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OHIO LIVING QUAKER HEIGHTS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
OHIO LIVING QUAKER HEIGHTS (EIN 31-0538523)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201203209349300425
Schema version
2011v1.2
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)
Timestamp2012-11-15T07:48:25-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN310210560EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BATTELLE & BATTELLE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12000 WEST DOROTHY LANEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45439ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310538523EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FRIENDS BOARDING HOME-OHIO VALLEYBusinessNameLine1
Business Name Line2YEARLY MTG RELIGIOUS SOCIETY OF FRIENDSBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlFRIENameControl
Phone5138976050Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1514 W HIGH STREET PO BOX 677AddressLine1
CityWAYNESVILLECity
StateOHState
ZIP Code45068ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWENDY L WATERS-CONNELLName
TitleEXECUTIVE DIRECTORTitle
Phone5138976050Phone
Date Signed2012-10-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN O CRIMName
PTINP00368385PTIN
Phone9372980201Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1QUAKER HEIGHTS CARE COMMUNITYBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonWENDY L WATERS-CONNELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1514 W HIGH STREET PO BOX 677AddressLine1
CityWAYNESVILLECity
StateOHState
ZIP Code45068ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9226713GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.QUAKERHEIGHTS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1904YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionOPERATE A NURSING HOME AND ASSISTED LIVING FACILITY AND PROVIDE MEDICAL CARE FOR THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body15013NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees147TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8836929ProgramServiceRevenuePriorYear
Program Service Revenue CY9220077ProgramServiceRevenueCY
Investment Income Prior Year5329InvestmentIncomePriorYear
Investment Income Current Year6636InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8842258TotalRevenuePriorYear
Total Revenue Current Year9226713TotalRevenueCurrentYear
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 Year5051181SalariesEtcPriorYear
Salaries Etc Current Year5080757SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3691036OtherExpensePriorYear
Other Expenses Current Year3999321OtherExpensesCurrentYear
Total Expenses Prior Year8742217TotalExpensesPriorYear
Total Expenses Current Year9080078TotalExpensesCurrentYear
Revenues Less Expenses Prior Year100041RevenuesLessExpensesPriorYear
Revenues Less Expenses CY146635RevenuesLessExpensesCY
Total Assets BOY11340499TotalAssetsBOY
Total Assets EOY11888474TotalAssetsEOY
Total Liabilities BOY8996211TotalLiabilitiesBOY
Total Liabilities EOY9397551TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2344288NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2490923NetAssetsOrFundBalancesEOY
Mission DescriptionTHE OPERATION OF A NURSING HOME AND ASSISTED LIVING FACILITY AND PROVIDING MEDICAL CARE FOR THE ELDERLY RESIDENTSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7474601Expense
Revenue9168808Revenue
DescriptionCARE FOR ELDERLY - 98 BED NURSING HOME OPERATED IN ACCORDANCE WITH MEDICARE/MEDICAID REGULATIONS AND 60 UNIT ASSISTED LIVING FACILITY. INDEPENDENT LIVING FACILITIES - HOUSING UNITS PROVIDING INDEPENDENT LIVING MONITORED BY NURSING HOME STAFF AND PHYSICIANS AS NECESSARY. OFFICE CENTER - PROFESSIONAL AND MEDICAL OFFICES MAINTAINED FOR THE COMMUNITY AND STAFFED BY INDEPENDENT PROFESSIONALS.Description
Total Program Service Expense7474601TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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 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 Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109655NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees147NumberOfEmployees
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 Members15013NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWENDY L WATERS-CONNELLNamePerson
Telephone Number5138976050TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1514 W HIGH STREETAddressLine1
CityWAYNESVILLECity
StateOHState
ZIP Code45068ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
EUGENIA MILLS
PRESIDING CLERK- FROM APR 20111.00XX000
ALICE PALMER
PRESIDING CLERK- TO APR 20111.00XX000
TOM ISAACS
ASSISTANT PRESIDING CLERK1.00XX000
DOTTIE RYE
RECORDING CLERK1.00XX000
TERRI KOLES
TREASURER1.00XX000
RON KRONENBERGER- TO APR 2011
TREASURER1.00XX000
SHARON JEWELL
ASSISTANT TREASURER1.00XX000
LONNY BURGER- TO APR 2011
TRUSTEE1.00X000
GUS EDWARDS
TRUSTEE1.00X000
CHARLES FEICHT- FROM APR 2011
TRUSTEE1.00X000
DONNE HAYDEN
TRUSTEE1.00X000
FRANK HUSS
TRUSTEE1.00X000
EULA MCDERMOTT- TO APR 2011
TRUSTEE1.00X000
WILSON PALMER- FROM APR 2011
TRUSTEE1.00X000
PEG SCHORRECK
TRUSTEE1.00X000
WARREN SHEEHAN- TO APR 2011
TRUSTEE1.00X000
CHRISTINE SNYDER- FROM APR 2011
TRUSTEE1.00X000
WILMA WATSON- FROM APR 2011
TRUSTEE1.00X000
ERIC WOLFF
TRUSTEE1.00X000
WENDY L WATERS-CONNELL
EXECUTIVE DIRECTOR50.00X14202007101
AMANDA YAUGER
ADMINISTRATOR50.0010225709948X
FieldValueIRS element (for citing)
Total Reportable Comp From Org244277TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation17049TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CONCEPT REHAB INC
7150 GRANITE CIRCLETOLEDOOH43617THERAPY522123
HEALTHCARE SERVICES GROUP
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020DIETARY, HOUSEKEEPING, LAUNDRY CONTRACTO248641
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MEDICARE/MEDICAID PMTS62300047929474792947
PATIENT SERV. REVENUE62300043758614375861
RENTAL INCOME62300051269$51,269
FieldValueIRS element (for citing)
Total Program Service Revenue9220077TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6636TotalRevenueColumn
Exclusion$6,636ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9226713TotalRevenueColumn
Related Or Exempt Function Income9168808RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$57,905ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total149121Total
Program Services74561ProgramServices
Management And General74560ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3787886Total
Program Services3390797ProgramServices
Management And General397089ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total858745Total
Program Services729933ProgramServices
Management And General128812ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total285005Total
Program Services242254ProgramServices
Management And General42751ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total50976Total
Management And General50976ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total138924Total
Management And General138924ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total190645Total
Program Services162048ProgramServices
Management And General28597ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total49869Total
Management And General49869ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total242144Total
Program Services57260ProgramServices
Management And General184884ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total224647Total
Program Services190950ProgramServices
Management And General33697ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total45749Total
Program Services38888ProgramServices
Management And General6861ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6252Total
Management And General6252ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total463471Total
Program Services393950ProgramServices
Management And General69521ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total513571Total
Program Services436535ProgramServices
Management And General77036ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total140361Total
Program Services119306ProgramServices
Management And General21055ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES735912735912
LICENSE FEES & FRANCHIS40471134400460707
CONTRACTED SERVICES263460263460
FOOD/DIETARY SUPPLIES232183232183

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total296446Total
Program Services62560ProgramServices
Management And General233886ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9080078Total
Program Services7474601ProgramServices
Management And General1605477ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY961059BOY
EOY1100741EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY224481BOY
EOY53089EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY119759BOY
EOY112089EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12799107LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6534267LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6310241BOY
EOY6264840EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY593614BOY
EOY646758EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3131345BOY
EOY3710957EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11340499BOY
EOY11888474EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY680471BOY
EOY673685EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY18991BOY
EOY13232EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7868971BOY
EOY8244740EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY427778BOY
EOY465894EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8996211BOY
EOY9397551EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2344288BOY
EOY2490923EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2344288BOY
EOY2490923EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11340499BOY
EOY11888474EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses146635ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7966641CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8669620CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8922060CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8836929CurrentTaxYearMinus1Year
Current Tax Year9220077CurrentTaxYear
Total43615327Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7966641CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8669620CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8922060CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8836929CurrentTaxYearMinus1Year
Current Tax Year9220077CurrentTaxYear
Total43615327Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50943615327PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16582CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44582CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5329CurrentTaxYearMinus1Year
Current Tax Year6636CurrentTaxYear
Total117511Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16582CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44582CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5329CurrentTaxYearMinus1Year
Current Tax Year6636CurrentTaxYear
Total117511Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years29074CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years424CurrentTaxYearMinus2Years
Total29498Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8040097CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8686202CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8967066CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8842258CurrentTaxYearMinus1Year
Current Tax Year9226713CurrentTaxYear
Total43762336Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99660PublicSupportPercentage509
Prior Year Support Percentage0.99570PriorYearSupportPercentage
Investment Income Percentage0.00270InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00360PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12871OtherCostOrOtherBasis
Book Value12871BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9803875OtherCostOrOtherBasis
Depreciation3859381Depreciation
Book Value5944494BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2982361OtherCostOrOtherBasis
Depreciation2674886Depreciation
Book Value307475BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6264840TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
MEDICARE/MEDICAID RECEIVABLE652634
MIP, INSURANCE, & REPAIR DEPOSITS110597
RESERVE FOR REPLACEMENT298429
FINANCING & BUILDING FEES1586535
RESIDUAL RECEIPTS1049530
RESIDENT FUNDS HELD BY QUAKER HEIGHTS13232
FieldValueIRS element (for citing)
Total Book Value Other Assets3710957TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO QUAKER HEIGHTS FOUNDATION$137,622
DEFERRED REVENUE - SSA$323,572
RENTAL DEPOSITS$4,700
FieldValueIRS element (for citing)
Total Of Amounts465894TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:FUNDS THE FACILITY IS REQUIRED BY THE STATE TO MAINTAIN AT THE RESIDENTS REQUEST. THIS MONEY BELONGS TO THE INDIVIDUAL RESIDENTS THEREFORE THERE IS AN OFFSETTING LIABILITY EQUAL TO THE ASSET ACCOUNT.
PART X:THE FRIENDS BOARDING HOME AND ITS RELATED ENTITY, QUAKER HEIGHTS FOUNDATION, INC., WERE ORGANIZED AS NOT-FOR-PROFIT CORPORATIONS AND HAVE SECURED TAX EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. A PROVISION FOR INCOME TAXES IS NOT REQUIRED. THE SINGLE MEMBER ENTITY, QUAKER HEIGHTS, LLC, WAS FORMED TO HOLD TITLE TO THE NURSING HOME AND ASSISTED LIVING FACILITY PROPERTY AND EQUIPMENT. FORMATION OF THIS ENTITY WAS REQUIRED UNDER TERMS OF THE HUD-INSURED MORTGAGE. THE LLC IS A DISREGARDED ENTITY FOR FEDERAL AND STATE TAX PURPOSES AND IS REPORTED ON THE TAX RETURN OF FRIENDS BOARDING HOME. A PROVISION FOR INCOME TAXES IS NOT REQUIRED. WITH FEW EXCEPTIONS, THE ORGANIZATION'S FEDERAL INFORMATION RETURNS ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2008.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2ALICE PALMER AND WILSON PALMER HAVE A FAMILY RELATIONSHIP. AS PRESIDING CLERK OF THE BOARD OF THE FRIENDS HOME FOUNDATION, ALICE PALMER IS AN EX-OFFICIO MEMBER OF THIS ORGANIZATION'S BOARD.
FORM 990, PART VI, SECTION A, LINE 3DAYFIELD SENIOR SOLUTIONS, LLC PROVIDES ACCOUNTING SERVICES INCLUDING FINANCIAL REPORTING, COST REPORTING, BUDGET PREPARATION, ACCOUNTS RECEIVABLE AND ACCOUNTS PAYABLE SUPPORT.
FORM 990, PART VI, SECTION A, LINE 7BTHE FRIENDS HOME OF THE OHIO VALLEY YEARLY MEETING OF THE RELIGIOUS SOCIETY OF FRIENDS APPROVES MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE ORGANIZATION'S MANAGEMENT COMPANY (DAYFIELD SENIOR SOLUTIONS, LLC). A COPY IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING FORM 990 WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES A SIGNED WRITTEN CONFLICT OF INTEREST POLICY BY THE BOARD MEMBERS ON A YEARLY BASIS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS WILL CONDUCT A WRITTEN ASSESSMENT OF THE PERFORMANCE OF THE EXECUTIVE DIRECTOR ANNUALLY. THE BOARD OF DIRECTORS USES CRITERIA FROM THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING TO ESTABLISH COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 2B, DESCRIPTION OF FINANCIAL STATEMENT REPORTING:THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTANT ON A CONSOLIDATED BASIS WITH QUAKER HEIGHTS LLC (A DISREGARDED ENTITY) AND QUAKER HEIGHTS FOUNDATION, INC.
FORM 990, PART XI, LINE 2C:THE ORGANIZATION'S COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1QUAKER HEIGHTS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1514 WEST HIGH STREET PO BOX 677AddressLine1
CityWAYNESVILLECity
StateOHState
ZIP Code45068ZIPCode
FieldValueIRS element (for citing)
EIN310538523EIN
Primary ActivitiesOPERATE QUAKER HEIGHTS CARE COMMUNITY - NURSING HOME AND ASSISTED LIVINGPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Total Income9226713TotalIncome
EOY Assets11888474EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1QUAKER HEIGHTS FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 232AddressLine1
CityWAYNESVILLECity
StateOHState
ZIP Code45068ZIPCode
FieldValueIRS element (for citing)
EIN311575048EIN
Primary ActivitiesTO SUPPORT ACTIVITIES OF FRIENDS BOARDING HOME, INC.PrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 13, TYPE IPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg