Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 33,550 | 213,493 | 24,145 | 36,002 | 14,883 | 322,073 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | 14,795,166 | 14,737,633 | 16,000,412 | 15,725,600 | 17,635,139 | 78,893,950 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | 14,828,716 | 14,951,126 | 16,024,557 | 15,761,602 | 17,650,022 | 79,216,023 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 305,356 | 1,917,971 | 660,487 | 2,883,814 | ||
| c | Add lines 7a and 7b.. | 305,356 | 1,917,971 | 660,487 | 2,883,814 | ||
| 8 | Public support (Subtract line 7c from line 6.) | 76,332,209 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 14,828,716 | 14,951,126 | 16,024,557 | 15,761,602 | 17,650,022 | 79,216,023 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 620,745 | 506,162 | 374,879 | 406,249 | 588,687 | 2,496,722 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 620,745 | 506,162 | 374,879 | 406,249 | 588,687 | 2,496,722 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 218,905 | 226,719 | 264,445 | 214,160 | 379,745 | 1,303,974 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 15,668,366 | 15,684,007 | 16,663,881 | 16,382,011 | 18,618,454 | 83,016,719 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | OTHER INCOME - 2010 AMOUNT: $ 218,905. 2011 AMOUNT: $ 226,719. 2012 AMOUNT: $ 53,116. 2013 AMOUNT: $ 14,364. 2014 AMOUNT: $ 26,819. GARAGE FEES - 2012 AMOUNT: $ 29,457. 2013 AMOUNT: $ 26,589. 2014 AMOUNT: $ 36,008. AIL - 2012 AMOUNT: $ 2,651. 2013 AMOUNT: $ 3,695. 2014 AMOUNT: $ 0. LAUNDRY - 2012 AMOUNT: $ 43,059. 2013 AMOUNT: $ 40,470. 2014 AMOUNT: $ 35,466. GUEST ROOM - 2012 AMOUNT: $ 26,445. 2013 AMOUNT: $ 23,430. 2014 AMOUNT: $ 28,563. BEAUTY AND BARBER - 2012 AMOUNT: $ 28,151. 2013 AMOUNT: $ 31,751. 2014 AMOUNT: $ 28,353. GIFT/CONVENIENCE STORE - 2012 AMOUNT: $ 20,966. 2013 AMOUNT: $ 19,261. 2014 AMOUNT: $ 19,624. SPACE RENTALS - 2012 AMOUNT: $ 60,600. 2013 AMOUNT: $ 54,600. 2014 AMOUNT: $ 0. MEAL INCOME - 2014 AMOUNT: $ 185,743. CHAPEL - 2014 AMOUNT: $ 2,695. TRANSPORTATION - 2014 AMOUNT: $ 13,443. MAINTENANCE - 2014 AMOUNT: $ 2,983. TELEPHONE - 2014 AMOUNT: $ 48. |
| Software ID: | |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| SOCIAL ACCOUNTABILITY | OUR RESIDENTS' SELFLESS ACTS OF VOLUNTEERING THEIR TIME SPEAK LOUDER THAN WORDS. THE FRIENDSHIP VILLAGE CHESTERFIELD RESIDENTS ENJOY VOLUNTEERING INSIDE OUR COMMUNITY. OUR RESIDENTS NOT ONLY VOLUNTEERED WITHIN OUR WALLS BUT TOOK IT TO THE COMMUNITY AT LARGE. RESIDENT VOLUNTEER HOURS FOR FRIENDSHIP VILLAGE CHESTERFIELD WERE OVER 6,500. RESIDENT VOLUNTEER HOURS IN THE COMMUNITY AT-LARGE WERE APPROXIMATELY 2,000. THE EMPLOYEES OF FRIENDSHIP VILLAGE CHESTERFIELD GO ABOVE AND BEYOND THEIR WORK LOAD. OUR EMPLOYEES VOLUNTEERED IN COMMUNITIES ACROSS THE ST. LOUIS METROPOLITAN COMMUNITY. EMPLOYEE VOLUNTEER HOURS WERE OVER 3,500. FRIENDSHIP VILLAGE CHESTERFIELD MADE DONATIONS TO LOCAL DESERVING CHARITIES AND COMMUNITY ORGANIZATIONS. WITH THE HELP OF OUR RESIDENTS, BOARD MEMBERS, AND EMPLOYEES THE FOLLOWING ORGANIZATIONS RECEIVED OUR SUPPORT: YMCA OF ST. LOUIS, KOMEN RACE FOR THE CURE, ANGEL TREE BENEFITING CHILDREN OF INCARCERATED PEOPLE, SALVATION ARMY, ST. LOUIS PARKINSON'S DISEASE ASSOCIATION, AUTISM SPEAKS, DIABETES ORGANIZATIONS, ALZHEIMER'S ASSOCIATION, VOYCE, AND SPONSORSHIP OF CHESTERFIELD AND WEST COUNTY CHAMBER EVENTS TO NAME A FEW. DONATIONS MADE ON BEHALF OF FRIENDSHIP VILLAGE CHESTERFIELD TO CHARITABLE ORGANIZATIONS WERE NEARLY $25,000. FRIENDSHIP VILLAGE CHESTERFIELD PROVIDES EDUCATIONAL PROGRAMS TO THE RESIDENTS, EMPLOYEES AND GENERAL PUBLIC. FRIENDSHIP VILLAGE CHESTERFIELD HOSTS MEETING SPACE AND OR PROVIDES LUNCH TO 1000 PLUS COMMUNITY PROFESSIONS. SOME OF THESE HOSTED EVENTS INCLUDED THE FOLLOWING: IDENTITY THEFT SEMINAR, HONOR FLIGHT, WINGS OF HOPE, CLAYMONT ELEMENTARY SCHOOL GENERATION TO GENERATION, MARQUETTE HIGH SCHOOL VETERAN'S BIOGRAPHY PROGRAM, FRIENDSHIP VILLAGE WRITERS GROUP, MEDICARE SEMINAR AND A WELLNESS FAIR. FRIENDSHIP VILLAGE CHESTERFIELD HAS ONE CHAPLAIN AND ONE ASSISTANT CHAPLAIN TO MEET ALL THE SPIRITUAL NEEDS OF OUR RESIDENTS AND STAFF. PASTORAL CARE AVERAGES 25 VISITS PER WEEK FOR RESIDENTS/EMPLOYEES FOR A TOTAL OF 1250 VISITS ANNUALLY. OUR CHAPLAINS ALSO VISIT OUR HOSPITALIZED RESIDENTS. AVERAGE VISITS ARE 4-5 VISITS EACH WEEK THROUGHOUT THE YEAR. 16 FUNERAL/MEMORIAL SERVICES HAVE BEEN CONDUCTED IN THE CURRENT YEAR. OUTREACH MINISTRY ACTIVITIES INCLUDE THE FOLLOWING: MENTORS SEMINARY STUDENTS BY PREPARING THEM TO MINISTER TO RESIDENTS DEALING WITH END OF LIFE ISSUES; CHAPLAIN BENNETT PRESENTS AT AREA CHURCHES TO RAISE AWARENESS ABOUT END OF LIFE ISSUES, PERSONAL COUNSELING IS PROVIDED TO APPROXIMATELY 11 RESIDENTS AND EMPLOYEES EACH MONTH, AND CHAPLAIN BENNETT HAS BECOME AN OLDER ADULT MINISTRY CONSULTANT FOR DISCIPLESHIP MINISTRIES. HE SERVES AS A CONSULTANT TO CHURCHES ON END-OF-LIFE ISSUES FOR OLDER ADULT MINISTRY IN GENERAL. CHAPLAIN BENNETT ALSO DEVOTED ONE AND A HALF HOURS OF TEACHING TIME TO A CLASS ON HOW TO FORM GRIEF SUPPORT GROUPS. FRIENDSHIP VILLAGE CHESTERFIELD CONDUCTS BIBLE STUDIES FOR RESIDENTS. 59 RESIDENTS, ON AVERAGE, ARE IN ATTENDANCE AMONG THE TEN WEEKLY BIBLE STUDY CLASSES. THERE ARE 6 VOLUNTEER BIBLE STUDY LEADERS. THERE ARE ALSO DEVOTIONS HELD EACH WEEK, ATTRACTING AN AVERAGE OF 40 RESIDENTS ALTOGETHER. IN ADDITION TO BIBLE STUDIES, THE VILLAGE OFFERS TWO WORSHIP SERVICES EACH SUNDAY. 16 VOLUNTEERS HELP WITH SOME PART OF THE WORSHIP SERVICES. APPROXIMATELY 100 RESIDENTS ATTEND WORSHIP SERVICES HOSTED IN OUR ACTIVITY ROOM AND VILLAGE CARE CENTER. FRIENDSHIP VILLAGE CHESTERFIELD PROVIDES BENEVOLENT CARE IF RESIDENT'S RESOURCES DIMINISH AND NEEDS INCREASE. WE THANK OUR GENEROUS DONORS FOR HELPING OUR RESIDENTS AT THIS TIME OF NEED. DONORS HELP RESTORE RESIDENT HOPE. OUT BENEVOLENT CARE NEED FOR RESIDENTS AT FRIENDSHIP VILLAGE CHESTERFIELD CONTINUES TO INCREASE. BENEVOLENCE CARE WAS NEARLY $18,000. WE ARE FORTUNATE TO STAY TRUE TO OUR MISSION BECAUSE OF THE GENEROSITY OF OTHERS TO OUR FRIENDSHIP FUND. FRIENDSHIP VILLAGE CHESTERFIELD HAS NOT ALTERED THE LEVEL OF CARE AND SERVICE IT PROVIDES, DESPITE THE FACT THAT COSTS CONTINUE TO INCREASE AND THE GOVERNMENT CONTINUES TO OFFER FEWER SUBSIDIES FOR LONG-TERM CARE. FRIENDSHIP VILLAGE CHESTERFIELD HAS CONTRACTUAL AGREEMENTS WITH MEDICARE, MEDICAID, AND OTHER THIRD PARTY INSURANCES. REGARDLESS OF THE REIMBURSEMENT RECEIVED, EVEN WHEN IT FALLS SHORT OF THE COST OF CARE, FRIENDSHIP VILLAGE CHESTERFIELD WILL CONTINUE PROVIDING COMPREHENSIVE CARE. |
| 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. DAILY OPERATIONS TO LIFE CARE SERVICES, LLC, THE MANAGEMENT COMPANY. |
| FORM 990, PART VI, SECTION B, LINE 11 | COPIES WILL GIVEN TO THE MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD, THEY WILL REVIEW IT AND APPROVE IN EARLY NOVEMBER. |
| 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 | TO DETERMINE SALARIES, EVERY TWO YEARS THE MANAGEMENT COMPANY HIRES AN INDEPENDENT COMPANY TO PREPARE A SALARY SURVEY FOR ALL POSITIONS AND COMPARE THOSE SALARIES WITH THE SALARIES THAT ARE ACTUALLY BEING PAID. THIS SURVEY COMPRISES DATA OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE LAST SURVEY WAS CONDUCTED IN 2013. THIS IS THEN REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE TO DETERMINE APPROPRIATE SALARIES. THIS COMMITTEE IS COMPRISED OF ONLY INDEPENDENT BOARD MEMBERS. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING FOR DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT ARE KEPT. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 5 | THE OFFICER COMPENSATION LISTED ON LINE 5, IS PAID BY THE MANAGEMENT COMPANY, LIFE CARE SERVICES, AND IS REIMBURSED BY THE ORGANIZATION. W-2'S ARE ISSUED BY THE MANAGEMENT COMPANY. |
| FORM 990, PART XII, LINE 2C | PROCESSES HAVE NOT CHANGED FROM PRIOR YEARS. |
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