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FRIENDSHIP VILLAGE OF COLUMBUS OHIO INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FRIENDSHIP VILLAGE OF COLUMBUS OHIO INC (EIN 31-0892356)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201241359349302929
Schema version
2010v3.4
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)
Timestamp2012-05-14T14:40:37-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310892356EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FRIENDSHIP VILLAGE OF COLUMBUS OHIO INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFRIENameControl
Phone6148908282Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15800 FOREST HILLS BLVDAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432312957ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAN SHIELDSName
TitleEXECUTIVE DIRECTORTitle
Phone6148908282Phone
Date Signed2012-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGREGORY LONGSWAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15800 FOREST HILLS BLVDAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432312957ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15579810GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FRIENDSHIPVILLAGEOH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF FRIENDSHIP VILLAGE OF COLUMBUS IS TO PROVIDE A LIFE CARE RETIREMENT COMMUNITY FOR PHYSICALLY AND FINANCIALLY QUALIFIED PERSONS ON A FISCALLY SOUND, NOT-FOR-PROFIT BASIS THAT ENHANCES THE DIGNITY, SECURITY, AND INDEPENDENCE OF RESIDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees331TotalNbrEmployees
Total Nbr Volunteers48TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year80042ContributionsGrantsPriorYear
Contributions Grants Current Year147632ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15910016ProgramServiceRevenuePriorYear
Program Service Revenue CY15166305ProgramServiceRevenueCY
Investment Income Prior Year155866InvestmentIncomePriorYear
Investment Income Current Year232227InvestmentIncomeCurrentYear
Other Revenue Prior Year36871OtherRevenuePriorYear
Other Revenue Current Year33646OtherRevenueCurrentYear
Total Revenue Prior Year16182795TotalRevenuePriorYear
Total Revenue Current Year15579810TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year38700GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY39384GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7636401SalariesEtcPriorYear
Salaries Etc Current Year7623684SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year37570TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY19056TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year24097TotalFundrsngExpCurrentYear
Other Expense Prior Year9099998OtherExpensePriorYear
Other Expenses Current Year7915783OtherExpensesCurrentYear
Total Expenses Prior Year16812669TotalExpensesPriorYear
Total Expenses Current Year15597907TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-629874RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-18097RevenuesLessExpensesCY
Total Assets BOY27928483TotalAssetsBOY
Total Assets EOY26598164TotalAssetsEOY
Total Liabilities BOY33871252TotalLiabilitiesBOY
Total Liabilities EOY32318041TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5942769NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-5719877NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF FRIENDSHIP VILLAGE OF COLUMBUS IS TO PROVIDE A LIFE CARE RETIREMENT COMMUNITY FOR PHYSICALLY AND FINANCIALLY QUALIFIED PERSONS ON A FISCALLY SOUND, NOT-FOR-PROFIT BASIS THAT ENHANCES THE DIGNITY, SECURITY, AND INDEPENDENCE OF RESIDENTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13546428Expense
Revenue15166305Revenue
DescriptionFRIENDSHIP VILLAGE OF COLUMBUS, INC. CONSISTS OF 229 APARTMENTS, A 80 BED SKILLED NURSING FACILITY AND A 63 BED ASSISTED LIVING FACILITY, SERVING OVER 300 RESIDENTS. FRIENDSHIP VILLAGE PROVIDES ITS RESIDENTS WITH A SECURE, COMFORTABLE ENVIRONMENT IN A WARM, FRIENDLY AND CONGENIAL ATMOSPHERE THAT ENCOURAGES PHYSICAL AND PSYCHOLOGICAL WELL-BEING, WORTH, AND INDIVIDUAL UNIQUENESS OF RESIDENTS, EMPLOYEES AND OTHERS. SINCE EVERYONE'S NEEDS ARE DIFFERENT, FRIENDSHIP VILLAGE OFFERS A VARIETY OF CARE LEVELS TO ITS RESIDENTS, SUCH AS SKILLED NURSING, INTERMEDIATE CARE, REHABILITATIVE THERAPIES, HOSPICE CARE, PERITONEAL DIALYSIS, SURGICAL WOUND CARE, AND RESPITE CARE. EVERY RESIDENT IS ASSURED OF CONSISTENT, HIGH QUALITY CARE 24 HOURS A DAY, EVERY DAY OF THE YEAR. FRIENDSHIP VILLAGE PROVIDES A HOUSEKEEPING STAFF THAT TAKES CARE OF DETAILS LIKE CLEANING AND WEEKLY LAUNDRY SERVICE. MAINTENANCE TEAMS ARE ON CALL 24 HOURS A DAY. THE HEALTH CARE CENTER OFFERS A VARIETY OF PLANNED CULTURAL, SOCIAL, RELIGIOUS, AND RECREATIONAL ACTIVITIES TO HELP RESIDENTS REMAIN AS ACTIVE AND INVOLVED AS POSSIBLE. FRIENDSHIP VILLAGE PROVIDES HOME-STYLE MEALS THREE TIMES A DAY AND CAN ACCOMMODATE ANY SPECIAL DIET. RIDGEWOOD TERRACE AT FRIENDSHIP VILLAGE OF COLUMBUS, OHIO INC. PROVIDES SPECIALIZED CARE FOR INDIVIDUALS LIVING WITH MEMORY DISORDERS. PROFESSIONALS WORK WITH RESIDENTS AND THEIR FAMILY MEMBERS TO PROVIDE THERAPEUTIC AND RECREATIONAL ACTIVITIES. EXTRA SAFETY PRECAUTIONS HAVE BEEN TAKEN TO INSURE THAT RESIDENTS WILL NOT INJURE THEMSELVES OR OTHERS. EMERGENCY CALL BUTTONS IN EVERY BEDROOM AND BATHROOM ASSURE THAT HELP IS AVAILABLE ANY TIME, DAY OR NIGHT.Description
Total Program Service Expense13546428TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109636NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees331NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1OWEN YODERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6148908282TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15800 FOREST HILLS BOULEVARDAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43231ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOSEPH FOLEY
PRESIDENT10.00XX000
MAX THOMPSON
VICE PRESIDENT5.00XX000
EDWARD SCHULTZ
TREASURER5.00XX000
STEVE POTTER
BOARD MEMBER5.00X000
PHIL KOPPEL
BOARD MEMBER5.00X000
HUGH ALLEN
BOARD MEMBER5.00X000
FRANK SHEPHERD
BOARD MEMBER5.00X000
JACKIE NUSSBAUM
BOARD MEMBER5.00X000
KATHERINE KISKER
BOARD MEMBER5.00X000
PAULETTE LUNEBORG
BOARD MEMBER5.00X000
PEG COX
RESIDENT TRUSTEE5.00X000
KATHLEEN GUZLEY
BOARD MEMBER5.00X000
SCOTT POWELL
SECRETARY5.00X000
DAN SHIELDS
EXECUTIVE DIRECTOR50.00X13496007978
JOE BUCKLEY
DIRECTOR OF ACCOUNTING50.00X6100000
FieldValueIRS element (for citing)
Total Reportable Comp From Org195960TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation7978TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
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
MEDICAL MUTUAL
BOX 298309-100CLEVELANDOH44193HEALTH BENFITS SERVICES677729
SYSCO FOOD SERVICES
2400 HARRISON ROADCOLUMBUSOH43204FOOD SERVICES657740
REHABWORKS LLC
PO BOX 503534ST LOUISMO63150THERAPY SERVICES609236
LIFE CARE SERVICES LLC
400 LOCUST STDES MOINESIA50309MANAGEMENT SERVICES496813
OMNICARE PHARMACY
PO BOX 701058CINCINNATIOH45270PHARMACEUTICAL SERVICES201710
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
All Other Contributions147632AllOtherContributions
Total Contributions147632TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionAPTS./SKILLED NURSINGDescription
Business Code623000BusinessCode
Total Revenue Column15166305TotalRevenueColumn
Related Or Exempt Function Income15166305RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15166305TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column195639TotalRevenueColumn
Exclusion$195,639ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real34064Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real34064Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column34064TotalRevenueColumn
Exclusion$34,064ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities36398Securities
Other190Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities36398Securities
Other190Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column36588TotalRevenueColumn
Exclusion$36,588ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column-418TotalRevenueColumn
Exclusion-$418ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-418TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15579810TotalRevenueColumn
Related Or Exempt Function Income15166305RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$265,873ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total39384Total
Program Services39384ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total234253Total
Management And General234253ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6198832Total
Program Services5516960ProgramServices
Management And General681872ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total37996Total
Program Services26977ProgramServices
Management And General11019ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total660598Total
Program Services587932ProgramServices
Management And General72666ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total492005Total
Program Services452645ProgramServices
Management And General39360ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total437277Total
Management And General437277ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total59121Total
Management And General59121ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total47725Total
Management And General47725ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total19056Total
Fundraising19056Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total841785Total
Program Services681846ProgramServices
Management And General159939ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total348383Total
Program Services348383ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1952793Total
Program Services1855153ProgramServices
Management And General97640ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total62180Total
Program Services60936ProgramServices
Management And General1244ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1049233Total
Program Services1049233ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total23383Total
Program Services5378ProgramServices
Management And General18005ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total860938Total
Program Services860938ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1400169Total
Program Services1356870ProgramServices
Management And General43299ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total113645Total
Program Services113645ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
FRANCHISE TAXES394951394951
BAD DEBT160767160767
RECRUITING8646086460
RESIDENT ACTIVITIES3443034430
CHARITABLE GIVING50415041

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total37502Total
Management And General37502ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15597907Total
Program Services13546428ProgramServices
Management And General2027382ManagementAndGeneral
Fundraising24097Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1000BOY
EOY730EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY820390BOY
EOY724626EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1014924BOY
EOY1700460EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY49812BOY
EOY42385EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY46287BOY
EOY52484EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY28518BOY
EOY116197EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis39084741LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21291026LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18533939BOY
EOY17793715EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2900013BOY
EOY2384579EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1477428BOY
EOY746110EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3056172BOY
EOY3036878EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27928483BOY
EOY26598164EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2997613BOY
EOY2216201EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY7922179BOY
EOY7966106EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16555000BOY
EOY16070000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6396460BOY
EOY6065734EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY33871252BOY
EOY32318041EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-6194259BOY
EOY-6075655EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY251490BOY
EOY355778EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5942769BOY
EOY-5719877EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27928483BOY
EOY26598164EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-18097ReconcilationRevenueExpenses
Reconcilation Other Changes240989ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years29671CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years105904CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14860CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80042CurrentTaxYearMinus1Year
Current Tax Year147632CurrentTaxYear
Total378109Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16336550CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16201613CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15474309CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15934979CurrentTaxYearMinus1Year
Current Tax Year15166305CurrentTaxYear
Total79113756Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16366221CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16307517CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15489169CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16015021CurrentTaxYearMinus1Year
Current Tax Year15313937CurrentTaxYear
Total79491865Total

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 Total50979491865PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years317928CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years325683CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years110746CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year213953CurrentTaxYearMinus1Year
Current Tax Year229703CurrentTaxYear
Total1198013Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years317928CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years325683CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years110746CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year213953CurrentTaxYearMinus1Year
Current Tax Year229703CurrentTaxYear
Total1198013Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years76962CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years42374CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38915CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40919CurrentTaxYearMinus1Year
Current Tax Year-418CurrentTaxYear
Total198752Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16761111CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16675574CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15638830CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16269893CurrentTaxYearMinus1Year
Current Tax Year15543222CurrentTaxYear
Total80888630Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98270PublicSupportPercentage509
Prior Year Support Percentage0.98170PriorYearSupportPercentage
Investment Income Percentage0.01480InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01510PriorYrInvestIncomePercentage
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$720GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB720TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationMEMBERSHIP DUES IN THE AMOUNT OF $18,025 WERE PAID TO AOPHA AND LEADING AGE: 4% ($720) OF THE DUES RELATED TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis527425OtherCostOrOtherBasis
Book Value527425BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis33763406OtherCostOrOtherBasis
Depreciation18611657Depreciation
Book Value15151749BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2581938OtherCostOrOtherBasis
Depreciation1931509Depreciation
Book Value650429BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2211972OtherCostOrOtherBasis
Depreciation747860Depreciation
Book Value1464112BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17793715TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS LIMITED AS TO USE HELD BY TRUSTEE2579314
BOND ISSUANCE COSTS, NET457564
FieldValueIRS element (for citing)
Total Book Value Other Assets3036878TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionREFUNDABLE ENTRANCE FEESDescription
Amount$6,065,734Amount
FieldValueIRS element (for citing)
Total Of Amounts6065734TotalOfAmounts
Total Revenue15579810TotalRevenue
Total Expenses15597907TotalExpenses
Excess Or Deficit For Year-18097ExcessOrDeficitForYear
Net Unrealized GL On Investments240989NetUnrealizedGLOnInvestments
Total Adjustments240989TotalAdjustments
Excess Or Deficit Per FS222892ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15663863TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments240989NetUnrealizedGainsInvestments
Revenue Not Rptd F990240989RevenueNotRptdF990
Revenue Subtotal15422874RevenueSubtotal
Other Revenues Not Included156936OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt156936RevenueNotRptdOnFinStmt
Total Revenue Per Form99015579810TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15558523TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15558523ExpensesSubtotal
Other Expenses Not Included39384OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt39384ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015597907TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 117,552. RECLASS OF HARDSHIP DISCOUNTS 39,384.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:RECLASS OF HARDSHIP DISCOUNTS 39,384.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
In Person SolicitationsXInPersonSolicitations
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualDOUG ALLINGERNameOfIndividual

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1162 WEST COOKEAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43214ZIPCode
FieldValueIRS element (for citing)
ActivityCONSULTINGActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts0GrossReceipts
Amount Retained By Contractor19056AmountRetainedByContractor
Net To Organization0NetToOrganization
FieldValueIRS element (for citing)
Total Retained By Contractors19056TotalRetainedByContractors
Licensed StatesOHLicensedStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantHARDSHIP DISCOUNTSTypeOfGrant
Number Of Recipients3NumberOfRecipients
Amount Of Cash Grant39384AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: POLICY: IT IS THE POLICY OF FRIENDSHIP VILLAGE OF COLUMBUS TO PROVIDE FINANCIAL ASSISTANCE TO RESIDENTS OF FRIENDSHIP VILLAGE OF COLUMBUS WHO DEMONSTRATE A FINANCIAL NEED. PURPOSE: TO PROVIDE FINANCIAL ASSISTANCE TO RESIDENTS WHO HAVE DEVELOPED A FINANCIAL NEED DUE TO UNFORESEEN OR UNCONTROLLABLE CIRCUMSTANCES. PROCEDURE: -EACH APPLICANT MUST SUBMIT A CURRENT FINANCIAL STATEMENT SHOWING ASSETS AND MONTHLY INCOME. -EACH APPLICATION WILL BE REVIEWED BY THE EXECUTIVE DIRECTOR AND A COMMITTEE OF THE BOARD OF TRUSTEES FOR APPROVAL UNDER THE GUIDELINES ADOPTED BY THE BOARD OF TRUSTEES. GUIDELINES: LEVEL OF FINANCIAL STANDING FOR DISCOUNT CONSIDERATION: A. ASSETS SINGLE PERSON: NOT MORE THAN $1,500 COUPLE: NOT MORE THAN $3,000 B. MONTHLY INCOME EACH PERSON: THE INCOME LEVEL AT WHICH FRIENDSHIP VILLAGE OF COLUMBUS WILL CONSIDER APPLICATIONS FOR HARDSHIP DISCOUNT IS DETERMINED BY WHETHER THE RESIDENT'S MONTHLY INCOME IS LESS THAN THE SUM OF THE FOLLOWING MONTHLY EXPENSE. 1. CHARGE FOR THE STANDARD SERVICE FEE PLUS 2. CHARGES FOR TWO EXTRA MEALS PER DAY PLUS 3. MEDICAL EXPENSE NOT COVERED BY MEDICARE OR INSURANCE OVER $35/MONTH PLUS 4. AN ALLOWANCE OF ONE HUNDRED DOLLARS ($100) PER MONTH FOR INCIDENTALS. C. BECAUSE OF THE EFFECT UPON OTHER RESIDENTS WHERE HARDSHIP DISCOUNT IS GRANTED THE FOLLOWING WILL BE USED IN CONSIDERING AN APPLICATION FOR DISCOUNT: 1. NO RESIDENT MAY WILLINGLY AND KNOWINGLY GIVE, TRANSFER OR CONVEY HIS/HER ASSETS OR PLEDGE THE INCOME THEREFROM TO ANY PERSON (I.E. RELATIVE BY BLOOD OR MARRIAGE, FRIEND OR INSTITUTION) DURING THE PERIOD OF TIME OF RESIDENCY AT FRIENDSHIP VILLAGE OF COLUMBUS. 2. THE EXECUTIVE DIRECTOR MAY, AT HIS DISCRETION, REQUIRE OF THE RESIDENT AN ACCOUNTING OF ASSETS STATED ON THE ENTRANCE APPLICATION IN ORDER TO DETERMINE THAT NO DELIBERATE DIVESTITURE HAS TAKEN PLACE. 3. IF DELIBERATE FALSIFICATION OF THE ENTRANCE APPLICATION OR DELIBERATE DIVESTITURE OF ASSETS HAS BEEN MADE, THE BOARD OF TRUSTEES MAY TERMINATE THE RESIDENCY AGREEMENT OF THAT RESIDENT FOR FAILURE TO MAKE ALL OR ANY PART OF THE PAYMENTS AS OUTLINED IN THE RESIDENCY AGREEMENT. 4. IF THE RESIDENT IS RESIDING IN A ONE OR TWO BEDROOM APARTMENT, THEY WILL BE REQUIRED TO RELOCATE TO AN ALCOVE UNIT WHEN ONE IS AVAILABLE. THE MOVE WILL TAKE PLACE WITHIN 90 DAYS OF THE HARDSHIP APPROVAL DATE. THE TRANSFER WILL BE IN ACCORDANCE WITH THE INTERNAL TRANSFER POLICY (OTHER THAN THE ENTRANCE FEE REFUND WILL BE PROVIDED THE RESIDENT AT THE TIME OF TRANSFER). D. REVIEW: 1. THE ADMINISTRATION MAY, AT ITS DISCRETION, REQUEST A REVISED CONFIDENTIAL FINANCIAL STATEMENT FROM ANY RESIDENT RECEIVING FINANCIAL ASSISTANCE WHEN IT IS FELT THERE IS A SIGNIFICANT CHANGE IN THEIR FINANCIAL STATUS. 2. A CURRENT CONFIDENTIAL FINANCIAL STATEMENT ON A FORM FURNISHED BY FRIENDSHIP VILLAGE OF COLUMBUS MUST BE RE-SUBMITTED IN THE MONTH OF JULY EACH YEAR FOR ALL RESIDENT NEEDING CONTINUED FINANCIAL ASSISTANCE. E. EMERGENCY CLAUSE: 1. THE BOARD OF TRUSTEES AUTHORIZES THE EXECUTIVE DIRECTOR TO GRANT UP TO A $150 ONE TIME DISCOUNT ON AN EMERGENCY BASIS WITHOUT BOARD APPROVAL PROVIDING THE APPLICANT MEETS THE ABOVE FINANCIAL GUIDELINES. 2. THE BOARD OF TRUSTEES AUTHORIZES THE EXECUTIVE DIRECTOR TO APPROVE DEFERRED PAYMENT OF MONTHLY SERVICE FEE FOR A PERIOD OF TIME UP TO 90 DAYS IN ORDER FOR A RESIDENT TO MAKE ADJUSTMENTS IN PERSONAL FINANCES TO BE ABLE TO MEET THE MONTHLY SERVICE PAYMENT. FURTHER AUTHORIZED DEFERRED PAYMENT OF MONTHLY SERVICE FEES MUST BE APPROVED BY THE BOARD OF TRUSTEES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3A MANAGEMENT CONTRACT TO OVERSEE DAILY OPERATIONS IS ADMINISTERED BY LIFE CARE SERVICES, INC. LIFE CARE SERVICES, INC. PROVIDES INFORMATION SYSTEMS, MARKETING, HUMAN RESOURCES, RISK MANAGEMENT, AND FINANCIAL SYSTEM SUPPORT UNDER THE CONTRACT AGREEMENT. THE EXECUTIVE DIRECTOR DAN SHIELDS IS EMPLOYED BY LIFE CARE SERVICES. TOTAL COMPENSATION AND BENEFITS IN 2011 TOTALED $173,253.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR. AN ELECTRONIC COPY OF THE FORM IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING, ALONG WITH A SUMMARY OF THE INCREASED FILING REQUIREMENTS BEGINNING IN 2008.
EACH BOARD MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY AGREEMENT UPON ACCEPTANCE OF THE POSITION AS WELL AS ON AN ANNUAL BASIS AFTERWARD. ANNUALLY AT THE JUNE BOARD MEETING, THE POLICY IS REVIEWED BY THE PRESIDENT AND DISCLOSURE SHEETS ARE SIGNED BY EACH TRUSTEE AND KEPT ON FILE IN THE ADMINISTRATIVE FILE. IF NEW CONFLICTS ARISE, THE CONFLICT IS DISCLOSED IMMEDIATELY TO THE BOARD FOR DISCUSSION AT THE MONTHLY BOARD MEETING AND THE BOARD MEMBER WITH A CONFLICT OF INTEREST WOULD ABSTAIN FROM VOTING IN ANY RELATED MATTER.FORM 990, PART VI, SECTION B, LINE 12C
MANAGEMENT PREPARES AND/OR REVIEWS THE ANNUAL PERFORMANCE REVIEW IN EACH INSTANCE FRIENDSHIP VILLAGE OF COLUMBUS HIRES A NEW EXECUTIVE DIRECTOR, DIRECTOR OF ACCOUNTING, OR ADMINISTRATIVE MEMBER. COMPENSATION FOR SIMILAR POSITIONS IS COMPILED AND COMPARED ON A REGIONAL AND NATIONAL LEVEL THROUGH AOPHA'S SALARY SURVEY TO MAINTAIN COMPETITIVE SALARIES WITHIN THE INDUSTRY.FORM 990, PART VI, SECTION B, LINE 15
FORM 990 AND FORM 1023 ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
BOOKS ARE KEPT IN THE RESIDENT LIBRARY, ADMINISTRATIVE OFFICE, AND FRIENDSHIP VILLAGE'S SYSTEMS NETWORK.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 240,989.FORM 990, PART XI, LINE 5: