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DEVON OAKS ASSISTED LIVING CORPORATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
DEVON OAKS ASSISTED LIVING CORPORATION (EIN 34-1927224)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-13
IRS object ID
202431349349304003
Schema version
2022v5.0
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)
Return2024-05-13T08:58:29-07:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341927224EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Devon Oaks Assisted Living CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDEVOBusinessNameControlTxt
Phone4405404700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12345 Crocker RoadAddressLine1Txt
CityWestlakeCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44145ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKathleen ShieldsPersonNm
Person TitleCFOPersonTitleTxt
Signature2024-05-13SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKathleenPersonFirstNm
Person LastShieldsPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRichard M Boyson JrPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line126376 John RdAddressLine1Txt
CityOlmsted TownshipCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44138ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,437,692GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.elizajennings.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionDevon Oaks is Eliza Jennings' assisted living facility in Westlake, Ohio. This community incorporates residential services, assistance with daily living, and memory support for older adults experiencing early & mid-stage Alzheimer's and dementia.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee88TotalEmployeeCnt
Total Volunteers595TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$354,696PYContributionsGrantsAmt
CY Contributions Grants$4,377CYContributionsGrantsAmt
PY Program Service Revenue$4,345,444PYProgramServiceRevenueAmt
CY Program Service Revenue$4,398,507CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue-$81,357PYOtherRevenueAmt
CY Other Revenue$34,808CYOtherRevenueAmt
PY Total Revenue$4,618,783PYTotalRevenueAmt
CY Total Revenue$4,437,692CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,869,845PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,782,709CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$15,072CYTotalFundraisingExpenseAmt
PY Other Expenses$2,268,984PYOtherExpensesAmt
CY Other Expenses$2,743,301CYOtherExpensesAmt
PY Total Expenses$4,138,829PYTotalExpensesAmt
CY Total Expenses$4,526,010CYTotalExpensesAmt
PY Revenues Less Expenses$479,954PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$88,318CYRevenuesLessExpensesAmt
Total Assets BOY$45,800TotalAssetsBOYAmt
Total Assets EOY$4,183,249TotalAssetsEOYAmt
Total Liabilities BOY$45,223TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,891,151TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$577NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$707,902NetAssetsOrFundBalancesEOYAmt
MissionWe affirm the dignity and individual worth of older adults and their right to attain the highest possible quality of life. We strive to nurture and sustain their physical, emotional, intellectual, social and spiritual health. We are committed to having a community in which every member is equally respected, valued and empowered.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,920,817ExpenseAmt
DescDevon Oaks is a premier Eliza Jennings community, operating 54 assisted living units and 12 memory support units, that supports older adult residents needing assistance with activities of daily living and who are experiencing mid-stage Alzheimer's disease and related dementia. The organization is focused on maximizing the quality of life for residents through a person-centered care philosophy. This philosophy has transformed the culture of our facility and perception of elders' needs to an environment that more closely resembles home and promotes preference and choice.Devon Oaks offers residents and families peace of mind by providing services that include: licensed, professional staff on duty 24 hours a day; access to a physician and nurse practitioner; medication management provided by in-house clinical staff; transportation to hospital and physician appointments as well as community events; full-time physical therapist; 24-hour assistance with activities of daily living such as dressing, meals, mobility, and hygiene; meaningful activities that promote engagement and socialization; memory support care; and respite care. Devon Oaks operates within the Eliza Jennings Senior Care Network, a provider of residential and community-based aging services which includes Eliza Jennings Inc., Olmsted Assisted Living Corp, Olmsted Health & Services, Olmsted Resident Corp, Northeast Ohio Home Care, offering home and community-based services; Acacia Place Adult Day Center, and the flagship community Eliza Jennings Home.Eliza Jennings is committed to offering compassionate care and support to individuals and their families who are facing advanced illness and end-of-life care decisions. The Eliza Jennings Senior Care Network offers hospice services though Northeast Ohio Hospice, which is geared to providing choices that sustain dignity and autonomy while enhancing comfort and quality of life during this difficult time.As a nationally recognized innovator and expert in aging services, Eliza Jennings offers a full range of memory support services and programming throughout its residential communities and adult day program, including Devon Oaks.Desc
Total Program Service Expenses$2,920,817TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee88EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKathleen ShieldsPersonNm
Phone4405404700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line126376 John RdAddressLine1Txt
CityOlmsted TownshipCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44138ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Richard M Boyson Jr
President & CEO0.0040.00Yes (X)Yes (X)$0$327,029$42,466
Kathleen M Shields
CFO0.0040.00Yes (X)$0$200,734$4,385
Jennifer Griveas
VP of Legal0.0040.00Yes (X)$0$160,097$7,281
Sheryl Sereda
CAO0.0040.00$0$151,148$7,218
Michael Gray
CIO0.0040.00Yes (X)$0$130,974$1,631
Richard L Fletcher
Trustee0.004.00Yes (X)$0$0$0
Alayne J Fodor
Trustee0.004.00Yes (X)$0$0$0
Glenn S Krassen
Secretary0.004.00Yes (X)$0$0$0
Brendan Lawlor
Trustee0.004.00Yes (X)$0$0$0
Michelle R Messina
Trustee0.004.00Yes (X)$0$0$0
Richard L Fox
Trustee0.004.00Yes (X)$0$0$0
James Rogerson
Trustee0.004.00Yes (X)$0$0$0
Patricia M Scanlon
Trustee0.004.00Yes (X)$0$0$0
Terrie Tenk Shrock
Trustee0.004.00Yes (X)$0$0$0
Allen R Tracy
Treasurer0.004.00Yes (X)$0$0$0
Rick J Weigle Jr
Trustee0.004.00Yes (X)$0$0$0
Margaret G Weitzel
Chair0.004.00Yes (X)$0$0$0
Hilton Young
Trustee0.004.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$969,982TotReportableCompRltdOrgAmt
Total Other Compensation$62,981TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
IntelyCare Inc
PO Box 787317PhiladelphiaPA19178Health care$408,839
BrightStar Care
7029 Pearl Rd Ste 310Middleburg HeightsOH44130Personal care$152,380
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$4,377AllOtherContributionsAmt
Total Contributions$4,377TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Ancillary Services$63,792$63,792
Participant revenue$176,006$176,006
Resident services$4,158,709$4,158,709
FieldValueIRS element (for citing)
Total Program Service Revenue$4,398,507TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Meals$15,605$15,605
Miscellaneous Income$19,203$19,203
Unreal Gain(Loss)
FieldValueIRS element (for citing)
Other Revenue Total$34,808OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,437,692TotalRevenueColumnAmt
Related Or Exempt Func Income$4,433,315RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,561,826TotalAmt
Program Services$1,486,602ProgramServicesAmt
Management And General$75,224ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,726TotalAmt
Program Services$2,649ProgramServicesAmt
Management And General$77ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$81,800TotalAmt
Program Services$79,407ProgramServicesAmt
Management And General$2,393ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$136,357TotalAmt
Program Services$132,317ProgramServicesAmt
Management And General$4,040ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,559,217TotalAmt
Program Services$63,189ProgramServicesAmt
Management And General$1,480,956ManagementAndGeneralAmt
Fundraising$15,072FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,031TotalAmt
Program Services$1,000ProgramServicesAmt
Management And General$31ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,675TotalAmt
Program Services$14,675ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,567TotalAmt
Management And General$13,567ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$235TotalAmt
Program Services$228ProgramServicesAmt
Management And General$7ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$159,381TotalAmt
Program Services$159,381ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$489TotalAmt
Program Services$474ProgramServicesAmt
Management And General$15ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,131TotalAmt
Program Services$3,018ProgramServicesAmt
Management And General$113ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$176,018TotalAmt
Program Services$176,018ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$290,195TotalAmt
Program Services$281,437ProgramServicesAmt
Management And General$8,758ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$69,371TotalAmt
Program Services$67,290ProgramServicesAmt
Management And General$2,081ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$331,835$331,835
Miscellaneous$53,990$51,997$1,993
Bad Debt$40,353$40,353
Repairs & Maint$21,360$20,762$598

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,453TotalAmt
Program Services$8,185ProgramServicesAmt
Management And General$268ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,526,010TotalAmt
Program Services$2,920,817ProgramServicesAmt
Management And General$1,590,121ManagementAndGeneralAmt
Fundraising$15,072FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$813,117BOYAmt
EOY$649,933EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$122,414BOYAmt
EOY$120,283EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,326BOYAmt
EOY$5,760EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,049,403LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,842,130LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,469,672BOYAmt
EOY$3,207,273EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY-$4,365,729BOYAmt
EOY$200,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$45,800BOYAmt
EOY$4,183,249EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$266,132BOYAmt
EOY$306,561EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$78,090BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY-$298,999BOYAmt
EOY$4,584,590EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,223BOYAmt
EOY$4,891,151EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$577BOYAmt
EOY-$713,699EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$5,797EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$577BOYAmt
EOY-$707,902EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$45,800BOYAmt
EOY$4,183,249EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$88,318ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$620,161OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,445CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,468CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$135,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$354,696CurrentTaxYearMinus1YearAmt
Current Tax Year$4,377CurrentTaxYearAmt
Total$502,202TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,029,012CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,143,666CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,923,342CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,345,445CurrentTaxYearMinus1YearAmt
Current Tax Year$4,398,507CurrentTaxYearAmt
Total$20,839,972TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,031,457CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,149,134CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,058,558CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,700,141CurrentTaxYearMinus1YearAmt
Current Tax Year$4,402,884CurrentTaxYearAmt
Total$21,342,174TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$21,342,174PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$6,691CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$23,916CurrentTaxYearMinus2YearsAmt
Total-$28,559TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$6,691CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$23,916CurrentTaxYearMinus2YearsAmt
Total-$28,559TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$4,634CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$133,260CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$81,357CurrentTaxYearMinus1YearAmt
Current Tax Year$34,808CurrentTaxYearAmt
Total$91,345TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,033,505CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,147,077CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,167,902CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,618,784CurrentTaxYearMinus1YearAmt
Current Tax Year$4,437,692CurrentTaxYearAmt
Total$21,404,960TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99710PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$934,880OtherCostOrOtherBasisAmt
Book Value$934,880BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,446,262OtherCostOrOtherBasisAmt
Depreciation$4,739,579DepreciationAmt
Book Value$1,706,683BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,115,362OtherCostOrOtherBasisAmt
Depreciation$603,223DepreciationAmt
Book Value$512,139BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$261,142OtherCostOrOtherBasisAmt
Depreciation$236,525DepreciationAmt
Book Value$24,617BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$291,757OtherCostOrOtherBasisAmt
Depreciation$262,803DepreciationAmt
Book Value$28,954BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,207,273TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Intercompany Payable$4,583,590
Resident deposits$1,000
FieldValueIRS element (for citing)
Total Liability$4,584,590TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Jennifer Griveas
VP of Legal$149,097$11,000$865$6,416$167,378
Kathleen M Shields
CFO$189,534$11,200$865$3,520$205,119
Richard M Boyson Jr
President & CEO$302,029$25,000$25,865$16,601$369,495
Sheryl Sereda
CAO$141,548$9,600$865$6,353$158,366

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 6b: Explanation of organization compensation contingent on net earnings from related orFormAndLineReferenceDesc
ExplanationBonus programs apply to select individuals shown in form 990, Part VII, Section A line 1a. Cirteria is based on actual versus budgeted financial performance and other non financial criteria.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bThe return and accompanied schedules and statements are prepared by the Accounting Department and initially reviewed by the CFO. The Finance Committee has reviewed draft versions of the returns over the years, and is annually provided a high level summary of any changes before the returns are finalized. A final copy of Form 990, including all schedules, is provided to the Board of Trustees via a Trustee website; and then filed electronically with the IRS. Scope of review will be on material compliance issues.
Form 990, Part VI, Section B, Line 12cThe conflict of interest policy is updated and monitored annually to ensure strict compliance by the governing body and Board of Trustees. Annually, the conflict of interest questionnaire is circulated to all Trustees, Officers, Directors, Administrators and Managers. The questionnaire asks members to divulge entities in which they have a direct personal financial interest and the nature and extent of that interest; as well as their awareness of any existing contract or transaction between the corporation and themselves or any other entity in which they have a direct personal financial interest. Additionally, the agenda for each Board meeting includes discussion regarding any new conflicts of interest. In the event a conflict arises, the conflicted individual is not permitted to vote on the matter or participate in the discussion. A person independent of the individual makes decisions about the transaction. The discussions and decision are documented in the organization's Minutes.
Form 990, Part VI, Section B, Line 15bCompensation decisions for all Officers and Key Employees listed in Part VII are determined by their immediate supervisor and documented in their personnel file after a formal evaluation process and review of comparability data published in salary guides as well as Leading Ages (a senior living trade association) CEMO survey which studies executive compensation. Detailed salary information is also included in the annual budgets which are approved by the Board of Trustees. Compensation for the CEO is determined by a Board Compensation Committee via a formal evaluation process which includes goals determined mutually by the Board of Trustees and the CEO at the beginning of each year. Leading Ages annual CEMO survey is also used as a benchmark in determining the CEOs compensation. The full Board of Trustees (without the CEO present), determines the final compensation following its deliberation of the amount recommended by the Board Compensation Committee.
Form 990, Part VI, Section C, Line 19Tax returns can be retrieved at www.guidestar.org and financial statements and other continuing disclosure information are reported quarterly to stakeholders and posted on the Electronic Municipal Market Access (EMMA) website at emma.msrb.org.
Form 990, Part XI, Line 9= $0
Form 990, Part XI, Line 9= $0
Form 990, Part XI, Line 9Change in Temp Restricted Net Assets = -$48929
Form 990, Part XI, Line 9Forgiveness of Intercompany Debt = -$577029
Form 990, Part XI, Line 9Increase in Temp & Perm Restricted Net Assets = $5797

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Eliza Jennings Inc
26376 John RoadOlmsted TownshipOH44138341507703Management & admin services to related partiesOH501 (c)(3)9N/Afalse
Eliza Jennings Senior Care Network
26376 John RdOlmsted TownshipOH44138341560243Management and admin support to related partiesOH501(c)(3)9N/Afalse
Olmsted Assisted Living Co
26376 John RoadOlmsted TownshipOH44138341833994Assisted living communityOH501 (c)(3)9N/Afalse
Olmsted Health & Services
26376 John RoadOlmsted TownshipOH44138341560247Nursing care communityOH501 (c)(3)9N/Afalse
Olmsted Residence Corp
26376 John RoadOlmsted TownshipOH44138341560249Independent living communityOH501(c)(3)9N/Afalse
Eliza Jennings Home
10603 Detroit AvenueClevelandOH44102341166722Nursing care communityOH501 (c) (3)9falseNA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
EJLinks
26111 John RdOlmsted TownshipOH44138341679177Golf courseOHN/AC Corp1.00000false
Eliza Holding
26376 John RdOlmsted TownshipOH44138341697748Holding CompanyOHN/AC Corp1.00000false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd