FURP.ORG / PUBLIC DATA EXPLORER

WORTHINGTON CHRISTIAN VILLAGE CONGREGATE CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WORTHINGTON CHRISTIAN VILLAGE CONGREGATE CARE INC (EIN 31-1110376)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-11
IRS object ID
201302849349301015
Schema version
2012v2.1
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)
Timestamp2013-10-11T11:09:45-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Howard Wershbale & CoBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line123240 Chagrin Blvd Suite 700AddressLine1
CityClevelandCity
StateOHState
ZIP Code441225450ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311110376EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WORTHINGTON CHRISTIAN VILLAGEBusinessNameLine1
Business Name Line2CONGREGATE CARE INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% RANDALL RICHARDSONInCareOfName
Name ControlWORTNameControl
Phone6148466076Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 HIGHBLUFFS BLVDAddressLine1
Address Line2SuiteAddressLine2
CityCOLUMBUSCity
StateOHState
ZIP Code432351484ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namerandy richardsonName
Titleexecutive directorTitle
Phone6148466076Phone
Date Signed2013-09-30DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMary Eileen Vitale CPAName
Phone2168311200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRandall RichardsonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1165 HIGHBLUFFS BLVDAddressLine1
CitycolumbusCity
StateOHState
ZIP Code432351484ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4185063GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WCV.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission Descriptionto provide a comfortable and safe environment for its senior citizen residents in a 154 unit independent and assisted living facility.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year187049ContributionsGrantsPriorYear
Contributions Grants Current Year254852ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3955254ProgramServiceRevenuePriorYear
Program Service Revenue CY3905561ProgramServiceRevenueCY
Investment Income Prior Year3497InvestmentIncomePriorYear
Investment Income Current Year2598InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year22052OtherRevenueCurrentYear
Total Revenue Prior Year4145800TotalRevenuePriorYear
Total Revenue Current Year4185063TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1999291SalariesEtcPriorYear
Salaries Etc Current Year2072559SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1660686OtherExpensePriorYear
Other Expenses Current Year1648008OtherExpensesCurrentYear
Total Expenses Prior Year3659977TotalExpensesPriorYear
Total Expenses Current Year3720567TotalExpensesCurrentYear
Revenues Less Expenses Prior Year485823RevenuesLessExpensesPriorYear
Revenues Less Expenses CY464496RevenuesLessExpensesCY
Total Assets BOY6209144TotalAssetsBOY
Total Assets EOY6767086TotalAssetsEOY
Total Liabilities BOY3342392TotalLiabilitiesBOY
Total Liabilities EOY3435538TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2866752NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3331548NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A COMFORTABLE AND SAFE ENVIRONMENT FOR ITS SENIOR CITIZEN RESIDENTS IN A 154 UNIT INDEPENDENT AND ASSISTED LIVING FACILITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3163013Expense
Revenue3905561Revenue
DescriptionHealth care, general and other programsDescription
Total Program Service Expense3163013TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRANDALL RICHARDSONNamePerson
Telephone Number6148466076TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1165 HIGHBLUFFS BLVDAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432351484ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Lynn Borton
trustee1.0X000
william lavely
trustee1.0X000
Sue Massie
trustee1.0X000
Dan Spears
vice president1.0X000X
Ralph Love
trustee1.0X000
Robert Mckenzie
trustee1.0X000
hugh snepp
trustee1.0X000
Bill Thomas
trustee1.0X000
Mike Stumpf
trustee1.0X000
Bob Spengler
president1.0X000X
Mikl Davis
trustee1.0X000
Mel Harty
trustee1.0X000
Randy Richardson
Exec. Director/CEO2.001234184051X
Christoffer Welen
Secretary2.00347594051X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs158177TotalReportableCompFrmRltdOrgs
Total Other Compensation8102TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations254852RelatedOrganizations
Total Contributions254852TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column3905561TotalRevenueColumn
Related Or Exempt Function Income3905561RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3905561TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2598TotalRevenueColumn
Exclusion$2,598ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real22052Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real22052Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column22052TotalRevenueColumn
Exclusion$22,052ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4185063TotalRevenueColumn
Related Or Exempt Function Income3905561RelatedOrExemptFunctionIncome
Exclusion$24,650ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1780941Total
Program Services1518050ProgramServices
Management And General262891ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total34555Total
Program Services24317ProgramServices
Management And General10238ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total73310Total
Program Services63175ProgramServices
Management And General10135ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total183753Total
Program Services154481ProgramServices
Management And General29272ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32438Total
Management And General32438ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total11837Total
Program Services11837ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total58187Total
Program Services1741ProgramServices
Management And General56446ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total54252Total
Program Services14347ProgramServices
Management And General39905ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total13346Total
Management And General13346ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total163211Total
Program Services163211ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total6848Total
Management And General6848ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total160544Total
Program Services160544ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total319136Total
Program Services283036ProgramServices
Management And General36100ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total59935Total
Management And General59935ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
RAW FOOD465212465212
MEDICAL AND OTHER SUPPLIES9764297642
MAINTENANCE AND REPAIRS116507116507
SUPPORT TO RELATED PARTY5000050000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total38913Total
Program Services38913ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3720567Total
Program Services3163013ProgramServices
Management And General557554ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2238708BOY
EOY3152773EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY150979BOY
EOY151813EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY37350BOY
EOY25410EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3550BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY35190BOY
EOY36370EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9717275LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6513995LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3313334BOY
EOY3203280EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY430033BOY
EOY197440EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6209144BOY
EOY6767086EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY119764BOY
EOY123021EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY59230BOY
EOY40586EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2902200BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY45801BOY
EOY3075077EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY215397BOY
EOY196854EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3342392BOY
EOY3435538EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2866752BOY
EOY3331548EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2866752BOY
EOY3331548EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6209144BOY
EOY6767086EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses464496ReconcilationRevenueExpenses
Reconcilation Other Changes300ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years172047CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years155518CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years194550CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year187049CurrentTaxYearMinus1Year
Current Tax Year254852CurrentTaxYear
Total964016Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3919062CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3932722CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3952804CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3955254CurrentTaxYearMinus1Year
Current Tax Year3905561CurrentTaxYear
Total19665403Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4091109CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4088240CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4147354CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4142303CurrentTaxYearMinus1Year
Current Tax Year4160413CurrentTaxYear
Total20629419Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50920629419PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30486CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9700CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8207CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3497CurrentTaxYearMinus1Year
Current Tax Year24650CurrentTaxYear
Total76540Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30486CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9700CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8207CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3497CurrentTaxYearMinus1Year
Current Tax Year24650CurrentTaxYear
Total76540Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9767CurrentTaxYearMinus4Years
Total9767Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4131362CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4097940CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4155561CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4145800CurrentTaxYearMinus1Year
Current Tax Year4185063CurrentTaxYear
Total20715726Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99583PublicSupportPercentage509
Prior Year Support Percentage0.99313PriorYearSupportPercentage
Investment Income Percentage0.00369InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00582PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis65517OtherCostOrOtherBasis
Book Value65517BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6998902OtherCostOrOtherBasis
Depreciation4632585Depreciation
Book Value2366317BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1583010OtherCostOrOtherBasis
Depreciation993836Depreciation
Book Value589174BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1069846OtherCostOrOtherBasis
Depreciation887574Depreciation
Book Value182272BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings3203280TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
SECURITY DEPOSITS$185,184
THIRD PARTY OVERPAYMENT$11,670
FieldValueIRS element (for citing)
Total Of Amounts196854TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt4185363TotRevenueEtcAuditedFinclStmt
Other Revenues300OtherRevenues
Revenue Not Rptd F990300RevenueNotRptdF990
Revenue Subtotal4185063RevenueSubtotal
Total Revenue Per Form9904185063TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3720567TotExpensesEtcAuditedFinclStmt
Expenses Subtotal3720567ExpensesSubtotal
Total Expenses Per Form9903720567TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierReconciliation to audited financialsIdentifier
Return ReferenceSchedule D, Part XI #2dReturnReference
ExplanationUnrealized gain from interest rate swap $45,801 Loss on debt extinguishment ($45,501)Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
membersFORM 990, PART VI, SECTION A, LINE 6:THE ORGANIZATION IS COMPRISED OF A GROUP OF CENTRAL OHIO CHRISTIAN CHURCHES THAT HAVE APPLIED AND ARE ELECTED AS MEMBERS OF THE WORTHINGTON CHRISTIAN VILLAGE CONGREGATE CARE.
election of membersFORM 990, PART VI, SECTION A, LINE 7A:WORTHINGTON CHRISTIAN VILLAGE CONGREGATE CARE IS COMPRISED OF A GROUP OF CENTRAL OHIO CHRISTIAN CHURCHES THAT ELECT 12 MEMBERS TO THE BOARD OF TRUSTEES.
990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11:THE ORGANIZATION HAS A FINANCE COMMITTEE THAT WILL REVIEW THE FORM 990 BEFORE FILING WITH THE IRS.
conflict of interest policyFORM 990, PART VI, SECTION B, LINE 12C:THE CONFLICT OF INTEREST POLICY IS ENFORCED WITH ANNUAL REVIEWS.
COMPENSATIONFORM 990, PART VI, SECTION B, LINE 15A:THE TOP MANAGEMENT IS INCLUDED IN DELIBERATION AND DECISIONS.
DOCUMENTS AVAILABLE TO PUBLICFORM 990, PART VI, SECTION C, LINE 19:THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
other change in net assetsform 990, part xi, line 5Unrealized gain from interest rate swap $45,801 Loss on debt extinguishment ($45,501)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
WORTHINGTON CHRISTIAN VILLAGE INC
165 HIGHBLUFFS BLVDcolumbusOH43235310945352nursing careOH501(C)(3)Line 9N/Afalse
WCV COLONY DEVELOPMENT INC
165 HIGHBLUFFS BLVDcolumbusOH43235311593984nursing careOH501(C)(3)LINE 11BfalseWCV
WORTHINGTON CHRISTIAN VILLAGE COLONY INC
165 HIGHBLUFFS BLVDcolumbusOH43235311400208nursing careOH501(C)(3)Line 9falseWCV
WCV BENEVOLENT ASSOCIATION INC
165 HIGHBLUFFS BLVDcolumbusOH43235311145025PHILANTHROPYOH501(C)(3)Line 7falseWCV
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg