COLUMBUS COLONY FOR ELDERLY CARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: COLUMBUS COLONY FOR ELDERLY CARE INC (EIN 31-0951208)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-06-06
IRS object ID: 201621589349300957
Schema version: 2015v2.1
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
Form 990
Schedule A
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-06-06T12:54:18-07:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	William Powelson CPA	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1250 Chambers Rd Ste 210	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43212	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310951208	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Columbus Colony for Elderly Care Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COLU	BusinessNameControlTxt
Phone	6148915055	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1150 Colony Drive	AddressLine1Txt
City	Westerville	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43081	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD HUEBNER	PersonNm
Person Title	BOARD PRESIDENT	PersonTitleTxt
Phone	6148915055	PhoneNum
Signature	2016-06-02	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WILLIAM POWELSON	PreparerPersonNm
Phone	6144814409	PhoneNum
Preparation	2016-06-06	PreparationDt
Self Employed	Yes (X)	SelfEmployedInd

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2016-09-27 15:27:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RICHARD HUEBNER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	901 S Sunbury Rd	AddressLine1Txt
City	Westerville	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43081	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$9,499,395	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ColumbusColony.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1977	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	Provide skilled nursing care for the elderly - specialized in caring for the hearing impaired.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	254	TotalEmployeeCnt
Total Volunteers	4	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$6,735	PYContributionsGrantsAmt
CY Contributions Grants	$6,645	CYContributionsGrantsAmt
PY Program Service Revenue	$8,674,790	PYProgramServiceRevenueAmt
CY Program Service Revenue	$9,463,310	CYProgramServiceRevenueAmt
PY Investment Income	$620	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$121,718	PYOtherRevenueAmt
CY Other Revenue	$29,440	CYOtherRevenueAmt
PY Total Revenue	$8,803,863	PYTotalRevenueAmt
CY Total Revenue	$9,499,395	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$5,216,356	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,329,327	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,104,220	PYOtherExpensesAmt
CY Other Expenses	$4,821,002	CYOtherExpensesAmt
PY Total Expenses	$9,320,576	PYTotalExpensesAmt
CY Total Expenses	$9,150,329	CYTotalExpensesAmt
PY Revenues Less Expenses	-$516,713	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$349,066	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,338,915	TotalAssetsBOYAmt
Total Assets EOY	$5,253,261	TotalAssetsEOYAmt
Total Liabilities BOY	$4,697,488	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,262,768	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$641,427	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$990,493	NetAssetsOrFundBalancesEOYAmt
Mission	Provide skilled nursing care	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$8,100,266	ExpenseAmt
Revenue	$9,499,395	RevenueAmt
Desc	LONG TERM CARE -SKILLED NURSING HOME - 150 BEDS	Desc
Total Program Service Expenses	$8,100,266	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	34	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	254	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	false	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	false	RegularMonitoringEnfrcInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JIM WESTLAKE	PersonNm
Phone	6148915055	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1150 Colony Drive	AddressLine1Txt
City	Westerville	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43081	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RICHARD HUEBNER
Bd President	2.00	Yes (X)	$0	$0	$0
JOHN BRADLEY
Bd. Secretary	1.00	Yes (X)	$0	$0	$0
STEVE RIDENOUR
Bd. V.P.	1.00	Yes (X)	$0	$0	$0
HOWARD SNYDER
Treasurer	1.00	Yes (X)	$0	$0	$0
BOBBY BLESSING
Trustee	1.00	Yes (X)	$0	$0	$0
LOTTIE CASSESE
Trustee	1.00	Yes (X)	$0	$0	$0
MARY OWENS
Vice President	1.00	Yes (X)	$0	$0	$0
HENRY EVANS
Trustee	1.00	Yes (X)	$0	$0	$0
BRENDA ATKINS
Trustee	1.00	Yes (X)	$0	$0	$0
ALAN FLETCHER
Trustee	1.00	Yes (X)	$0	$0	$0
NANCY EFFERSON
Trustee	1.00	Yes (X)	$0	$0	$0
GREG LONSWAY
Administrator	40.00		$108,846	$0	$0	Yes (X)	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$108,846	TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Healthpro Rehab	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	Middleburg Heights	AddressLine1Txt
City	Sprague	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44130	ZIPCd

Field	Value	IRS element (for citing)
Services	Therapy Services	ServicesDesc
Compensation	$448,213	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$6,645	AllOtherContributionsAmt
Total Contributions	$6,645	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Routine/ancilliary	Desc
Business	623000	BusinessCd
Total Revenue Column	$9,463,310	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$9,463,310	TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Miscellaneous	Desc
Business	623000	BusinessCd
Total Revenue Column	$27,631	TotalRevenueColumnAmt
Related Or Exempt Func Income	$27,631	RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,809	TotalRevenueColumnAmt
Exclusion	$1,809	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$29,440	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,499,395	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,490,941	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,809	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$108,846	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$108,846	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$4,041,059	TotalAmt
Program Services	$3,715,589	ProgramServicesAmt
Management And General	$325,470	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$71,751	TotalAmt
Program Services	$71,751	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$107,671	TotalAmt
Program Services	$107,671	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$22,880	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$22,880	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$30,739	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$30,739	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$41,876	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$41,876	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$154,015	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$154,015	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$48,564	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$48,564	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$57,759	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$57,759	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$187,612	TotalAmt
Program Services	$187,612	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,004	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,004	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$146,631	TotalAmt
Program Services	$146,631	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$323,726	TotalAmt
Program Services	$323,726	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$108,037	TotalAmt
Program Services	$108,037	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Bad debts	$139,293	$0	$139,293	$0
Comunications	$18,100	$0	$18,100	$0
Employee Screening	$14,526	$0	$14,526	$0
Copier expense	$8,848	$0	$8,848	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,512,392	TotalAmt
Program Services	$3,439,249	ProgramServicesAmt
Management And General	$73,143	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,150,329	TotalAmt
Program Services	$8,100,266	ProgramServicesAmt
Management And General	$1,050,063	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$283,469	BOYAmt
EOY	$31,498	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$816,963	BOYAmt
EOY	$1,188,075	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$23,334	BOYAmt
EOY	$23,334	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$16,776	BOYAmt
EOY	$42,921	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$9,899,235	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,336,456	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,751,629	BOYAmt
EOY	$3,562,779	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$446,744	BOYAmt
EOY	$404,654	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,338,915	BOYAmt
EOY	$5,253,261	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,301,617	BOYAmt
EOY	$2,234,082	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,344,861	BOYAmt
EOY	$1,983,102	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$51,010	BOYAmt
EOY	$45,584	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,697,488	BOYAmt
EOY	$4,262,768	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$641,427	BOYAmt
EOY	$990,493	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$641,427	BOYAmt
EOY	$990,493	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,338,915	BOYAmt
EOY	$5,253,261	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$349,066	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind
Public Support Total170	$0	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY170	0	PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$21,184	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,490	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year	$6,735	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,645	CurrentTaxYearAmt
Total	$36,054	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,582,167	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,316,603	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,266,387	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,796,508	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,490,941	CurrentTaxYearAmt
Total	$48,452,606	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,603,351	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,318,093	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,266,387	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,803,243	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,497,586	CurrentTaxYearAmt
Total	$48,488,660	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$48,488,660	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$862	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$457	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$614	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$620	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,809	CurrentTaxYearAmt
Total	$4,362	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$862	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$457	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$614	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$620	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,809	CurrentTaxYearAmt
Total	$4,362	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Total	$48,493,022	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99990	PublicSupportCY509Pct
Public Support PY509	0.99990	PublicSupportPY509Pct
Investment Income CY	0.00010	InvestmentIncomeCYPct
Investment Income PY	0.00010	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$188,801	OtherCostOrOtherBasisAmt
Book Value	$188,801	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,604,967	OtherCostOrOtherBasisAmt
Depreciation	$3,769,165	DepreciationAmt
Book Value	$2,835,802	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,945,135	OtherCostOrOtherBasisAmt
Depreciation	$2,406,959	DepreciationAmt
Book Value	$538,176	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$160,332	OtherCostOrOtherBasisAmt
Depreciation	$160,332	DepreciationAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,562,779	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Resident funds	$45,584
Mortgage escrow deposits	$87,392
Replacement reserve fund	$232,617
Deferred financing costs	$39,061
Other assets

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$404,654	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Resident personal funds	Desc
Amt	$45,584	Amt

Field	Value	IRS element (for citing)
Total Liability	$45,584	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$9,499,395	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$9,499,395	RevenueSubtotalAmt
Total Revenue Per Form990	$9,499,395	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$9,150,329	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$9,150,329	ExpensesSubtotalAmt
Total Expenses Per Form990	$9,150,329	TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (31 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Pt VI, Line 6	Board elected by members
Pt VI, Line 7a	Board elects officer and appoints committees
Pt VI, Line 7b	Board resolution and voting determine policy
Pt VI, Line 8a	Board minutes taken
Pt VI, Line 11b	Copy for pdf file of Form 990 available upon request
Pt VI, Line 15a	Administrator of facility chosen by the Board
Pt VI, Line 19	Governing documents available upon request
Pt VI, Line 15b	Nursing home administrator/and HR determine other compensation
Form 990, Part IX, Line 24e	Dues and subscriptions 7345. 0. 7345. 0.
Form 990, Part IX, Line 24e	License 2482. 0. 2482. 0.
Form 990, Part IX, Line 24e	Maint. contracts 99391. 99391. 0. 0.
Form 990, Part IX, Line 24e	Maint. supplies 34728. 34728. 0. 0.
Form 990, Part IX, Line 24e	Trash removal 22482. 22482. 0. 0.
Form 990, Part IX, Line 24e	Govt manadated fees 662795. 662795. 0. 0.
Form 990, Part IX, Line 24e	Dietary purchased service 34935. 34935. 0. 0.
Form 990, Part IX, Line 24e	Food 350246. 350246. 0. 0.
Form 990, Part IX, Line 24e	Dietary supplies 43330. 43330. 0. 0.
Form 990, Part IX, Line 24e	Nursing purchased service 320838. 320838. 0. 0.
Form 990, Part IX, Line 24e	Houskeeping supplies 52585. 52585. 0. 0.
Form 990, Part IX, Line 24e	Drugs and pharmaceuticals 203463. 203463. 0. 0.
Form 990, Part IX, Line 24e	Other medical 94825. 94825. 0. 0.
Form 990, Part IX, Line 24e	Other 63316. 0. 63316. 0.
Form 990, Part IX, Line 24e	Medical supplies 90421. 90421. 0. 0.
Form 990, Part IX, Line 24e	Pharmacy purchased serv. 11003. 11003. 0. 0.
Form 990, Part IX, Line 24e	Laundry/linen 1899. 1899. 0. 0.
Form 990, Part IX, Line 24e	Laundry supplies 23979. 23979. 0. 0.
Form 990, Part IX, Line 24e	Activity supplies 7492. 7492. 0. 0.
Form 990, Part IX, Line 24e	Rehabilitation supplies 1355. 1355. 0. 0.
Form 990, Part IX, Line 24e	Rehabilitation purchased service 448213. 448213. 0. 0.
Form 990, Part IX, Line 24e	Other services 922438. 922438. 0. 0.
Form 990, Part IX, Line 24e	Mortgage insurance prem. 12831. 12831. 0. 0.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Columbus Colony Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	901 S Sunbury Rd	AddressLine1Txt
City	Westerville	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43081	ZIPCd

Field	Value	IRS element (for citing)
EIN	341265105	EIN
Primary Activities	MANAGEMENT	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Exempt Code Section	501(c)3	ExemptCodeSectionTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	x	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Columbus Colony Inc - management fee	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	o	TransactionTypeTxt
Method Of Amount Determination	cost	MethodOfAmountDeterminationTxt