FURP.ORG / PUBLIC DATA EXPLORER

JACKSON COUNTY HEALTH FACILITIES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
JACKSON COUNTY HEALTH FACILITIES (EIN 31-0802091)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-12
IRS object ID
201342249349300039
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)
Timestamp2013-08-12T09:05:45-05:00Timestamp
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)
EIN310802091EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JACKSON COUNTY HEALTH FACILITIES INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DAVID NICHOLSInCareOfName
Name ControlJACKNameControl
Phone7403842119Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1
Address Line2SuiteAddressLine2
CityWELLSTONCity
StateOHState
ZIP Code45692ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDavid NicholsName
TitleCFOTitle
Phone2168311200Phone
Date Signed2013-08-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMatthew Dasta CPAName
Phone2168311200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Jenkins Care CommunityBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonWilliam PotterNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1
CityWELLSTONCity
StateOHState
ZIP Code45692ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4686572GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1968YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE TO THOSE WHO SEEK OUR HELP, THE BEST POSSIBLE HEALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIRONMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees155TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1949ContributionsGrantsPriorYear
Contributions Grants Current Year925ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5110545ProgramServiceRevenuePriorYear
Program Service Revenue CY4654251ProgramServiceRevenueCY
Investment Income Prior Year47047InvestmentIncomePriorYear
Investment Income Current Year28228InvestmentIncomeCurrentYear
Other Revenue Prior Year2563OtherRevenuePriorYear
Other Revenue Current Year3168OtherRevenueCurrentYear
Total Revenue Prior Year5162104TotalRevenuePriorYear
Total Revenue Current Year4686572TotalRevenueCurrentYear
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 Year2755775SalariesEtcPriorYear
Salaries Etc Current Year2737020SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2082621OtherExpensePriorYear
Other Expenses Current Year1897784OtherExpensesCurrentYear
Total Expenses Prior Year4838396TotalExpensesPriorYear
Total Expenses Current Year4634804TotalExpensesCurrentYear
Revenues Less Expenses Prior Year323708RevenuesLessExpensesPriorYear
Revenues Less Expenses CY51768RevenuesLessExpensesCY
Total Assets BOY6743042TotalAssetsBOY
Total Assets EOY6792699TotalAssetsEOY
Total Liabilities BOY1025622TotalLiabilitiesBOY
Total Liabilities EOY1017624TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5717420NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5775075NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE TO THOSE WHO SEEK OUR HELP, THE BEST POSSIBLE HEALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIRONMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3995947Expense
Revenue4654251Revenue
DescriptionHOME FOR AGED 59 BED NURSING FACILITY AND 34 BED ASSISTED LIVING FACILITY ALSO OFFERING THE FOLLOWING SERVICES: ONSITE THERAPY SERVICES (PT,OT & ST), ONSITE BEAUTY SHOP, TRANSPORTATION SERVICES, AND MEDICAID ASSISTED LIVING WAIVER PARTICIPATION.Description
Total Program Service Expense3995947TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees155NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
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 Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
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 PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
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 PersonDAVID NICHOLSNamePerson
Telephone Number7403842119TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1
CityWELLSTONCity
StateOHState
ZIP Code45692ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
GREG ERVIN
VICE PRESIDENT1.0XX
MARTHA MASSIE
SECRETARY1.0XX
BONNY HUFFMAN
PRESIDENT1.0XX
RON HAYES
TREASURER1.0XX
AARON MICHAEL
BOARD MEMBER1.0X
JENNY MASSIE
BOARD MEMBER1.0X
DAN FULKS
BOARD MEMBER1.0X
THERESA WOMELDORF
ADMINISTRATOR40.0X95824016664
DAVID NICHOLS
CFO40.0X75637021323
FieldValueIRS element (for citing)
Total Reportable Comp From Org171461TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation37987TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonGENESIS ELDERCARE REHAB SERVICESNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 7247-6524AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19170ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPT, OT & ST servicesDescriptionOfServices
Compensation440534Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions925AllOtherContributions
Total Contributions925TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID62300036667413666741
RESIDENT REVENUE623000987510987510
FieldValueIRS element (for citing)
Total Program Service Revenue4654251TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column28228TotalRevenueColumn
Exclusion$28,228ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code623000BusinessCode
Total Revenue Column3168TotalRevenueColumn
Exclusion$3,168ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3168TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4686572TotalRevenueColumn
Related Or Exempt Function Income4654251RelatedOrExemptFunctionIncome
Exclusion$31,396ExclusionAmount

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)
Total209448Total
Program Services184148ProgramServices
Management And General25300ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1911434Total
Program Services1680543ProgramServices
Management And General230891ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total31645Total
Program Services15600ProgramServices
Management And General16045ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total417840Total
Program Services267589ProgramServices
Management And General150251ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total166653Total
Program Services111120ProgramServices
Management And General55533ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2000Total
Management And General2000ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total53540Total
Management And General53540ManagementAndGeneral

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)
Total456215Total
Program Services451940ProgramServices
Management And General4275ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6374Total
Program Services6374ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21154Total
Program Services1666ProgramServices
Management And General19488ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total176007Total
Program Services137966ProgramServices
Management And General38041ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1250Total
Management And General1250ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total30500Total
Program Services25925ProgramServices
Management And General4575ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total251117Total
Program Services213449ProgramServices
Management And General37668ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total61144Total
Program Services61144ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FOOD EXPENSE227322227322
FRANCHISE TAXES251043251043
MEDICAL SUPPLIES360118360118

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4634804Total
Program Services3995947ProgramServices
Management And General638857ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY400BOY
EOY400EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3371541BOY
EOY3659513EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY474971BOY
EOY378880EOY

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)
BOY50901BOY
EOY45834EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14826BOY
EOY15505EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6836674LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4145107LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2829403BOY
EOY2691567EOY

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)
BOY1000BOY
EOY1000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6743042BOY
EOY6792699EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY363278BOY
EOY428610EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY647344BOY
EOY573014EOY

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)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15000BOY
EOY16000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1025622BOY
EOY1017624EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5717420BOY
EOY5775075EOY

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)
BOY5717420BOY
EOY5775075EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6743042BOY
EOY6792699EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses51768ReconcilationRevenueExpenses
Reconcilation Other Changes5887ReconcilationOtherChanges
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 Years32285CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3056CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1964CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1949CurrentTaxYearMinus1Year
Current Tax Year925CurrentTaxYear
Total40179Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4727448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4998648CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5163044CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5110545CurrentTaxYearMinus1Year
Current Tax Year4654251CurrentTaxYear
Total24653936Total

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 Years4759733CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5001704CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5165008CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5112494CurrentTaxYearMinus1Year
Current Tax Year4655176CurrentTaxYear
Total24694115Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years34231CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71338CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30009CurrentTaxYearMinus1Year
Current Tax Year93167CurrentTaxYear
Total228745Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years34231CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71338CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30009CurrentTaxYearMinus1Year
Current Tax Year93167CurrentTaxYear
Total228745Total
FieldValueIRS element (for citing)
Public Support Total50924465370PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years93174CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years104512CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79351CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47047CurrentTaxYearMinus1Year
Current Tax Year28228CurrentTaxYear
Total352312Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years93174CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years104512CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79351CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47047CurrentTaxYearMinus1Year
Current Tax Year28228CurrentTaxYear
Total352312Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1490CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1603CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2418CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2563CurrentTaxYearMinus1Year
Current Tax Year3168CurrentTaxYear
Total11242Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4854397CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5107819CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5246777CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5162104CurrentTaxYearMinus1Year
Current Tax Year4686572CurrentTaxYear
Total25057669Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97636PublicSupportPercentage509
Prior Year Support Percentage0.97732PriorYearSupportPercentage
Investment Income Percentage0.01406InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01686PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$263GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB263TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierMEMBERSHIP DUES RELATED TO LOBBYINGIdentifier
Return ReferencePART II-B, LINE 1FReturnReference
Explanation7% OF MEMBERSHIP DUES TO LEADINGAGE OHIO RELATED TO LOBBYING ACTIVITIES.Explanation

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 Basis26965OtherCostOrOtherBasis
Book Value26965BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5117621OtherCostOrOtherBasis
Depreciation2856279Depreciation
Book Value2261342BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1503015OtherCostOrOtherBasis
Depreciation1107289Depreciation
Book Value395726BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis189073OtherCostOrOtherBasis
Depreciation181539Depreciation
Book Value7534BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2691567TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRESIDENT DEPOSITSDescription
Amount$16,000Amount
FieldValueIRS element (for citing)
Total Of Amounts16000TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt4692459TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments5887NetUnrealizedGainsInvestments
Revenue Not Rptd F9905887RevenueNotRptdF990
Revenue Subtotal4686572RevenueSubtotal
Total Revenue Per Form9904686572TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4634804TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4634804ExpensesSubtotal
Total Expenses Per Form9904634804TotalExpensesPerForm990

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF JACKSONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN316400071IssuerEIN
Date Issued2003-03-28DateIssued
Issue Price1100000IssuePrice
Description Of PurposeRENOVATION PROJECTDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds1100000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds31066IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures1060700CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent38446AmountUnspent
Year Of Subst Completion2005YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqstrueWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 REVIEW PROCESSPAGE 6, PART VI, SECTION B, #11ATHE CFO REVIEWS FORM 990 THEN PROVIDES THE FINAL COPY TO ALL BOARD MEMBERS PRIOR TO FILING.
MONITOR & ENFORCE CONFLICT OF INTEREST POLICYPAGE 6, PART VI, SECTION B, #12CTHE POLICY PROVIDED REQUIRES ALL STAFF (INCLUDING THE BOARD OF TRUSTEES) TO REPORT ANY POSSIBLE CONFLICTS TO MANAGEMENT WHICH ARE THEN REVIEWED FOR POTENTIAL CONFLICTS. IF A POTENTIAL CONFLICT OF INTEREST IS DISCOVERED IT IS DISCUSSED INITIALLY AMONG MANAGEMENT. IF IT MERITS FURTHER DISCUSSION IT IS DISCUSSED WITH THE ATTORNEY ON THE BOARD, THEN FINALLY WITH THE ENTIRE BOARD OF DIRECTORS IF NEEDED. DURING THE REVIEW OF THE POTENTIAL CONFLICT OF INTEREST PROCESS, A BOARD MEMBER MAY BE ASKED TO EXCUSE HIM/HERSELF FROM ANY AND ALL VOTES THAT THE BOARD DEEMS APPROPRIATE.
PROCESS FOR DETERMINING COMPENSATIONPAGE 6, PART VI, SECTION B, #15A & 15BCOMPARABILITY DATA IS USED FROM WAGE STUDIES AND THE COST REPORT FOR ANY NEW HIRES OR SIGNIFICANT WAGE ADJUSTMENTS, ALL DATA IS PROVIDED TO THE BOARD OF DIRECTORS FOR ALL WAGE CHANGES FOR FINAL APPROVAL. COPIES OF ALL WAGE STUDY DOCUMENTS AND ALL WAGE DECISIONS ARE DISCUSSED AND DOCUMENTED IN THE BOARD MINUTES WHICH ARE ALSO RETAINED.
DOCUMENTS AVAILABLE TO THE PUBLICPAGE 6, PART VI, SECTION C, #19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
DOCUMENT RETENTION & DESTRUCTIONPAGE 6, PART VI, SECTION B, #14THE ORGANIZATION FOLLOWS SARBANES-OXLEY FOR DOCUMENT RETENTION AND DESTRUCTION GUIDELINES.
OTHER CHANGES IN NET ASSETSPAGE 12, PART XI, #9Unrealized Gains on Investments $ 5,887
Doing Business AsPage 1 - DBAIn 2013, prior to filing the 2012 Federal form 990, the organizations officially changed it's "Doing Business As" name to Jenkins Care Community. The organizations legal name has not changed.