COLUMBUS COLONY FOR ELDERLY CARE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COLUMBUS COLONY FOR ELDERLY CARE INC (EIN 31-0951208)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-01
IRS object ID
201421219349300727
Schema version
2013v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-05-01T11:10:54-07:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1William Powelson CPABusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11515 West Lane Ave Ste 4AddressLine1
CityColumbusCity
StateOHState
ZIP Code43221ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310951208EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Columbus Colony for Elderly Care IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOLUBusinessNameControlTxt
Phone6148915055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 Colony DriveAddressLine1
CityWestervilleCity
StateOHState
ZIP Code43081ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD HUEBNERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6148915055PhoneNum
Signature2014-04-30SignatureDt
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)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD HUEBNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 S Sunbury RdAddressLine1
CityWestervilleCity
StateOHState
ZIP Code43081ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$9,267,001GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee237TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,490PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$10,273,136PYProgramServiceRevenueAmt
CY Program Service Revenue$9,170,603CYProgramServiceRevenueAmt
PY Investment Income$457PYInvestmentIncomeAmt
CY Investment Income$614CYInvestmentIncomeAmt
PY Other Revenue$43,467PYOtherRevenueAmt
CY Other Revenue$95,784CYOtherRevenueAmt
PY Total Revenue$10,318,550PYTotalRevenueAmt
CY Total Revenue$9,267,001CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,957,987PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,774,927CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,306,989PYOtherExpensesAmt
CY Other Expenses$4,991,580CYOtherExpensesAmt
PY Total Expenses$10,264,976PYTotalExpensesAmt
CY Total Expenses$9,766,507CYTotalExpensesAmt
PY Revenues Less Expenses$53,574PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$499,506CYRevenuesLessExpensesAmt
Total Assets BOY$5,701,527TotalAssetsBOYAmt
Total Assets EOY$5,292,098TotalAssetsEOYAmt
Total Liabilities BOY$4,043,881TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,133,958TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,657,646NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,158,140NetAssetsOrFundBalancesEOYAmt
MissionProvide skilled nursing careMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,691,852ExpenseAmt
Revenue$9,267,001RevenueAmt
DescLONG TERM CARE -SKILLED NURSING HOME - 150 BEDSDesc
Total Program Service Expenses$8,691,852TotalProgramServiceExpensesAmt
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
Employee237EmployeeCnt
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
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 DriveAddressLine1
CityWestervilleCity
StateOHState
ZIP Code43081ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CHRISTINE CONSELYEA
Administrator40.00Yes (X)$55,190$0$0
RICHARD HUEBNER
Bd President2.00$0$0$0Yes (X)
JOHN BRADLEY
Bd. Secretary1.00$0$0$0Yes (X)
STEVE RIDENOUR
Bd. V.P.1.00$0$0$0Yes (X)
HOWARD SNYDER
Treasurer1.00$0$0$0Yes (X)
DELFINA ZEIGLER
Board member1.00$0$0$0Yes (X)
WILLIAM NOBLE
Board Member1.00$0$0$0Yes (X)
MARY OWENS
Board Member1.00$0$0$0Yes (X)
LINDA ADAMS
Board Member1.00$0$0$0Yes (X)
BRENDA ATKINS
Trustee1.00$0$0$0Yes (X)
NEVA ACKROYD
Trustee1.00$0$0$0Yes (X)
NANCY EFFERSON
Trustee1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$55,190TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
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 PartnersBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Middleburg HeightsAddressLine1
CitySpragueCity
StateOHState
ZIP Code44130ZIPCode
FieldValueIRS element (for citing)
ServicesTherapy ServicesServicesDesc
Compensation$513,258CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRoutine/ancilliaryDesc
Business623000BusinessCd
Total Revenue Column$9,170,603TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,170,603TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$614TotalRevenueColumnAmt
Exclusion$614ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMiscellaneousDesc
Business623000BusinessCd
Total Revenue Column$95,784TotalRevenueColumnAmt
Related Or Exempt Func Income$95,784RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$95,784OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,267,001TotalRevenueColumnAmt
Related Or Exempt Func Income$9,266,387RelatedOrExemptFuncIncomeAmt
Exclusion$614ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$134,032TotalAmt
Program Services$0ProgramServicesAmt
Management And General$134,032ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,388,607TotalAmt
Program Services$4,099,725ProgramServicesAmt
Management And General$288,882ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$129,994TotalAmt
Program Services$129,994ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$122,294TotalAmt
Program Services$122,294ProgramServicesAmt
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$23,856TotalAmt
Program Services$0ProgramServicesAmt
Management And General$23,856ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$8,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$43,178TotalAmt
Program Services$0ProgramServicesAmt
Management And General$43,178ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$36,663TotalAmt
Program Services$0ProgramServicesAmt
Management And General$36,663ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$84,567TotalAmt
Program Services$0ProgramServicesAmt
Management And General$84,567ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$182,392TotalAmt
Program Services$182,392ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,378TotalAmt
Program Services$0ProgramServicesAmt
Management And General$6,378ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$170,856TotalAmt
Program Services$170,856ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$326,783TotalAmt
Program Services$326,783ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$103,521TotalAmt
Program Services$103,521ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Bad debts$85,000$0$85,000$0
Comunications$14,774$0$14,774$0
Employee Screening$10,371$0$10,371$0
Copier expense$3,930$0$3,930$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,699,311TotalAmt
Program Services$3,556,287ProgramServicesAmt
Management And General$143,024ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,766,507TotalAmt
Program Services$8,691,852ProgramServicesAmt
Management And General$1,074,655ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$318,580BOYAmt
EOY$294,992EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,125,794BOYAmt
EOY$945,282EOYAmt

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$33,516BOYAmt
EOY$32,514EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,383,351LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,700,051LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,828,866BOYAmt
EOY$3,683,300EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$371,437BOYAmt
EOY$312,676EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,701,527BOYAmt
EOY$5,292,098EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,389,051BOYAmt
EOY$1,762,789EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,622,250BOYAmt
EOY$2,337,353EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,580BOYAmt
EOY$33,816EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,043,881BOYAmt
EOY$4,133,958EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,657,646BOYAmt
EOY$1,158,140EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,657,646BOYAmt
EOY$1,158,140EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,701,527BOYAmt
EOY$5,292,098EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$499,506ReconcilationRevenueExpnssAmt
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$3,274CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,839CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,184CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,490CurrentTaxYearMinus1YearAmt
Total$29,787TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,957,923CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,729,047CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,582,167CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,316,603CurrentTaxYearMinus1YearAmt
Current Tax Year$9,266,387CurrentTaxYearAmt
Total$48,852,127TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,961,197CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,732,886CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,603,351CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,318,093CurrentTaxYearMinus1YearAmt
Current Tax Year$9,266,387CurrentTaxYearAmt
Total$48,881,914TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$48,881,914PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,889CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$862CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$457CurrentTaxYearMinus1YearAmt
Current Tax Year$614CurrentTaxYearAmt
Total$3,822TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,889CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$862CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$457CurrentTaxYearMinus1YearAmt
Current Tax Year$614CurrentTaxYearAmt
Total$3,822TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$48,885,736TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99960PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
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$6,232,253OtherCostOrOtherBasisAmt
Depreciation$3,359,464DepreciationAmt
Book Value$2,872,789BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,801,965OtherCostOrOtherBasisAmt
Depreciation$2,180,255DepreciationAmt
Book Value$621,710BookValueAmt

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$3,683,300TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Resident funds$33,382
Mortgage escrow deposits$94,540
Replacement reserve fund$130,509
Deferred financing costs$53,245
Other assets$1,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$312,676TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescResident personal fundsDesc
Amt$33,816Amt
FieldValueIRS element (for citing)
Total Liability$33,816TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$9,267,001TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$9,267,001RevenueSubtotalAmt
Total Revenue Per Form990$9,267,001TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,766,507TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$9,766,507ExpensesSubtotalAmt
Total Expenses Per Form990$9,766,507TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 19Upon request
Pt VI, Line 11bForm 990 reviewed at Board meeting
Pt VI, Line 6Elected Board
Pt VI, Line 7aElected Board
Pt VI, Line 7bBoard resolutions voted upon
Pt VI, Line 15aBoard reviews compensation in relation to nursing home
Pt VI, Line 15aadministrators
Pt VI, Line 15bBoard review administrator and DON compensation
Form 990, Part IX, Line 24fDUES AND SUBSCRIPTIONS 12501. 0. 12501. 0. LICENSE 1622. 0. 1622. 0. MAINT. CONTRACTS 74256. 74256. MAINT. SUPPLIES 30273. 30273. TRASH REMOVAL 20229. 20229. GOVT MANADATED FEES 651326. 651326. 0. 0. REAL ESTATE TAXES 11798. 11798. 0. 0. WORKMEN COMPENSATION 40077. 40077. 0. 0. DIETARY PURCHASED SERVICE 32513. 32513. FOOD 350573. 350573. DIETARY SUPPLIES 50118. 50118. NURSING PURCHASED SERVICE 29625. 29625. 0. 0. HOUSKEEPING SUPPLIES 54377. 54377. DRUGS AND PHARMACEUTICALS 231921. 231921. OTHER

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Columbus Colony IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 S Sunbury RdAddressLine1
CityWestervilleCity
StateOHState
ZIP Code43081ZIPCode
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 Line1xBusinessNameLine1
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 feeBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeoTransactionTypeTxt
Method Of Amount DeterminationcostMethodOfAmountDeterminationTxt

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