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FRIENDSHIP VILLAGE OF DUBLIN OHIO INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FRIENDSHIP VILLAGE OF DUBLIN OHIO INC (EIN 31-0986918)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-12
IRS object ID
201421329349300332
Schema version
2012v2.1
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)
Timestamp2014-05-12T10:04:49-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310986918EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FRIENDSHIP VILLAGE OF DUBLIN OHIO INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFRIENameControl
Phone6147641600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16000 RIVERSIDE DRIVEAddressLine1
CityDUBLINCity
StateOHState
ZIP Code43017ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJERRY KUYOTHName
TitleEXECUTIVE DIRECTORTitle
Phone6147641600Phone
Date Signed2014-05-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
PTINP00366367PTIN
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJERRY KUYOTHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16000 RIVERSIDE DRIVEAddressLine1
CityDUBLINCity
StateOHState
ZIP Code43017ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21015775GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FVDUBLIN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDED 254 INDEPENDENT LIVING RESIDENCY APARTMENTS, 46 ASSISTED LIVING RESIDENCY APARTMENTS (INCLUDING 13 MEMORY LOSS UNITS), AND MAINTAINED A 60 BED SKILLED NURSING FACILITY. PROVIDED HOME HEALTH SERVICES TO OUR RESIDENCES. 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees409TotalNbrEmployees
Total Nbr Volunteers41TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year96849ContributionsGrantsPriorYear
Contributions Grants Current Year131272ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18253444ProgramServiceRevenuePriorYear
Program Service Revenue CY19069356ProgramServiceRevenueCY
Investment Income Prior Year470047InvestmentIncomePriorYear
Investment Income Current Year1716505InvestmentIncomeCurrentYear
Other Revenue Prior Year17546OtherRevenuePriorYear
Other Revenue Current Year23026OtherRevenueCurrentYear
Total Revenue Prior Year18837886TotalRevenuePriorYear
Total Revenue Current Year20940159TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY9000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8287403SalariesEtcPriorYear
Salaries Etc Current Year8321038SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year122206TotalFundrsngExpCurrentYear
Other Expense Prior Year8053250OtherExpensePriorYear
Other Expenses Current Year8375511OtherExpensesCurrentYear
Total Expenses Prior Year16348653TotalExpensesPriorYear
Total Expenses Current Year16705549TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2489233RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4234610RevenuesLessExpensesCY
Total Assets BOY77085693TotalAssetsBOY
Total Assets EOY82589394TotalAssetsEOY
Total Liabilities BOY56828658TotalLiabilitiesBOY
Total Liabilities EOY56745054TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20257035NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25844340NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENHANCE THE QUALITY OF LIFE FOR OLDER ADULTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13949804Expense
Grants9000Grants
Revenue19078257Revenue
DescriptionOPERATION OF HEALTH CENTER, A SKILLED NURSING FACILITY, WHICH HAS 60 BEDS. OPERATION OF ASSISTED LIVING FACILITY, WHICH HAS 46 APARTMENTS. PROVIDED HOME HEALTH SERVICES TO ALL RESIDENTS.Description
Total Program Service Expense13949804TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees409NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CRAIG FLICKINGERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6147641600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16000 RIVERSIDE DRIVEAddressLine1
CityDUBLINCity
StateOHState
ZIP Code43017ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KATHLEEN MCGINNIS
DIRECTOR3.000.00X000
CHARLES E ANSLEY
TREASURER1.500.00X000X
KATHIE CHESTNUT
DIRECTOR1.000.00X000
BRIGGS HAMOR
DIRECTOR1.000.00X000
OWEN JOHNSON
DIRECTOR1.000.00X000
WILLIAM JN KONIEWICH
CHAIRMAN1.000.00X000X
CHARLES B STEARNS
DIRECTOR1.000.00X000
MARGARET TEAFORD
DIRECTOR1.000.00X000
JAMES WINFREE
DIRECTOR1.000.00X000
DR BRUCE WALL
DIRECTOR1.000.00X000
RONALD BACHMAN
CHAIRMAN - ELECT3.000.00X000X
KEITH DEVOE III
DIRECTOR1.000.00X000
LAURA ECKLAR
DIRECTOR1.000.00X000
KAREN ICKES
DIRECTOR1.000.00X000
CAROL JENKINS
DIRECTOR1.000.00X000
RICHARD SCHROCK
DIRECTOR1.000.00X000
G ROBERT BOWERS
CHAIRMAN (PART YEAR - EXIT)3.000.00X000X
CHRISTOPHER SCOTT
DIRECTOR (PART YEAR - EXIT)1.000.00X000
JOHN A SCHWARCK
EXECUTIVE DIRECTOR40.000.00173558059611X
JOHN LOFTUS
CONTROLLER40.000.0011145006277X
CHARLES S DEROUSIE
SECRETARY (PART YEAR - EXIT)1.000.00000X
BRUCE PAIGE
SECRETARY1.000.00000X
DON PAUL
DIETARY DIRECTOR40.000.0015757007837X
FieldValueIRS element (for citing)
Total Reportable Comp From Org442578TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation73725TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
RUSCILLI CONSTRUCTION
2041 ARLINGATECOLUMBUSOH43017CONSTRUCTION SERVICES1741111
GLYNN DEVINS MARKETING & ADVERTISING SRV
11230 COLLEGE BLVDOVERLAND PARKKS66210MARKETING SERVICES356582
REHAB CARE GROUP THERAPY
680 SOUTH FOURTH STREETLOUISVILLEKY40202THERAPY SERVICES352786
LIFE CARE SERVICES
400 LOCUST STREETDES MOINESIA50309MANAGEMENT FEES307000
LIFE CARE SERVICES
400 LOCUST STREETDES MOINESIA50309MGT CONSULTING SERVICES299391
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
All Other Contributions131272AllOtherContributions
Total Contributions131272TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENCY SERVICES5311101738254017382540
MEDICARE/MEDICAID PMTS53111016868161686816
FieldValueIRS element (for citing)
Total Program Service Revenue19069356TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column743349TotalRevenueColumn
Exclusion$743,349ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real97037Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real74011Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real23026Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column23026TotalRevenueColumn
Related Or Exempt Function Income8901RelatedOrExemptFunctionIncome
Exclusion$14,125ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities973350Securities
Other1411Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other1605Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities973350Securities
Other-194Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column973156TotalRevenueColumn
Exclusion$973,156ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20940159TotalRevenueColumn
Related Or Exempt Function Income19078257RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,730,630ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total9000Total
Program Services9000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total328709Total
Management And General328709ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6634730Total
Program Services5839505ProgramServices
Management And General721856ManagementAndGeneral
Fundraising73369Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total41336Total
Program Services17410ProgramServices
Management And General23926ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total798956Total
Program Services712830ProgramServices
Management And General85084ManagementAndGeneral
Fundraising1042Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total517307Total
Program Services457165ProgramServices
Management And General54739ManagementAndGeneral
Fundraising5403Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total353104Total
Management And General353104ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total38837Total
Management And General38837ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total61044Total
Management And General61044ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total147470Total
Management And General147470ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total618781Total
Program Services580194ProgramServices
Management And General38587ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1467894Total
Program Services1147291ProgramServices
Management And General320603ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1532010Total
Program Services1352990ProgramServices
Management And General161577ManagementAndGeneral
Fundraising17443Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total41048Total
Program Services30744ProgramServices
Management And General10304ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total23475Total
Program Services14144ProgramServices
Management And General9331ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total335097Total
Program Services335097ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1685762Total
Program Services1488775ProgramServices
Management And General177793ManagementAndGeneral
Fundraising19194Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total242362Total
Program Services173860ProgramServices
Management And General68502ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD12569921256992
LETTER OF CREDIT FEE429921429921
BAD DEBT EXPENSE7037770377
RECRUITING496731897830695

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total21664Total
Program Services14531ProgramServices
Management And General1378ManagementAndGeneral
Fundraising5755Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16705549Total
Program Services13949804ProgramServices
Management And General2633539ManagementAndGeneral
Fundraising122206Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY123112BOY
EOY91125EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15316397BOY
EOY7560022EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY768683BOY
EOY1321982EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY67427BOY
EOY64822EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY57755BOY
EOY186304EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis59761538LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27140334LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30189935BOY
EOY32621204EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY26889122BOY
EOY37470451EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY676466BOY
EOY1029758EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2996796BOY
EOY2243726EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY77085693BOY
EOY82589394EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2091869BOY
EOY1776201EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY22335856BOY
EOY23084991EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY27285000BOY
EOY26535000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5115933BOY
EOY5348862EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY56828658BOY
EOY56745054EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19784825BOY
EOY25310377EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY212399BOY
EOY533963EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY259811BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20257035BOY
EOY25844340EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77085693BOY
EOY82589394EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4234610ReconcilationRevenueExpenses
Reconciliation Unrealized Invest949004ReconciliationUnrealizedInvest
Reconcilation Other Changes403691ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43501CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years140730CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91404CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year96849CurrentTaxYearMinus1Year
Current Tax Year131272CurrentTaxYear
Total503756Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16922002CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17196081CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17859600CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18253444CurrentTaxYearMinus1Year
Current Tax Year19083855CurrentTaxYear
Total89314982Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16965503CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17336811CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17951004CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18350293CurrentTaxYearMinus1Year
Current Tax Year19215127CurrentTaxYear
Total89818738Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4075CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4600CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4415CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4315CurrentTaxYearMinus1Year
Current Tax Year5260CurrentTaxYear
Total22665Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4075CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4600CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4415CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4315CurrentTaxYearMinus1Year
Current Tax Year5260CurrentTaxYear
Total22665Total
FieldValueIRS element (for citing)
Public Support Total50989796073PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years899728CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years538584CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years380791CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year538281CurrentTaxYearMinus1Year
Current Tax Year825887CurrentTaxYear
Total3183271Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years899728CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years538584CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years380791CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year538281CurrentTaxYearMinus1Year
Current Tax Year825887CurrentTaxYear
Total3183271Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years333014CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15569CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10427CurrentTaxYearMinus2Years
Total359010Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18198245CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17890964CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18342222CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18888574CurrentTaxYearMinus1Year
Current Tax Year20041014CurrentTaxYear
Total93361019Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96180PublicSupportPercentage509
Prior Year Support Percentage0.95570PriorYearSupportPercentage
Investment Income Percentage0.03410InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.04000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,376OtherActivitiesAmount
Total Lobbying Expenditures IIB1376TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationMEMBERSHIP DUES WERE PAID TO LEADING AGE (FORMERLY AOPHA). OF THESE DUES, $1,376 WERE RELATED TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance570198BeginningOfYearBalance
Contributions59835Contributions
Investment Earnings Or Losses2627InvestmentEarningsOrLosses
Grants Or Scholarships8000GrantsOrScholarships
Other Expenditures17882OtherExpenditures
End Of Year Balance606778EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance499868BeginningOfYearBalance
Contributions82996Contributions
Investment Earnings Or Losses3762InvestmentEarningsOrLosses
Grants Or Scholarships8000GrantsOrScholarships
Other Expenditures8428OtherExpenditures
End Of Year Balance570198EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance428237BeginningOfYearBalance
Contributions100460Contributions
Investment Earnings Or Losses7124InvestmentEarningsOrLosses
Grants Or Scholarships6000GrantsOrScholarships
Other Expenditures29954OtherExpenditures
End Of Year Balance499867EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance329472BeginningOfYearBalance
Contributions101369Contributions
Investment Earnings Or Losses10181InvestmentEarningsOrLosses
Grants Or Scholarships4500GrantsOrScholarships
Other Expenditures8285OtherExpenditures
End Of Year Balance428237EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance295564BeginningOfYearBalance
Contributions42964Contributions
Investment Earnings Or Losses13783InvestmentEarningsOrLosses
Grants Or Scholarships4500GrantsOrScholarships
Other Expenditures18339OtherExpenditures
End Of Year Balance329472EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1331528OtherCostOrOtherBasis
Book Value1331528BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis46970991OtherCostOrOtherBasis
Depreciation21141504Depreciation
Book Value25829487BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3705195OtherCostOrOtherBasis
Depreciation1762276Depreciation
Book Value1942919BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7753824OtherCostOrOtherBasis
Depreciation4236554Depreciation
Book Value3517270BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32621204TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
PROVISION FOR INTEREST RATE SWAP AGREEMENT$931,456
GIFT ANNUITY PAYABLE$320,329
ADVANCE ENDOWMENT CONTRACTS & DEPOSITS$439,188
ENDOWMENT REFUNDS PAYABLE$388,150
REFUNDABLE ENDOWMENTS - R.O.C.$2,276,350
INTERCOMPANY PAYABLE$993,389
FieldValueIRS element (for citing)
Total Of Amounts5348862TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE FVD RESIDENTS' BENEVOLENT FUND WAS CREATED AS A PERMANENT FUND, ALLOWING FOR ONLY THE INTEREST INCOME TO BE SPENT. THE PRIMARY USE FOR THIS 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 EMPLOYEES AND/OR THEIR LEGAL DEPENDENTS AS THEY SEEK A COLLEGE EDUCATION. THE FVD MEMORIAL FUND EXISTS TO PROVIDE REVENUE TO PURCHASE ITEMS OF BENEFIT TO RESIDENTS THROUHOUT THE VILLAGE. 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 TOWARD PURCHASING SPECIALIZED EQUIPMENT, FACILITIES IMPROVEMENTS AND RELATED EXPENDITURES IN THE FOLLOWING AREAS: -HEALTH CENTER/LONG-TERM NURSING CARE -THE MEADOWS (ASSISTED LIVING/RESIDENTIAL CARE/MEMORY LOSS CARE) -HOME SERVICES -WELLNESS CENTER
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE INTERNAL REVENUE SERVICE HAS RULED THAT THE VILLAGE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE VILLAGE IS NOT CURRENTLY UNDER EXAMINATION BY THE INTERNAL REVENUE SERVICE OR ANY STATE OR LOCAL TAX AUTHORITIES. THE VILLAGE'S FEDERAL TAX RETURNS FOR THE YEARS ENDED PRIOR TO JUNE 30, 2010 ARE NO LONGER SUBJECT TO EXAMINATION. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE VILLAGE AND RECOGNIZE A TAX LIABILITY IF THE VILLAGE HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE VILLAGE AND HAS CONCLUDED THAT AS OF JUNE 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantJOHN SCHWARCK SCHOLARSHIPS AWARDED TO THE EMPLOYEES OF FREINDSHIP VILLAGE OF DUBLIN OHIO INC. WHO ARE PERSUING A COLLEGE EDUCATION.TypeOfGrant
Number Of Recipients4NumberOfRecipients
Amount Of Cash Grant9000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: IT 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 (CGAC) TO DETERMINE THE AGGREGATE AMOUNT 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN A SCHWARCK
EXECUTIVE DIRECTOR145102027085013710347110249000233169000
DON PAUL
DIETARY DIRECTOR140865000167050751070860165407000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
FRANKLIN COUNTY OHIO
A316400067353180GG12004-09-0113805000REFUND AND RETIRE THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1997 REVENUE BONDS000
FRANKLIN COUNTY OHIO
B316400067353180GH92004-12-0119820000FUND CONSTRUCTION OF THE 51-UNIT INDEPENDENT-LIVING WING000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A1380500013418895276000988031341889519911011
B202784523842741418521930700020060011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsEngage Bond Counsel ContractsEngageBondCounselContracts
A00000.000000.000000.00000000
B00100.000000.000000.000000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
MORGAN STANLEY
A00101117.00000000000000000
(no name)
B001010000

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A0
B0

Form990 Schedule K Part VI Form990ScheduleKPartVI (7 entries)

IdentifierIdentifierExplanationExplanation
PART I, COLUMN F CONTINUATIONISSUED ON 10/08/97.
PART III, LINE 3A, COLUMN BTHE ORGANIZATION HAS ONE MANAGEMENT AGREEMENT WHICH HAS BEEN DETERMINED TO COMPLY WITH REV. PROC. 97-13, AS MODIFIED BY REV. PROC. 2001-39.
PART III, LINE 9, COLUMN A & BWHILE THE ORGANIZATION DOES NOT HAVE WRITTEN POST ISSUANCE COMPLIANCE PROCEDURES YET, THE ORGANIZATION PLANS TO CONSULT WITH BOND COUNSEL REGARDING THE DRAFTING OF SUCH PROCEDURES.
PART IV, LINE 1, COLUMN A & BWHILE REBATE CALCULATIONS HAVE NOT BEEN COMPLETED YET, THE ORGANIZATION PLANS TO HIRE A REBATE ANALYST TO COMPLETE SUCH CALCULATIONS.
PART IV, LINE 2B, COLUMN A & BWHILE REBATE CALCULATIONS HAVE NOT BEEN COMPLETED YET, IT IS LIKELY THAT THE BOND ISSUES QUALIFIED FOR AN EXCEPTION TO REBATE TO BE DETERMINED BY THE REBATE ANALYST.
PART IV, LINE 7, COLUMN A & BWHILE THE ORGANIZATION DOES NOT HAVE WRITTEN POST ISSUANCE COMPLIANCE PROCEDURES YET, THE ORGANIZATION PLANS TO CONSULT WITH BOND COUNSEL REGARDING THE DRAFTING OF SUCH PROCEDURES.
PART VWHILE THE ORGANIZATION DOES NOT HAVE WRITTEN POST ISSUANCE COMPLIANCE PROCEDURES YET, THE ORGANIZATION PLANS TO CONSULT WITH BOND COUNSEL REGARDING THE DRAFTING OF SUCH PROCEDURES.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3LIFE CARE SERVICES PROVIDES THE EXECUTIVE DIRECTOR FOR THE ORGANIZATION AS WELL AS THE MARKETING DIRECTOR. IN ADDITION, LIFE CARE SERVICES PROVIDES ACCOUNTING SOFTWARD, IT SUPPORT, HUMAN RESOURCES, AND OTHER SUPPORT SERVICES.
FORM 990, PART VI, SECTION B, LINE 11ONLY THE CHAIR OF THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES IS GIVEN A COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL CLASSES OF EMPLOYEES ARE INCLUDED IN THE CONFLICT OF INTEREST POLICY. TRAINING IS PROVIDED ANNUALLY TO ALL EMPLOYEES ON DISCLOSURE OF UNETHICAL PRACTICES AND POSITIVE WORKFORCE ENVIRONMENT. A QUESTIONNAIRE IS SENT TO ALL BOARD MEMBERS ANNUALLY IN DECEMBER AS WELL AS TO 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. THIS PROCESS IS GOVERNED BY DEPARTMENT MANAGERS 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. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST ON A SPECIFIC ISSUE, THEY ABSTAIN FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE DIRECTOR IS EVALUATED ANNUALLY BY VARIOUS MANAGEMENT LEVELS WITHIN LIFE CARE SERVICES, TO INCLUDE HIS IMMEDIDATE SUPERVIOSR, THE LCS REGIONAL DIRECTOR. LCS PERFORMS AN INDUSTRY WIDE WAGE COMPARISON FOR COMPARABLE EXECUTIVE DIRECTOR POSITIONS IN SIMILAR SIZE AND FUNCTION FACILITIES, AS PART OF THEIR REVIEW PROCESS. EVALUATIONS INCLUDE INPUT FROM VARIOUS LEVELS WITHIN THE FRIENDSHIP VILLAGE OF DUBLIN BOARD OF DIRECTORS. THE BOARD CHAIRMAN IS SPECIFICALLY ASKED FOR INPUT DURING THE EVALUATION PROCESS. THE PROCESS INCLUDED COMTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS WAS LAST UNDERTAKEN IN 2013. THE CONTROLER IS EVALUATED ANNUALLY BY THE EXECUTIVE DIRECTOR. A LEADING AGE SALARY AND BENEFITS SURVEY IS USED AS A REFERENCE TO DETERMINE OFFICER COMPENSATION. COMPENSATION DECISIONS ARE REFLECTED IN THE FORMAL EVALUATION DOCUMENT. THIS PROCESS WAS LAST UNDERTAKEN IN 2013.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC REVIEW BY APPOINTMENT AT 6000 RIVERSIDE DR, DUBLIN, OH 43017.
FORM 990, PART XI, LINE 9:NET UNREALIZED LOSS ON SWAP FMV ADJUSTMENT 403,691.CHANGES IN NET ASSETS OR FUND BALANCES:
PART XII, LINE 2CTHE ORGANIZATION HAS AN AUDIT COMMITTEE WHICH OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN SELECTION OF THE INDEPENDENT ACCOUNTANTS WHICH COMPLETE THE AUDIT. POLICY REQUIRES THE EXECUTIVE DIRECTOR AND CONTROLLER TO LEAVE THE ROOM WHILE THE AUDIT COMMITTEE DISCUSSES THE AUDIT RESULTS WITH THE INDEPENDENT ACCOUNTANTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BIRCHTON LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16000 RIVERSIDE DRIVEAddressLine1
CityDUBLINCity
StateOHState
ZIP Code43017ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesHOLD AND DEVELOP REAL ESTATEPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Total Income82538TotalIncome
EOY Assets1088327EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1FRIENDSHIP VILLAGE OF DUBLIN OHIO INCBusinessNameLine1