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WESTMINSTER VILLAGE TERRE HAUTE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER VILLAGE TERRE HAUTE INC (EIN 35-1494162)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-16
IRS object ID
201141369349300514
Schema version
2010v3.2
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)
Timestamp2011-05-16T07:33:28-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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)
NameJAKE STEIVANGName
TitleEXECUTIVE DIRECTORTitle
Phone8122327533Phone
Date Signed2011-05-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY W BIRK CPAName
Phone3176334700Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAKE STEIVANGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11120 E DAVIS DRIVEAddressLine1
CityTERRE HAUTECity
StateINState
ZIP Code47802ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11358102GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WESTMINSTERVILLAGEIN.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionWESTMINSTER VILLAGE OF 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 PROJECT 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 Employees279TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11720845ProgramServiceRevenuePriorYear
Program Service Revenue CY11241161ProgramServiceRevenueCY
Investment Income Prior Year67867InvestmentIncomePriorYear
Investment Income Current Year62823InvestmentIncomeCurrentYear
Other Revenue Prior Year55064OtherRevenuePriorYear
Other Revenue Current Year54118OtherRevenueCurrentYear
Total Revenue Prior Year11843776TotalRevenuePriorYear
Total Revenue Current Year11358102TotalRevenueCurrentYear
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 Year5485184SalariesEtcPriorYear
Salaries Etc Current Year5457147SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6653457OtherExpensePriorYear
Other Expenses Current Year6670366OtherExpensesCurrentYear
Total Expenses Prior Year12138641TotalExpensesPriorYear
Total Expenses Current Year12127513TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-294865RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-769411RevenuesLessExpensesCY
Total Assets BOY21612946TotalAssetsBOY
Total Assets EOY21178114TotalAssetsEOY
Total Liabilities BOY35743045TotalLiabilitiesBOY
Total Liabilities EOY36464021TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-14130099NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-15285907NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWESTMINSTER VILLAGE OF 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 COMPANY 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
Expense10205551Expense
Revenue11295100Revenue
DescriptionPROVIDE RENTAL HOUSING, HEALTH CARE, AND RELATED FACILITIES AND SERVICES SPECIFICALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS OF THE AGED.Description
Total Program Service Expense10205551TotalProgramServiceExpense
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 With109658NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees279NumberOfEmployees
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
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 Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
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/DIRECTOR0.50X310000
TOM TEMPLETON
VICE PRESIDENT/DIRECTOR0.50X320000
DAVE GOELLER
SECRETARY/TREASURER/DIRECT0.50X310000
JIM LEAR
DIRECTOR0.50X300000
BETH TEVLIN
DIRECTOR0.50X310000
DAN CALLAHAN
DIRECTOR0.50X330000
FRED RUBEY
DIRECTOR0.50X320000
JAKE STEIVANG
EXECUTIVE DIRECTOR40.00000X
ELIZABETH M TESSMAN-ROBERTSON
EMPLOYEE40.0010571709487X
FieldValueIRS element (for citing)
Total Reportable Comp From Org127717TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation9487TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 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 SER482574
LIFE CARE SERVICES LLC
CAPITAL SQUAREDES MOINESIA50309PAYMENTS FOR MANAGEMENT SERVICES387768
PRN PHARMACEUTICAL LP
OMNICARE INC PO BOX 715268COLUMBUSOH43271PAYMENTS FOR MEDICAL AND HEALTH CARE SER123353
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES62300053276895327689
APARTMENT LIVING62300035075253507525
ASSISTED LIVING62300014295861429586

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column976361TotalRevenueColumn
Related Or Exempt Function Income976361RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11241161TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column62823TotalRevenueColumn
Exclusion$62,823ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column54118TotalRevenueColumn
Related Or Exempt Function Income54118RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue54118TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11358102TotalRevenueColumn
Related Or Exempt Function Income11295279RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$62,823ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total22000Total
Management And General22000ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4470464Total
Program Services3973808ProgramServices
Management And General496656ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total592047Total
Program Services529388ProgramServices
Management And General62659ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total372636Total
Program Services335965ProgramServices
Management And General36671ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total569761Total
Program Services15000ProgramServices
Management And General554761ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total56326Total
Management And General56326ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32782Total
Management And General32782ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total66140Total
Program Services58590ProgramServices
Management And General7550ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total332769Total
Management And General332769ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total430594Total
Program Services389963ProgramServices
Management And General40631ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total573447Total
Program Services498625ProgramServices
Management And General74822ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total33559Total
Program Services27625ProgramServices
Management And General5934ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1101222Total
Program Services1101222ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1399728Total
Program Services1399728ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total139018Total
Management And General139018ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD719451719451
THERAPY563265563265
MAINTENANCE & REPAIR20062018900711613
DRUGS135566135566
BAD DEBT EXPENSE6433564335

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total251783Total
Program Services204013ProgramServices
Management And General47770ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12127513Total
Program Services10205551ProgramServices
Management And General1921962ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY744607BOY
EOY622903EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY617689BOY
EOY598741EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY53805BOY
EOY53082EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY91368BOY
EOY185699EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35858032LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19991186LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16683650BOY
EOY15866846EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3421827BOY
EOY3850843EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21612946BOY
EOY21178114EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1262380BOY
EOY1362695EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY20592733BOY
EOY20732407EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13887932BOY
EOY14368919EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY35743045BOY
EOY36464021EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-14130099BOY
EOY-15285907EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-14130099BOY
EOY-15285907EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21612946BOY
EOY21178114EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-769411ReconcilationRevenueExpenses
Reconcilation Other Changes-386397ReconcilationOtherChanges
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 Years9883486CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11313622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11064209CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11720845CurrentTaxYearMinus1Year
Current Tax Year11241161CurrentTaxYear
Total55223323Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9883486CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11313622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11064209CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11720845CurrentTaxYearMinus1Year
Current Tax Year11241161CurrentTaxYear
Total55223323Total

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 Total50955223323PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46383CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53240CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91698CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67867CurrentTaxYearMinus1Year
Current Tax Year62823CurrentTaxYear
Total322011Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46383CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53240CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91698CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67867CurrentTaxYearMinus1Year
Current Tax Year62823CurrentTaxYear
Total322011Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2582385CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61613CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years165450CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55064CurrentTaxYearMinus1Year
Current Tax Year54118CurrentTaxYear
Total2918630Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12512254CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11428475CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11321357CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11843776CurrentTaxYearMinus1Year
Current Tax Year11358102CurrentTaxYear
Total58463964Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94460PublicSupportPercentage509
Prior Year Support Percentage0.94220PriorYearSupportPercentage
Investment Income Percentage0.00550InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00690PriorYrInvestIncomePercentage
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 Basis30890484OtherCostOrOtherBasis
Depreciation16907564Depreciation
Book Value13982920BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3435885OtherCostOrOtherBasis
Depreciation2488764Depreciation
Book Value947121BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1167027OtherCostOrOtherBasis
Depreciation594858Depreciation
Book Value572169BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15866846TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS466913
CASH EQUIVALENTS - BOARD RESTRICTED1866773
COST OF ACQUIRING CONTRACTS17075
CASH EQUIVALENTS - BOND RESTRICTED1500082
FieldValueIRS element (for citing)
Total Book Value Other Assets3850843TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ADVANCE FEES$8,737,999
DEFERRED ENDOWMENT INCOME$5,386,515
SECURITY DEPOSITS PAYABLE$244,405
FieldValueIRS element (for citing)
Total Of Amounts14368919TotalOfAmounts
Total Revenue11358102TotalRevenue
Total Expenses12127513TotalExpenses
Excess Or Deficit For Year-769411ExcessOrDeficitForYear
Other-$386,397OtherAmount
Total Adjustments-386397TotalAdjustments
Excess Or Deficit Per FS-1155808ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11358102TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal11358102RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011358102TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12513910TotExpensesEtcAuditedFinclStmt
Other Expenses Included386397OtherExpensesIncluded
Expenses Not Rptd F990386397ExpensesNotRptdF990
Expenses Subtotal12127513ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012127513TotalExpensesPerForm990

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 2010 AND 2009; AND ACCORDINGLY, THE ORGANIZATION HAS NO ACCRUED INTEREST OR PENALTIES RECORDED. THE TAX YEARS 2007 - 2010 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 2007.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF DERIVATIVE INSTRUMENT -386,397.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF DERIVATIVE INSTRUMENT 386,397.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 PRESIDENT OF THE BOARD OF DIRECTORS 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.
GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:CHANGE IN VALUE OF DERIVATIVE INSTRUMENT -386,397. TOTAL TO FORM 990, PART XI, LINE 5: -386,397.FORM 990, PART XI, LINE 5:
CHANGES TO PROCESS OF AUDIT COMMITTEE OVERSIGHT RESPONSIBILITIES:THE PROCESS OF THE ORGANIZATION'S AUDIT COMMITTEE OVERSIGHT RESPONSIBILITIES HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2(C)