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OTTERBEIN GREEN HILLS INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
OTTERBEIN GREEN HILLS INC (EIN 34-1137582)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-11
IRS object ID
202113159349307011
Schema version
2020v4.1
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)
Return2021-11-11T14:41:18-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HW&COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line123240 Chagrin Blvd Suite 700AddressLine1Txt
CityClevelandCityNm
State AbbreviationOHStateAbbreviationCd
ZIP441225450ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341137582EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEST LIBERTY CARE CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MICHAEL RAYInCareOfNm
Business Name ControlWESTBusinessNameControlTxt
Phone9374655065PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16557 US 68 SOUTHAddressLine1Txt
CityWEST LIBERTYCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43357ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael RayPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone9374655065PhoneNum
Signature2021-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMichaelPersonFirstNm
Person LastRayPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph C Sbrocco CPAPreparerPersonNm
PTINP00069069PTIN
Phone2168311200PhoneNum
Preparation2021-11-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael RayPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16557 US 68 SOUTHAddressLine1Txt
CityWEST LIBERTYCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43357ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,206,109GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GREENHILLSRC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionGREEN HILLS IS A FAITH-BASED ORGANIZATION AFFILIATED WITH TWELVE AREA CHURCHES, PROVIDING CARING SERVICES ACROSS THE GENERATIONS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee342TotalEmployeeCnt
Total Volunteers69TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$96,555PYContributionsGrantsAmt
CY Contributions Grants$1,338,212CYContributionsGrantsAmt
PY Program Service Revenue$10,273,874PYProgramServiceRevenueAmt
CY Program Service Revenue$10,500,587CYProgramServiceRevenueAmt
PY Investment Income$84,778PYInvestmentIncomeAmt
CY Investment Income$13,785CYInvestmentIncomeAmt
PY Other Revenue$343,032PYOtherRevenueAmt
CY Other Revenue$883,542CYOtherRevenueAmt
PY Total Revenue$10,798,239PYTotalRevenueAmt
CY Total Revenue$12,736,126CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,941,531PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,355,451CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,929,870PYOtherExpensesAmt
CY Other Expenses$5,165,538CYOtherExpensesAmt
PY Total Expenses$10,871,401PYTotalExpensesAmt
CY Total Expenses$11,520,989CYTotalExpensesAmt
PY Revenues Less Expenses-$73,162PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,215,137CYRevenuesLessExpensesAmt
Total Assets BOY$9,445,156TotalAssetsBOYAmt
Total Assets EOY$10,645,212TotalAssetsEOYAmt
Total Liabilities BOY$8,894,292TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,813,348TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$550,864NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,831,864NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION'S MISSION IS TO POSITIVELY IMPACT THE LIVES OF ITS RESIDENTS IN THE COMMUNITY BY PROVIDING PROGRAMS AND FACILITIES FOR THE HIGHEST QUALITY HOUSING, HEALTH, AND SUPPORT SERVICES POSSIBLE, WITHIN LIMITS OF AVAILABLE RESOURCES, IN ORDER TO NURTURE SPIRITUAL, PHYSICAL, EMOTIONAL, AND SOCIAL WELL-BEING. THIS ORGANIZATION OPERATES A 99 BED LICENSED LONG-TERM CARE NURSING FACILITY AND A 40 UNIT RESIDENTIAL CARE FACILITY. THE LONG-TERM CARE NURSING FACILITY INCLUDES AN ALZHEIMER'S UNIT AND THE ORGANIZATION ALSO OPERATES AN ADULT DAY CARE CENTER AND A CHILD CARE CENTER WHICH SERVE THE COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,950,933ExpenseAmt
Revenue$9,555,639RevenueAmt
DescOPERATES A 99 BED SKILLED NURSING FACILITY, PROVIDING 28,994 PATIENT DAYS OF CARE IN 2020.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,034,152ExpenseAmt
Revenue$1,613,065RevenueAmt
DescOPERATES A 40 UNIT ASSISTED-LIVING APARTMENT FACILITY FOR THE ELDERLY AND PHYSICALLY CHALLENGED ADULT RESIDENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$235,172ExpenseAmt
Revenue$163,007RevenueAmt
DescOPERATES A CHILD CARE PROGRAM FOR THE BENEFIT OF RESIDENTS OF SURROUNDING COMMUNITIES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$135,916ExpenseAmt
Revenue$51,702RevenueAmt
DescADULT DAY CARE PROGRAMDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$135,916TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$51,702TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$10,356,173TotalProgramServiceExpensesAmt
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 CounselingYes (true)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
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 EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee342EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
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
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL RAYPersonNm
Phone9374655065PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16557 US 68 SOUTHAddressLine1Txt
CityWEST LIBERTYCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43357ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MICHAEL RAY
PRESIDENT/CEO31.09.0Yes (X)$172,712$0$19,826
STEPHANIE DEWEES
VICE PRESIDENT THRU 7/2031.09.0Yes (X)$108,596$0$12,249
JENNIFER PURSER
DIR OF CLINICAL SVCS FROM 8/2031.09.0Yes (X)$98,852$0$10,208
STEPHANIE CHRISTOPHER
CFO THRU 7/2031.09.0Yes (X)$79,744$0$4,957
KARLISSA MCDONALD
ADMINISTRATOR FROM 8/2031.09.0Yes (X)$69,850$0$178
AMY FRIEDSBERG
DIRECTOR OF FINANCE FROM 8/2031.09.0Yes (X)$63,057$0$0
TOM SIMON
CHAIR1.03.0Yes (X)$0$0$0Yes (X)
JOHN BODIN
VICE CHAIR1.03.0Yes (X)$0$0$0Yes (X)
SCOTT SHELLHAAS
SECRETARY1.03.0Yes (X)$0$0$0Yes (X)
COLTON LOWRY
TREASURER1.03.0$0$0$0Yes (X)
TONY BURTCHIN
DIRECTOR1.03.0$0$0$0Yes (X)
MATT CHAMBERLAIN
DIRECTOR1.02.0$0$0$0Yes (X)
NATE WILCOXON
DIRECTOR1.02.0$0$0$0Yes (X)
GRACE LEICHTY
DIRECTOR1.03.0$0$0$0Yes (X)
VALERIE JONES
DIRECTOR1.02.0$0$0$0Yes (X)
KATHY NORVIEL
DIRECTOR1.02.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$592,811TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$47,418TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCKESSON MEDICAL-SURGICAL
PO BOX 630693CINCINNATIOH45263MEDICAL SUPPLIES$244,371
SYSCO CINCINNATI
PO BOX 62066CINCINNATIOH45262FOOD SERVICE$463,197
CHRONO MANAGEMENT GROUP
PO BOX 239EAST LIBERTYOH43319MAINTENANCE SERVICES$502,210
SKILLED CARE PHARMACY
6175 HI-TEK COURTMASONOH45040MED DISPENSING$185,249
ABSOLUTE REHAB AND CONSULTING
PO BOX 2279 339 E MAPLENORTHCANTONOH44720THERAPY SERVICES$653,779
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Federated Campaigns$55,000FederatedCampaignsAmt
Related Organizations$52,500RelatedOrganizationsAmt
Government Grants$1,171,000GovernmentGrantsAmt
All Other Contributions$59,712AllOtherContributionsAmt
Total Contributions$1,338,212TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623000$9,583,395$9,583,395
STIMULUS RELIEF GRANTS623000$917,192$917,192
FieldValueIRS element (for citing)
Total Program Service Revenue$10,500,587TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,343TotalRevenueColumnAmt
Exclusion$13,343ExclusionAmt

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

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$470,425SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$469,267SecuritiesAmt
Other$716OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,158SecuritiesAmt
Other-$716OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$442TotalRevenueColumnAmt
Related Or Exempt Func Income-$716RelatedOrExemptFuncIncomeAmt
Exclusion$1,158ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS900099$787,542$787,542
PAYMENTS FROM AFFILIATES900099$96,000$96,000
FieldValueIRS element (for citing)
Other Revenue Total$883,542OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,736,126TotalRevenueColumnAmt
Related Or Exempt Func Income$11,383,413RelatedOrExemptFuncIncomeAmt
Exclusion$14,501ExclusionAmt

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$640,229TotalAmt
Program Services$109,060ProgramServicesAmt
Management And General$531,169ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,515,612TotalAmt
Program Services$4,428,646ProgramServicesAmt
Management And General$86,966ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$63,837TotalAmt
Program Services$49,061ProgramServicesAmt
Management And General$14,776ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$695,971TotalAmt
Program Services$565,593ProgramServicesAmt
Management And General$130,378ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$439,802TotalAmt
Program Services$398,527ProgramServicesAmt
Management And General$41,275ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$23,921TotalAmt
Program Services$23,921ProgramServicesAmt

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$1,430TotalAmt
Management And General$1,430ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$55,930TotalAmt
Program Services$52,330ProgramServicesAmt
Management And General$3,600ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$115,230TotalAmt
Program Services$24,296ProgramServicesAmt
Management And General$90,934ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$75,474TotalAmt
Program Services$375ProgramServicesAmt
Management And General$75,099ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$273,843TotalAmt
Program Services$262,022ProgramServicesAmt
Management And General$11,821ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,333TotalAmt
Management And General$3,333ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$300,289TotalAmt
Program Services$300,289ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$579,632TotalAmt
Program Services$565,377ProgramServicesAmt
Management And General$14,255ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$187,985TotalAmt
Program Services$187,985ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DIETARY AND MEDICAL SUPPLIES$1,022,221$1,022,221
REHAB & THERAPY SERVICES$569,402$569,402
BAD DEBTS$506,271$506,271
REPAIRS AND MAINTENANCE$482,677$482,677

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$967,900TotalAmt
Program Services$808,120ProgramServicesAmt
Management And General$159,780ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,520,989TotalAmt
Program Services$10,356,173ProgramServicesAmt
Management And General$1,164,816ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$109,846BOYAmt
EOY$273,753EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,323BOYAmt
EOY$1,222,256EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,719,423BOYAmt
EOY$1,495,810EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$118,466BOYAmt
EOY$193,085EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,752,882LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,581,045LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,503,748BOYAmt
EOY$6,171,837EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$555,838BOYAmt
EOY$599,463EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$420,512BOYAmt
EOY$689,008EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,445,156BOYAmt
EOY$10,645,212EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,140,495BOYAmt
EOY$749,047EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$485,645EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$12,252BOYAmt
EOY$12,252EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,640,907BOYAmt
EOY$7,462,826EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$100,638BOYAmt
EOY$103,578EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,894,292BOYAmt
EOY$8,813,348EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$520,232BOYAmt
EOY$1,801,232EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,632BOYAmt
EOY$30,632EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$550,864BOYAmt
EOY$1,831,864EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,445,156BOYAmt
EOY$10,645,212EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,215,137ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$65,863NetUnrlzdGainsLossesInvstAmt
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$259,575CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$146,066CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$98,994CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$96,555CurrentTaxYearMinus1YearAmt
Current Tax Year$1,338,212CurrentTaxYearAmt
Total$1,939,402TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,779,210CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,507,369CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,950,882CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,273,874CurrentTaxYearMinus1YearAmt
Current Tax Year$10,500,587CurrentTaxYearAmt
Total$50,011,922TotalAmt

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$10,038,785CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,653,435CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,049,876CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,370,429CurrentTaxYearMinus1YearAmt
Current Tax Year$11,838,799CurrentTaxYearAmt
Total$51,951,324TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$51,951,324PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,685CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,611CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,609CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,114CurrentTaxYearMinus1YearAmt
Current Tax Year$13,343CurrentTaxYearAmt
Total$78,362TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,685CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,611CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,609CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,114CurrentTaxYearMinus1YearAmt
Current Tax Year$13,343CurrentTaxYearAmt
Total$78,362TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,789CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$290,632CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$259,230CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$343,032CurrentTaxYearMinus1YearAmt
Current Tax Year$883,542CurrentTaxYearAmt
Total$1,941,225TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,221,259CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,954,678CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,328,715CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,730,575CurrentTaxYearMinus1YearAmt
Current Tax Year$12,735,684CurrentTaxYearAmt
Total$53,970,911TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96258PublicSupportCY509Pct
Public Support PY5090.97362PublicSupportPY509Pct
Investment Income CY0.00145InvestmentIncomeCYPct
Investment Income PY0.00196InvestmentIncomePYPct
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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,919OtherCostOrOtherBasisAmt
Book Value$22,919BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,316,049OtherCostOrOtherBasisAmt
Depreciation$7,293,093DepreciationAmt
Book Value$5,022,956BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,508,218OtherCostOrOtherBasisAmt
Depreciation$4,893,166DepreciationAmt
Book Value$615,052BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,905,696OtherCostOrOtherBasisAmt
Depreciation$1,394,786DepreciationAmt
Book Value$510,910BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,171,837TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSIT FUNDS$104,578
MORTGAGE ESCROW DEPOSITS$41,149
AR FROM RELATED PARTIES$301,086
RESIDENT FUNDS$12,252
RESTRICTED RESERVES$229,943
FieldValueIRS element (for citing)
Total Book Value Other Assets$689,008TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEPOSITSDesc
Amt$103,578Amt
FieldValueIRS element (for citing)
Total Liability$103,578TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART IV, LINE 2BRESIDENT CUSTODIAN ACCOUNTS MEDICAID RESIDENTS CAN REQUEST, AND IN CERTAIN CASES, WEST LIBERTY CARE CENTER IS REQUIRED TO MAINTAIN THEIR PERSONAL FUNDS IN A CUSTODIAN ACCOUNT. THESE CUSTODIAL ACCOUNTS ARE ACCOUNTED FOR SEPARATELY AND ARE MAINTAINED BY THE NURSING FACILITY ON THE RESIDENTS' BEHALF. THE CUSTODIAL ACCOUNTS ARE LISTED ON THE BALANCE SHEET OF FORM 990, PART X, LINE 21 AS CUSTODIAL ACCOUNT LIABILITIES OF $12,252.
SCHEDULE D, PART V, LINE 4INTENDED USE OF ENDOWNMENT FUNDS THE COMPANY HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. ENDOWMENT ASSETS INCLUDE THOSE ASSETS OF DONOR-RESTRICTED FUNDS THAT THE COMPANY MUST HOLD IN PERPETUITY. UNDER THIS POLICY, AS APPROVED BY THE COMPANY'S BOARD, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE RESULTS THAT EXCEED THE PRICE AND YIELD RESULTS OF VARIOUS MARKET INDICES BASED ON TYPE OF INVESTMENTS WHILE ASSUMING A MODERATE LEVEL OF INVESTMENT RISK. THE COMPANY EXPECTS ITS ENDOWMENT FUNDS, OVER TIME, TO PROVIDE AN AVERAGE RATE OF RETURN OF APPROXIMATELY 5% ANNUALLY. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE-OF-RETURN OBJECTIVES, THE COMPANY RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CAPITAL APPRECIATION (REALIZED AND UNREALIZED) AND CURRENT YIELD (INTEREST AND DIVIDENDS). THE COMPANY TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACES A GREATER EMPHASIS ON EQUITY-BASED INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. SINCE THE DONOR HAS NOT RESTRICTED THE USE OF INVESTMENT INCOME (INTEREST AND DIVIDEND, REALIZED AND UNREALIZED GAINS AND LOSSES) ON THE DONOR-RESTRICTED ENDOWMENT FUNDS, THE COMPANY UTILIZES THOSE EARNINGS IN THEIR OPERATIONS WHICH ARE INCLUDED IN UNRESTRICTED NET ASSETS. IN ESTABLISHING THIS POLICY, THE COMPANY CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. THIS IS CONSISTENT WITH THE COMPANY'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS.
SCHEDULE D, PART X, LINE 1The Community, Foundation, Homes, and Garden Apartments are tax-exempt organizations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. Care at Home is a single member limited liability company of the Foundation and, therefore, is disregarded for Federal income tax purposes, and as a result its operations will be included in the Foundation's Federal tax return. GHA, LLC is a single member limited liability company of the Homes, however GHA, LLC has made an election to be taxed as a corporation. No deferred tax benefit has been recorded at December 31, 2020 and 2019. The entities are no longer subject to Federal income tax examinations by tax authorities before 2017.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
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 OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMICHAEL RAYPersonNm
TitlePRESIDENT/CEOTitleTxt
Base Compensation Filing Org$172,712BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$8,288DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$11,538NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$192,538TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 11BTHE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WHO THEN PROVIDES A COPY THE FORM 990 TO THE CEO AND FINANCE DIRECTOR FOR THEIR REVIEW. ADDITIONALLY, THE FINANCE COMMITTEE WILL REVIEW THE FORM 990. A COPY OF THE FORM 990 WILL ALSO BE MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING OF THE FORM 990 WITH THE IRS.
FORM 990, PART VI, LINE 15AAS INDICATED IN THE ORGANIZATION'S CODE OF REGULATIONS, THE EXECUTIVE COMMITTEE IS RESPONSIBLE TO EVALUATE AND SET COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER. ALTHOUGH THE CHIEF EXECUTIVE OFFICER IS A MEMBER OF THE EXECUTIVE COMMITTEE, HE OR SHE MUST ABSTAIN FROM ANY VOTE RELATED TO HIS OR HER COMPENSATION AND BENEFIT PACKAGE. THE EXECUTIVE COMMITTEE ENCOURAGES PARTICIPATION IN ANNUAL SALARY SURVEYS BY TRADE ASSOCIATIONS OR OTHER INDEPENDENT ORGANIZATIONS TO EVALUATE THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM AGAINST THE COMPETITIVE MARKET. THE RESULTS OF THESE SURVEYS ARE REVIEWED ANNUALLY. THIS REVIEW IS INTENDED TO ENSURE THAT THE COMPENSATION PROGRAM FALLS WITHIN A REASONABLE RANGE OF COMPETITIVE PRACTICES FOR COMPARABLE POSITIONS AMONG SIMILARLY SITUATED ORGANIZATIONS. FOLLOWING THIS REVIEW, THE EXECUTIVE COMMITTEE COMPLETES AN EVALUATION OF THE CHIEF EXECUTIVE OFFICER AND THEN REVIEWS AND APPROVES HIS OR HER, SALARY AND BENEFIT PACKAGE, OBJECTIVES AND GOALS FOR THE UPCOMING YEAR. THE EXECUTIVE COMMITTEE SHALL ADEQUATELY AND TIMELY DOCUMENT THE REVIEW PROCESS INCLUDING: THE TERMS OF THE TRANSACTION, THE DATE OF APPROVAL, THE MEMBERS PRESENT DURING THE DEBATE AND VOTE ON THE TRANSACTION, THE COMPATIBILITY DATA OBTAINED AND RELIED UPON, THE ACTIONS OF ANY MEMBERS OF THE EXECUTIVE COMMITTEE HAVING A CONFLICT OF INTEREST, AND DOCUMENTATION OF THE BASIS FOR THE DETERMINATION.
FORM 990, PART VI, LINE 15BKEY STAFF MEMBERS ARE EVALUATED BASED ON THEIR INDIVIDUAL GOALS AND THEIR PERFORMANCE OVER THE PRIOR YEAR. THE CEO REVIEWS THE EVALUATIONS, COMPARABLE SALARY INFORMATION FOR THE POSITION (REGIONAL AND STATEWIDE), AND BUDGET CONSIDERATIONS. THE CEO THEN DISCUSSES POTENTIAL INCREASES WITH THE ADMINISTRATOR AND DIRECTOR OF HUMAN RESOURCES.
FORM 990, PART VI, LINE 19THE ORGANIZATION CURRENTLY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, UPON REQUEST.
FORM 990, PART VI, LINE 12CTHE BOARD MEMBERS, OFFICERS, & KEY EMPLOYEES RECEIVE A QUESTIONNAIRE INQUIRING ABOUT FAMILY AND BUSINESS RELATIONSHIPS ANNUALLY. NO CONFLICTS EXIST CURRENTLY WITHIN THE ORGANIZATION.
FORM 990, PART VI, LINE 6THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS. MEMBERS MUST BE INDIVIDUALS AND TRUSTEES OF THE CORPORATION.
FORM 990, PART VI, LINE 7Amembers may elect members of the governing body.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
WEST LIBERTY GARDEN APARTMENTS INC
6557 US 68 SOUTHWEST LIBERTYOH43357341325781APARTMENTSOH501 (C) (3)12WLCCYes (true)
WEST LIBERTY HOMES INC
6557 US 68 SOUTHWEST LIBERTYOH43357346708015LOW INC HOMEOH501 (C) (3)10WLCCYes (true)
GREEN HILLS FOUNDATION
6557 US 68 SOUTHWEST LIBERTYOH43357272566073SUPPORT ORGOH501 (C) (3)12WLCCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtOwnershipOwnershipPct
GREEN HILLS APTS LP
6557 US HWY 68 SWEST LIBERTYOH43357901009663LOW INC HOMEOHNAN/A$0$0false$0
OHIO AGING SERVICES NETWORK LLC
17 SOUTH HIGH STREET SUITE 1000COLUMBUSOH43215462249279ASSOCIATIONOHNARELATED$1,237$0false$00.01889
SQUARED BUSINESS SOLUTIONS
5106 NOVELTY AVECANAL WINCHESTEROH43110472476083PROF SERVICESOHNARELATED$22,431$0false$00.10000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GREEN HILLS APARTMENTS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16557 US 68 SOUTHAddressLine1Txt
CityWEST LIBERTYCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43357ZIPCd
FieldValueIRS element (for citing)
EIN463373943EIN
Primary ActivitiesHOLDING CO.PrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WLHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeLLCEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
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 OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
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 OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WEST LIBERTY GARDEN APARTMENTS INC
Q$124,140COST
GREEN HILLS FOUNDATION
C$52,500CASH
CARE AT HOME BY GREEN HILLS
Q$485,714COST
GREEN HILLS FOUNDATION
Q$56,150COST