2017-07-06T11:01:11-05:00 2016-12-31 310800053 CLARK SCHAEFER HACKETT & CO 14 East Main Street Suite 500 Springfield OH 45502 990 2016-01-01 310920577 FRIENDS HEALTH CARE ASSOCIATION INC FRIE 9377677363 150 EAST HERMAN STREET YELLOW SPRINGS OH 45387 KARL P ZALAR EXECUTIVE DIRECTOR 9377677363 2017-06-28 1 Matthew Shroyer P00737986 9373992000 2017-06-28 70.61.45.114 2017-06-28 14:50:51 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9AE9BFCD68F52C9D1CFF8025877ACE52571D73F2 2016 2021-01-29 14:40:06Z FRIENDS CARE COMMUNITY KARL P ZALAR 150 EAST HERMAN STREET YELLOW SPRINGS OH 45387 6874649 0 X WWW.FRIENDSHEALTHCARE.ORG X 1977 OH FHCA OPERATES A 50 BED SKILLED NURSING HOME SERVING THE YELLOW SPRINGS COMMUNITY. IN ADDITION, IT ALSO OPERATES A 20-unit ASSISTED LIVING FACILITY AND PROVIDES HOUSING FOR ELDERLY INDEPENDENT RESIDENTS. 11 11 141 50 0 0 99321 24731 6991492 6830072 12944 10481 17193 6554 7120950 6871838 0 0 0 0 2950685 2903410 0 0 0 3830741 3847107 6781426 6750517 339524 121321 10288465 10334433 7165912 7080521 3122553 3253912 X FRIENDS CARE COMMUNITY MEETS THE RESIDENTIAL LIVING NEEDS OF SENIORS AND OTHERS BY PROVIDING INDEPENDENT LIVING, ASSISTED CARE, SKILLED CARE AND CONVALESCENT OPTIONS IN A VIBRANT, HOMELIKE ENVIRONMENT. THROUGH RESPECT FOR THE DIGNITY AND UNIQUE NEEDS OF EACH INDIVIDUAL, WE ASPIRE TO THE HAPPINESS AND FULFILLMENT OF ALL RESIDENTS AND STAFF AND THE CONFIDENCE AND TRUST OF FAMILY MEMBERS AND THE YELLOW SPRINGS COMMUNITY. 0 0 4683571 5579681 The skilled nursing center offers a place for short term rehabilitation after a hospital stay or long term care when needed. Staffed by friendly, caring people its 66-bed nursing facility with 16 rehabilitation/short-term care beds. Rehabilitative care is provided by licensed physical, occupational and speech therapists for residents recovering from major surgery, stroke, heart attack, orthopedic and other medical conditions and illnesses. 841168 957716 Featuring 20 individual apartments with four different floor plans and large bathrooms, the assisted living unit is a licensed facility designed to enhance independence. The center encourages residents to enjoy socializing in a secure, modest, quiet setting. 243902 281994 Independent living affords privacy and freedom combined with the security of a 24 hour on-call assistance and a maintenance free environment. The 10 independent living duplexes are nestled along spectacular walking paths through beautiful woods. 4322 10681 THE PRESCHOOL RESIDES IN THE FRIENDS CARE CENTER FACILITY TO PROVIDE INTERGENERATIONAL PROGRAMMING WITH OUR RESIDENTS. 4322 10681 5772963 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 141 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X KARL P ZALAR 9377677363 150 E HERMAN STREET YELLOW SPRINGS OH 45387 mARGARET DUNN president 2.00 X X 0 0 0 Bruce Bradtmiller Vice President 2.00 X X 0 0 0 Beth Rubin Trustee 1.00 X 0 0 0 LIZ PORTER Trustee 1.00 X 0 0 0 A Jacqueline Bowers Trustee 1.00 X 0 0 0 FAITH MORGAN Trustee 1.00 X 0 0 0 Grover Criswell Trustee 1.00 X 0 0 0 Ann Cooper Trustee 1.00 X 0 0 0 Sterling Wright Trustee 1.00 X 0 0 0 pat dewees Trustee 1.00 X 0 0 0 Donna Silvert Trustee 1.00 X 0 0 0 KARL ZALAR EXECUTIVE DIRECTOR 40.00 X 106520 0 1786 106520 0 1786 1 0 0 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE BENSALEM PA 19020 DIETARY, LAUNDRY, HousekeepinG 806594 CONCEPT REHAB 7150 GRANITE CIR 200 TOLEDO OH 43617 THERAPY SERVICES 508891 Brackett Builders Inc 185 Marybill Drive Troy OH 45373 Building Contractor 389475 3 24731 24731 RESIDENT SERVICES 541800 6829786 6829786 OTHER REVENUE 611600 286 286 6830072 10481 10481 2400 0 2400 2400 2400 6965 2811 4154 4154 6871838 6830072 0 17035 X 106520 53260 53260 2252775 1384532 868243 367084 367084 177031 177031 19878 19878 1800 1800 17300 17300 1209252 1209252 38600 38600 178129 178129 219618 219618 20142 20142 132107 123945 8162 609625 595608 14017 87621 87621 REPAIRS AND MAINTENANCE 308914 308914 FRANCHISE PERMIT FEE 299216 299216 FOOD 261394 261394 RESIDENT EXPENSES 162576 162576 280935 247063 33872 6750517 5772963 977554 0 550 550 2054032 1899555 523791 775167 6282 6282 80149 33455 16777767 9514492 7298031 7263275 325630 356149 10288465 10334433 485513 484479 2650666 2870770 2615000 2299829 1380962 1322260 33771 103183 7165912 7080521 X 2846923 2947763 2949 5460 272681 300689 3122553 3253912 10288465 10334433 X 121321 10038 X X 0 1 X 1 0 X 50084 188942 31766 99321 24731 394844 6169419 6418954 6765345 6991492 6830072 33175282 6219503 6607896 6797111 7090813 6854803 33570126 0 0 0 33570126 24035 9961 19802 18428 12881 85107 24035 9961 19802 18428 12881 85107 6243538 6617857 6816913 7109241 6867684 33655233 0.99750 0.99720 0.00250 0.00280 X 325630 17970 15498 2949 356149 257990 72195 90 4645 325630 250157 10191 2358 257990 97037 150000 5914 2794 250157 93555 6109 2627 97037 0.14040 0.84430 0.01530 1 0 220071 171720 391791 14052249 7639786 6412463 2074808 1691648 383160 258919 183058 75861 7263275 REFUNDABLE RESIDENCY FEES 103183 103183 X 6884687 12849 12849 6871838 0 6871838 6753328 2811 2811 6750517 0 6750517 Part V, Line 4: THE ENDOWMENT IS DESIGNED TO PROVIDE A PERMANENT FUND, THE INCOME FROM WHICH WILL PRODUCE A SOURCE OF REVENUE TO THE BENEFIT OF FRIENDS CARE COMMUNITY. Part X, Line 2: The Community is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. Income from certain activities not directly related to the Community's tax-exempt purpose is subject to taxation as unrelated business income. Therefore, the Community follows the provisions of Accounting for Uncertainty in Income Taxes. Those provisions clarify the accounting and recognition for income tax positions taken or expected to be taken in the Community's annual reporting returns. The Community's reporting returns are subject to audit by federal and state taxing authorities. No income tax provision has been included in the financial statements as the Community has determined it does not have unrelated business income subject to taxation. Part XI, Line 2d - Other Adjustments: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 10,038. FUNDRAISING EXPENSES SUBTRACTED FROM REVENUES ON FORM 990 2,811. Part XII, Line 2d - Other Adjustments: FUNDRAISING EXPENSES SUBTRACTED FROM REVENUES ON FORM 990 2,811. Form 990, Part VI, Section B, line 11b THE BOARD OF TRUSTEES, THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE REVIEW A DRAFT FORM 990 BEFORE FILING WITH THE IRS. Form 990, Part VI, Section B, line 12c The Organization requires the Board of Trustees and all senior administrative staff members to complete and turn in a Conflict of Interest Disclosure Form, which is required to be completed annually or sooner if a potential conflict arises during the year. Form 990, Part VI, Section B, line 15a EXECUTIVE DIRECTOR COMPENSATION DETERMINATION: THE BOARD RECEIVES EVALUATION FORMS FROM EACH BOARD MEMBER REGARDING HIS PERFORMANCE ON AN ANNUAL BASIS. THE BOARD PRESIDENT AND VICE-PRESIDENT COMPLETE THE ANNUAL PERFORMANCE APPRAISAL WITH THE BOARD IN EXECUTIVE SESSION AND DETERMINE THE ADJUSTMENT IN COMPENSATION, IF ANY. THE BOARD PRESIDENT AND VICE-PRESIDENT MEET WITH THE EXECUTIVE DIRECTOR TO REVIEW THE PERFORMANCE APPRAISAL. Form 990, Part VI, Section C, line 19 DOCUMENTS ARE MADE PUBLIC UPON REQUEST BY PROVIDING THE REQUESTOR WITH COPIES OF THE REQUESTED DOCUMENTS. Form 990, Part IX, line 11g Other Program Service Fees: Program service expenses 1,121,740. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,121,740. consulting fees: Program service expenses 87,512. Management and general expenses 0. Fundraising expenses 0. Total expenses 87,512. Form 990, Part IX, line 24e DATA SERVICES: Program service expenses 125,417. Management and general expenses 0. Fundraising expenses 0. Total expenses 125,417. MISCELLANEOUS: Program service expenses 121,646. Management and general expenses 0. Fundraising expenses 0. Total expenses 121,646. BAD DEBTS: Program service expenses 0. Management and general expenses 33,872. Fundraising expenses 0. Total expenses 33,872. Form 990, Part XI, line 9: change in value of interests in assets held by community foundations 10,038. FORM 990, PART XII, LINE 2C: The process has not changed from prior year