FURP.ORG / PUBLIC DATA EXPLORER

OHIO LIVING QUAKER HEIGHTS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OHIO LIVING QUAKER HEIGHTS (EIN 31-0538523)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-07
IRS object ID
201303119349300115
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)
Timestamp2013-11-07T07:57:01-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN310210560EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BATTELLE & BATTELLE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12000 WEST DOROTHY LANEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45439ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310538523EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FRIENDS BOARDING HOME-OHIO VALLEYBusinessNameLine1
Business Name Line2YEARLY MTG RELIGIOUS SOCIETY OF FRIENDSBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlFRIENameControl
Phone5138976050Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1514 W HIGH STREET PO BOX 677AddressLine1
CityWAYNESVILLECity
StateOHState
ZIP Code45068ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWENDY L WATERS-CONNELLName
TitleEXECUTIVE DIRECTORTitle
Phone5138976050Phone
Date Signed2013-11-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN O CRIMName
PTINP00368385PTIN
Phone9372980201Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1QUAKER HEIGHTS CARE COMMUNITYBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonWENDY L WATERS-CONNELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1514 W HIGH STREET PO BOX 677AddressLine1
CityWAYNESVILLECity
StateOHState
ZIP Code45068ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9061334GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.QUAKERHEIGHTS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1904YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionOPERATE A NURSING HOME AND ASSISTED LIVING FACILITY AND PROVIDE MEDICAL CARE FOR THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees137TotalNbrEmployees
Total Nbr Volunteers44TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9220077ProgramServiceRevenuePriorYear
Program Service Revenue CY9058490ProgramServiceRevenueCY
Investment Income Prior Year6636InvestmentIncomePriorYear
Investment Income Current Year2844InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year9226713TotalRevenuePriorYear
Total Revenue Current Year9061334TotalRevenueCurrentYear
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 Year5080757SalariesEtcPriorYear
Salaries Etc Current Year4439142SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3999321OtherExpensePriorYear
Other Expenses Current Year4346335OtherExpensesCurrentYear
Total Expenses Prior Year9080078TotalExpensesPriorYear
Total Expenses Current Year8785477TotalExpensesCurrentYear
Revenues Less Expenses Prior Year146635RevenuesLessExpensesPriorYear
Revenues Less Expenses CY275857RevenuesLessExpensesCY
Total Assets BOY11888474TotalAssetsBOY
Total Assets EOY12022654TotalAssetsEOY
Total Liabilities BOY9397551TotalLiabilitiesBOY
Total Liabilities EOY9255874TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2490923NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2766780NetAssetsOrFundBalancesEOY
Mission DescriptionTHE OPERATION OF A NURSING HOME AND ASSISTED LIVING FACILITY AND PROVIDING MEDICAL CARE FOR THE ELDERLY RESIDENTSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7269851Expense
Revenue9010358Revenue
DescriptionCARE FOR ELDERLY - 98 BED NURSING HOME OPERATED IN ACCORDANCE WITH MEDICARE/MEDICAID REGULATIONS AND 60 UNIT ASSISTED LIVING FACILITY. INDEPENDENT LIVING FACILITIES - HOUSING UNITS PROVIDING INDEPENDENT LIVING MONITORED BY NURSING HOME STAFF AND PHYSICIANS AS NECESSARY. OFFICE CENTER - PROFESSIONAL AND MEDICAL OFFICES MAINTAINED FOR THE COMMUNITY AND STAFFED BY INDEPENDENT PROFESSIONALS.Description
Total Program Service Expense7269851TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109684NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees137NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWENDY L WATERS-CONNELLNamePerson
Telephone Number5138976050TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1514 W HIGH STREETAddressLine1
CityWAYNESVILLECity
StateOHState
ZIP Code45068ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelated
EUGENIA MILLS
PRESIDING CLERK1.00XX000
TOM ISAACS
ASSISTANT PRESIDING CLERK1.00XX000
PEG SCHORRECK
RECORDING CLERK1.00XX000
WILSON PALMER
TREASURER1.00XX000
SHARON JEWELL
ASSISTANT TREASURER1.00XX000
GUS EDWARDS
TRUSTEE1.00X000
CHARLES FEICHT
TRUSTEE1.00X000
DONNE HAYDEN
TRUSTEE1.00X000
FRANK HUSS
TRUSTEE1.00X000
ALICE PALMER
TRUSTEE1.00X000
CHRISTINE SNYDER
TRUSTEE1.00X000
WILMA WATSON
TRUSTEE1.00X000
ERIC WOLFF
TRUSTEE1.00X000
DOTTIE RYE PART YEAR
RECORDING CLERK1.00XX000
TERREN KOLES PART YEAR
TREASURER1.00XX000
WENDY L WATERS-CONNELL
EXECUTIVE DIRECTOR50.00X130211097595.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org130211TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation9759TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTHCARE SERVICES GROUP
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020DIETARY, HOUSEKEEPING, LAUNDRY SERVICES1002162
EVERENCE
1110 NORTH MAIN STREETGOSHENIN46527INSURANCE SERVICES652327
CONCEPT REHAB INC
7150 GRANITE CIRCLETOLEDOOH43617THERAPY SERVICES601535
PRO ACTIVE
24395 VISTA POINT LNDANA POINTCA92629PHARMACY SERVICES160945
DAYFIELD SENIOR SOLUTIONS
7200 POE AVENUE SUITE 100DAYTONOH45414ACCOUNTING SERVICES131200
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MEDICARE/MEDICAID PMTS62300046123934612393
PATIENT SERV. REVENUE62300043979654397965
RENTAL INCOME62300048132$48,132
FieldValueIRS element (for citing)
Total Program Service Revenue9058490TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2844TotalRevenueColumn
Exclusion$2,844ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9061334TotalRevenueColumn
Related Or Exempt Function Income9010358RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$50,976ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total139970Total
Program Services69985ProgramServices
Management And General69985ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3285748Total
Program Services2912723ProgramServices
Management And General373025ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total659146Total
Program Services563690ProgramServices
Management And General95456ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total354278Total
Program Services301136ProgramServices
Management And General53142ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total57246Total
Management And General57246ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total151177Total
Management And General151177ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total478928Total
Program Services407089ProgramServices
Management And General71839ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total33383Total
Management And General33383ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total238755Total
Program Services44908ProgramServices
Management And General193847ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total194402Total
Program Services165242ProgramServices
Management And General29160ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total43051Total
Program Services36593ProgramServices
Management And General6458ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5683Total
Management And General5683ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total325059Total
Program Services276300ProgramServices
Management And General48759ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total541953Total
Program Services460660ProgramServices
Management And General81293ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total128116Total
Program Services108899ProgramServices
Management And General19217ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES826412826412
CONTRACTED SERVICES704111704111
LICENSE FEES & FRANCHIS41074134913061611
BAD DEBTS122870122870

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total84448Total
Program Services42973ProgramServices
Management And General41475ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8785477Total
Program Services7269851ProgramServices
Management And General1515626ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1100741BOY
EOY707745EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY53089BOY
EOY39015EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY112089BOY
EOY80818EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13263326LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7022286LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6264840BOY
EOY6241040EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY646758BOY
EOY720807EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3710957BOY
EOY4233229EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11888474BOY
EOY12022654EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY673685BOY
EOY620464EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY13232BOY
EOY11853EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8244740BOY
EOY8098478EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY465894BOY
EOY525079EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9397551BOY
EOY9255874EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2490923BOY
EOY2766780EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2490923BOY
EOY2766780EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11888474BOY
EOY12022654EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses275857ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8669620CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8922060CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8836929CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9220077CurrentTaxYearMinus1Year
Current Tax Year9088056CurrentTaxYear
Total44736742Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8669620CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8922060CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8836929CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9220077CurrentTaxYearMinus1Year
Current Tax Year9088056CurrentTaxYear
Total44736742Total

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 Total50944736742PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16582CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44582CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5329CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6636CurrentTaxYearMinus1Year
Current Tax Year2844CurrentTaxYear
Total75973Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16582CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44582CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5329CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6636CurrentTaxYearMinus1Year
Current Tax Year2844CurrentTaxYear
Total75973Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years424CurrentTaxYearMinus3Years
Total424Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8686202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8967066CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8842258CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9226713CurrentTaxYearMinus1Year
Current Tax Year9090900CurrentTaxYear
Total44813139Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99830PublicSupportPercentage509
Prior Year Support Percentage0.99660PriorYearSupportPercentage
Investment Income Percentage0.00170InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00270PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12871OtherCostOrOtherBasis
Book Value12871BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10074247OtherCostOrOtherBasis
Depreciation4102880Depreciation
Book Value5971367BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3176208OtherCostOrOtherBasis
Depreciation2919406Depreciation
Book Value256802BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6241040TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
PEACE CHURCH RISK RETENTION GROUP610847F
FRIENDS MUTUAL HEALTH GROUP69000F
UST40960F
FieldValueIRS element (for citing)
Total Of Book Value Securities720807TotalOfBookValueSecurities

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
MEDICARE/MEDICAID RECEIVABLE738820
MIP, INSURANCE, & REPAIR DEPOSITS48228
RESERVE FOR REPLACEMENT396704
FINANCING & BUILDING FEES1483371
RESIDUAL RECEIPTS1438130
RESIDENT FUNDS HELD BY QUAKER HEIGHTS11603
DUE FROM AFFILITATES116373
FieldValueIRS element (for citing)
Total Book Value Other Assets4233229TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO QUAKER HEIGHTS FOUNDATION$143,105
DEFERRED REVENUE - SSA$376,429
RENTAL DEPOSITS$5,545
FieldValueIRS element (for citing)
Total Of Amounts525079TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:FUNDS THE FACILITY IS REQUIRED BY THE STATE TO MAINTAIN AT THE RESIDENTS REQUEST. THIS MONEY BELONGS TO THE INDIVIDUAL RESIDENTS THEREFORE THERE IS AN OFFSETTING LIABILITY EQUAL TO THE ASSET ACCOUNT.
PART X, LINE 2:THE FRIENDS BOARDING HOME AND ITS RELATED ENTITY, QUAKER HEIGHTS FOUNDATION, INC., WERE ORGANIZED AS NOT-FOR-PROFIT CORPORATIONS AND HAVE SECURED TAX EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. A PROVISION FOR INCOME TAXES IS NOT REQUIRED. THE SINGLE MEMBER ENTITY, QUAKER HEIGHTS, LLC, WAS FORMED TO HOLD TITLE TO THE NURSING HOME AND ASSISTED LIVING FACILITY PROPERTY AND EQUIPMENT. FORMATION OF THIS ENTITY WAS REQUIRED UNDER TERMS OF THE HUD-INSURED MORTGAGE. THE LLC IS A DISREGARDED ENTITY FOR FEDERAL AND STATE TAX PURPOSES AND IS REPORTED ON THE TAX RETURN OF FRIENDS BOARDING HOME. A PROVISION FOR INCOME TAXES IS NOT REQUIRED. WITH FEW EXCEPTIONS, THE ORGANIZATION'S FEDERAL INFORMATION RETURNS ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2008.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2ALICE PALMER AND WILSON PALMER HAVE A FAMILY RELATIONSHIP. AS PRESIDING CLERK OF THE BOARD OF THE FRIENDS HOME FOUNDATION, ALICE PALMER IS AN EX-OFFICIO MEMBER OF THIS ORGANIZATION'S BOARD.
FORM 990, PART VI, SECTION A, LINE 3DAYFIELD SENIOR SOLUTIONS, LLC PROVIDES ACCOUNTING SERVICES INCLUDING FINANCIAL REPORTING, COST REPORTING, BUDGET PREPARATION, ACCOUNTS RECEIVABLE AND ACCOUNTS PAYABLE SUPPORT.
FORM 990, PART VI, SECTION A, LINE 7BTHE FRIENDS HOME OF THE OHIO VALLEY YEARLY MEETING OF THE RELIGIOUS SOCIETY OF FRIENDS APPROVES MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE ORGANIZATION'S MANAGEMENT COMPANY (DAYFIELD SENIOR SOLUTIONS, LLC). A COPY IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING FORM 990 WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES A SIGNED WRITTEN CONFLICT OF INTEREST POLICY BY THE BOARD MEMBERS ON A YEARLY BASIS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS WILL CONDUCT A WRITTEN ASSESSMENT OF THE PERFORMANCE OF THE EXECUTIVE DIRECTOR ANNUALLY. THE BOARD OF DIRECTORS USES CRITERIA FROM THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING TO ESTABLISH COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 2B, DESCRIPTION OF FINANCIAL STATEMENT REPORTING:THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTANT ON A CONSOLIDATED BASIS WITH QUAKER HEIGHTS LLC (A DISREGARDED ENTITY) AND QUAKER HEIGHTS FOUNDATION, INC.
FORM 990, PART XI, LINE 2C:THE ORGANIZATION'S COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1QUAKER HEIGHTS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1514 WEST HIGH STREET PO BOX 677AddressLine1
CityWAYNESVILLECity
StateOHState
ZIP Code45068ZIPCode
FieldValueIRS element (for citing)
EIN310538523EIN
Primary ActivitiesOPERATE QUAKER HEIGHTS CARE COMMUNITY - NURSING HOME AND ASSISTED LIVINGPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1QUAKER HEIGHTS FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 232AddressLine1
CityWAYNESVILLECity
StateOHState
ZIP Code45068ZIPCode
FieldValueIRS element (for citing)
EIN311575048EIN
Primary ActivitiesTO SUPPORT ACTIVITIES OF FRIENDS BOARDING HOME, INC.PrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 13, TYPE IPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg