FRIENDSHIP VILLAGE OF DUBLIN OHIO INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- FRIENDSHIP VILLAGE OF DUBLIN OHIO INC (EIN 31-0986918)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-10
- IRS object ID
- 201341309349302794
- Schema version
- 2011v1.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-10T15:48:21-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 65 EAST STATE ST STE 600 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310986918 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIENDSHIP VILLAGE OF DUBLIN OHIO INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FRIE | NameControl |
| Phone | 6147641600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 RIVERSIDE DRIVE | AddressLine1 |
| City | DUBLIN | City |
| State | OH | State |
| ZIP Code | 43017 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN A SCHWARCK | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 6147641600 | Phone |
| Date Signed | 2013-05-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BERNIE OSTROWSKI | Name |
| PTIN | P00366367 | PTIN |
| Phone | 6148493000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN A SCHWARCK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 RIVERSIDE DRIVE | AddressLine1 |
| City | DUBLIN | City |
| State | OH | State |
| ZIP Code | 43017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 18891802 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.FVDUBLIN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1979 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | PROVIDED 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 Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 403 | TotalNbrEmployees |
| Total Nbr Volunteers | 40 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 121888 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 96849 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 17859600 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 18253444 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 823074 | InvestmentIncomePriorYear |
| Investment Income Current Year | 470047 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 23930 | OtherRevenuePriorYear |
| Other Revenue Current Year | 17546 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 18828492 | TotalRevenuePriorYear |
| Total Revenue Current Year | 18837886 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 30484 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 8000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7913313 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8287403 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 126616 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7734160 | OtherExpensePriorYear |
| Other Expenses Current Year | 8053250 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 15677957 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16348653 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3150535 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2489233 | RevenuesLessExpensesCY |
| Total Assets BOY | 73566620 | TotalAssetsBOY |
| Total Assets EOY | 77085693 | TotalAssetsEOY |
| Total Liabilities BOY | 55422170 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 56828658 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 18144450 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20257035 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO ENHANCE THE QUALITY OF LIFE FOR OLDER ADULTS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 13743532 | Expense |
| Grants | 8000 | Grants |
| Revenue | 18262293 | Revenue |
| Description | OPERATION 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 Expense | 13743532 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 82 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 403 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN LOFTUS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6147641600 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 RIVERSIDE DRIVE | AddressLine1 |
| City | DUBLIN | City |
| State | OH | State |
| ZIP Code | 43017 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| G ROBERT BOWERS | |||||||
| CHAIRMAN | 3.00 | X | X | 0 | 0 | 0 | |
| WILLIAM JN KONIEWICH | |||||||
| CHAIRMAN-ELECT | 3.00 | X | X | 0 | 0 | 0 | |
| RONALD J BACHMAN | |||||||
| TREASURER | 1.50 | X | X | 0 | 0 | 0 | |
| CHARLES ANSLEY | |||||||
| DIRECTOR (PART YEAR - EXIT 12/31/11) | 1.00 | X | 0 | 0 | 0 | ||
| GEORGE ARNOLD | |||||||
| DIRECTOR (PART YEAR - EXIT 12/31/11) | 1.00 | X | 0 | 0 | 0 | ||
| KATHIE CHESTNUT | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KEITH DEVOE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LAURA ECKLAR | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOHN GOFF | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BRIGGS HAMOR | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| OWEN JOHNSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KATHLEEN MCGINNIS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CHRISTOPHER SCOTT | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CHARLES STEARNS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MARGARET TEAFORD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DR BRUCE WALL | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAMES WINFREE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CHARLES S DEROUSIE | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| JOHN A SCHWARCK | |||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 148053 | 0 | 54213 | ||
| JOHN LOFTUS | |||||||
| CONTROLLER | 40.00 | X | 99884 | 0 | 13846 | ||
| DONALD M PAUL | |||||||
| DIETARY DIRECTOR | 40.00 | 125959 | 0 | 15490 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 373896 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 83549 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RUSCILLI CONSTRUCTION | |||||
| 2041 ARLINGATE | COLUMBUS | OH | 43017 | CONSTRUCTION SERVICES | 936262 |
| LIFE CARE SERVICES | |||||
| 400 LOCUST ST | DES MOINES | IA | 50309 | MGT. CONSULTATIVE SERVICES | 290137 |
| LIFE CARE SERVICES | |||||
| 400 LOCUST ST | DES MOINES | IA | 50309 | MANAGEMENT | 285141 |
| PHYSICAL THERAPY CONSULTIVE SERVICES | |||||
| 1223 NEIL AVE | COLUMBUS | OH | 43201 | PHYSICAL, OCCUPATIONAL THERAPY | 266648 |
| AJ GALLAGHER | |||||
| 5229 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | INSURANCE BROKER | 221194 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| All Other Contributions | 96849 | AllOtherContributions |
| Total Contributions | 96849 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RESIDENCY SERVICES | 531110 | 16719001 | 16719001 |
| MEDICARE/MEDICAID PMTS | 531110 | 1534443 | 1534443 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 18253444 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 470911 | TotalRevenueColumn |
| Exclusion | $470,911 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 67370 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 49824 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 17546 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17546 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8849 | RelatedOrExemptFunctionIncome |
| Exclusion | $8,697 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3228 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 4092 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3228 | Securities |
| Other | -4092 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -864 | TotalRevenueColumn |
| Exclusion | -$864 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18837886 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18262293 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $478,744 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8000 | Total |
| Program Services | 8000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 316683 | Total |
| Management And General | 316683 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6521363 | Total |
| Program Services | 5759319 | ProgramServices |
| Management And General | 687790 | ManagementAndGeneral |
| Fundraising | 74254 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61790 | Total |
| Program Services | 50379 | ProgramServices |
| Management And General | 11411 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 867811 | Total |
| Program Services | 774591 | ProgramServices |
| Management And General | 91497 | ManagementAndGeneral |
| Fundraising | 1723 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 519756 | Total |
| Program Services | 463655 | ProgramServices |
| Management And General | 50625 | ManagementAndGeneral |
| Fundraising | 5476 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 334159 | Total |
| Management And General | 334159 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74144 | Total |
| Management And General | 74144 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71250 | Total |
| Management And General | 71250 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120742 | Total |
| Management And General | 120742 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 680697 | Total |
| Program Services | 648215 | ProgramServices |
| Management And General | 32482 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1478066 | Total |
| Program Services | 1189893 | ProgramServices |
| Management And General | 288173 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1391900 | Total |
| Program Services | 1229252 | ProgramServices |
| Management And General | 146800 | ManagementAndGeneral |
| Fundraising | 15848 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33910 | Total |
| Program Services | 28753 | ProgramServices |
| Management And General | 5157 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22514 | Total |
| Program Services | 13937 | ProgramServices |
| Management And General | 8577 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 351396 | Total |
| Program Services | 351396 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1580658 | Total |
| Program Services | 1395953 | ProgramServices |
| Management And General | 166708 | ManagementAndGeneral |
| Fundraising | 17997 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 220906 | Total |
| Program Services | 156762 | ProgramServices |
| Management And General | 64144 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| FOOD | 1203811 | 1203811 | ||
| LETTER OF CREDIT FEE | 442274 | 442274 | ||
| RECRUITING | 21284 | 13735 | 7549 | |
| CHARITABLE GIVING | 11318 | 11318 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14221 | Total |
| Program Services | 13607 | ProgramServices |
| Management And General | 614 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16348653 | Total |
| Program Services | 13743532 | ProgramServices |
| Management And General | 2478505 | ManagementAndGeneral |
| Fundraising | 126616 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96280 | BOY |
| EOY | 123112 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20181583 | BOY |
| EOY | 15316397 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 715802 | BOY |
| EOY | 768683 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71773 | BOY |
| EOY | 67427 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68095 | BOY |
| EOY | 57755 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 55661395 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 25471460 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28162619 | BOY |
| EOY | 30189935 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20596101 | BOY |
| EOY | 26889122 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 677509 | BOY |
| EOY | 676466 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2996858 | BOY |
| EOY | 2996796 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73566620 | BOY |
| EOY | 77085693 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4960020 | BOY |
| EOY | 2091869 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19573594 | BOY |
| EOY | 22335856 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28005000 | BOY |
| EOY | 27285000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2883556 | BOY |
| EOY | 5115933 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55422170 | BOY |
| EOY | 56828658 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17705747 | BOY |
| EOY | 19784825 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 196995 | BOY |
| EOY | 212399 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 241708 | BOY |
| EOY | 259811 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18144450 | BOY |
| EOY | 20257035 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73566620 | BOY |
| EOY | 77085693 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2489233 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -376648 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 54137 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 43501 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 140730 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 91404 | CurrentTaxYearMinus1Year |
| Current Tax Year | 96849 | CurrentTaxYear |
| Total | 426621 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16195455 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16922002 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17196081 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17859600 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18253444 | CurrentTaxYear |
| Total | 86426582 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16249592 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16965503 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17336811 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17951004 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18350293 | CurrentTaxYear |
| Total | 86853203 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3475 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4075 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4600 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4415 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4315 | CurrentTaxYear |
| Total | 20880 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3475 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4075 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4600 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4415 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4315 | CurrentTaxYear |
| Total | 20880 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 86832323 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1273080 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 899728 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 538584 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 380791 | CurrentTaxYearMinus1Year |
| Current Tax Year | 538281 | CurrentTaxYear |
| Total | 3630464 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1273080 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 899728 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 538584 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 380791 | CurrentTaxYearMinus1Year |
| Current Tax Year | 538281 | CurrentTaxYear |
| Total | 3630464 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13175 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 333014 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15569 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10427 | CurrentTaxYearMinus1Year |
| Total | 372185 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17535847 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18198245 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17890964 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18342222 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18888574 | CurrentTaxYear |
| Total | 90855852 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.95570 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.93860 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.04000 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.05560 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $654 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 654 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | MEMBERSHIP DUES WERE PAID TO LEADING AGE (FORMERLY AOPHA). OF THESE DUES, $654 WERE RELATED TO LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 499868 | BeginningOfYearBalance |
| Contributions | 82996 | Contributions |
| Investment Earnings Or Losses | 3762 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 8000 | GrantsOrScholarships |
| Other Expenditures | 8428 | OtherExpenditures |
| End Of Year Balance | 570198 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 428237 | BeginningOfYearBalance |
| Contributions | 100460 | Contributions |
| Investment Earnings Or Losses | 7124 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 6000 | GrantsOrScholarships |
| Other Expenditures | 29954 | OtherExpenditures |
| End Of Year Balance | 499868 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 329472 | BeginningOfYearBalance |
| Contributions | 101369 | Contributions |
| Investment Earnings Or Losses | 10181 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 4500 | GrantsOrScholarships |
| Other Expenditures | 8285 | OtherExpenditures |
| End Of Year Balance | 428237 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 295564 | BeginningOfYearBalance |
| Contributions | 42964 | Contributions |
| Investment Earnings Or Losses | 13783 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 4500 | GrantsOrScholarships |
| Other Expenditures | 18339 | OtherExpenditures |
| End Of Year Balance | 329472 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 753331 | OtherCostOrOtherBasis |
| Book Value | 753331 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43717623 | OtherCostOrOtherBasis |
| Depreciation | 19688723 | Depreciation |
| Book Value | 24028900 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11190441 | OtherCostOrOtherBasis |
| Depreciation | 5782737 | Depreciation |
| Book Value | 5407704 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30189935 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| GIFT ANNUITY PAYABLE | $323,574 |
| ADVANCE ENDOWMENT CONTRACTS & DEPOSITS | $416,975 |
| ENDOWMENT REFUNDS PAYABLE | $309,327 |
| REFUNDABLE ENDOWMENTS - R.O.C. | $2,068,910 |
| PROVISION FOR INTEREST RATE SWAP AGREEMENT | $1,335,147 |
| INTERCOMPANY PAYABLE | $662,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5115933 | TotalOfAmounts |
| Total Revenue | 18837886 | TotalRevenue |
| Total Expenses | 16348653 | TotalExpenses |
| Excess Or Deficit For Year | 2489233 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 38778 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | -14530 | PriorPeriodAdjustments |
| Other | -$400,896 | OtherAmount |
| Total Adjustments | -376648 | TotalAdjustments |
| Excess Or Deficit Per FS | 2112585 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 18538217 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 38778 | NetUnrealizedGainsInvestments |
| Other Revenues | -399610 | OtherRevenues |
| Revenue Not Rptd F990 | -360832 | RevenueNotRptdF990 |
| Revenue Subtotal | 18899049 | RevenueSubtotal |
| Other Revenues Not Included | -61163 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -61163 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 18837886 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 16357906 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 9253 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 9253 | ExpensesNotRptdF990 |
| Expenses Subtotal | 16348653 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 16348653 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE FVD RESIDENTS' BENEVOLENT FUND WAS CREATED AS A TERM 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: | THE INTERNAL REVEVENUE 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, 2009 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, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | NET UNREALIZED LOSS ON SWAP FMV ADJUSTMENT -400,896. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | UNREALIZED LOSS ON SWAP FMV -400,896. LOSSES ON RESTRICTED INVESTMENTS -1,559. ANNUITY PAYMENTS IN EXCESS OF INTEREST EARNED -1,950. RECLASSIFIED RENTAL EXPENSES 5,161. OTHER MISCELLANEOUS -366. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON SALE OF FIXED ASSETS -4,092. OTHER EXPENSES -3,875. PRESENT VALUE ADJUSTMENT OF ENDOWMENT ANNUITY PAYABLE -61,893. BIRCHTON, LLC NET GAIN NOT INCLUDED IN FINANCIAL STATEMENTS 8,697. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON SALE OF FIXED ASSETS 4,092. RECLASSIFIED RENTAL EXPENSES 5,161. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | JOHN SCHWARCK SCHOLARSHIPS AWARDED TO THE EMPLOYEES OF FRIENDSHIP VILLAGE OF DUBLIN OHIO INC. WHO ARE PERSUING A COLLEGE EDUCATION. | TypeOfGrant |
| Number Of Recipients | 4 | NumberOfRecipients |
| Amount Of Cash Grant | 8000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN A SCHWARCK | NamePerson |
| Base Compensation Filing Org | 125820 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 22233 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 54213 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 202266 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|
| FRANKLIN COUNTY OHIO | ||||||
| 353180GG1 | 2004-09-01 | 13805000 | REFUND AND RETIRE THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1997 REVENUE BONDS | 0 | 0 | 0 |
| FRANKLIN COUNTY OHIO | ||||||
| 353180GH9 | 2004-12-01 | 19820000 | FUND CONSTRUCTION OF THE 51-UNIT INDEPENDENT-LIVING WING | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|
| 13805000 | 13404209 | 400791 | 1991 | 1 | 0 | 1 | 1 | |
| 19820000 | 513000 | 2006 | 1 | 0 | 1 | 1 | 19307000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| MORGAN STANLEY | ||||||||
| 1 | 1 | 1 | 17.000000000000 | 0 | 0 | 0 | 0 | 0 |
| (no name) | ||||||||
| 1 | 1 | 0 | 0 | 0 | 0 | |||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | LIFE CARE SERVICES PROVIDES THE EXECUTIVE DIRECTOR FOR THE ORGANIZATION AS WELL AS THE MARKETING DIRECTOR. IN ADDITION, LIFE CARE SERVICES PROVIDES ACCOUNTING SOFTWARE, IT SUPPORT, HUMAN RESOURCES, AND OTHER SUPPORT SERVICES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | ONLY 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 12C | ALL 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 15 | THE EXECUTIVE DIRECTOR IS EVALUATED ANNUALLY BY VARIOUS MANAGEMENT LEVELS WITHIN LIFE CARE SERVICES, TO INCLUDE HIS IMMEDIATE SUPERVISOR, 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 EARLY 2012. THE CONTROLLER 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 MAY OF 2012. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING 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 5: | NET UNREALIZED GAINS ON INVESTMENTS: 38,778. PRIOR PERIOD ADJUSTMENTS: -14,530. NET UNREALIZED LOSS ON SWAP FMV ADJUSTMENT -400,896. TOTAL TO FORM 990, PART XI, LINE 5: -376,648. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BIRCHTON LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 RIVERSIDE DRIVE | AddressLine1 |
| City | DUBLIN | City |
| State | OH | State |
| ZIP Code | 43017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HOLD AND DEVELOP REAL ESTATE | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
| Total Income | 53360 | TotalIncome |
| EOY Assets | 741177 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |