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MCV HEALTH CARE FACILITIES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MCV HEALTH CARE FACILITIES INC (EIN 31-1257250)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-15
IRS object ID
201142279349302854
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)
Timestamp2011-08-15T12:35:14-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN311257250EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MCV HEALTH CARE FACILITIES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMCVHNameControl
Phone5139315000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18097 HAMILTON AVENUEAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45231ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROGER H SCHWARTZName
TitleCFOTitle
Phone5139315000Phone
Date Signed2011-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

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

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ DONALD SAMSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1411 WESTERN ROW ROADAddressLine1
CityMASONCity
StateOHState
ZIP Code45040ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11094070GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHRISTIANBENEVOLENT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSCHEDULE OFOUNDED IN 1988, MCV HEALTH CARE FACILITIES IS A NOT-FOR-PROFIT PROVIDER OF RETIREMENT SERVICES, OFFERING A VARIETY OF LIVING STYLES, FROM RESIDENTIAL LIVING APARTMENTS, ASSISTED LIVING AND SKILLED NURSING CARE. THE ORGANIZATION'S MISSION IS TO PROVIDE SECURE, QUALITY LIVING IN A CHRISTIAN ENVIRONMENT, DIRECTED ESPECIALLY TO PERSONS IN THEIR RETIREMENT YEARS. MCV HEALTH CARE FACILITIES' MINISTRY SERVES OVER 150 OLDER ADULTS. OUR SERVICES ARE DEDICATED TO THE ENHANCEMENT OF THE SPIRITUAL, PHYSICAL, SOCIAL, CULTURAL AND EMOTIONAL WELL-BEING OF EACH RESIDENT IN AN ENVIRONMENT THAT RECOGNIZES AND PROMOTES PERSONAL DIGNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees258TotalNbrEmployees
Total Nbr Volunteers94TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year139709ContributionsGrantsPriorYear
Contributions Grants Current Year13763ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10621467ProgramServiceRevenuePriorYear
Program Service Revenue CY10845623ProgramServiceRevenueCY
Investment Income Prior Year9035InvestmentIncomePriorYear
Investment Income Current Year-6629InvestmentIncomeCurrentYear
Other Revenue Prior Year163053OtherRevenuePriorYear
Other Revenue Current Year225680OtherRevenueCurrentYear
Total Revenue Prior Year10933264TotalRevenuePriorYear
Total Revenue Current Year11078437TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year99923GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY111309GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5218553SalariesEtcPriorYear
Salaries Etc Current Year5219229SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5317239OtherExpensePriorYear
Other Expenses Current Year5255150OtherExpensesCurrentYear
Total Expenses Prior Year10635715TotalExpensesPriorYear
Total Expenses Current Year10585688TotalExpensesCurrentYear
Revenues Less Expenses Prior Year297549RevenuesLessExpensesPriorYear
Revenues Less Expenses CY492749RevenuesLessExpensesCY
Total Assets BOY14350932TotalAssetsBOY
Total Assets EOY14267970TotalAssetsEOY
Total Liabilities BOY17036367TotalLiabilitiesBOY
Total Liabilities EOY16460656TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-2685435NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2192686NetAssetsOrFundBalancesEOY
Mission DescriptionSERVING WITH EXCELLENCE REFLECTING JESUS' COMPASSION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8909622Expense
Grants111309Grants
Revenue11041297Revenue
DescriptionNURSING CARE SERVICE PROGRAMS INCLUDE SEMI-PRIVATE ROOMS AND A LIMITED NUMBER OF PRIVATE ROOMS, ASSISTED LIVING AND RESPITE CARE WITH ALL THE AMENITIES OF RESIDENTIAL LIVING IN A PRIVATE/SHARED OCCUPANCY STUDIO. CHARGES ARE BASED ON INDIVIDUAL ASSESSMENTS TO DEVELOP PERSONALIZED CARE AND SERVICE. RESIDENTIAL SERVICES INCLUDE A FULL CALENDAR OF LIFE ENRICHING RELIGIOUS (CHAPEL AND PASTORAL CARE), SOCIAL AND EDUCATIONAL PROGRAMS, SERVICES AND ACTIVITIES. SERVICES INCLUDE WEEKLY HOUSEKEEPING, LAUNDRY, MAINTENANCE, UTILITIES, TRASH REMOVAL, AND DINING CONSISTING OF THREE MEALS A DAY.Description
Total Program Service Expense8909622TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees258NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
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 Other0CompensationProcessOther
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 Line1BRENDA LAVINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2177329651TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 N POSTVILLE DRIVEAddressLine1
CityLINCOLNCity
StateILState
ZIP Code62656ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PATRICK LARRICK
CHAIR & DIRECTOR1.00XX000
LARRY COLLINS
TREASURER & DIRECTOR1.00XX000
ROGER BARCELONA
VICE CHAIR & DIRECTOR1.00XX000
WAYNE MOCK
SECRETARY & DIRECTOR1.00XX000
MARK DAVIS
DIRECTOR1.00X000
CHRISTINA FRANCIS
DIRECTOR1.00X000
KIMBERLI LAYER
DIRECTOR1.00X000
TOM MOLL
DIRECTOR1.00X000
RICHARD YOST
DIRECTOR1.00X000
J DONALD SAMS
CEO5.00X010109047031
DAVID BICKEL
CONTROLLER12.00X0927700
ROGER SCHWARTZ
CFO9.00X0819041327
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs275764TotalReportableCompFrmRltdOrgs
Total Other Compensation48358TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KINDRED REHAB SERVICES
PO BOX 277365ATLANTAGA303847365THERAPY SERVICES295934
LIFE CARE SERVICES LLC
CAPITAL SQUARE 400 LOCUST STE 82DES MOINESIA50309MANAGEMENT SERVICES252102
SELECT REHAB INC
35338 EAGLE WAYCHICAGOIL60678THERAPY SERVICES207631
MIDWEST CHRISTIAN VILLAGES
200 N POSTVILLE DRIVELINCOLNIL62656MANAGEMENT SERVICES195386
HOME CARE PHARMACY
PO BOX 715276COLUMBUSOH43271PHARMACY SERVICES189352
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions13763AllOtherContributions
Total Contributions13763TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNURSING HOME FEESDescription
Business Code532000BusinessCode
Total Revenue Column10845623TotalRevenueColumn
Related Or Exempt Function Income10845623RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10845623TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5741TotalRevenueColumn
Exclusion$5,741ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other12370Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-12370Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-12370TotalRevenueColumn
Exclusion-$12,370ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory33269GrossSalesOfInventory
Cost Of Goods Sold3263CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column30006TotalRevenueColumn
Exclusion$30,006ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
COMMUNITY FACILITY REV532000139430139430
OTHER REVENUE9999995624456244
FieldValueIRS element (for citing)
Total Other Revenue195674TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11078437TotalRevenueColumn
Related Or Exempt Function Income11041297RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$23,377ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total111309Total
Program Services111309ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4134233Total
Program Services3836501ProgramServices
Management And General297732ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total33648Total
Program Services31225ProgramServices
Management And General2423ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total711478Total
Program Services660240ProgramServices
Management And General51238ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total339870Total
Program Services315394ProgramServices
Management And General24476ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total623100Total
Management And General623100ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total94210Total
Management And General94210ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total705621Total
Program Services524911ProgramServices
Management And General180710ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total45777Total
Program Services45777ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total642105Total
Program Services597158ProgramServices
Management And General44947ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total545387Total
Program Services507210ProgramServices
Management And General38177ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total26238Total
Program Services7443ProgramServices
Management And General18795ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5960Total
Management And General5960ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total999887Total
Program Services929895ProgramServices
Management And General69992ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total548593Total
Program Services510191ProgramServices
Management And General38402ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total165534Total
Management And General165534ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD476312476312
LICENSES & FEES29100627063620370
BAD DEBT EXPENSE3607136071
RESIDENT ACTIVITIES2259122591

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total26758Total
Program Services26758ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10585688Total
Program Services8909622ProgramServices
Management And General1676066ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2500BOY
EOY2500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY640278BOY
EOY936444EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY553281BOY
EOY475601EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY31340BOY
EOY31340EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY98569BOY
EOY87182EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17906793LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7710153LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10556949BOY
EOY10196640EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2468015BOY
EOY2538263EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14350932BOY
EOY14267970EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2465431BOY
EOY969675EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY10350000BOY
EOY10135000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY14727BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4206209BOY
EOY5355981EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17036367BOY
EOY16460656EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-2685435BOY
EOY-2192686EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-2685435BOY
EOY-2192686EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14350932BOY
EOY14267970EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses492749ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28024CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23430CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20839CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39786CurrentTaxYearMinus1Year
Current Tax Year13763CurrentTaxYear
Total125842Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9807464CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10180082CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10377488CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10621467CurrentTaxYearMinus1Year
Current Tax Year11026664CurrentTaxYear
Total52013165Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9835488CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10203512CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10398327CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10661253CurrentTaxYearMinus1Year
Current Tax Year11040427CurrentTaxYear
Total52139007Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year54035CurrentTaxYear
Total54035Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year54035CurrentTaxYear
Total54035Total
FieldValueIRS element (for citing)
Public Support Total50952084972PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40736CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years52081CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30791CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9035CurrentTaxYearMinus1Year
Current Tax Year5741CurrentTaxYear
Total138384Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40736CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years52081CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30791CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9035CurrentTaxYearMinus1Year
Current Tax Year5741CurrentTaxYear
Total138384Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years146267CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years141947CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167243CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year155888CurrentTaxYearMinus1Year
Total611345Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10022491CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10397540CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10596361CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10826176CurrentTaxYearMinus1Year
Current Tax Year11046168CurrentTaxYear
Total52888736Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98480PublicSupportPercentage509
Prior Year Support Percentage0.98230PriorYearSupportPercentage
Investment Income Percentage0.00260InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00300PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INTERCOMPANY SERVICE FEES BAD DEBT RECOVERY COMMUNITY FEEGeneralExplanation

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 Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$496OtherActivitiesAmount
Total Lobbying Expenditures IIB496TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationA PORTION OF DUES PAYMENTS TO AOPHA ARE RELATED TO LOBBYING ACTIVITIES. THE AMOUNT ABOVE REPRESENTS 6% OF AOPHA DUES IN 2010.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis149498OtherCostOrOtherBasis
Book Value149498BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15608423OtherCostOrOtherBasis
Depreciation6116028Depreciation
Book Value9492395BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1753573OtherCostOrOtherBasis
Depreciation1375912Depreciation
Book Value377661BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis395299OtherCostOrOtherBasis
Depreciation218213Depreciation
Book Value177086BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10196640TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
CONSTRUCTION IN PROGRESS100283
DEFERRED LOAN COSTS401222
SECURITY DEPOSIT & OTHER ESCROW ACCOUNTS2036758
FieldValueIRS element (for citing)
Total Book Value Other Assets2538263TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RELATED PARTY PAYABLE$5,029,917
RESIDENTS DEPOSITS$326,064
FieldValueIRS element (for citing)
Total Of Amounts5355981TotalOfAmounts
Total Revenue11078437TotalRevenue
Total Expenses10585688TotalExpenses
Excess Or Deficit For Year492749ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS492749ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10982057TotRevenueEtcAuditedFinclStmt
Other Revenues-51325OtherRevenues
Revenue Not Rptd F990-51325RevenueNotRptdF990
Revenue Subtotal11033382RevenueSubtotal
Other Revenues Not Included45055OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt45055RevenueNotRptdOnFinStmt
Total Revenue Per Form99011078437TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10489308TotExpensesEtcAuditedFinclStmt
Other Expenses Included-45055OtherExpensesIncluded
Expenses Not Rptd F990-45055ExpensesNotRptdF990
Expenses Subtotal10534363ExpensesSubtotal
Other Expenses Not Included51325OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt51325ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010585688TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:RECLASS OF CONSULTING EXPENSE -51,325.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS OF TELEPHONE & TRANSPORTATION REVENUE 45,055.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RECLASS OF TELEPHONE & TRANSPORTATION REVENUE -45,055.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:RECLASS OF CONSULTING EXPENSE 51,325.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantRESIDENT SUBSIDYTypeOfGrant
Number Of Recipients7NumberOfRecipients
Amount Of Cash Grant111309AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: A RESIDENT OR THEIR FAMILY CAN SUBMIT A REQUEST TO THE ORGANIZATION FOR SUBSIDY OF THEIR RENT AT MCV HEALTH CARE FACILITIES. A COMMITTEE HAS BEEN ESTABLISHED WHICH WILL REVIEW THE APPLICANT'S CIRCUMSTANCES AND WILL DETERMINE WHETHER ASSISTANCE WILL BE GRANTED BASED ON SPECIFIC CRITERIA. THE COMMITTEE HAS A RESTRICTION ON THE AMOUNT OF FUNDS TO USE FOR SUBSIDY PURPOSES, WHICH WILL ONLY BE EXCEEDED IN THE CASE OF RESIDENTS WHO WERE GRANDFATHERED IN UNDER PREVIOUS ARRANGEMENTS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3IN JANUARY-MARCH OF 2010, LIFE CARE SERVCIES LLC PROVIDED TWO EXECUTIVE DIRECTORS, ONE OF WHOM ACTED AS OPERATIONS MANAGER OVER CHRISTIAN BENEVOLENT ASSOCIATION AND ALL OF THE RELATED ENTITIES. AN ADMINISTRATOR OF THE HEALTH CARE CENTER WAS ALSO PROVIDED IN ADDITION TO SOFTWARE PROGRAMS, TRAINING, AND MANAGEMENT SUPPORT. EFFECTIVE APRIL 1ST OF 2010, THE MANAGEMENT SERVICES WERE PROVIDED BY MIDWEST CHRISTIAN VILLAGES. MIDWEST CHRISTIAN VILLAGES PROVIDES AN EXECUTIVE DIRECTOR FOR THE CAMPUS. IN ADDITION, MIDWEST CHRISTIAN VILLAGES PROVIDES OPERATIONS, ACCOUNTING, BILLING, AND ITS SUPPORT.
FORM 990, PART VI, SECTION A, LINE 6THE RELATED TAX-EXEMPT ORGANIZATION, CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI, INC. ("CBA"), IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ACBA, THE MEMBER OF THE FILING ORGANIZATION, HAS THE RIGHT TO ELECT OR APPOINT ONE OF MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE.
FORM 990, PART VI, SECTION A, LINE 7BCBA, THE MEMBER OF THE FILING ORGANIZATION, HAS THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING'S BODY'S DECISION TO DISSOLVE THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 8BWITH THE EXCEPTION OF THE DEVELOPMENT COMMITTEE, INDIVIDUAL COMMITTEES DO NOT CONTEMPORANEOUSLY DOCUMENT MEETINGS HELD OR WRITTEN ACTIONS UNDERTAKEN DURING THE YEAR. ACTIONS OF THE ANNUAL NOMINATING COMMITTEE ARE DOCUMENTED IN THE GOVERNING BODY'S MINUTES.
FORM 990, PART VI, SECTION B, LINE 11THE CFO REVIEWS THE FORM 990 AND THEN WILL PROVIDE ELECTRONIC COPIES OF THE FORM 990 TO ALL BOARD MEMBERS PRIOR TO FILING. MAJOR POINTS OF THE FORM ARE ADDRESSED WITH THE BOARD EITHER VIA EMAIL OR AT THE CLOSEST BOARD MEETING DATE.
OFFICERS AND DIRECTORS REVIEW AND SIGN THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. IT IS THE RESPONSIBILITY OF OFFICERS AND DIRECTORS TO DISCLOSE THE EXISTENCE OF A CONFLICT AND SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF THE CONFLICT IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THOSE WITH CONFLICTS ARE SUBJECT TO VOTING AND PARTICIPATION RESTRICTIONS.FORM 990, PART VI, SECTION B, LINE 12C
A RELATED ORGANIZATION, CHRISTIAN BENEVOLENT ASSOCIATON OF GREATER CINCINNATI, INC., DETERMINES THE CEO'S COMPENSATION THROUGH USE OF REVIEW BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DECISION. THE PROCESS WAS LAST COMPLETED IN 2010.FORM 990, PART VI, SECTION B, LINE 15A
FORM 1023 AND 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
HOURS DISTRIBUTION FOR J. DONALD SAMS: (40 HOUR WORK WEEK) A. CBA: 50% - 20 HOURS B. CBA FOUNDATION: 15% - 6 HOURS C. MT HEALTHY: 10% - 4 HOURS D. MCV HEALTH CARE FACILITY: 12.5% - 5 HOURS E. MASON CHRISTIAN VILLAGE: 12.5% - 5 HOURS HOURS DISTRIBUTION FOR ROGER SCHWARTZ: (30 HOUR WORK WEEK) A. CBA: 15% - 4.5 HOURS B. CBA FOUNDATION: 5% - 1.5 HOURS C. MT HEALTHY: 40% - 12 HOURS D. MCV HEALTH CARE FACILITY: 30% - 9 HOURS E. MASON CHRISTIAN VILLAGE: 10% - 3 HOURS HOURS DISTRIBUTION FOR DAVID BICKEL: (40 HOUR WORK WEEK) A. CBA: 15% - 6 HOURS B. CBA FOUNDATION: 5% - 2 HOURS C. MT HEALTHY: 40% - 16 HOURS D. MCV HEALTH CARE FACILITY: 30% - 12 HOURS E. MASON CHRISTIAN VILLAGE: 10% - 4 HOURSFORM 990, PART VII, AVERAGE HOURS PER WEEK TO RELATED ORGANIZATION:
CHRISTIAN BENEVOLENT ASSOCIATION, A RELATED ORGANIZATION, HAS AN AUDIT COMMITTEE WHICH OVERSEES AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN THE SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XII, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
MT HEALTHY CHRISTIAN HOME INC
8097 HAMILTON AVENUECINCINNATIOH45231310714767RETIREMENT SERVICESOH501(C)(3)509(A)(2)CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC1
MASON CHRISTIAN VILLAGE INC
8097 HAMILTON AVENUECINCINNATIOH45231311173965RETIREMENT SERVICESOH501(C)(3)509(A)(2)CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC1
CHRISTIAN BENEVOLENT ASSOCIATION FOUNDATION FOR THE AGING INC
8097 HAMILTON AVENUECINCINNATIOH45231311413825FUNDRAISING & FINANCIAL SUPPORT FOR CBA OF GREATER CINCINNATIOH501(C)(3)509(A)(3)CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC1
CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC
8097 HAMILTON AVENUECINCINNATIOH45231310675610MANAGEMENT/SUPPORT SERVICES FOR RELATED TAX-EXEMPT RETIREMENT COMMUNITIESOH501(C)(3)509(A)(1)0N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MASON CHRISTIAN VILLAGE INC
M139430SQUARE FOOTAGE ALLOCATION
CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC
C100791CASH TRANSACTION
CHRISTIAN BENEVOLENT ASSOCIATION OF GREATER CINCINNATI INC
L326732CASH TRANSACTION
MASON CHRISTIAN VILLAGE INC
N382363PAYROLL ALLOCATION