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ROLLING GREEN VILLAGE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ROLLING GREEN VILLAGE (EIN 57-0647976)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-26
IRS object ID
201332699349300608
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)
Timestamp2013-09-26T09:47:30-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 N TRYON STREET SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570647976EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROLLING GREEN VILLAGEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlROLLNameControl
Phone8649879800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HOKE SMITH BLVDAddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29615ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLYNNE LENTZName
TitleFINANCIAL SERVICES DIRECTORTitle
Phone8649879800Phone
Date Signed2013-09-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN NORMANName
PTINP01506766PTIN
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLYNNE LENTZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 HOKE SMITH BLVDAddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29615ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11923506GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ROLLINGGREENVILLAGE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionTO OPERATE A RESIDENTIAL RETIREMENT COMMUNITY IN A SECURE, CARING ENVIRONMENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees304TotalNbrEmployees
Total Nbr Volunteers53TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year14950ContributionsGrantsPriorYear
Contributions Grants Current Year13547ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12069609ProgramServiceRevenuePriorYear
Program Service Revenue CY11897498ProgramServiceRevenueCY
Investment Income Prior Year30498InvestmentIncomePriorYear
Investment Income Current Year5353InvestmentIncomeCurrentYear
Other Revenue Prior Year-71776OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year12043281TotalRevenuePriorYear
Total Revenue Current Year11916398TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5204944SalariesEtcPriorYear
Salaries Etc Current Year5407059SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5559763OtherExpensePriorYear
Other Expenses Current Year5731845OtherExpensesCurrentYear
Total Expenses Prior Year10764707TotalExpensesPriorYear
Total Expenses Current Year11138904TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1278574RevenuesLessExpensesPriorYear
Revenues Less Expenses CY777494RevenuesLessExpensesCY
Total Assets BOY17157558TotalAssetsBOY
Total Assets EOY24196560TotalAssetsEOY
Total Liabilities BOY13089499TotalLiabilitiesBOY
Total Liabilities EOY19247037TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4068059NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4949523NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF ROLLING GREEN VILLAGE IS TO OPERATE A CONTINUING CARE RETIREMENT COMMUNITY IN A SECURE, CARING ENVIRONMENT TO PROMOTE THE HEALTH, WELLNESS, AND INDEPENDENCE OF THE COMMUNITY'S RESIDENTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8498455Expense
Revenue11897498Revenue
DescriptionTHE LICENSED AREAS INCLUDE 24 HOUR CARE INCLUDING ASSISTANCE WITH BATHING, DRESSING, MEDICATION ADMINISTRATION, THREE WELL BALANCED MEALS EACH DAY WITH ACCOMODATIONS FOR SPECIAL DIETS WHEN PRESCRIBED BY A PHYSICIAN, WEEKLY HOUSEKEEPING WITH DAILY TIDYING OF APARTMENT FLAT, LAUNDRY AND PERSONAL LAUNDRY SERVICES, EMERGENCY CALL SYSTEM TO LICENSED NURSE AVAILABLE 24-HOURS, A DAY FULL ACTIVITIES PROGRAM, UTILITIES INCLUDING ELECTRICITY, GAS, WATER, SEWER, AND BASIC CABLE TELEVISION. MANY OTHER SERVICES ARE ALSO AVAILABLE AT AN ADDITIONAL CHARGE SUCH AS BEAUTY AND BARBER, ESCORTS TO PHYSICIAN APPOINTMENTS, PERSONAL AND MEDICAL SUPPLIES, AND GUEST MEALS. ROLLING GREEN VILLAGE'S ("RGV") ANNUAL SERVICE AGENDA COVERS CUSTOMER SERVICES, RESIDENT RIGHTS, SAFETY, HIPAA, INFECTION CONTROL, ABUSE REPORTING, SEXUAL HARASSMENT TRAINING, EMPLOYEE HANDBOOK AND BENEFITS. IN ADDITION, THE EMPLOYEE HANDBOOK OUTLINES AND DETAILS RGV'S BUSINESS PRACTICES, POLICIES AND PROCEDURES EACH DEPARTMENT ALSO HAS A QUALITY ASSURANCE MANUAL THAT THE DEPARTMENT HEADS MUST REVIEW AND APPROVE ANNUALLY. THE COMMUNITY OPERATES UNDER THE SUPERVISION OF THE SOUTH CAROLINA DEPARTMENT OF CONSUMER AFFAIRS AND THE DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL. THE EXECUTIVE DIRECTOR ASSURES ALL STATE RULES AND REGULATIONS ARE FOLLOWED. THE COMMUNITY FILES AN ANNUAL STATEMENT WITH THE DEPARTMENT OF CONSUMER AFFAIRS.Description
Total Program Service Expense8498455TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109638NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees304NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LYNNE LENTZBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8649879800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 HOKE SMITH BLVDAddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29615ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
MARTIN ATKINS
TRUSTEE5.00X000
ROBBY DAVIS
TRUSTEE5.00X000
DUKE MCCALL
CHAIRMAN BOARD DIRECTORS5.00X000X
DAVID MURRAY
TRUSTEE5.00X000
DANIEL PAGE
CHAIRMAN LIAISON COMM.5.00X000X
SYLVIA FRAZIER
TRUSTEE5.00X000
REBECCA FAULKNER
TRUSTEE5.00X000
CATRIONA CARLISLE
TRUSTEE5.00X000
ROY CHAMLEE III
CHAIRMAN5.00X000X
RONNIE COLSON
VICE CHAIR/SECRETARY7.00X000X
DAVID HILL
CHAIRMAN STRATEGIC COMM.5.00X000X
ERIC DUDASKO
EXECUTIVE DIRECTOR40.00000X
HOPE HICKMAN
ADMINISTRATOR40.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LIFE CARE SERVICES LLC
400 LOCUST ST SUITE 820DES MOINESIA50309MGT. SERVICES680892
HERITAGE HEALTHCARE
536 OLD HOWELL RDGREENVILLESC29615THERAPY SERVICES451104
AJ GALLAGHER RISK MGMT SERVICES
5229 PAYSPHERE CIRCLECHICAGOIL60674BUSINESS INSURANCE395919
LCS DEVELOPMENT LLC
CAPITAL SQUARE 400 LOCUST STDES MOINESIA50309DEVELOPMENT SERVICES153261
ALLISON DONALD E
PO BOX 176PIEDMONTSC29673REFURBISHMENTS/REPAIR SERVICES113844
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions13547AllOtherContributions
Total Contributions13547TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FACILITY FEES62300062487446248744
RESIDENT FEES62300032862683286268
HOME FEES62300010205831020583
ENTRANCE FEES623000797694797694
ANCILLARY SERVICES623000509403509403

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column34806TotalRevenueColumn
Related Or Exempt Function Income34806RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11897498TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8318TotalRevenueColumn
Exclusion$8,318ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4143Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7108Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-2965Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2965TotalRevenueColumn
Exclusion-$2,965ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11916398TotalRevenueColumn
Related Or Exempt Function Income11897498RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,353ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total528189Total
Program Services294707ProgramServices
Management And General233482ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3961461Total
Program Services2946540ProgramServices
Management And General1014921ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total640Total
Program Services440ProgramServices
Management And General200ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total388824Total
Program Services245166ProgramServices
Management And General143658ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total527945Total
Program Services424589ProgramServices
Management And General103356ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total641676Total
Program Services224587ProgramServices
Management And General417089ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total53648Total
Management And General53648ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total51921Total
Management And General51921ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total663619Total
Program Services613209ProgramServices
Management And General50410ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total351876Total
Program Services351876ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total291112Total
Program Services170736ProgramServices
Management And General120376ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total51744Total
Program Services38808ProgramServices
Management And General12936ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total6581Total
Program Services3395ProgramServices
Management And General3186ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total808448Total
Program Services575653ProgramServices
Management And General232795ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total111421Total
Program Services88226ProgramServices
Management And General23195ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18866Total
Program Services11965ProgramServices
Management And General6901ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1047594Total
Program Services1047594ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total332751Total
Program Services261580ProgramServices
Management And General71171ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD SUPPLIES701182701182
MAINTENANCE & REPAIR404817303613101204
MEDICAL SUPPLIES194589194589

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11138904Total
Program Services8498455ProgramServices
Management And General2640449ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4264455BOY
EOY5324197EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY930572BOY
EOY523541EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY29117BOY
EOY36414EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY559601BOY
EOY770865EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34782205LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17396386LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11229222BOY
EOY17385819EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY144591BOY
EOY155724EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17157558BOY
EOY24196560EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1037444BOY
EOY1129024EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4818091BOY
EOY4381964EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5963918BOY
EOY12651221EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1270046BOY
EOY1084828EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13089499BOY
EOY19247037EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4024990BOY
EOY4905260EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY43069BOY
EOY44263EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4068059BOY
EOY4949523EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17157558BOY
EOY24196560EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses777494ReconcilationRevenueExpenses
Reconciliation Unrealized Invest103970ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
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 SeparateXFinancialStatementSeparate
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 Years94574CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7431CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17890CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14950CurrentTaxYearMinus1Year
Current Tax Year13547CurrentTaxYear
Total148392Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10420356CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11168980CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11656452CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12069609CurrentTaxYearMinus1Year
Current Tax Year11897498CurrentTaxYear
Total57212895Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10514930CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11176411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11674342CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12084559CurrentTaxYearMinus1Year
Current Tax Year11911045CurrentTaxYear
Total57361287Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3045CurrentTaxYearMinus4Years
Total3045Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3045CurrentTaxYearMinus4Years
Total3045Total
FieldValueIRS element (for citing)
Public Support Total50957358242PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years93531CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68620CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21115CurrentTaxYearMinus1Year
Current Tax Year8318CurrentTaxYear
Total299084Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years93531CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68620CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21115CurrentTaxYearMinus1Year
Current Tax Year8318CurrentTaxYear
Total299084Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year-71776CurrentTaxYearMinus1Year
Total-71776Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10622430CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11269942CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11742962CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12033898CurrentTaxYearMinus1Year
Current Tax Year11919363CurrentTaxYear
Total57588595Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99600PublicSupportPercentage509
Prior Year Support Percentage0.99320PriorYearSupportPercentage
Investment Income Percentage0.00520InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00800PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance660644BeginningOfYearBalance
Contributions329430Contributions
Investment Earnings Or Losses1856InvestmentEarningsOrLosses
End Of Year Balance991930EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance312742BeginningOfYearBalance
Contributions346576Contributions
Investment Earnings Or Losses1326InvestmentEarningsOrLosses
End Of Year Balance660644EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance280617BeginningOfYearBalance
Contributions11692Contributions
Investment Earnings Or Losses20433InvestmentEarningsOrLosses
End Of Year Balance312742EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance258202BeginningOfYearBalance
Contributions1445Contributions
Investment Earnings Or Losses20970InvestmentEarningsOrLosses
End Of Year Balance280617EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance258202BeginningOfYearBalance
End Of Year Balance258202EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis846417OtherCostOrOtherBasis
Book Value846417BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23701550OtherCostOrOtherBasis
Depreciation15743138Depreciation
Book Value7958412BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2397292OtherCostOrOtherBasis
Depreciation1509981Depreciation
Book Value887311BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7836946OtherCostOrOtherBasis
Depreciation143267Depreciation
Book Value7693679BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17385819TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PROSPECTIVE RESIDENT DEPOSITS$10,500
INTEREST RATE SWAP INSTRUMENTS$665,716
CAPITAL LEASE OBLIGATIONS$408,612
FieldValueIRS element (for citing)
Total Of Amounts1084828TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt12019174TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments103970NetUnrealizedGainsInvestments
Other Revenues4148OtherRevenues
Revenue Not Rptd F990108118RevenueNotRptdF990
Revenue Subtotal11911056RevenueSubtotal
Other Revenues Not Included5342OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt5342RevenueNotRptdOnFinStmt
Total Revenue Per Form99011916398TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11138904TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11138904ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011138904TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:BOARD DESIGNATED NET ASSETS
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THE STATUS BE CHALLENGED IN THE FUTURE, THE 2009, 2010, AND 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE ORGANIZATION ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTION 4,148.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 5,342.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3LIFE CARE SERVICES ("LCS") MANAGES RGV. LCS IS A RECOGNIZED LEADER IN THE DEVELOPMENT AND MANAGEMENT OF CONTINUING CARE RETIREMENT COMMUNITIES WITH OVER 40 YEARS OF EXPERIENCE. THE EXECUTIVE DIRECTOR AND THE ADMINISTRATOR OF RGV ARE EMPLOYEES OF LIFE CARE SERVICES. THE REGIONAL ACCOUNTING DIRECTOR FOR LCS OVERSEES AND REVIEWS FINANCIAL STATEMENTS AND QUARTERLY RECONCILIATIONS. LCS ALSO PROVIDES SUPPORT SERVICES AND ALL FINANCIAL SOFTWARES USED.
FORM 990, PART VI, SECTION B, LINE 11BEFORE FILING, THE FORM 990 WAS MADE AVAILABLE TO THE GOVERNING BODY AND REVIEWED DURING THE JULY BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CROLLING GREEN VILLAGE HAS A CONFLICT OF INTEREST POLICY THAT THE BOARD OF TRUSTEES SIGN ANNUALLY. ROLLING GREEN VILLAGE ALSO CONDUCTS OIG CHECKS ON ALL VENDORS FOR MEDICARE FRAUD. THE ORGANIZATION HAS A POLICY THAT IS REVIEWED AT NEW EMPLOYEE ORIENTATION AND ON AN ANNUAL BASIS THAT STATES THAT EMPLOYEES ARE NOT PERMITTED TO WORK PRIVATELY FOR ANY RESIDENTS.
FORM 990, PART VI, SECTION B, LINE 15LIFE CARE SERVICES DETERMINES SALARIES AND BENEFITS FOR KEY OFFICERS BASED ON COMPARABLE WAGE AND SALARY SURVEYS. THESE SALARIES AND PERFORMANCE REQUIREMENTS ARE SHARED WITH THE TRUSTEES VIA THE ANNUAL BUDGETING PROCESS, AS WELL AS THE MANAGEMENT CONTRACT WITH LIFE CARE SERVICES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE IN DIFFERENT WAYS. SOME OF THESE DOCUMENTS ARE AVAILABLE IN THE ROLLING GREEN VILLAGE LIBRARY AND OTHERS ARE AVAILABLE UPON REQUEST. ANNUAL AUDITED FINANCIAL STATEMENTS ARE PLACED IN THE RESIDENT LIBRARY EVERY YEAR AS THEY BECOME AVAILABLE FROM THE AUDIT FIRM.
FORM 990, PART XII, LINE 2C:THE BOARD HAS ESTABLISHED A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE COMMITTEE HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.