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ROLLING GREEN VILLAGE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ROLLING GREEN VILLAGE (EIN 57-0647976)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-15
IRS object ID
201122279349303342
Schema version
2010v3.2
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)
Timestamp2011-08-15T16:14:35-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN 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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-05-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts9872714GrossReceipts
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 Employees305TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7431ContributionsGrantsPriorYear
Contributions Grants Current Year17890ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11167980ProgramServiceRevenuePriorYear
Program Service Revenue CY11656452ProgramServiceRevenueCY
Investment Income Prior Year93531InvestmentIncomePriorYear
Investment Income Current Year68620InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year-1870248OtherRevenueCurrentYear
Total Revenue Prior Year11268942TotalRevenuePriorYear
Total Revenue Current Year9872714TotalRevenueCurrentYear
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 Year5241818SalariesEtcPriorYear
Salaries Etc Current Year5483766SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5138971OtherExpensePriorYear
Other Expenses Current Year5314701OtherExpensesCurrentYear
Total Expenses Prior Year10380789TotalExpensesPriorYear
Total Expenses Current Year10798467TotalExpensesCurrentYear
Revenues Less Expenses Prior Year888153RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-925753RevenuesLessExpensesCY
Total Assets BOY17281492TotalAssetsBOY
Total Assets EOY15505670TotalAssetsEOY
Total Liabilities BOY13473515TotalLiabilitiesBOY
Total Liabilities EOY12638619TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3807977NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2867051NetAssetsOrFundBalancesEOY
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
Expense8530661Expense
Revenue11656452Revenue
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 Expense8530661TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 With109638NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees305NumberOfEmployees
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

Form990 Part VII Section A Form990PartVIISectionA (15 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
CHAIRMAN BOARD DIRECTORS5.00XX000
DAVID MURRAY
TRUSTEE3.00X000
DANIEL PAGE
CHAIRMAN LIAISON COMM.5.00X000
SYLVIA FRAZIER
TRUSTEE3.00X000
ED BURRELL
TRUSTEE3.00X000
JERRY WELMAKER
TRUSTEE3.00X000
ROY CHAMLEE III
GOVERNANCE COMMITTEE5.00X000
RONNIE COLSON
CHAIRMAN FINANCE COMMITTEE5.00X000
ERICKA SPLAWN
TRUSTEE3.00X000
RICHARD SMITH
VICE CHAIR BOARD DIRECTORS5.00XX000
DAVID HILL
CHAIRMAN STRATEGIC COMM.5.00X000
ERIC DUDASKO
EXECUTIVE DIRECTOR40.00X16770900
KYLE EXLINE
ADMINISTRATOR40.00X6712000
FieldValueIRS element (for citing)
Total Reportable Comp From Org234829TotalReportableCompFromOrg
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 (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LIFE CARE SERVICES LLC
400 LOCUST STREET SUITE 820DES MOINESIA50309MANAGEMENT FEES598583
HERITAGE HC
536 OLD HOWELL ROADGREENVILLESC29616THERAPY SERVICES268779
DONALD ALLISON
PO BOX 176PIEDMONTSC29673REFURBISHMENTS/REPAIRS128959
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions17890AllOtherContributions
Total Contributions17890TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FACILITY FEES62300062656286265628
RESIDENT FEES62300031974873197487
HOME FEES623000953100953100
ENTRANCE FEES623000833721833721
PATIENT MEMBERSHIP FEE623000182700182700

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column223816TotalRevenueColumn
Related Or Exempt Function Income223816RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11656452TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column68620TotalRevenueColumn
Exclusion$68,620ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPROJECT DISPOSAL LOSSDescription
Business Code900099BusinessCode
Total Revenue Column-1870248TotalRevenueColumn
Exclusion-$1,870,248ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-1870248TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9872714TotalRevenueColumn
Related Or Exempt Function Income11656452RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$1,801,628ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total234829Total
Program Services67111ProgramServices
Management And General167718ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4436237Total
Program Services4030788ProgramServices
Management And General405449ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17675Total
Program Services14882ProgramServices
Management And General2793ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total437773Total
Program Services376516ProgramServices
Management And General61257ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total357252Total
Program Services324238ProgramServices
Management And General33014ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total415379Total
Management And General415379ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total44566Total
Management And General44566ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total37120Total
Management And General37120ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total589665Total
Program Services473083ProgramServices
Management And General116582ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total294148Total
Program Services237189ProgramServices
Management And General56959ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total72029Total
Program Services13281ProgramServices
Management And General58748ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total71779Total
Program Services38302ProgramServices
Management And General33477ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total6647Total
Program Services4138ProgramServices
Management And General2509ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1005536Total
Program Services492754ProgramServices
Management And General512782ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total26286Total
Program Services24852ProgramServices
Management And General1434ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total41965Total
Program Services11914ProgramServices
Management And General30051ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total8187Total
Program Services8187ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1013551Total
Program Services1013551ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total127974Total
Management And General127974ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD SUPPLIES732606732606
MAINTENANCE & REPAIR36884232719941643
MEDICAL SUPPLIES186585186585
DURABLE SUPPLIES16953215348516047

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total102304Total
Management And General102304ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10798467Total
Program Services8530661ProgramServices
Management And General2267806ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1086233BOY
EOY2206288EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1527954BOY
EOY1041476EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY532872BOY
EOY635452EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY31166BOY
EOY34712EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY298895BOY
EOY275390EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25949044LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15395242LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13054250BOY
EOY10553802EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY140318BOY
EOY152952EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY609804BOY
EOY605598EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17281492BOY
EOY15505670EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY696313BOY
EOY754729EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5360490BOY
EOY5171096EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY6700000BOY
EOY6000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY716712BOY
EOY712794EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13473515BOY
EOY12638619EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3761567BOY
EOY2825594EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY46410BOY
EOY41457EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3807977BOY
EOY2867051EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17281492BOY
EOY15505670EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-925753ReconcilationRevenueExpenses
Reconcilation Other Changes-15173ReconcilationOtherChanges
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 Years5350CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14061CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years94574CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7431CurrentTaxYearMinus1Year
Current Tax Year17890CurrentTaxYear
Total139306Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5689787CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10157761CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10420356CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11168980CurrentTaxYearMinus1Year
Current Tax Year11656452CurrentTaxYear
Total49093336Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5695137CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10171822CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10514930CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11176411CurrentTaxYearMinus1Year
Current Tax Year11674342CurrentTaxYear
Total49232642Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2448CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years3045CurrentTaxYearMinus2Years
Total5493Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years219728CurrentTaxYearMinus4Years
Total219728Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years222176CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years3045CurrentTaxYearMinus2Years
Total225221Total
FieldValueIRS element (for citing)
Public Support Total50949007421PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60203CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years159960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93531CurrentTaxYearMinus1Year
Current Tax Year68620CurrentTaxYear
Total489814Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60203CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years159960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93531CurrentTaxYearMinus1Year
Current Tax Year68620CurrentTaxYear
Total489814Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24578CurrentTaxYearMinus4Years
Total24578Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5779918CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10331782CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10622430CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11269942CurrentTaxYearMinus1Year
Current Tax Year11742962CurrentTaxYear
Total49747034Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98510PublicSupportPercentage509
Prior Year Support Percentage0.98240PriorYearSupportPercentage
Investment Income Percentage0.00980InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01080PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance258202BeginningOfYearBalance
End Of Year Balance258202EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
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 Basis20183020OtherCostOrOtherBasis
Depreciation12378087Depreciation
Book Value7804933BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2528513OtherCostOrOtherBasis
Depreciation1550717Depreciation
Book Value977796BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2162291OtherCostOrOtherBasis
Depreciation1326116Depreciation
Book Value836175BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis228803OtherCostOrOtherBasis
Depreciation140322Depreciation
Book Value88481BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10553802TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PROSPECTIVE RESIDENT DEPOSITS$4,000
INTEREST RATE SWAP INSTRUMENTS$689,776
CAPITAL LEASE OBLIGATIONS$19,018
FieldValueIRS element (for citing)
Total Of Amounts712794TotalOfAmounts
Total Revenue9872714TotalRevenue
Total Expenses10798467TotalExpenses
Excess Or Deficit For Year-925753ExcessOrDeficitForYear
Net Unrealized GL On Investments-15173NetUnrealizedGLOnInvestments
Total Adjustments-15173TotalAdjustments
Excess Or Deficit Per FS-940926ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9862494TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-15173NetUnrealizedGainsInvestments
Other Revenues7153OtherRevenues
Revenue Not Rptd F990-8020RevenueNotRptdF990
Revenue Subtotal9870514RevenueSubtotal
Other Revenues Not Included2200OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2200RevenueNotRptdOnFinStmt
Total Revenue Per Form9909872714TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10798467TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10798467ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010798467TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:BOARD DESIGNATED NET ASSETS
PART XII, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTION 7,153.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 2,200.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
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 Org123624BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org32085BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org12000OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org167709TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 11THE FORM 990 WAS REVIEWED DURING THE MAY BOARD MEETING. PRIOR TO THAT MEETING, THE FINANCE COMMITTEE MET AND REVIEWED THE FORM 990.
ROLLING 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 12C
LIFE 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 B, LINE 15
THE 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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -15,173.FORM 990, PART XI, LINE 5:
THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XII, LINE 2C: