2024-09-10T13:03:11-05:00 2023-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 46240 990 2023-01-01 311118091 PINES VILLAGE RETIREMENT COMMUNITIES INC PINE 2194651591 3303 PINES VILLAGE CIRCLE VALPARAISO IN 46383 MARTIN SONNENBERG CHIEF EXECUTIVE OFFICER 2194651591 2024-08-27 1 1 SCOTT A SCHUSTER P00019243 3175802000 2024-08-27 2023 2024-08-08 14:25:15Z MARTIN SONNENBERG 3303 PINES VILLAGE CIRCLE VALPARAISO IN 46383 6711146 0 X WWW.PINESVILLAGE.ORG X 1984 IN THE MISSION OF PINES VILLAGE RETIREMENT COMMUNITIES, INC. (PVRC) IS TO CELEBRATE LIFE BY ENRICHING THE LIVES OF OLDER ADULTS. THROUGH LOCAL PARTNERSHIPS, WE PROVIDE OLDER ADULTS IN THE VALPARAISO AREA A NETWORK OF COMMUNITY CHOICES TO LIVE WELL. 11 11 140 110 -15860 0 249501 368445 6049666 6284677 102677 22988 604325 2075 7006169 6678185 63204 109448 0 0 3219376 3353348 0 0 0 3716431 5168754 6999011 8631550 7158 -1953365 28430910 26675335 20689078 20499638 7741832 6175697 X THE MISSION OF PINES VILLAGE RETIREMENT COMMUNITIES, INC. (PVRC) IS TO CELEBRATE LIFE BY ENRICHING THE LIVES OF OLDER ADULTS. THROUGH LOCAL PARTNERSHIPS, WE PROVIDE OLDER ADULTS IN THE VALPARAISO AREA A NETWORK OF COMMUNITY CHOICES TO LIVE WELL. 0 0 5600459 109448 5265152 RESIDENTIAL SERVICES - PINES VILLAGE IS A NON-PROFIT CORPORATION THAT PROVIDED CONTINUING CARE RETIREMENT COMMUNITY SERVICES TO 198 RESIDENTS IN 2023 ON A 9-ACRE CAMPUS. WE OFFER RESIDENTS A FULL RANGE OF ACCOMMODATIONS WITH INDEPENDENT LIVING APARTMENTS, HOME HEALTH CARE SERVICES, DINING SERVICES, WELLNESS CENTER, SOCIAL SERVICES, TRANSPORTATION SERVICES, DIVERSE AND INTERGENERATIONAL PROGRAMMING, AND DAILY RECREATIONAL ACTIVITIES THAT ENCOURAGE INDIVIDUALS TO ENGAGE IN LIFE. RESIDENTIAL LIVING IS ALSO PROVIDED IN DUET HOMES AT MERIDIAN WOODS ON 39 ACRES, AND THESE 138 RESIDENTS ARE GIVEN PRIORITY ACCESS TO PINES VILLAGE APARTMENTS WITH ACCESS TO HOME CARE, HOUSEKEEPING SERVICES, TRANSPORTATION, DINING SERVICES, AND HANDYMAN SERVICES. STAFF PARTICIPATE WITH MANY COMMUNITY PARTNERS IN NUMEROUS LOCAL, STATE, AND NATIONAL ORGANIZATIONS, INCLUDING ELDERSTYLE AND LEADING AGE. A TOTAL OF 7,062 HOURS WERE DEVOTED TO BOTH COMMUNITY AND NON-RESIDENT SENIOR ACTIVITIES. RESIDENTS ARE ELIGIBLE TO REQUEST FINANCIAL SUPPORT FROM PINES VILLAGE IF THEIR ASSETS ARE DEPLETED DUE TO LONGEVITY. ALL REQUESTS ARE EVALUATED AND REVIEWED AND SUBSIDY IS PROVIDED IF THEY QUALIFY WHILE PRESERVING PINES VILLAGE'S ABILITY TO OPERATE IN A FINANCIALLY SOUND MANNER. 1227498 464627 NUTRITIONAL SERVICES - PINES VILLAGE PROVIDES DINING SERVICES TO ITS RESIDENTS. ADDITIONALLY IN 2023, PINES VILLAGE PROVIDED 60,739 FREE OR LOW-COST MEALS TO SENIORS IN THE COMMUNITY AT BANTA SENIOR CENTER, THROUGH LOCAL MEALS ON WHEELS, AND AT PINES VILLAGE'S VETERANS BREAKFAST CLUB WHICH IS OPEN TO THE COMMUNITY. 843905 554898 HOME HEALTH CARE SERVICES - PINES VILLAGE'S STATE LICENSED PRIVATE DUTY HOME HEALTH CARE AGENCY PROVIDED SERVICES IN 2023 TO 58 SENIORS WHICH RESIDED AT PINES VILLAGE APARTMENTS, DUET HOMES, OR IN THE GREATER VALPARAISO COMMUNITY. AVAILABLE HOME HEALTH SERVICES INCLUDED HOME HEALTH AIDE ASSISTANCE WITH GROOMING, BATHING, DRESSING, LIGHT HOUSEKEEPING, SNACK/MEAL PREPARATION, MEAL DELIVERY, AND HEALTH CARE MONITORING, MEDICATION ASSISTANCE, AND COORDINATION OF CARE BY A RN. 7671862 1 1 0 0 0 0 0 1 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 33 0 1 140 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 IN X JOHN DUEY 2194651591 3303 PINES VILLAGE CIRCLE VALPARAISO IN 46383 DOUG SMITH PRESIDENT 1.00 X X 0 0 0 TODD WAGENBLAST TREASURER 1.00 X X 0 0 0 MARILYN BUCZKOWSKI SECRETARY 1.00 X X 0 0 0 JOAN BONDI DIRECTOR 1.00 X 0 0 0 CALEB WALMA DIRECTOR 1.00 X 0 0 0 GEORGE DOUGLAS DIRECTOR 1.00 X 0 0 0 TIM SCANNELL DIRECTOR 1.00 X 0 0 0 SCOTT BOZIK DIRECTOR 1.00 X 0 0 0 JOEL TROXEL DIRECTOR 1.00 X 0 0 0 WILLIAM FOY DIRECTOR 1.00 X 0 0 0 JOHN SEIBERT DIRECTOR 1.00 X 0 0 0 DENISE SCHROEDER CHIEF FINANCIAL OFFICER 40.00 X 112860 0 4514 MARTIN SONNENBERG CHIEF EXECUTIVE OFFICER 40.00 X 168935 0 19921 281795 0 24435 2 0 1 0 DORE & ASSOCIATES INC PO BOX 338 BAY CITY MI 48707 CONSTRUCTION CONTRACTOR 642600 1 300000 68445 368445 NET SERVICE REVENUE 623000 5067520 5067520 RESIDENT SERVICES 812900 532229 532229 RESIDENT/EMPLOYEE MEAL 722210 464627 464627 AMORTIZATION OF ENTRAN 623990 220301 220301 6284677 22988 22988 16080 32961 -16881 -16881 -16881 CAFE REVENUE 722100 1021 1021 17935 17935 18956 6678185 6284677 -15860 40923 109448 109448 306230 306230 2510527 2263136 247391 86468 64578 21890 244381 218439 25942 205742 167690 38052 5184 5184 42290 42290 36207 36207 90015 36684 53331 66255 3600 62655 2386 188 2198 785282 765800 19482 3483 2268 1215 434506 423970 10536 1442627 1410271 32356 179738 174929 4809 LOSS ON ABANDONED ASSET 1281106 1281106 FOOD 485009 485009 SUPPLIES 169686 151126 18560 EQUIPMENT AND REPAIRS 97862 87504 10358 47118 26116 21002 8631550 7671862 959688 0 717354 635879 2505818 1959771 56193 71504 89920 94433 45254216 24620565 22165533 20633651 2733570 3086470 162522 193627 28430910 26675335 581570 356634 1000402 1044273 7460832 7135170 81980 78579 11564294 11884982 20689078 20499638 X 6308960 4682461 1432872 1493236 7741832 6175697 28430910 26675335 X -1953365 372870 14360 X X 0 1 X 1 0 X 99501 2903642 76869 249501 368445 3697958 6812136 6597537 6078945 6049666 6284677 31822961 6911637 9501179 6155814 6299167 6653122 35520919 10000 10000 0 10000 10000 35510919 55337 39769 33101 22916 39068 190191 55337 39769 33101 22916 39068 190191 90193 90193 38484 91098 12691 56140 18956 217369 7005458 9632046 6201606 6468416 6711146 36018672 0.98590 0.98580 0.00530 0.00570 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2019 AMOUNT: $ 38,484. 2020 AMOUNT: $ 91,098. 2021 AMOUNT: $ 12,691. 2022 AMOUNT: $ 56,140. 2023 AMOUNT: $ 18,956. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45245 X 0 672971 17692 99208 24050 8790 757031 805696 100 -99654 24500 8671 672971 704495 300 137661 27091 9669 805696 669848 2220 67916 27803 7686 704495 564964 25157 114506 26851 7928 669848 0.72932 0.27068 1 0 3388422 3388422 34502565 20099469 14403096 2639800 1793302 846498 4723429 2727794 1995635 20633651 FUNDS HELD AT COMMUNITY FOUNDATION 3086470 F 3086470 REFUNDABLE RESIDENTS DEPOSITS 7100 REFUNDABLE LIFE USE FEES 9635797 PROVISION FOR INTEREST RATE SWAP AGREEMENT 47187 ENTRANCE FEE LIABILITY 807300 OTHER LOANS PAYABLE 1317315 CAPITAL LEASE OBLIGATIONS 70283 11884982 X 5683516 372870 -1246884 -874014 6557530 36207 84448 120655 6678185 7264011 32961 32961 7231050 36207 1364293 1400500 8631550 PART III, LINE 4: THE ART GALLERY AT PINES VILLAGE OFFERS ARTISTIC EXPERIENCES TO THE COMMUNITY TO ENHANCE ITS APPRECIATION AND UNDERSTANDING OF VARIOUS ART FORMS. PART V, LINE 4: THE FUNDS WERE DONATED FOR THE PURPOSE OF PROVIDING RESOURCES TO RESIDENTS WHEN FINANCIAL CIRCUMSTANCES CHANGE. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS UNRELATED BUSINESS INCOME RELATED TO CERTAIN RENTAL ACTIVITIES AND THE CAFE; HOWEVER, THERE WAS NO TAXABLE INCOME AFTER DEDUCTIONS FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022. THE ORGANIZATION FILES U.S. FEDERAL AND STATE OF INDIANA INFORMATION AND INCOME TAX RETURNS. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2020. MANAGEMENT BELIEVES THAT THE ORGANIZATION'S INCOME TAX FILING POSITIONS WILL BE SUSTAINED ON AUDIT AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WILL RESULT IN MATERIAL CHANGE. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 32,961. LOSS ON ABANDONED PROPERTY -1,279,845. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANTS NETTED AGAINST REVENUE 44,448. VETERAN ASSISTANCE 40,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 32,961. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANTS NETTED AGAINST REVENUE 44,448. LOSS ON ABAONDONED PROPERTY 1,279,845. VETERAN ASSISTANCE 40,000. 1 SCHOLARSHIPS 13 25000 RESIDENT ASSISTANCE 8 44448 VETERAN ASSISTANCE 16 40000 PART I, LINE 2: THE ORGANIZATION HAS AN ESTABLISHED POLICY AND PROCEDURE FOR GRANTING RESIDENT ASSISTANCE GRANTS. RESIDENTS APPLY AND PROVIDE RELEVANT INFORMATION TO THE CEO AND CFO. A DETERMINATION IS MADE AND AWARDS OF UP TO 25% OF THE MONTHLY RENTAL FEE ARE AWARDED SUBJECT TO AVAILABILITY. AMOUNTS IN EXCESS OF 25% ARE PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD FOR APPROVAL. ASSISTANCE GRANTS ARE EVALUATED ANNUALLY IN OCTOBER IN CONJUNCTION WITH THE BUDGETING PROCESS AND RESIDENTS ARE NOTIFIED OF THEIR ASSISTANCE AMOUNT FOR THE COMING YEAR. INFORMATION IS TRACKED IN THE BILLING AND INVOICE PROCESS. X X X 0 0 0 0 0 0 0 0 0 MARTIN SONNENBERG CHIEF EXECUTIVE OFFICER 168935 0 0 0 0 0 6757 0 13164 0 188856 0 0 0 A CITY OF VALPARAISO INDIANA 356001217 920283CB2 2008-05-15 10595000 FUND REPOSITIONING PROJECT 0 0 0 A 10595000 268275 1106604 8910924 2009 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 A 0 SCHEDULE K, PART II, LINE 7: THE AMOUNT REPORTED ON LINE 7 IS GREATER THAN 2% OF THE BOND PROCEEDS. THE TOTAL REPORTED INCLUDES BOND ISSUANCE COSTS OF $211,845 (2% OF PROCEEDS) AND AN ADDITIONAL $48,535 WAS INCURRED FOR THE LETTER OF CREDIT, TITLE INSURANCE, SURVEY, AND APPRAISAL RELATED TO BOND CLOSING COSTS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 DRAFT IS PLACED ON A SECURE PORTION OF OUR WEBSITE, ACCESSIBLE BY ALL BOARD OF DIRECTORS. THEY HAVE AN OPPORTUNITY TO REVIEW IT PRIOR TO DISCUSSION AT THE BOARD MEETING. AT THAT TIME, THE RETURN IS REVIEWED COLLECTIVELY AND APPROVED BY THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST STATEMENTS ARE SIGNED ON AN ANNUAL BASIS IN THE MONTH OF MAY. THE BOARD PRESIDENT AND CEO REVIEW FOR ANY POTENTIAL CONFLICTS AND THESE ARE BROUGHT TO THE ATTENTION OF THE ENTIRE BOARD. BOARD MEMBERS RECEIVE TRAINING ON AN ANNUAL BASIS BY THE CORPORATE ATTORNEY WHO ADDRESSES SPECIFICALLY BOARD RESPONSIBILITIES AND CONFLICTS. IN THE EVENT OF A CONFLICT, THE BOARD MEMBER IS REQUESTED NOT TO VOTE ON ISSUES AND THE ABSTENTION IS RECORDED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15 AN ANNUAL REVIEW OF THE CEO'S PERFORMANCE TAKES PLACE BY BOARD MEMBERS RESPONDING TO QUESTIONNAIRES AND SIMILAR ORGANIZATION PAY AND BENEFITS SURVEY IN INDIANA IS OBTAINED FOR COMPARISON. PRESIDENT OF THE BOARD MET WITH THE CEO TO DISCUSS THE ABOVE AND NEGOTIATE WAGE AND BENEFIT PACKAGE AS WELL AS A TECHNOLOGY PACKAGE TO MAKE THE CEO MORE FLEXIBLE AND IN CONTACT WHEN NOT IN THE FACILITY. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, AUDITED FINANCIAL STATEMENTS AND ANNUAL DISCLOSURE DOCUMENTS (PROVIDED TO THE STATE OF INDIANA) ARE ALL AVAILABLE UPON REQUEST. WE PROVIDE NOTICE TO ALL RESIDENTS EACH YEAR THAT COPIES OF BOTH DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST SWAP AGREEMENTS 14,360. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES TO THE AUDIT OVERSIGHT PROCESS FROM THE PRIOR YEAR.