CRANDALL MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CRANDALL MEDICAL CENTER (EIN 34-1289433)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-02-09
IRS object ID
201720409349301457
Schema version
2015v3.0
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)
Return2017-02-09T13:54:47-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341310124PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Rea & Associates IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1212 N Washington StreetAddressLine1Txt
CityMillersburgCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44654ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341289433EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Crandall Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCRANBusinessNameControlTxt
Phone3309386126PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 JOHNSON RDAddressLine1Txt
CitySebringCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44672ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID J MANNIONPersonNm
Person TitleCEO/ CFOPersonTitleTxt
Phone3309386126PhoneNum
Signature2017-02-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonChris Roush CPAPreparerPersonNm
PTINP00100273PTIN
Phone3306746055PhoneNum
Preparation2017-02-08PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerDAVID J MANNIONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 JOHNSON RDAddressLine1Txt
CitySebringCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44672ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,292,201GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionProvide independent living, assisted living and skilled nursing to residents.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee378TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$147,640PYContributionsGrantsAmt
CY Contributions Grants$76,008CYContributionsGrantsAmt
PY Program Service Revenue$14,960,384PYProgramServiceRevenueAmt
CY Program Service Revenue$15,200,155CYProgramServiceRevenueAmt
PY Investment Income$180PYInvestmentIncomeAmt
CY Investment Income$205CYInvestmentIncomeAmt
PY Other Revenue$14,893PYOtherRevenueAmt
CY Other Revenue$15,833CYOtherRevenueAmt
PY Total Revenue$15,123,097PYTotalRevenueAmt
CY Total Revenue$15,292,201CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,742,738PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,922,875CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,121,466PYOtherExpensesAmt
CY Other Expenses$6,338,645CYOtherExpensesAmt
PY Total Expenses$14,864,204PYTotalExpensesAmt
CY Total Expenses$15,261,520CYTotalExpensesAmt
PY Revenues Less Expenses$258,893PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$30,681CYRevenuesLessExpensesAmt
Total Assets BOY$3,676,058TotalAssetsBOYAmt
Total Assets EOY$4,036,571TotalAssetsEOYAmt
Total Liabilities BOY$1,596,008TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,922,527TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,080,050NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,114,044NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionProvide independent living, assisted living and skilled nursing to residents.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,860,069ExpenseAmt
Grant$0GrantAmt
Revenue$15,180,768RevenueAmt
DescMEDICAL SERVICES AND SUPPLIES PROVIDED TO RESIDENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,344,924ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescDIETARY SERVICES PROVIDED TO RESIDENTSDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$848,930ExpenseAmt
Grant$0GrantAmt
Revenue$35,220RevenueAmt
DescHOUSEKEEPING & LAUNDRY PROVIDED TO RESIDENTSDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$640,611ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescFacilities provided to the residents.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$640,611TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$12,694,534TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee378EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID J MANNIONPersonNm
Phone3309386126PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 JOHNSON RDAddressLine1Txt
CitySebringCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44672ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Richard Elliott
DIRECTOR1.002.00Yes (X)$0$0$0
J LYNN BIERY
DIRECTOR1.000.00Yes (X)$0$0$0
ANN MCDANIEL
DIRECTOR1.000.00Yes (X)$0$0$0
LEE HARDGROVE
DIRECTOR1.000.00Yes (X)$0$0$0
JIM STITLE
DIRECTOR1.000.00Yes (X)$0$0$0
Rusty Kiko
Secretary1.000.00Yes (X)$0$0$0
BRUCE SLAGLE
Treasurer1.001.00Yes (X)$0$0$0Yes (X)
Bill Williams
VICE PRESIDENT1.001.00Yes (X)$0$0$0Yes (X)
PAUL BAILEY
PRESIDENT1.001.00Yes (X)$0$0$0Yes (X)
DAVID DAVE MANNION
CEO/CFO12.0028.00$0$32,910$4,997Yes (X)
PHILIP BRAISTED
Former EXEC. DIRECTOR12.0028.00$0$54,271$3,746Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$87,181TotReportableCompRltdOrgAmt
Total Other Compensation$8,743TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$76,008RelatedOrganizationsAmt
Total Contributions$76,008TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT CARE / MEDICARE/MEDICAID623000$7,928,117$7,928,117
MONTHLY CARE FUND623000$7,252,651$7,252,651
LAUNDRY AND HOUSEKEEPING INCOME623000$19,387$19,387
FieldValueIRS element (for citing)
Total Program Service Revenue$15,200,155TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$205TotalRevenueColumnAmt
Exclusion$205ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business623000BusinessCd
Total Revenue Column$15,833TotalRevenueColumnAmt
Related Or Exempt Func Income$15,833RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,833OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,292,201TotalRevenueColumnAmt
Related Or Exempt Func Income$15,215,988RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$205ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,349,726TotalAmt
Program Services$6,917,817ProgramServicesAmt
Management And General$431,909ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$79,575TotalAmt
Program Services$50,748ProgramServicesAmt
Management And General$28,827ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$862,243TotalAmt
Program Services$748,621ProgramServicesAmt
Management And General$113,622ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$631,331TotalAmt
Program Services$591,510ProgramServicesAmt
Management And General$39,821ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$41,579TotalAmt
Program Services$1,169ProgramServicesAmt
Management And General$40,410ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,501TotalAmt
Program Services$430ProgramServicesAmt
Management And General$27,071ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,014,322TotalAmt
Program Services$1,425,662ProgramServicesAmt
Management And General$588,660ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$107,904TotalAmt
Program Services$62,755ProgramServicesAmt
Management And General$45,149ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$196,473TotalAmt
Program Services$167,070ProgramServicesAmt
Management And General$29,403ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$284,708TotalAmt
Program Services$284,221ProgramServicesAmt
Management And General$487ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$37,792TotalAmt
Program Services$35,064ProgramServicesAmt
Management And General$2,728ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$172,290TotalAmt
Program Services$172,290ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,144,453TotalAmt
Management And General$1,144,453ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD PRODUCTS & RELATED$1,216,720$1,216,720
SUPPLIES$724,157$682,172$41,985
PRESCRIPTION DRUGS$288,643$288,643
MISCELLANEOUS EXPENSES$82,103$49,642$32,461

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,261,520TotalAmt
Program Services$12,694,534ProgramServicesAmt
Management And General$2,566,986ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$524,562BOYAmt
EOY$845,634EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,581BOYAmt
EOY$2,581EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,425,053BOYAmt
EOY$1,592,336EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$81,921BOYAmt
EOY$64,521EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,534,740LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,390,344LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,212,087BOYAmt
EOY$1,144,396EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$377,310BOYAmt
EOY$380,623EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$52,544BOYAmt
EOY$6,480EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,676,058BOYAmt
EOY$4,036,571EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,232,037BOYAmt
EOY$1,326,130EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$363,971BOYAmt
EOY$596,397EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,596,008BOYAmt
EOY$1,922,527EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,702,740BOYAmt
EOY$1,733,421EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$362,130BOYAmt
EOY$365,443EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,180BOYAmt
EOY$15,180EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,080,050BOYAmt
EOY$2,114,044EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,676,058BOYAmt
EOY$4,036,571EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$30,681ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$3,313OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$108,534CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$89,196CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,275CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$147,640CurrentTaxYearMinus1YearAmt
Current Tax Year$76,008CurrentTaxYearAmt
Total$429,653TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$108,534CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$89,196CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,275CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$147,640CurrentTaxYearMinus1YearAmt
Current Tax Year$76,008CurrentTaxYearAmt
Total$429,653TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$429,653PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,956CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,797CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$779CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$180CurrentTaxYearMinus1YearAmt
Current Tax Year$205CurrentTaxYearAmt
Total$49,917TotalAmt
FieldValueIRS element (for citing)
Total Support$479,570TotalSupportAmt
Gross Receipts Rltd Activities$72,874,257GrossReceiptsRltdActivitiesAmt
Public Support CY1700.89590PublicSupportCY170Pct
Public Support PY1700.87840PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,000OtherCostOrOtherBasisAmt
Book Value$44,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,309,373OtherCostOrOtherBasisAmt
Depreciation$6,524,216DepreciationAmt
Book Value$785,157BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$229,034OtherCostOrOtherBasisAmt
Depreciation$219,553DepreciationAmt
Book Value$9,481BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$998,613OtherCostOrOtherBasisAmt
Depreciation$818,553DepreciationAmt
Book Value$180,060BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$953,720OtherCostOrOtherBasisAmt
Depreciation$828,022DepreciationAmt
Book Value$125,698BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,144,396TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN OAKS FOUNDATIONDesc
Book Value$380,623BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$380,623TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY PAYABLESDesc
Amt$596,397Amt
FieldValueIRS element (for citing)
Total Liability$596,397TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,245,118TotalRevEtcAuditedFinclStmtAmt
Other Revenue$3,313OtherRevenueAmt
Revenue Not Reported$3,313RevenueNotReportedAmt
Revenue Subtotal$15,241,805RevenueSubtotalAmt
Other Revenues Not Included$50,396OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$50,396RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,292,201TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,211,124TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$15,211,124ExpensesSubtotalAmt
Other Expenses Not Included$50,396OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$50,396ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,261,520TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:"Generally accepted accounting principles require the Organization to evaluate the level of uncertainty related to whether tax positions taken will be sustained upon examination. Any positions taken that do not meet the more-likely-than-not threshold must be quantified and recorded as a liability for unrecognized tax benefits in the accompanying balance sheet along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Interest and penalties associated with unrecognized tax benefits are classified as additional income taxes in the statement of income. The Organization believes that none of the tax positions taken would materially impact the financial statements and no such liabilities have been recorded."
Part XI, Line 2d - Other Adjustments:CHANGE IN INVESTMENT OF THE OAKS FOUNDATION REPORTED ON 990, PAGE 12, LINE 9 3,313.
Part XI, Line 4b - Other Adjustments:EXPENDITURES DONATED BY THE OAKS FOUNDATION 50,396.
Part XII, Line 4b - Other Adjustments:EXPENDITURES DONATED BY THE OAKS FOUNDATION 50,396.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11A DRAFT OF FORM 990 IS PROVIDED TO THE ACCOUNTING MANAGER EACH YEAR. THE ORGANIZATION MAKES A COPY OF THIS DRAFTED FORM 990 AVAILABLE TO ALL GOVERNING BODY MEMBERS FOR REVIEW BEFORE APPROVING THE DRAFT AND SUBMITTING THE RETURN EACH YEAR.
Form 990, Part VI, Section B, line 12cCOMPLIANCE IS MET BY THE DISCLOSURE TO THE BOARD ON AN ANNUAL BASIS.
Form 990, Part VI, Section B, line 15COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS REVIEWED AT THE ANNUAL BOARD MEETING AND A SALARY SURVEY IS DONE PERIODICALLY.
Form 990, Part VI, Section C, line 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST.
Form 990, Part IX, line 11gTHERAPY SERVICES: Program service expenses 920,174. Management and general expenses 0. Fundraising expenses 0. Total expenses 920,174. EQUIPMENT & OTHER MAINT. SERVICES: Program service expenses 330,531. Management and general expenses 11,199. Fundraising expenses 0. Total expenses 341,730. OTHER PROFESSIONAL SERVICES: Program service expenses 164,337. Management and general expenses 577,461. Fundraising expenses 0. Total expenses 741,798. INOCULATION/ PHYSICAL SERVICES: Program service expenses 10,620. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,620.
Form 990, Part XI, line 9:NET ASSET CHANGE- INVESTED IN THE OAKS FOUNDATION 3,313.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION'S FINANCE/AUDIT COMMITTEE OVERSEES THE AUDIT ON AN ANNUAL BASIS. THIS HAS NOT CHANGED SINCE THE PRIOR RETURN WAS FILED.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
COPELAND OAKS
715 JOHNSON ROADSEBRINGOH44672340941565PROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND NURSING TO RESIDENTSOH501(C)(3)90
THE OAKS FOUNDATION
715 JOHNSON ROADSEBRINGOH44672341724387PROVIDES FUNDS TO NOT FOR PROFIT ORGANIZATIONOH501(C)(3)III-FI0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THE OAKS FOUNDATION INC
C$76,008COST BASIS
COPELAND OAKS
P$2,080,875COST BASIS

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