CRANDALL MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CRANDALL MEDICAL CENTER (EIN 34-1289433)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-06
IRS object ID
201340379349300344
Schema version
2011v1.2
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)
Timestamp2013-02-06T15:45:52-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341897225EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HILL BARTH & KING LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1119 EAST STATE STREETAddressLine1
CityALLIANCECity
StateOHState
ZIP Code44501ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341289433EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CRANDALL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCRANNameControl
Phone3309381050Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 SOUTH 15TH STREETAddressLine1
CitySEBRINGCity
StateOHState
ZIP Code44672ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVE MANNIONName
TitleCFO / CONTROLLERTitle
Phone3309381050Phone
Date Signed2013-01-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMATTHEW A LAFOUNTAINName
PTINP00033984PTIN
Phone3308212150Phone
Date Prepared2013-01-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVE MANNIONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1800 SOUTH 15TH STREETAddressLine1
CitySEBRINGCity
StateOHState
ZIP Code44672ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14110422GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING TO RESIDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees233TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year333371ContributionsGrantsPriorYear
Contributions Grants Current Year135212ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15274246ProgramServiceRevenuePriorYear
Program Service Revenue CY13974932ProgramServiceRevenueCY
Investment Income Prior Year2494InvestmentIncomePriorYear
Investment Income Current Year278InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15610111TotalRevenuePriorYear
Total Revenue Current Year14110422TotalRevenueCurrentYear
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 Year9209974SalariesEtcPriorYear
Salaries Etc Current Year7982435SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6017484OtherExpensePriorYear
Other Expenses Current Year6593110OtherExpensesCurrentYear
Total Expenses Prior Year15227458TotalExpensesPriorYear
Total Expenses Current Year14575545TotalExpensesCurrentYear
Revenues Less Expenses Prior Year382653RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-465123RevenuesLessExpensesCY
Total Assets BOY4606467TotalAssetsBOY
Total Assets EOY3941964TotalAssetsEOY
Total Liabilities BOY1849709TotalLiabilitiesBOY
Total Liabilities EOY1640388TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2756758NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2301576NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING TO RESIDENTSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9508612Expense
DescriptionMEDICAL SERVICES PROVIDED TO THE RESIDENTSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1286577Expense
DescriptionDIETARY SERVICES PROVIDED TO RESIDENTSDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense863927Expense
DescriptionFACILITIES PROVIDED TO THE RESIDENTSDescription

Activity Other ActivityOther (2 entries)

ExpenseExpenseDescriptionDescription
437467HOUSEKEEPING SERVICES PROVIDED TO THE RESIDENTS
242010LAUNDRY SERVICES PROVIDED TO RESIDENTS
FieldValueIRS element (for citing)
Total Of Other Program Service Exp679477TotalOfOtherProgramServiceExp
Total Program Service Expense12338593TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees233NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVE MANNIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3309381050TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 S 15TH STAddressLine1
CitySEBRINGCity
StateOHState
ZIP Code44672ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
AMEY REV ROBERT
DIRECTOR1.00X000
BIERY J LYNNE
DIRECTOR1.00X000
CAMPBELL DELORES
DIRECTOR1.00X000
CHAPPELL SARAH SALLY
DIRECTOR1.00X000
GRIFFITH DANIEL
TREASURER1.00X000X
HARDGROVE LEE
DIRECTOR1.00X000
RYAN THOMAS
DIRECTOR1.00X000
SCARPITTI JOHN
VICE PRESIDENT1.00X000X
SLAGLE BRUCE
SECRETARY1.00X000X
STITLE JIM
DIRECTOR1.00X000
VANCAMP LELAND
PRESIDENT1.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ABSOLUTE REHABILITATION & CONSULT
7233 WHIPPLE AVE NW PO BOX 2880NORTH CANTONOH44720THERAPY1337363
PARIS HEALTHCARE LINEN SERVICE
PO BOX 1043DUBOISPA15801LINEN SERVICE155209
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations135212RelatedOrganizations
Total Contributions135212TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID62300079837117983711
MONTHLY CARE FUND62300050794225079422
MED. & HELPFUL LIVING623000825187825187
BEAUTY/BARBER SHOP INC6230005427054270
MISCELLANEOUS6230001779917799

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column14543TotalRevenueColumn
Related Or Exempt Function Income14543RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13974932TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column278TotalRevenueColumn
Exclusion$278ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14110422TotalRevenueColumn
Related Or Exempt Function Income13974932RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$278ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6335759Total
Program Services6009134ProgramServices
Management And General326625ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1095298Total
Program Services959701ProgramServices
Management And General135597ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total551378Total
Program Services527395ProgramServices
Management And General23983ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3126Total
Management And General3126ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44164Total
Program Services203ProgramServices
Management And General43961ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2461172Total
Program Services1893036ProgramServices
Management And General568136ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total273410Total
Program Services273410ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total22948Total
Program Services18827ProgramServices
Management And General4121ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total234103Total
Program Services234103ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total999784Total
Management And General999784ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED MEALS11885071188507
SUPPLIES72889668474144155
PRESCRIPTION DRUGS319407319407
MAINTENANCE185080185080

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total132513Total
Program Services45049ProgramServices
Management And General87464ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14575545Total
Program Services12338593ProgramServices
Management And General2236952ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1271838BOY
EOY842453EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2581BOY
EOY2581EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1565976BOY
EOY1305767EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY62198BOY
EOY106257EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8818855LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7596098LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1223406BOY
EOY1222757EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY437072BOY
EOY447013EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY43396BOY
EOY15136EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4606467BOY
EOY3941964EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1849709BOY
EOY1640388EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1849709BOY
EOY1640388EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2319686BOY
EOY1854563EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY422042BOY
EOY431883EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15030BOY
EOY15130EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2756758BOY
EOY2301576EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4606467BOY
EOY3941964EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-465123ReconcilationRevenueExpenses
Reconcilation Other Changes9941ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years450904CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years396000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years377000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year333371CurrentTaxYearMinus1Year
Current Tax Year135212CurrentTaxYear
Total1692487Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13181646CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14717243CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15506196CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15274246CurrentTaxYearMinus1Year
Current Tax Year13974932CurrentTaxYear
Total72654263Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13632550CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15113243CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15883196CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15607617CurrentTaxYearMinus1Year
Current Tax Year14110144CurrentTaxYear
Total74346750Total

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 Total50974346750PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3622CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years779CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1516CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2494CurrentTaxYearMinus1Year
Current Tax Year278CurrentTaxYear
Total8689Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3622CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years779CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1516CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2494CurrentTaxYearMinus1Year
Current Tax Year278CurrentTaxYear
Total8689Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13636172CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15114022CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15884712CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15610111CurrentTaxYearMinus1Year
Current Tax Year14110422CurrentTaxYear
Total74355439Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99990PublicSupportPercentage509
Prior Year Support Percentage0.99990PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00010PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis44000InvestmentCostOrOtherBasis
Book Value44000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis6799837InvestmentCostOrOtherBasis
Depreciation6135679Depreciation
Book Value664158BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis218436InvestmentCostOrOtherBasis
Depreciation206145Depreciation
Book Value12291BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1554112InvestmentCostOrOtherBasis
Depreciation1187214Depreciation
Book Value366898BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis202470InvestmentCostOrOtherBasis
Depreciation67060Depreciation
Book Value135410BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1222757TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENT IN NET ASSETS OF THE OAKS FOUNDATIONDescription
Book Value447013BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities447013TotalOfBookValueSecurities
Total Revenue14110422TotalRevenue
Total Expenses14575545TotalExpenses
Excess Or Deficit For Year-465123ExcessOrDeficitForYear
Other$9,941OtherAmount
Total Adjustments9941TotalAdjustments
Excess Or Deficit Per FS-455182ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14120363TotRevenueEtcAuditedFinclStmt
Other Revenues9941OtherRevenues
Revenue Not Rptd F9909941RevenueNotRptdF990
Revenue Subtotal14110422RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014110422TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14575545TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal14575545ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014575545TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:EFFECTIVE JANUARY 1, 2009 GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE THE ORGANIZATION TO EVALUATE THE LEVEL OF UNCERTAINTY RELATED TO WHETHER THE TAX POSITIONS TAKEN WILL BE SUSTAINED UPON EXAMINATION. ANY POSTIIONS TAKEN THAT DO NOT MEET THE MORE-LIKELY-THAN-NOT THRESHOLD MUST BE QUANTIFIED AND RECORDED AS A LIABILILTY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALING WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH THE UNRECOGNIZED TAX BENEFITS ARE CLASSIFIED AS ADDITIONAL INCOME TAXES IN THE STATEMENT OF INCOME. THE ORGANIZATION BELIEVES THAT NONE OF THE TAX POSITIONS TAKEN WOULD MATERIALLY IMPACT THE FINANCIAL STATEMENTS AND NO SUCH LIABILITIES HAVE BEEN RECORDED. IN GENERAL, THE ORGANIZATION IS NO LONGER SUBECT TO U.S. FEDERAL, STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIESFOR THE YEARS JUNE 30, 2009 AND PRIOR.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN ASSETS OF SPLIT INTEREST 9,941.
PART XI, LINE 8; CHANGE IN ASSETS OF SPLIT INTEREST PART XII, LINE 2D; CHANGE IN ASSETS OF SPLIT INTEREST

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11A COPY OF FORM 990 IS GIVEN TO ALL BOARD MEMBERS FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE IS MET BY THE DISCLOSURE TO THE BOARD ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED AT THE ANNUAL BOARD MEETING AND A SALARY SURVEY IS DONE PERIODICALLY.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:CHANGE IN ASSETS OF SPLIT INTEREST 9,941. TOTAL TO FORM 990, PART XI, LINE 5: 9,941.CHANGES IN NET ASSETS OR FUND BALANCES:
THE FINANCE / AUDIT COMMITTEE OVERSEES THE AUDIT ON AN ANNUAL BASIS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
COPELAND OAKS
800 S 15TH STREETSEBRINGOH44672340941565PROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND NURSING TO RESIDENTS.OH501(C)(3)90
THE OAKS FOUNDATION INC
800 S 15TH STREETSEBRINGOH44672341724387PROVIDES FUNDS TO NOT FOR PROFIT ORGANIZATIONS.OH501(C)(3)III-FI0
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 Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
THE OAKS FOUNDATION INC
C180088FAIR MARKET VALUE
COPELAND OAKS
M0FAIR MARKET VALUE
THE OAKS FOUNDATION INC
M0FAIR MARKET VALUE
COPELAND OAKS
O1962572FAIR MARKET VALUE

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