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FRIENDSHIP VILLAGE OF DUBLIN OHIO INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
FRIENDSHIP VILLAGE OF DUBLIN OHIO INC (EIN 31-0986918)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-02-01
IRS object ID
201700339349301005
Schema version
2015v3.0
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)
Return2017-02-01T10:23:13-07:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310986918EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Friendship Village of Dublin Ohio IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFRIEBusinessNameControlTxt
Phone6147641600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16000 Riverside DriveAddressLine1Txt
CityDublinCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43017ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJerry KuyothPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone6147641600PhoneNum
Signature2017-02-01SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJerry KuyothPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16000 Riverside DriveAddressLine1Txt
CityDublinCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43017ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,823,913GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.fvdublin.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee437TotalEmployeeCnt
Total Volunteers565TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$190,993PYContributionsGrantsAmt
CY Contributions Grants$181,471CYContributionsGrantsAmt
PY Program Service Revenue$19,626,689PYProgramServiceRevenueAmt
CY Program Service Revenue$20,042,049CYProgramServiceRevenueAmt
PY Investment Income$2,280,742PYInvestmentIncomeAmt
CY Investment Income$1,455,470CYInvestmentIncomeAmt
PY Other Revenue$84,351PYOtherRevenueAmt
CY Other Revenue$75,416CYOtherRevenueAmt
PY Total Revenue$22,182,775PYTotalRevenueAmt
CY Total Revenue$21,754,406CYTotalRevenueAmt
PY Grants And Similar Paid$12,150PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,349,144PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,851,514CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$26,317CYTotalFundraisingExpenseAmt
PY Other Expenses$10,370,684PYOtherExpensesAmt
CY Other Expenses$11,256,855CYOtherExpensesAmt
PY Total Expenses$18,731,978PYTotalExpensesAmt
CY Total Expenses$20,120,869CYTotalExpensesAmt
PY Revenues Less Expenses$3,450,797PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,633,537CYRevenuesLessExpensesAmt
Total Assets BOY$98,514,080TotalAssetsBOYAmt
Total Assets EOY$102,255,361TotalAssetsEOYAmt
Total Liabilities BOY$64,396,766TotalLiabilitiesBOYAmt
Total Liabilities EOY$68,085,027TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$34,117,314NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$34,170,334NetAssetsOrFundBalancesEOYAmt
MissionTo enhance the quality of life for older adults.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,302,531ExpenseAmt
Grant$12,500GrantAmt
Revenue$20,064,540RevenueAmt
DescOPERATION OF A SKILLED NURSING FACILITY WHICH HAS 60 BEDS. OPERATION OF AN ASSISTED LIVING FACILITY WHICH HAS 46 APARTMENTS. ALSO PROVIDED NON-SKILLED HOME CARE TO RESIDENTS WHO CHOOSE FOR SUPPORT.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$16,302,531TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee437EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Friendship Village of DublinBusinessNameLine1Txt
Business Name Line2c/o Craig FlickingerBusinessNameLine2Txt
FieldValueIRS element (for citing)
Phone6147641600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16000 Riverside DriveAddressLine1Txt
CityDublinCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43017ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
RONALD BACHMAN
CHAIRMAN3.00Yes (X)Yes (X)$0$0$0
LAURA ECKLAR
CHAIRMAN - ELECT1.500Yes (X)Yes (X)$0$0$0
CHARLES E ANSLEY
TREASURER1.500Yes (X)Yes (X)$0$0$0
BRUCE PAIGE
SECRETARY1.500Yes (X)Yes (X)$0$0$0
RICHARD BAKER
DIRECTOR1.000Yes (X)$0$0$0
CHEREE CLARK
DIRECTOR1.000Yes (X)$0$0$0
KEITH DEVOE III
DIRECTOR1.000.00Yes (X)$0$0$0
KAREN ICKES
DIRECTOR1.000Yes (X)$0$0$0
CAROL JENKINS
DIRECTOR1.000Yes (X)$0$0$0
OWEN JOHNSON
DIRECTOR1.000Yes (X)$0$0$0
SHAWN KARASARIDES
DIRECTOR1.000Yes (X)$0$0$0
JOAN MANTER
DIRECTOR1.000Yes (X)$0$0$0
RICHARD SCHROCK
DIRECTOR1.000Yes (X)$0$0$0
MARGARET TEAFORD
DIRECTOR1.000Yes (X)$0$0$0
BRUCE WALL
DIRECTOR1.000Yes (X)$0$0$0
WILLIAM KONIEWICH
DIRECTOR1.000Yes (X)$0$0$0
KATHLEEN McGINNIS
DIRECTOR10Yes (X)$0$0$0
JAMES WINFREE
DIRECTOR1.000.00Yes (X)$0$0$0
JERRY KUYOTH
EXECUTIVE DIRECTOR40.000.00Yes (X)$195,012$0$28,090
CRAIG FLICKINGER
DIRECTOR OF FINANCE40.000.00Yes (X)$116,324$0$11,099
DONALD PAUL
DIRECTOR OF CULINARY SERVICES40.000$134,896$0$12,582Yes (X)
DAN NASE
DIRECTOR OF MARKETING40.000$123,571$0$16,384Yes (X)
THERESA McFARLAND
DIRECTOR OF NURSING40.000$107,413$0$11,881Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$677,216TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$80,036TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RUSCILLI CONSTRUCTION
2041 ARLINGATECOLUMBUSOH43017CONSTRUCTION SERVICE$1,872,995
JMM ARCHITECTS
4685 LARWELL DRIVECOLUMBUSOH43220PROFESSIONAL SERVICES$761,087
GLYNN DEVINS MARKETING & ADVERTISING
11230 COLLEGE BLVDOVERLAND PARKKS66210MARKETING SERVICES$570,067
REHAB CARE GROUP THERAPY
680 SOUTH FOURTH STREETLOUISVILLEKY40202THERAPY SERVICES$539,469
LIFE CARE SERVICES
400 LOCUST STREETDES MOINESIA50309MANAGEMENT FEE$349,440
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$181,471AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$181,471TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
RESIDENCY SERVICES531110$17,242,351$17,242,351$0$0
MEDICARE/MEDICAID SERVICES531110$1,729,066$1,729,066$0$0
INSURANCE/HMO SERVICES531110$423,755$423,755$0$0
HOME CARE SERVICES621610$614,520$614,520$0$0
AT HOME PROGRAM621610$32,357$32,357$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$20,042,049TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$932,370TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$932,370ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$144,923RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$69,507RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$75,416RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,416TotalRevenueColumnAmt
Related Or Exempt Func Income$22,491RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$52,925ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$569,561SecuritiesAmt
Other-$46,461OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$569,561SecuritiesAmt
Other-$46,461OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$523,100TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$523,100ExclusionAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,754,406TotalRevenueColumnAmt
Related Or Exempt Func Income$20,064,540RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,508,395ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$12,500TotalAmt
Program Services$12,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$387,571TotalAmt
Management And General$387,571ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,886,835TotalAmt
Program Services$5,965,787ProgramServicesAmt
Management And General$921,048ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$102,681TotalAmt
Program Services$74,029ProgramServicesAmt
Management And General$28,652ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$856,495TotalAmt
Program Services$747,843ProgramServicesAmt
Management And General$108,652ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$617,932TotalAmt
Program Services$519,974ProgramServicesAmt
Management And General$97,958ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$349,440TotalAmt
Management And General$349,440ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$61,985TotalAmt
Management And General$61,985ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$53,425TotalAmt
Management And General$53,425ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$686,476TotalAmt
Program Services$686,476ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,074,535TotalAmt
Program Services$2,006,115ProgramServicesAmt
Management And General$1,068,420ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$182,259TotalAmt
Program Services$182,259ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,516,714TotalAmt
Program Services$1,516,714ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,126TotalAmt
Program Services$8,749ProgramServicesAmt
Management And General$25,377ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$32,602TotalAmt
Program Services$14,825ProgramServicesAmt
Management And General$17,777ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,339,848TotalAmt
Program Services$1,339,848ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,252,092TotalAmt
Program Services$1,826,309ProgramServicesAmt
Management And General$424,171ManagementAndGeneralAmt
Fundraising$1,612FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$247,545TotalAmt
Management And General$247,545ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
FOOD$1,254,760$1,254,760$0$0
BAD DEBT EXPENSE$74,263$74,263$0$0
LETTER OF CREDIT FEE$72,080$72,080$0$0
CHARITABLE GIVING EXPENSE$24,705$0$0$24,705

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,120,869TotalAmt
Program Services$16,302,531ProgramServicesAmt
Management And General$3,792,021ManagementAndGeneralAmt
Fundraising$26,317FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$150,300BOYAmt
EOY$150,300EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,114,339BOYAmt
EOY$13,016,411EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$714,855BOYAmt
EOY$828,020EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$70,491BOYAmt
EOY$68,013EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$211,828BOYAmt
EOY$187,486EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$68,687,499LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$31,372,610LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,201,692BOYAmt
EOY$37,314,889EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$41,792,914BOYAmt
EOY$41,595,771EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,639,646BOYAmt
EOY$1,720,398EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,618,015BOYAmt
EOY$7,374,073EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$98,514,080BOYAmt
EOY$102,255,361EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,953,675BOYAmt
EOY$3,424,924EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$25,687,846BOYAmt
EOY$26,898,587EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,785,000BOYAmt
EOY$31,545,887EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,970,245BOYAmt
EOY$6,215,629EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$64,396,766BOYAmt
EOY$68,085,027EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,223,416BOYAmt
EOY$33,171,467EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$893,898BOYAmt
EOY$998,867EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,117,314BOYAmt
EOY$34,170,334EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$98,514,080BOYAmt
EOY$102,255,361EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,633,537ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,569,984NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$10,533OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$96,849CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$131,272CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$106,482CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$190,993CurrentTaxYearMinus1YearAmt
Current Tax Year$181,471CurrentTaxYearAmt
Total$707,067TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,253,444CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,083,855CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,155,577CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,626,689CurrentTaxYearMinus1YearAmt
Current Tax Year$20,042,049CurrentTaxYearAmt
Total$96,161,614TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,350,293CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,215,127CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,262,059CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,817,682CurrentTaxYearMinus1YearAmt
Current Tax Year$20,223,520CurrentTaxYearAmt
Total$96,868,681TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,065CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,010CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,750CurrentTaxYearMinus1YearAmt
Current Tax Year$6,840CurrentTaxYearAmt
Total$26,865TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,065CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,010CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,750CurrentTaxYearMinus1YearAmt
Current Tax Year$6,840CurrentTaxYearAmt
Total$26,865TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$96,841,816PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$538,281CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$825,887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,178,151CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$909,495CurrentTaxYearMinus1YearAmt
Current Tax Year$932,370CurrentTaxYearAmt
Total$4,384,184TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$538,281CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$825,887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,178,151CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$909,495CurrentTaxYearMinus1YearAmt
Current Tax Year$932,370CurrentTaxYearAmt
Total$4,384,184TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,888,574CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,041,014CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,440,210CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,727,177CurrentTaxYearMinus1YearAmt
Current Tax Year$21,155,890CurrentTaxYearAmt
Total$101,252,865TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95644PublicSupportCY509Pct
Public Support PY5090.95954PublicSupportPY509Pct
Investment Income CY0.04330InvestmentIncomeCYPct
Investment Income PY0.04011InvestmentIncomePYPct
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,592OtherActivitiesAmt
Total Lobbying Expenditures$1,592TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES: EXPLANATION: THE ORGANIZATION IS A MEMBER OF LEADING AGE OHIO; A PORTION OF THE DUES PAYMENTS TO LEADING AGE OHIO GOES TOWARDS LOBBYING ACTIVITIES. MEMBERSHIP DUES IN THE AMOUNT OF $17,500 WERE PAID TO LEADING AGE OHIO: 9.1% ($1,592) OF THE DUES RELATED TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$893,898BeginningYearBalanceAmt
Contributions$131,839ContributionsAmt
Investment Earnings Or Losses$37,950InvestmentEarningsOrLossesAmt
Grants Or Scholarships$12,500GrantsOrScholarshipsAmt
Other Expenditures$52,320OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$998,867EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$759,881BeginningYearBalanceAmt
Contributions$144,459ContributionsAmt
Investment Earnings Or Losses$22,570InvestmentEarningsOrLossesAmt
Grants Or Scholarships$12,150GrantsOrScholarshipsAmt
Other Expenditures$20,862OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$893,898EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$606,778BeginningYearBalanceAmt
Contributions$167,817ContributionsAmt
Investment Earnings Or Losses$2,248InvestmentEarningsOrLossesAmt
Grants Or Scholarships$9,000GrantsOrScholarshipsAmt
Other Expenditures$7,962OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$759,881EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$570,198BeginningYearBalanceAmt
Contributions$59,835ContributionsAmt
Investment Earnings Or Losses$2,627InvestmentEarningsOrLossesAmt
Grants Or Scholarships$8,000GrantsOrScholarshipsAmt
Other Expenditures$17,882OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$606,778EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$499,867BeginningYearBalanceAmt
Contributions$82,997ContributionsAmt
Investment Earnings Or Losses$3,762InvestmentEarningsOrLossesAmt
Grants Or Scholarships$8,000GrantsOrScholarshipsAmt
Other Expenditures$8,428OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$570,198EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,732,524OtherCostOrOtherBasisAmt
Book Value$3,732,524BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$57,263,307OtherCostOrOtherBasisAmt
Depreciation$26,205,675DepreciationAmt
Book Value$31,057,632BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$4,127,595OtherCostOrOtherBasisAmt
Depreciation$2,676,336DepreciationAmt
Book Value$1,451,259BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,564,073OtherCostOrOtherBasisAmt
Depreciation$2,490,599DepreciationAmt
Book Value$1,073,474BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$37,314,889TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
MASTER PLAN CONSTRUCTION IN PROGRES$6,537,082
ISSUANCE COSTS - NET$542,782
PRE-OPEN ADVERTISING VILLAS - NET$294,209
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,374,073TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Provision for Interest Rate SWAP$651,597
Deposits$1,606,278
Entrance Fee Refunds Payable$296,472
Gift Annuity Payable$155,492
Refundable Entrance Fee - R.O.C.$3,505,790
FieldValueIRS element (for citing)
Total Liability$6,215,629TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part V, Line 4FormAndLineReferenceDesc
ExplanationEXPLANATION: THE FVD RESIDENTS' BENEVOLENT FUND WAS CREATED AS A PERMANENT FUND, ALLOWING FOR ONLY THE INTEREST INCOME TO BE SPENT. THE PRIMARY USE OF THE FUND IS TO PROVIDE REVENUE TO OFFSET THE COST FOR LIFE CARE RESIDENTS WHO HAVE OUTLIVED THEIR PERSONAL FINANCIAL MEANS. THE JOHN SCHWARCK SCHOLARSHIP FUND WAS CREATED TO SUPPORT SELECTED ASSOCIATES AND/OR THEIR LEGAL DEPENDENTS AS THEY SEEK A COLLEGE EDUCATION. THE FVD HEALTH SERVICES FUND WAS CREATED TO PROVIDE ADDITIONAL FINANCIAL RESOURCES TO HELP SECURE THE PRESENT AND FUTURE HEALTH AND COMFORT OF THE RESIDENTS. UNLESS OTHERWISE INDICATED, CONTRIBUTIONS TO THE FVD HEALTH SERVICES FUND WILL BE DIRECTED TOWARDS PURCHASING SPECIALIZED EQUIPMENT, FACILITIES IMPROVEMENTS AND RELATED EXPENDITURES IN THE FOLLOWING AREAS: 1. HEALTH CENTER, 2. ASSISTED LIVING, 3. HOME CARE SERVICES, AND 4. WELLNESS CENTER.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeJOHN SCHWARCK SCHOLARSHIPS AWARDED TO ASSOCIATES OF FRIENDSHIP VILLAGE OF DUBLIN OHIO INC. AND/OR DEPENDANTS OF FVD ASSOCIATES WHO ARE PURSUING A COLLEGE EDUCATION.GrantTypeTxt
Recipient5RecipientCnt
Cash Grant$12,500CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationIT IS THE ROLE OF THE SCHOLARSHIP SELECTION COMMITTEE TO DETERMINE WHICH CANDIDATE(S) FROM A QUALIFIED POOL OF APPLICANTS WILL RECEIVE SCHOLARSHIPS IN ANY GIVEN YEAR. IT IS THE ROLE OF THE CHARITABLE GIVING ADVISORY COMMITTEE TO DETERMINE AGGREGATE AMOUNTS TO BE DISTRIBUTED BY THE SCHOLARSHIP SELECTION COMMITTEE. THE COMMITTEE WILL REVIEW APPLICATIONS AND THE SCHOOLS LISTED TO DETERMINE ELIGIBILITY. FRIENDSHIP VILLAGE OF DUBLIN OHIO INC. FOLLOWS ITS JOHN SCHWARCK SCHOLARSHIP FUND SPENDING PROCEDURE THROUGHOUT THE ENTIRE PROCESS FROM SELECTION TO ISSUANCE OF FUNDS. FUNDS ARE ISSUED VIA A CHECK MADE PAYABLE TO BOTH THE RECIPIENT AND THE COLLEGE OR UNIVERSITY THEY ARE ATTENDING SO SCHOLARSHIPS ARE USED FOR THEIR INTENDED PURPOSES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJERRY KUYOTHPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$146,499BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$47,230BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$1,284OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$26,207DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$1,882NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$223,102TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
FRANKLIN COUNTY OHIO
A316400067353180GG12004-09-01$13,805,000REFUND AND RETIRE THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1997 REVENUE BOND000
FRANKLIN COUNTY OHIO
B316400067353180JQ62014-12-03$25,004,402REFUND AND RETIRE THE OUTSTANDING PRINCIPAL OF THE 2004B REVENUE BONDS & FUND CONSTRUCTION COSTS OF000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$13,805,000$0$0$13,418,895$276,000$98,803$0$13,418,895$0$01991Yes (1)0Yes (1)Yes (1)
B$0$0$25,004,650$0$0$17,460,000$500,088$0$0$7,044,314$0$02015Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000.000.00000
B0000000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MORGAN STANLEY
A00Yes (1)Yes (1)Yes (1)Yes (1)1700000
(no name)
B0Yes (1)Yes (1)000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column a-09/01/2004 13,805,000 FRANKLIN COUNTY OHIO(A) ISSUER NAME: FRANKLIN COUNTY, OHIO
Schedule K, Part I, Column a-12/03/2014 25,004,402 FRANKLIN COUNTY OHIOISSUER NAME: FRANKLIN COUNTY, OHIO
Schedule K, Part I, Column f-09/01/2004 13,805,000 FRANKLIN COUNTY OHIO(F) DESCRIPTION OF PURPOSE: REFUND AND RETIRE THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1997 REVENUE BONDS.
Schedule K, Part I, Column f-12/03/2014 25,004,402 FRANKLIN COUNTY OHIODESCRIPTION OF PURPOSE: REFUND AND RETIRE THE OUTSTANDING PRINCIPAL OF THE 2004B REVENUE BONDS, FUND CONSTRUCTION COSTS OF CERTAIN INDEPENDENT LIVING VILLAS, AND ROUTINE CAPITAL EXPENDITURES FOR 2014, 2015, AND 2016.
Schedule K, Part II, Line 3-12/03/2014 25,004,402 FRANKLIN COUNTY OHIOISSUE PRICE ($25,004,402) AND INVESTMENT EARNINGS ($248)
Schedule K, Part III, Line 3a-12/03/2014 25,004,402 FRANKLIN COUNTY OHIOTHE ORGANIZATION HAS ONE MANAGEMENT AGREEMENT WHICH HAS BEEN DETERMINED TO COMPLY WITH REV. PROC. 97-13, AS MODIFIED BY REV. PROC. 2001-39, AND AMPLIFIED BY NOTICE 2014-67.
Schedule K, Part III, Line 9-09/01/2004 13,805,000 FRANKLIN COUNTY OHIOWHILE THE ORGANIZATION HAS NOT ADOPTED WRITTEN POST ISSUANCE COMPLIANCE PROCEDURES YET, THE ORGANIZATION IS IN THE PROCESS OF REVIEWING DRAFT PROCEDURES.
Schedule K, Part III, Line 9-12/03/2014 25,004,402 FRANKLIN COUNTY OHIOWHILE THE ORGANIZATION HAS NOT ADOPTED WRITTEN POST ISSUANCE COMPLIANCE PROCEDURES YET, THE ORGANIZATION IS IN THE PROCESS OF REVIEWING DRAFT PROCEDURES.
Schedule K, Part IV, Line 2c-09/01/2004 13,805,000 FRANKLIN COUNTY OHIODATE THE REBATE COMPUTATION WAS PERFORMED: MAY 26, 2014.
Schedule K, Part V-09/01/2004 13,805,000 FRANKLIN COUNTY OHIOWHILE THE ORGANIZATION HAS NOT ADOPTED WRITTEN POST ISSUANCE COMPLIANCE PROCEDURES YET, THE ORGANIZATION IS CURRENTLY REVIEWING DRAFT PROCEDURES.
Schedule K, Part V-12/03/2014 25,004,402 FRANKLIN COUNTY OHIOWHILE THE ORGANIZATION HAS NOT ADOPTED WRITTEN POST ISSUANCE COMPLIANCE PROCEDURES YET, THE ORGANIZATION IS CURRENTLY REVIEWING DRAFT PROCEDURES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 1DESCRIPTION OF ORGANIZATION MISSION: PROVIDED 248 INDEPENDENT LIVING RESIDENCY APARTMENTS, 46 ASSISTED LIVING RESIDENCY APARTMENTS (INCLUDING 13 MEMORY LOSS UNITS), AND MAINTAINED A 60 BED SKILLED NURSING FACILITY. PROVIDED NON-SKILLED HOME HEALTH SERVICES TO OUR RESIDENTS. PROVIDED ACTIVITIES AND PROGRAMS, INCLUDING A WELLNESS CENTER, TO ENHANCE RESIDENT OVERALL HEALTH AND QUALITY OF LIFE. PROVIDED USE OF FACILITIES TO RESIDENT FAMILIES FOR FAMILY GATHERINGS, MEMORIAL SERVICES, AND TO VARIOUS AGED AND HEALTH ASSOCIATIONS FOR MEDICAL EVENTS AND EXHIBITS.
Form 990, Part VI, Section A, Line 3EXPLANATION: LIFE CARE SERVICES PROVIDES THE EXECUTIVE DIRECTOR FOR THE ORGANIZATION. JERRY KUYOTH SERVED AS EXECUTIVE DIRECTOR FOR FRIENDSHIP VILLAGE OF DUBLIN DURING THIS PERIOD. LIFE CARE SERVICES WAS COMPENSATED BY THE VILLAGE DURING 2015 IN THE AMOUNT OF $223,102 FOR HIS SERVICES. IN ADDITION, LIFE CARE SERVICES PROVIDES ACCOUNTING SOFTWARE, CLINCIAL SOFTWARE, IT SUPPORT, HUMAN RESOURCES, AND OTHER SUPPORT SERVICES.
Form 990, Part VI, Section B, Line 11bEXPLANATION: THE FULL BOARD OF TRUSTEES RECEIVES A COPY FOR REVIEW PRIOR TO FILING BUT THE FINANCE AND INSURANCE COMMITTEE OF THE BOARD IS DELEGATED THE RESPONSIBILITY OF FULL REVIEW WITH THE EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE.
Form 990, Part VI, Section B, Line 12cEXPLANATION: ALL CLASSES OF ASSOCIATES ARE INCLUDED IN THE CONFLICT OF INTEREST POLICY. TRAINING IS PROVIDED ANNUALLY TO ALL ASSOCIATES ON DISCLOSURE OF UNETHICAL PRACTICES AND A POSITIVE WORKFORCE ENVIRONMENT. THIS PROCESS IS GOVERNED BY DEPARTMENT DIRECTORS AND THE EXECUTIVE DIRECTOR. SHOULD A CONFLICT OF INTEREST BE IDENTIFIED, IT IS DISCUSSED WITH THE EXECUTIVE DIRECTOR AND NECESSARY ACTION IS TAKEN TO ELIMINATE THE CONFLICT OF INTEREST. A QUESTIONNAIRE IS SENT TO ALL BOARD MEMBERS ANNUALLY IN DECEMBER AS WELL AS NEW BOARD MEMBERS IN THE FIRST MONTH THEY JOIN THE BOARD OF DIRECTORS REQUIRING A SIGNATURE OF THE FORM AND DISCLOSURE OF ANY CONFLICT OF INTEREST. THESE FORMS ARE MONITORED BY THE BOARD SECRETARY. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST ON A SPECIFIC ISSUE, THEY ABSTAIN FROM VOTING.
Form 990, Part VI, Section B, Line 15EXPLANATION: THE EXECUTIVE DIRECTOR IS EVALUATED ANNUALLY BY VARIOUS LEVELS WITHIN LIFE CARE SERVICES(LCS), INCLUDING HIS IMMEDIATE SUPERVISOR WHO IS AN LCS REGIONAL DIRECTOR. INPUT IS PROVIDED TO THE REGIONAL DIRECTOR FROM THE BOARD OF TRUSTEES AND OTHER KEY LEADERSHIP WITHIN THE VILLAGE. AS PART OF THE REVIEW PROCESS, LCS PERFORMS INDUSTRY WIDE WAGE COMPARISON FOR EXECUTIVE DIRECTOR POSITIONS IN SIMILAR SIZE AND FUNCTION ORGANIZATIONS. THE PROCESS INCLUDES SUBSTANIATION OF THE DELIBERATION AND DECISION MAKING PROCESS. THE EVALUTION WAS LAST PERFORMED IN 2016. THE DEPARTMENT DIRECTORS ARE EVALUATED ANNUALLY BY THE EXECUTIVE DIRECTOR. A LEADING AGE SALARY SURVEY AND BENEFITS SURVEY IS USED AS REFERENCE TO DETERMINE DIRECTOR COMPENSATION. COMPENSATION DECISIONS ARE REFLECTED IN FORMAL EVALUTION DOCUMENTS. THIS PROCESS WAS LAST UNDERTAKEN IN 2016.
Form 990, Part VI, Section C, Line 19EXPLANATION: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC REVIEW BY APPOINTMENT AT 6000 RIVERSIDE DRIVE, DUBLIN, OHIO 43017.
Form 990, Part XI, Line 9EXPLANATION: NET UNREALIZED GAIN ON SWAP FAIR MARKET VALUE ADJUSTMENT ($16,469) AND GIFT ANNUITY PRESENT VALUE ADJUSTMENT (-$27,002).
Form 990, Part XII, Line 2cEXPLANATION: THE ORGANIZATION HAS A FINANCE AND INSURANCE COMMITTEE WHICH OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN SELECTION OF THE INDEPENDENT ACCOUNTING FIRM WHICH COMPLETES THE AUDIT. POLICY REQUIRES AN EXECUTIVE SESSION POST AUDIT SUMMARY DISCUSSION IN WHICH THE COMMITTEE MEMBERS SPEAK WITH THE AUDITORS WITHOUT MANAGEMENT PRESENT. THERE IS NO CHANGE IN THE PROCESS FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BIRCHTON LLC
6000 RIVERSIDE DRIVEDUBLINOH43017261186696HOLD AND DEVELOP REAL ESTATEOH$116,989$1,493,597FRIENDSHIP VILLAGE OF DUBLIN OHIO INC
TRIANGLE HOUSING LLC
6000 RIVERSIDE DRIVEDUBLINOH43017HOLD AND DEVELOP REAL ESTATEOH$0$157,408BIRCHTON LLC
FRIENDSHIP VILLAGE OF DUBLIN HOME CARE LLC
6000 RIVERSIDE DRIVEDUBLINOH43017471284626HOME CARE SERVICESOH$614,520$242,264FRIENDSHIP VILLAGE OF DUBLIN OHIO INC
FRIENDSHIP AT HOME LLC
6000 RIVERSIDE DRIVEDUBLINOH43017474000431PROVIDE CONTINUING CARE AT HOME FOR LOCAL SENIORSOH$25,733$301,134FRIENDSHIP VILLAGE OF DUBLIN OHIO INC