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ROLLING GREEN VILLAGE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ROLLING GREEN VILLAGE (EIN 57-0647976)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-03
IRS object ID
201242779349300319
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)
Timestamp2012-10-03T13:36:10-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 N TRYON STREET SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570647976EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameLYNNE LENTZName
TitleDIRECTOR OF FINANCIAL SERVICESTitle
Phone8649879800Phone
Date Signed2012-10-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREGORY W JOHNSName
PTINP00535091PTIN
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonERIC DUDASKONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 HOKE SMITH BLVDAddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29615ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12043281GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ROLLINGGREENVILLAGE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionTO OPERATE A RESIDENTIAL RETIREMENT COMMUNITY IN A SECURE, CARING ENVIRONMENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees287TotalNbrEmployees
Total Nbr Volunteers65TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year17890ContributionsGrantsPriorYear
Contributions Grants Current Year14950ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11656452ProgramServiceRevenuePriorYear
Program Service Revenue CY12069609ProgramServiceRevenueCY
Investment Income Prior Year68620InvestmentIncomePriorYear
Investment Income Current Year30498InvestmentIncomeCurrentYear
Other Revenue Prior Year-1870248OtherRevenuePriorYear
Other Revenue Current Year-71776OtherRevenueCurrentYear
Total Revenue Prior Year9872714TotalRevenuePriorYear
Total Revenue Current Year12043281TotalRevenueCurrentYear
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 Year5483766SalariesEtcPriorYear
Salaries Etc Current Year5204944SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5314701OtherExpensePriorYear
Other Expenses Current Year5559763OtherExpensesCurrentYear
Total Expenses Prior Year10798467TotalExpensesPriorYear
Total Expenses Current Year10764707TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-925753RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1278574RevenuesLessExpensesCY
Total Assets BOY15505670TotalAssetsBOY
Total Assets EOY17157558TotalAssetsEOY
Total Liabilities BOY12638619TotalLiabilitiesBOY
Total Liabilities EOY13089499TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2867051NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4068059NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF ROLLING GREEN VILLAGE IS TO OPERATE A CONTINUING CARE RETIREMENT COMMUNITY IN A SECURE, CARING ENVIRONMENT TO PROMOTE THE HEALTH, WELLNESS, AND INDEPENDENCE OF THE COMMUNITY'S RESIDENTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7861701Expense
Revenue12069609Revenue
DescriptionTHE LICENSED AREAS INCLUDE 24 HOUR CARE INCLUDING ASSISTANCE WITH BATHING, DRESSING, MEDICATION ADMINISTRATION, THREE WELL BALANCED MEALS EACH DAY WITH ACCOMODATIONS FOR SPECIAL DIETS WHEN PRESCRIBED BY A PHYSICIAN, WEEKLY HOUSEKEEPING WITH DAILY TIDYING OF APARTMENT FLAT, LAUNDRY AND PERSONAL LAUNDRY SERVICES, EMERGENCY CALL SYSTEM TO LICENSED NURSE AVAILABLE 24-HOURS, A DAY FULL ACTIVITIES PROGRAM, UTILITIES INCLUDING ELECTRICITY, GAS, WATER, SEWER, AND BASIC CABLE TELEVISION. MANY OTHER SERVICES ARE ALSO AVAILABLE AT AN ADDITIONAL CHARGE SUCH AS BEAUTY AND BARBER, ESCORTS TO PHYSICIAN APPOINTMENTS, PERSONAL AND MEDICAL SUPPLIES, AND GUEST MEALS. ROLLING GREEN VILLAGE'S ("RGV") ANNUAL SERVICE AGENDA COVERS CUSTOMER SERVICES, RESIDENT RIGHTS, SAFETY, HIPAA, INFECTION CONTROL, ABUSE REPORTING, SEXUAL HARASSMENT TRAINING, EMPLOYEE HANDBOOK AND BENEFITS. IN ADDITION, THE EMPLOYEE HANDBOOK OUTLINES AND DETAILS RGV'S BUSINESS PRACTICES, POLICIES AND PROCEDURES EACH DEPARTMENT ALSO HAS A QUALITY ASSURANCE MANUAL THAT THE DEPARTMENT HEADS MUST REVIEW AND APPROVE ANNUALLY. THE COMMUNITY OPERATES UNDER THE SUPERVISION OF THE SOUTH CAROLINA DEPARTMENT OF CONSUMER AFFAIRS AND THE DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL. THE EXECUTIVE DIRECTOR ASSURES ALL STATE RULES AND REGULATIONS ARE FOLLOWED. THE COMMUNITY FILES AN ANNUAL STATEMENT WITH THE DEPARTMENT OF CONSUMER AFFAIRS.Description
Total Program Service Expense7861701TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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 With109644NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees287NumberOfEmployees
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 Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MARTIN ATKINS
SECRETARY5.00XX000
ROBBY DAVIS
TRUSTEE3.00X000
DUKE MCCALL
TRUSTEE5.00X000
DAVID MURRAY
TRUSTEE3.00X000
DANIEL PAGE
CHAIRMAN LIAISON COMM.5.00XX000
SYLVIA FRAZIER
TRUSTEE3.00X000
JERRY WELMAKER
TRUSTEE3.00X000
ROY CHAMLEE III
GOVERNANCE COMMITTEE5.00XX000
RONNIE COLSON
CHAIRMAN FINANCE COMMITTEE5.00XX000
ERICKA SPLAWN
TRUSTEE3.00X000
RICHARD SMITH
VICE CHAIR BOARD DIRECTORS5.00XX000
DAVID HILL
CHAIRMAN OF THE BOARD5.00XX000
ERIC DUDASKO
EXECUTIVE DIRECTOR40.00X17710500
HOPE HICKMAN
ADMINISTRATOR40.00X5354200
FieldValueIRS element (for citing)
Total Reportable Comp From Org230647TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LIFE CARE SERVICES LLC
400 LOCUST STREET SUITE 820DES MOINESIA50309MANAGEMENT FEES777828
SYSCO FOOD SERVICES
131 SYSCO CTCOLUMBIASC29209FOOD630811
COMPANION HEALTHCARE
4101 PERCIVAL RDCOLUMBIASC29229EE HEALTH INSURANCE541715
HERITAGE HC
536 OLD HOWELL ROADGREENVILLESC29616THERAPY SERVICES392476
AJ GALLAGHER RISK MGMT SVCS RM
15 S MAIN ST SUITE 900GREENVILLESC29601PROFESSIONAL INSURANCE368958
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions14950AllOtherContributions
Total Contributions14950TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FACILITY FEES62300063925156392515
RESIDENT FEES62300031256593125659
HOME FEES62300010190901019090
ENTRANCE FEES623000945960945960
PATIENT MEMBERSHIP FEE623000182750182750

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column403635TotalRevenueColumn
Related Or Exempt Function Income403635RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12069609TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21115TotalRevenueColumn
Exclusion$21,115ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9383Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities9383Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column9383TotalRevenueColumn
Exclusion$9,383ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLOSS ON EXTINGUISHMENTDescription
Business Code900099BusinessCode
Total Revenue Column-71776TotalRevenueColumn
Exclusion-$71,776ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-71776TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12043281TotalRevenueColumn
Related Or Exempt Function Income12069609RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$41,278ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total514259Total
Program Services285339ProgramServices
Management And General228920ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3844720Total
Program Services2916644ProgramServices
Management And General928076ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total28760Total
Program Services18996ProgramServices
Management And General9764ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total463000Total
Program Services300615ProgramServices
Management And General162385ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total354205Total
Program Services259184ProgramServices
Management And General95021ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total619110Total
Program Services216430ProgramServices
Management And General402680ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total45728Total
Management And General45728ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33134Total
Management And General33134ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total688080Total
Program Services603112ProgramServices
Management And General84968ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total300435Total
Program Services300435ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total323758Total
Program Services15684ProgramServices
Management And General308074ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total39971Total
Program Services39971ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total7674Total
Program Services1728ProgramServices
Management And General5946ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total787388Total
Program Services400725ProgramServices
Management And General386663ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total103011Total
Program Services87675ProgramServices
Management And General15336ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total17571Total
Program Services9361ProgramServices
Management And General8210ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total991424Total
Program Services991424ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total306522Total
Program Services143369ProgramServices
Management And General163153ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD SUPPLIES677896677896
MAINTENANCE & REPAIR43298440803624948
MEDICAL SUPPLIES185077185077

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10764707Total
Program Services7861701ProgramServices
Management And General2903006ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2206288BOY
EOY4264455EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1041476BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY635452BOY
EOY930572EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY34712BOY
EOY29117EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY275390BOY
EOY559601EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis27588974LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16359752LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10553802BOY
EOY11229222EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY152952BOY
EOY144591EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY605598BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15505670BOY
EOY17157558EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY754729BOY
EOY1037444EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5171096BOY
EOY4818091EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY6000000BOY
EOY5963918EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY712794BOY
EOY1270046EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12638619BOY
EOY13089499EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2825594BOY
EOY4024990EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY41457BOY
EOY43069EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2867051BOY
EOY4068059EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15505670BOY
EOY17157558EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1278574ReconcilationRevenueExpenses
Reconcilation Other Changes-77566ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
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 Years14061CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94574CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7431CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17890CurrentTaxYearMinus1Year
Current Tax Year14950CurrentTaxYear
Total148906Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10157761CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10420356CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11168980CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11656452CurrentTaxYearMinus1Year
Current Tax Year12069609CurrentTaxYear
Total55473158Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10171822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10514930CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11176411CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11674342CurrentTaxYearMinus1Year
Current Tax Year12084559CurrentTaxYear
Total55622064Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years3045CurrentTaxYearMinus3Years
Total3045Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years3045CurrentTaxYearMinus3Years
Total3045Total
FieldValueIRS element (for citing)
Public Support Total50955619019PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years159960CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years107500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years93531CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68620CurrentTaxYearMinus1Year
Current Tax Year21115CurrentTaxYear
Total450726Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years159960CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years107500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years93531CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68620CurrentTaxYearMinus1Year
Current Tax Year21115CurrentTaxYear
Total450726Total

Other Income509 OtherIncome509

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

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10331782CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10622430CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11269942CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11742962CurrentTaxYearMinus1Year
Current Tax Year12033898CurrentTaxYear
Total56001014Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99320PublicSupportPercentage509
Prior Year Support Percentage0.98510PriorYearSupportPercentage
Investment Income Percentage0.00800InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00980PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance258202BeginningOfYearBalance
End Of Year Balance258202EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23475758OtherCostOrOtherBasis
Depreciation14882357Depreciation
Book Value8593401BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2329581OtherCostOrOtherBasis
Depreciation1339487Depreciation
Book Value990094BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis937218OtherCostOrOtherBasis
Depreciation137908Depreciation
Book Value799310BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11229222TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PROSPECTIVE RESIDENT DEPOSITS$8,000
INTEREST RATE SWAP INSTRUMENTS$752,654
CAPITAL LEASE OBLIGATIONS$509,392
FieldValueIRS element (for citing)
Total Of Amounts1270046TotalOfAmounts
Total Revenue12043281TotalRevenue
Total Expenses10764707TotalExpenses
Excess Or Deficit For Year1278574ExcessOrDeficitForYear
Net Unrealized GL On Investments-77566NetUnrealizedGLOnInvestments
Total Adjustments-77566TotalAdjustments
Excess Or Deficit Per FS1201008ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11964103TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-77566NetUnrealizedGainsInvestments
Other Revenues10101OtherRevenues
Revenue Not Rptd F990-67465RevenueNotRptdF990
Revenue Subtotal12031568RevenueSubtotal
Other Revenues Not Included11713OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt11713RevenueNotRptdOnFinStmt
Total Revenue Per Form99012043281TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10764707TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10764707ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010764707TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:BOARD DESIGNATED NET ASSETS
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THE STATUS BE CHALLENGED IN THE FUTURE, THE 2008, 2009, AND 2010 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE ORGANIZATION ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.
PART XII, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTION 10,101.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 11,713.

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonERIC DUDASKONamePerson
Base Compensation Filing Org138414BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org14521BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org24170OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org177105TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3LIFE CARE SERVICES ("LCS") MANAGES RGV. LCS IS A RECOGNIZED LEADER IN THE DEVELOPMENT AND MANAGEMENT OF CONTINUING CARE RETIREMENT COMMUNITIES WITH OVER 40 YEARS OF EXPERIENCE. THE EXECUTIVE DIRECTOR AND THE ADMINISTRATOR OF RGV ARE EMPLOYEES OF LIFE CARE SERVICES. THE REGIONAL ACCOUNTING DIRECTOR FOR LCS OVERSEES AND REVIEWS FINANCIAL STATEMENTS AND QUARTERLY RECONCILIATIONS. LCS ALSO PROVIDES SUPPORT SERVICES AND ALL FINANCIAL SOFTWARES USED.
FORM 990, PART VI, SECTION B, LINE 11BEFORE FILING, THE FORM 990 WAS MADE AVAILABLE TO THE GOVERNING BODY AND REVIEWED DURING THE OCTOBER BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CROLLING GREEN VILLAGE HAS A CONFLICT OF INTEREST POLICY THAT THE BOARD OF TRUSTEES SIGN ANNUALLY. ROLLING GREEN VILLAGE ALSO CONDUCTS OIG CHECKS ON ALL VENDORS FOR MEDICARE FRAUD. THE ORGANIZATION HAS A POLICY THAT IS REVIEWED AT NEW EMPLOYEE ORIENTATION AND ON AN ANNUAL BASIS THAT STATES THAT EMPLOYEES ARE NOT PERMITTED TO WORK PRIVATELY FOR ANY RESIDENTS.
FORM 990, PART VI, SECTION B, LINE 15LIFE CARE SERVICES DETERMINES SALARIES AND BENEFITS FOR KEY OFFICERS BASED ON COMPARABLE WAGE AND SALARY SURVEYS. THESE SALARIES AND PERFORMANCE REQUIREMENTS ARE SHARED WITH THE TRUSTEES VIA THE ANNUAL BUDGETING PROCESS, AS WELL AS THE MANAGEMENT CONTRACT WITH LIFE CARE SERVICES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE IN DIFFERENT WAYS. SOME OF THESE DOCUMENTS ARE AVAILABLE IN THE ROLLING GREEN VILLAGE LIBRARY AND OTHERS ARE AVAILABLE UPON REQUEST. ANNUAL AUDITED FIANCIAL STATEMENTS ARE PLACED IN THE RESIDENT LIBRARY EVERY YEAR AS THEY BECOME AVAILABLE FROM THE AUDIT FIRM.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -77,566.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE BOARD HAS ESTABLISHED A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE COMMITTEE HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.