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FRIENDSHIP VILLAGE OF DUBLIN OHIO INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
FRIENDSHIP VILLAGE OF DUBLIN OHIO INC (EIN 31-0986918)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201121389349300202
Schema version
2009v1.7
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)
Timestamp2011-05-16T07:44:54-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310986918EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FRIENDSHIP VILLAGE OF DUBLIN OHIO INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFRIENameControl
Phone6147641600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16000 RIVERSIDE DRIVEAddressLine1
CityDUBLINCity
StateOHState
ZIP Code43017ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN A SCHWARCKName
TitleEXECUTIVE DIRECTORTitle
Phone6147641600Phone
Date Signed2011-05-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN A SCHWARCKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16000 RIVERSIDE DRIVEAddressLine1
CityDUBLINCity
StateOHState
ZIP Code43017ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18527828GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.FVDUBLIN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDED 255 INDEPENDENT LIVING RESIDENCY APARTMENTS, 46 ASSISTED LIVING RESIDENCY APARTMENTS (INCLUDING 13 MEMORY LOSS UNITS), AND MAINTAINED A 60 BED SKILLED NURSING FACILITY. PROVIDED HOME HEALTH SERVICES TO OUR RESIDENCES. PROVIDED ACTIVITIES AND PROGRAMS, INCLUDING A WELLNESS CENTER, TO ENHANCE RESIDENT OVERALL HEALTH AND QUALITY OF LIFE. PROVIDED USE OF FACILITIES TO RESIDENT FAMILIES FOR FAMILY GATHERINGS, MEMORIAL SERVICES, AND TO VARIOUS AGED AND HEALTH ASSOCIATIONS FOR MEDICAL EVENTS AND EXHIBITS.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees402TotalNbrEmployees
Total Nbr Volunteers26TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year43501ContributionsGrantsPriorYear
Contributions Grants Current Year140730ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16921565ProgramServiceRevenuePriorYear
Program Service Revenue CY17196081ProgramServiceRevenueCY
Investment Income Prior Year-413178InvestmentIncomePriorYear
Investment Income Current Year1115006InvestmentIncomeCurrentYear
Other Revenue Prior Year325332OtherRevenuePriorYear
Other Revenue Current Year56395OtherRevenueCurrentYear
Total Revenue Prior Year16877220TotalRevenuePriorYear
Total Revenue Current Year18508212TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4500GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7807507SalariesEtcPriorYear
Salaries Etc Current Year7955766SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year82960TotalFundrsngExpCurrentYear
Other Expense Prior Year7254614OtherExpensePriorYear
Other Expenses Current Year7538723OtherExpensesCurrentYear
Total Expenses Prior Year15066621TotalExpensesPriorYear
Total Expenses Current Year15498989TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1810599RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3009223RevenuesLessExpensesCY
Total Assets BOY69750953TotalAssetsBOY
Total Assets EOY72744461TotalAssetsEOY
Total Liabilities BOY59459706TotalLiabilitiesBOY
Total Liabilities EOY59612566TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10291247NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13131895NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENHANCE THE QUALITY OF LIFE FOR OLDER ADULTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12952891Expense
Grants4500Grants
Revenue17205288Revenue
DescriptionOPERATION OF HEALTH CENTER, A SKILLED NURSING FACILITY, WHICH HAS 60 BEDS. OPERATION OF ASSISTED LIVING FACILITY, WHICH HAS 46 APARTMENTS. PROVIDED HOME HEALTH SERVICES TO ALL RESIDENTS.Description
Total Program Service Expense12952891TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109677NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees402NumberOfEmployees
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
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
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 Line1JOHN LOFTUSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6147641600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16000 RIVERSIDE DRIVEAddressLine1
CityDUBLINCity
StateOHState
ZIP Code43017ZIPCode

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
KATHLEEN MCGINNIS
CHAIRMAN3.00XX000
G ROBERT BOWERS
CHAIRMAN-ELECT3.00XX000
CHARLES E ANSLEY
TREASURER1.50XX000
GEORGE J ARNOLD
DIRECTOR1.00X000
J CHRISTOPHER SCOTT
DIRECTOR1.00X000
KATHIE CHESNUT
DIRECTOR1.00X000
CHEREE CLARK
DIRECTOR - LEFT PART YR1.00X000
JOHN GOFF
DIRECTOR1.00X000
BRIGGS HAMOR
DIRECTOR1.00X000
OWEN JOHNSON
DIRECTOR1.00X000
WILLIAM JN KONIEWICH
DIRECTOR1.00X000
FRED B MILLER
DIRECTOR1.00X000
PATRICIA M SCHWIRIAN
DIRECTOR1.00X000
CHARLES B STEARNS
DIRECTOR1.00X000
MARGARET TEAFORD
DIRECTOR1.00X000
JAMES WINFREE
DIRECTOR1.00X000
DR BRUCE WALL
DIRECTOR1.00X000
CHARLES S DEROUSIE
SECRETARY1.00X000
JOHN A SCHWARCK
EXECUTIVE DIRECTOR40.00X146725060091
JOHN LOFTUS
CONTROLLER40.00X96311013114
DONALD M PAUL
DIETARY DIRECTOR40.00115667014740X
FieldValueIRS element (for citing)
Total Reportable Comp From Org358703TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation87945TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LIFE CARE SERVICES
CAPITAL SQUAREDES MOINESIA50309MGT. CONSULTIVE SERVICES277948
LIFE CARE SERVICES
CAPITAL SQUAREDES MOINESIA50309MANAGEMENT267996
PHYSICAL THERAPY CONSULTIVE SERVICES
1223 NEIL AVECOLUMBUSOH43201PHYSICAL, OCCUPATIONAL THERAPY228460
VORYS SATER SEYMOUR PEASE
PO BOX 73487CLEVELANDOH44193LEGAL SERVICES128198
JMM ARCHITECTS
4685 LARWELL DRIVECOLUMBUSOH43220ARCHITECTURAL SERVICES104937
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions140730AllOtherContributions
Total Contributions140730TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENCY SERVICES5311101563484915634849
MEDICARE/MEDICAID PMTS53111015612321561232
FieldValueIRS element (for citing)
Total Program Service Revenue17196081TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column478215TotalRevenueColumn
Exclusion$478,215ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real60369Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real19543Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real40826Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column40826TotalRevenueColumn
Related Or Exempt Function Income9207RelatedOrExemptFunctionIncome
Exclusion$31,619ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities635864Securities
Other1000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other73Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities635864Securities
Other927Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column636791TotalRevenueColumn
Exclusion$636,791ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column15569TotalRevenueColumn
Exclusion$15,569ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue15569TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18508212TotalRevenueColumn
Related Or Exempt Function Income17205288RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,162,194ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4500Total
Program Services4500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total273453Total
Management And General273453ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6222228Total
Program Services5572214ProgramServices
Management And General583852ManagementAndGeneral
Fundraising66162Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total57286Total
Program Services47416ProgramServices
Management And General9870ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total914405Total
Program Services844269ProgramServices
Management And General68643ManagementAndGeneral
Fundraising1493Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total488394Total
Program Services424072ProgramServices
Management And General59299ManagementAndGeneral
Fundraising5023Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total545944Total
Management And General545944ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total49225Total
Management And General49225ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total55440Total
Management And General55440ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total70778Total
Management And General70778ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total268708Total
Program Services227957ProgramServices
Management And General40751ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2391783Total
Program Services2209393ProgramServices
Management And General182390ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1743066Total
Program Services1330534ProgramServices
Management And General412532ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total32444Total
Program Services27019ProgramServices
Management And General5425ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16835Total
Program Services11132ProgramServices
Management And General5703ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total426296Total
Program Services426296ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1546792Total
Program Services1546792ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total224263Total
Program Services159150ProgramServices
Management And General65113ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
LETTER OF CREDIT FEE8312883128
RECRUITING31013258625151
BAD DEBT1315713157
CHARITABLE GIVING1028210282

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total29569Total
Management And General29569ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15498989Total
Program Services12952891ProgramServices
Management And General2463138ManagementAndGeneral
Fundraising82960Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY42419BOY
EOY74296EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY27407275BOY
EOY30610514EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1121801BOY
EOY697406EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY70850BOY
EOY66177EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY43140BOY
EOY237054EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis51506518LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22377318LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY29995394BOY
EOY29129200EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7559919BOY
EOY8343290EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY380000BOY
EOY514000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY13241BOY
EOY22560EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3116914BOY
EOY3049964EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY69750953BOY
EOY72744461EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4750741BOY
EOY5085002EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY20067276BOY
EOY20557558EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY31355000BOY
EOY30695000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3286689BOY
EOY3275006EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY59459706BOY
EOY59612566EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9883630BOY
EOY12711339EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY168856BOY
EOY187175EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY238761BOY
EOY233381EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10291247BOY
EOY13131895EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY69750953BOY
EOY72744461EOY
FieldValueIRS element (for citing)
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 Years181496CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years76292CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54137CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43501CurrentTaxYearMinus1Year
Current Tax Year140730CurrentTaxYear
Total496156Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11966284CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15053583CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16195455CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16922002CurrentTaxYearMinus1Year
Current Tax Year17196081CurrentTaxYear
Total77333405Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12147780CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15129875CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16249592CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16965503CurrentTaxYearMinus1Year
Current Tax Year17336811CurrentTaxYear
Total77829561Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135535CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23517CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3475CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4075CurrentTaxYearMinus1Year
Current Tax Year4600CurrentTaxYear
Total171202Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135535CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23517CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3475CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4075CurrentTaxYearMinus1Year
Current Tax Year4600CurrentTaxYear
Total171202Total
FieldValueIRS element (for citing)
Public Support Total50977658359PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years616531CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1176801CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1273080CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year899728CurrentTaxYearMinus1Year
Current Tax Year538584CurrentTaxYear
Total4504724Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years616531CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1176801CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1273080CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year899728CurrentTaxYearMinus1Year
Current Tax Year538584CurrentTaxYear
Total4504724Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10512CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10569CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13175CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year333014CurrentTaxYearMinus1Year
Current Tax Year15569CurrentTaxYear
Total382839Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12774823CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16317245CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17535847CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18198245CurrentTaxYearMinus1Year
Current Tax Year17890964CurrentTaxYear
Total82717124Total
FieldValueIRS element (for citing)
Public Support Percentage5090.93880PublicSupportPercentage509
Prior Year Support Percentage0.93670PriorYearSupportPercentage
Investment Income Percentage0.05450InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.05830PriorYrInvestIncomePercentage
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$439GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB439TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationTHE ORGANIZATION IS A MEMBER OF AOPHA; A PORTION OF DUES PAYMENTS TO AOPHA GOES TOWARD LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance329472BeginningOfYearBalance
Contributions101369Contributions
Investment Earnings Or Losses10181InvestmentEarningsOrLosses
Grants Or Scholarships4500GrantsOrScholarships
Other Expenditures8285OtherExpenditures
End Of Year Balance428237EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance295564BeginningOfYearBalance
Contributions42964Contributions
Investment Earnings Or Losses13783InvestmentEarningsOrLosses
Grants Or Scholarships4500GrantsOrScholarships
Other Expenditures18339OtherExpenditures
End Of Year Balance329472EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis753331OtherCostOrOtherBasis
Book Value753331BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis42725054OtherCostOrOtherBasis
Depreciation17371555Depreciation
Book Value25353499BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8028133OtherCostOrOtherBasis
Depreciation5005763Depreciation
Book Value3022370BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29129200TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
GIFT ANNUITY PAYABLE$336,164
ADVANCE ENDOWMENT CONTRACTS & DEPOSITS$293,610
ENDOWMENT REFUNDS PAYABLE$171,992
REFUNDABLE ENDOWMENTS - R.O.C.$2,473,240
FieldValueIRS element (for citing)
Total Of Amounts3275006TotalOfAmounts
Total Revenue18508212TotalRevenue
Total Expenses15498989TotalExpenses
Excess Or Deficit For Year3009223ExcessOrDeficitForYear
Net Unrealized GL On Investments146491NetUnrealizedGLOnInvestments
Other-$315,066OtherAmount
Total Adjustments-168575TotalAdjustments
Excess Or Deficit Per FS2840648ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18294207TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments146491NetUnrealizedGainsInvestments
Other Revenues-316389OtherRevenues
Revenue Not Rptd F990-169898RevenueNotRptdF990
Revenue Subtotal18464105RevenueSubtotal
Other Revenues Not Included44107OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt44107RevenueNotRptdOnFinStmt
Total Revenue Per Form99018508212TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15502618TotExpensesEtcAuditedFinclStmt
Other Expenses Included3629OtherExpensesIncluded
Expenses Not Rptd F9903629ExpensesNotRptdF990
Expenses Subtotal15498989ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015498989TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:THE FVD RESIDENTS' BENEVOLENT FUND WAS CREATED AS A PERMANENT FUND, ALLOWING FOR ONLY THE INTEREST INCOME TO BE SPENT. THE PRIMARY USE FOR THIS FUND IS TO PROVIDE REVENUE TO OFFSET THE COST FOR LIFE CARE RESIDENTS WHO HAVE OUTLIVED THEIR PERSONAL FINANCIAL MEANS. THE JOHN SCHWARCK SCHOLARSHIP FUND WAS CREATED TO SUPPORT SELECTED EMPLOYEES AND/OR THEIR LEGAL DEPENDENTS AS THEY SEEK A COLLEGE EDUCATION. THE FVD MEMORIAL FUND EXISTS TO PROVIDE REVENUE TO PURCHASE ITEMS OF BENEFIT TO RESIDENTS THROUHOUT THE VILLAGE. THE FVD HEALTH SERVICES FUND WAS CREATED TO PROVIDE ADDITIONAL FINANCIAL RESOURCES TO HELP SECURE THE PRESENT AND FUTURE HEALTH AND COMFORT OF THE RESIDENTS. UNLESS OTHERWISE INDICATED, CONTRIBUTIONS TO THE FVD HEALTH SERVICES FUND WILL BE DIRECTED TOWARD PURCHASING SPECIALIZED EQUIPMENT, FACILITIES IMPROVEMENTS AND RELATED EXPENDITURES IN THE FOLLOWING AREAS: -HEALTH CENTER/LONG-TERM NURSING CARE -THE MEADOWS (ASSISTED LIVING/RESIDENTIAL CARE/MEMORY LOSS CARE) -HOME SERVICES -WELLNESS CENTER
Part XI, Line 8 - Other Adjustments:NET UNREALIZED LOSS ON SWAP FMV ADJUSTMENT: -315066.
Part XII, Line 2d - Other Adjustments:UNREALIZED LOSS ON SWAP FMV: -315066. RESTRICTED INVESTMENT INCOME: -3406. INTEREST EARNED IN EXCESS OF ANNUITY PAYMENTS: -2473. RECLASSIFIED RENTAL EXPENSES: 4556.
Part XII, Line 4b - Other Adjustments:GAIN ON SALE OF FIXED ASSETS: 927. RESTRICTED CONTRIBUTIONS: 42703. PRESENT VALUE ADJUSTMENT OF ENDOWMENT ANNUITY PAYABLE: -31143. BIRCHTON, LLC NET GAIN NOT INCLUDED IN FINANCIAL STATEMENTS: 31620.
Part XIII, Line 2d - Other Adjustments:GAIN REPORTED ON LINE 8: -927. RECLASSIFIED RENTAL EXPENSES: 4556.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN A SCHWARCKBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org120624BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org24966BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org1135OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org39092DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org20999NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org206816TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

CUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
FRANKLIN COUNTY OHIO
353180GG12004-09-0113805000REFUND AND RETIRE THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1997 REVENUE BONDS00
FRANKLIN COUNTY OHIO
353180GH92004-12-0119820000FUND CONSTRUCTION OF THE 51-UNIT INDEPENDENT-LIVING WING00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
138050001340420940079119911011
198200005130002006101119307000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000010.000000.000000.000001
000010.000000.000000.000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
MORGAN STANLEY
11117.000000000000000
(no name)
110000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 3LIFE CARE SERVICES PROVIDES THE EXECUTIVE DIRECTOR FOR THE ORGANIZATION AS WELL AS THE MARKETING DIRECTOR. IN ADDITION, LIFE CARE SERVICES PROVIDES ACCOUNTING SOFTWARD, IT SUPPORT, HUMAN RESOURCES, AND OTHER SUPPORT SERVICES.
Form 990, Part VI, Section B, line 11ONLY THE CHAIR OF THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES IS GIVEN A COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cALL CLASSES OF EMPLOYEES ARE INCLUDED. TRAINING IS PROVIDED ANNUALLY TO ALL EMPLOYEES ON DISCLOSURE OF UNETHICAL PRACTICES AND POSITIVE WORKFORCE ENVIRONMENT. A QUESTIONNAIRE IS SENT TO ALL BOARD MEMBERS ANNUALLY REQUIRING SIGNATURE OF THE FORM AND DISCLOSURE OF ANY CONFLICT OF INTEREST. THESE FORMS ARE MONITORED BY THE BOARD SECRETARY. THIS PROCESS IS GOVERNED BY DEPARTMENT MANAGERS AND THE EXECUTIVE DIRECTOR. SHOULD A CONFLICT OF INTEREST BE IDENTIFIED, IT IS DISCUSSED WITH THE EXECUTIVE DIRECTOR AND NECESSARY ACTION IS TAKEN TO ELIMINATE THE CONFLICT OF INTEREST. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST ON A SPECIFIC ISSUE, THEY ABSTAIN FROM VOTING.
Form 990, Part VI, Section B, line 15THE EXECUTIVE DIRECTOR IS EVALUATED ANNUALLY BY THE LIFE CARE SERVICES REGIONAL DIRECTOR & BOARD OF TRUSTEES. LOCAL WAGE AND SALARY SURVEYS ARE USED WHEN EVALUATING AMOUNTS OF INCREASES DURING THE BUDGET PREPARATION PROCESS. THE BOARD FINANCE COMMITTEE REVIEWS AND APPROVES BUDGETED INCREASES ANNUALLY AS PART OF THEIR ANNUAL BUDGET REVIEW. COMPENSATION DECISIONS ARE REFLECTED IN THE MINUTES OF THE FINANCE COMMITTEE MEETINGS. A BOARD COMMITTEE REVIEWS THE COMPENSATION GRANTED TO THE EXECUTIVE DIRECTOR IN ADDITION TO THE REGIONAL DIRECTOR OF LCS, HIS IMMEDIATE SUPERVISOR. THIS PROCESS WAS LAST UNDERTAKEN IN EARLY 2011.
Form 990, Part VI, Section C, line 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC REVIEW BY APPOINTMENT AT 6000 RIVERSIDE DR, DUBLIN, OH 43017.
FORM 990, PART XI, LINE 2CTHE ORGANIZATION HAS AN AUDIT COMMITTEE WHICH OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BIRCHTON LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16000 RIVERSIDE DRIVEAddressLine1
CityDUBLINCity
StateOHState
ZIP Code43017ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesHOLD AND DEVELOP REAL ESTATEPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Total Income46607TotalIncome
EOY Assets481778EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA