETURN TO THEIR RESIDENCES AS SOON AS POSSIBLE. RESIDENTS WHO ARE UNABLE TO RETURN TO THEIR RESIDENCES, HOWEVER, HAVE THE BENEFIT OF PERMANENT CARE IN THE HEALTH CENTER. 12402207 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 80 0 339 1 0 0 0 0 0 0 0 0 X 17 17 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MR TIM CAIN 6365321515 15201 OLIVE STREET ROAD CHESTERFIELD MO 63017 REV BILL BELMAR 2.00 X X 600 0 0 HOWARD CURTIS 2.00 X X 825 0 0 JOHN B LEWIS 2.00 X X 900 0 0 LINCOLN VERMEER 2.00 X 675 0 0 BARTH HOLOHAN 2.00 X 0 0 0 LYDIA SEIBERT 2.00 X 0 0 0 JEFFERY KLINGER 2.00 X 0 0 0 CHARLES WALDRON 2.00 X X 1150 0 0 MARY BETH MCGREEVY 2.00 X 600 0 0 REV MIKE KENNISON 2.00 X X 600 0 0 SONJA MANNION 2.00 X 600 0 0 GEORGE POLAND 2.00 X 0 0 0 MACK BOOHER 2.00 X 0 0 0 FRED SUTTON 2.00 X 0 0 0 JUDY KOEHLER 2.00 X 600 0 0 FRANK HUELSKOETTER 2.00 X 600 0 0 LES CHERRY 2.00 X X 675 0 0 TIM CAIN 40.00 X X 0 164589 23627 7825 164589 23627 0 0 1 0 MIDWEST STAFFING P O BOX 823461 PHILADELPHIA PA 19152 STAFFING AGENCY FOR NURSING 330998 LIFE CARE SERVICES LLC 400 LOCUST DES MOINES IA 50309 MANAGEMENT FEES 305708 REHABCARE GROUP INC 800 NW 17TH AVENUE DELRAY BEACH FL 33445 CONTRACTED THERAPY 251695 REHABWORKS LLC 11350 MCCORMICK RD SUITE 600 ECEC HUNK VALLEY MD 21031 CONTRACTED THERAPY 142076 INTERLOCK PHARMACY SYSTEMS P O BOX 715268 COLUMBUS OH 43271 CONSULTING 115394 5 33550 33550 APT SERVICE & MEALS 623000 7776873 7776873 NET MEDICAL CENTER REV 623000 4731758 4731758 ENTRANCE FEES RECOGNIZ 623000 2291365 2291365 14799996 620745 620745 12016262 58735 11161699 98802 854563 -40067 814496 814496 BEAUTY AND BARBER 531120 35378 35378 GARAGE 531120 29709 29709 ASSISTED LIVING 623000 1630 1630 147358 147358 214075 16482862 15014071 0 1435241 18450 18450 175752 175752 5568293 4975294 592999 58687 47212 11475 704822 669654 35168 435407 399323 36084 384531 384531 16489 16489 40643 40643 38447 38447 178009 178009 767705 663889 103816 1301093 1212420 88673 42263 36152 6111 16464 9491 6973 1351164 1351164 2101917 2006331 95586 179500 171337 8163 MEDICAL CENTER 1056561 1056561 DIETARY 1013232 1013232 MISC. EXPENSE 106181 106181 RESIDENT SERVICES 70473 70473 MAINTENANCE 47050 47050 33759 5338 28421 15706892 12402207 3304685 0 2138436 1731919 554079 568053 144824 180935 1541 56109458 24180821 32979634 31928637 22565183 19480423 122142 121695 58505839 54011662 508953 375389 28275000 23465000 33533097 32285677 62317050 56126066 X 0 0 0 0 -3811211 -2114404 -3811211 -2114404 58505839 54011662 X 775970 920837 X X 0 1 1 X 0 X 61100 33550 94650 12564814 13182507 14185139 14538285 14795166 69265911 12564814 13182507 14185139 14599385 14828716 69360561 0 759102 100077 507360 698591 305356 2370486 759102 100077 507360 698591 305356 2370486 66990075 882578 1027059 1083102 770102 620745 4383586 882578 1027059 1083102 770102 620745 4383586 222788 241941 259720 340550 218905 1283904 13670180 14451507 15527961 15710037 15668366 75028051 0.89290 0.81650 0.05840 0.05830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 681915 681915 46112920 17945295 28167625 921344 601197 320147 2886131 2064619 821512 5507148 3569710 1937438 31928637 ACCRUED PROPERTY TAXES 214752 ACCRUED INTEREST 421071 OTHER ACCRUED LIABILITIES 446000 ADVANCE DEPOSITS 297580 NET DEFERRED ENTERANCE FEE REVENUE 30055193 REFUNDABLE ENDOWMENTS 851081 32285677 16482862 15706892 775970 920837 920837 1696807 17319467 920837 920837 16398630 84232 84232 16482862 15622660 0 15622660 84232 84232 15706892 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE VILLAGE HAS ADOPTED ASC 740-10, INCOME TAXES, AS IT RELATES TO UNCERTAIN TAX POSITIONS AND HAS EVALUATED THEIR TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. CURRENTLY, THE 2008 AND SUBSEQUENT TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR THE ORGANIZATION. HOWEVER, THE VILLAGE IS NOT CURRENTLY UNDER AUDIT NOR HAVE THEY BEEN CONTACTED BY THESE TAXING AUTHORITIES. BASED ON THE EVALUATION OF THE VILLAGES TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED AS OF JUNE 30, 2011 AND 2010. 1 FRIENDSHIP VILLAGE OF SOUTH COUNTY 12503 VILLAGE CIRCLE DRIVE ST LOUIS MO 63127 431155242 501(C)(3) 18450 FMW TO ESTABLISH FUND RAISING FUND. 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: FUNDS ARE CONTRIBUTED TO A RELATED ENTITY AND AS A RESULT USE OF FUNDS ARE NOT MONITORED. X X X 0 0 0 0 0 1 0 0 0 TIM CAIN 0 138294 0 26295 0 0 0 0 0 23627 0 188216 0 0 PART I, LINE 6 EMPLOYEES THAT ARE CLASSIFIED AS EMPLOYEES OF THE MANAGEMENT COMPANY (LIFE CARE SERVICES) ARE PAID A 15% BONUS BASED ON NET EARNINGS. WHETHER OR NOT THE EMPLOYEE GETS THE BONUS IS CONTINGENT UPON GOALS THAT ARE SET FOR FRIENDSHIP VILLAGE AND THE EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT OF THE VILLAGE IS PERFORMED BY LIFE CARE SERVICES(LCS) UNDER CONTRACT WITH FVC. LCS'S RESPONSIBILITIES INCLUDE RECRUITING AND EMPLOYING THE EXECUTIVE DIRECTOR AND HEALTH CENTER ADMINISTRATOR; SUPERVISING THE LICENSING, EQUIPPING, AND STAFFING OF THE VILLAGE; PREPARING ANNUAL BUDGETS; ESTABLISHING AND OPERATING A SYSTEM OF FINANCIAL CONTROLS FOR THE VILLAGE, INCLUDING COMPARATIVE ANALYSES WITH OTHER FACILITIES; SUPERVISING THE DELIVERY OF HEALTH CARE SERVICES WHICH MEET THE GUIDELINES OF THE FEDERAL MEDICARE (TITLE XVIII) PROGRAM; AND OVERSEEING THE FOOD SERVICE AND QUALITY OF ACCOMMODATIONS PROVIDED BY THE VILLAGE. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE 990 IS PROVIDED TO THE ORGANIZATION FOR REVIEW AND COMMENT BY THE EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS. UPON FINAL APPROVAL BY THE BOARD AND EXECUTIVE THE RETURN IS AUTHORIZED TO BE TRANSMITTED ELECTRONICALLY TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 EVERY TWO YEARS THE ORGANIZATION HIRES AN INDEPENDENT COMPANY TO PREPARE A SALARY SURVEY AND THOSE SALARIES ARE COMPARED TO THE CURRENT SALARIES. THIS SURVEY IS THEN REVIEWED BY THE EXECUTIVE COMMITTEE TO DETERMINE APPROPRIATE SALARIES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 920,837. FORM 990, PART XI, LINE 2C PROCESSES HAVE NOT CHANGED FROM PRIOR YEARS. FRIENDSHIP VILLAGE SUNSET HILLS 12503 VILLAGE CIRCLE DR ST LOUIS MO 63127 431155242 ASSISTED LIVING FACILITY MO 501(C)(3) 509(A)(2) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0