COLUMBUS COLONY FOR ELDERLY CARE INC: Form 990, tax year 2014

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Organization
COLUMBUS COLONY FOR ELDERLY CARE INC (EIN 31-0951208)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-04-24
IRS object ID
201531149349300028
Schema version
2014v5.0
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)
Return2015-04-24T10:55:24-07:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1William Powelson CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11250 Chamber Rd Ste 210AddressLine1Txt
CityColumbusCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43212ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310951208EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Columbus Colony for Elderly Care IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOLUBusinessNameControlTxt
Phone6148915055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 Colony DriveAddressLine1Txt
CityWestervilleCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43081ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD HUEBNERPersonNm
Person TitleBOARD PRESIDENTPersonTitleTxt
Phone6148915055PhoneNum
Signature2015-04-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM POWELSONPreparerPersonNm
Phone6144814409PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD HUEBNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 S Sunbury RdAddressLine1Txt
CityWestervilleCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43081ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,803,863GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ColumbusColony.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionProvide skilled nursing care for the elderly - specialized in caring for the hearing impaired.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee270TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$6,735CYContributionsGrantsAmt
PY Program Service Revenue$9,170,603PYProgramServiceRevenueAmt
CY Program Service Revenue$8,674,790CYProgramServiceRevenueAmt
PY Investment Income$614PYInvestmentIncomeAmt
CY Investment Income$620CYInvestmentIncomeAmt
PY Other Revenue$95,784PYOtherRevenueAmt
CY Other Revenue$121,718CYOtherRevenueAmt
PY Total Revenue$9,267,001PYTotalRevenueAmt
CY Total Revenue$8,803,863CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,774,927PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,216,356CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,991,580PYOtherExpensesAmt
CY Other Expenses$4,104,220CYOtherExpensesAmt
PY Total Expenses$9,766,507PYTotalExpensesAmt
CY Total Expenses$9,320,576CYTotalExpensesAmt
PY Revenues Less Expenses-$499,506PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$516,713CYRevenuesLessExpensesAmt
Total Assets BOY$5,292,098TotalAssetsBOYAmt
Total Assets EOY$5,338,915TotalAssetsEOYAmt
Total Liabilities BOY$4,133,958TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,697,488TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,158,140NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$641,427NetAssetsOrFundBalancesEOYAmt
MissionProvide skilled nursing careMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,289,007ExpenseAmt
Revenue$8,803,863RevenueAmt
DescLONG TERM CARE -SKILLED NURSING HOME - 150 BEDSDesc
Total Program Service Expenses$8,289,007TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee270EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCINDY PHALENPersonNm
Phone6148915055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 Colony DriveAddressLine1Txt
CityWestervilleCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43081ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CHRISTINE CONSELYEA
Administrator40.00Yes (X)
RICHARD HUEBNER
Bd President2.00Yes (X)
JOHN BRADLEY
Bd. Secretary1.00Yes (X)
STEVE RIDENOUR
Bd. V.P.1.00Yes (X)
HOWARD SNYDER
Treasurer1.00Yes (X)
DELFINA ZEIGLER
Board member1.00Yes (X)
WILLIAM NOBLE
Board Member1.00Yes (X)
MARY OWENS
Board Member1.00Yes (X)
LINDA ADAMS
Board Member1.00Yes (X)
BRENDA ATKINS
Trustee1.00Yes (X)
NEVA ACKROYD
Trustee1.00Yes (X)
NANCY EFFERSON
Trustee1.00Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Therapy PartnersBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Middleburg HeightsAddressLine1Txt
CitySpragueCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44130ZIPCd
FieldValueIRS element (for citing)
ServicesTherapy ServicesServicesDesc
Compensation$474,972CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$6,735AllOtherContributionsAmt
Total Contributions$6,735TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRoutine/ancilliaryDesc
Business623000BusinessCd
Total Revenue Column$8,674,790TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,674,790TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$620TotalRevenueColumnAmt
Exclusion$620ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMiscellaneousDesc
Business623000BusinessCd
Total Revenue Column$121,718TotalRevenueColumnAmt
Related Or Exempt Func Income$121,718RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$121,718OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,803,863TotalRevenueColumnAmt
Related Or Exempt Func Income$8,796,508RelatedOrExemptFuncIncomeAmt
Exclusion$620ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$115,074TotalAmt
Program Services$0ProgramServicesAmt
Management And General$115,074ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,635,674TotalAmt
Program Services$4,374,814ProgramServicesAmt
Management And General$260,860ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$122,000TotalAmt
Program Services$122,000ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$343,608TotalAmt
Program Services$343,608ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$192,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$192,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,579TotalAmt
Program Services$0ProgramServicesAmt
Management And General$13,579ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,067TotalAmt
Program Services$0ProgramServicesAmt
Management And General$38,067ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$52,706TotalAmt
Program Services$0ProgramServicesAmt
Management And General$52,706ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$47,495TotalAmt
Program Services$0ProgramServicesAmt
Management And General$47,495ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$107,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$107,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$190,953TotalAmt
Program Services$190,953ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,030TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,030ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$158,021TotalAmt
Program Services$158,021ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$327,189TotalAmt
Program Services$327,189ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$105,815TotalAmt
Program Services$105,815ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Bad debts$77,356$0$77,356$0
Comunications$17,199$0$17,199$0
Employee Screening$10,919$0$10,919$0
Copier expense$5,908$0$5,908$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,758,983TotalAmt
Program Services$2,666,607ProgramServicesAmt
Management And General$92,376ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,320,576TotalAmt
Program Services$8,289,007ProgramServicesAmt
Management And General$1,031,569ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$294,992BOYAmt
EOY$283,469EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$945,282BOYAmt
EOY$816,963EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$23,334BOYAmt
EOY$23,334EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$32,514BOYAmt
EOY$16,776EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,771,777LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,020,148LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,683,300BOYAmt
EOY$3,751,629EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$312,676BOYAmt
EOY$446,744EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,292,098BOYAmt
EOY$5,338,915EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,762,789BOYAmt
EOY$2,301,617EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,337,353BOYAmt
EOY$2,344,861EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,816BOYAmt
EOY$51,010EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,133,958BOYAmt
EOY$4,697,488EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,158,140BOYAmt
EOY$641,427EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,158,140BOYAmt
EOY$641,427EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,292,098BOYAmt
EOY$5,338,915EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$516,713ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,839CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,184CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,490CurrentTaxYearMinus2YearsAmt
Current Tax Year$6,735CurrentTaxYearAmt
Total$33,248TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,729,047CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,582,167CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,316,603CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,266,387CurrentTaxYearMinus1YearAmt
Current Tax Year$8,796,508CurrentTaxYearAmt
Total$48,690,712TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,732,886CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,603,351CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,318,093CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,266,387CurrentTaxYearMinus1YearAmt
Current Tax Year$8,803,243CurrentTaxYearAmt
Total$48,723,960TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$48,723,960PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,889CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$862CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$457CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$614CurrentTaxYearMinus1YearAmt
Current Tax Year$620CurrentTaxYearAmt
Total$4,442TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,889CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$862CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$457CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$614CurrentTaxYearMinus1YearAmt
Current Tax Year$620CurrentTaxYearAmt
Total$4,442TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$48,728,402TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,604,967OtherCostOrOtherBasisAmt
Depreciation$3,560,691DepreciationAmt
Book Value$3,044,276BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,817,677OtherCostOrOtherBasisAmt
Depreciation$2,299,125DepreciationAmt
Book Value$518,552BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$160,332OtherCostOrOtherBasisAmt
Depreciation$160,332DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,751,629TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Resident funds$50,146
Mortgage escrow deposits$117,843
Replacement reserve fund$231,602
Deferred financing costs$46,153
Other assets$1,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$446,744TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescResident personal fundsDesc
Amt$51,010Amt
FieldValueIRS element (for citing)
Total Liability$51,010TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$8,803,863TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$8,803,863RevenueSubtotalAmt
Total Revenue Per Form990$8,803,863TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,320,576TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$9,320,576ExpensesSubtotalAmt
Total Expenses Per Form990$9,320,576TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 6Board elected by members
Pt VI, Line 7aBoard elects officer and appoints committees
Pt VI, Line 7bBoard resolution and voting determine policy
Pt VI, Line 8aBoard minutes taken
Pt VI, Line 11bCopy for pdf file of Form 990 available upon request
Pt VI, Line 15aAdministrator of facility chosen by the Board
Pt VI, Line 19Governing documents available upon request
Pt VI, Line 15bNursing home administrator/and HR determine other compensation
Form 990, Part IX, Line 24fDUES AND SUBSCRIPTIONS 8904. 0. 8904. 0. LICENSE 3016. 0. 3016. 0. MAINT. CONTRACTS 80950. 80950. MAINT. SUPPLIES 33257. 33257. TRASH REMOVAL 20209. 20209. GOVT MANADATED FEES 662039. 662039. REAL ESTATE TAXES -42920. -42920. 0. 0. WORKMEN COMPENSATION 27424. 27424. 0. 0. DIETARY PURCHASED SERVICE 36275. 36275. FOOD 351716. 351716. DIETARY SUPPLIES 32554. 32554. NURSING PURCHASED SERVICE 32538. 32538. HOUSKEEPING SUPPLIES 58208. 58208. DRUGS AND PHARMACEUTICALS 199128. 199128. OTHER MEDICAL 9681

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Columbus Colony IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 S Sunbury RdAddressLine1Txt
CityWestervilleCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43081ZIPCd
FieldValueIRS element (for citing)
EIN341265105EIN
Primary ActivitiesMANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Exempt Code Section501(c)3ExemptCodeSectionTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1xBusinessNameLine1Txt
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Columbus Colony Inc - management feeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeoTransactionTypeTxt
Method Of Amount DeterminationcostMethodOfAmountDeterminationTxt

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