OHIO LIVING SARAH MOORE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
OHIO LIVING SARAH MOORE (EIN 31-1510768)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-06
IRS object ID
201202199349301055
Schema version
2011v1.2
Note
A later return for the same period supersedes this one.
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)
Timestamp2012-08-06T11:17:57-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM POWELSON CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11515 WEST LANE AVE STE 4AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43221ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311510768EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SARAH MOORE HEALTH CARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSARANameControl
Phone7403629641Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line126 N UNION STREETAddressLine1
CityDELAWARECity
StateOHState
ZIP Code43015ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRON WHITEName
TitleADMINISTRATORTitle
Phone7403629641Phone
Date Signed2012-06-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM POWELSONName
Phone6144814409Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRONALD WHITENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line126 N UNIONAddressLine1
CityDELAWARECity
StateOHState
ZIP Code43015ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4701392GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSarah Moore Health Center, Inc. operates a 32 bed skilled nursing facility and a 44 bed assisted living facility.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees130TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year62185ContributionsGrantsPriorYear
Contributions Grants Current Year6689ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4350702ProgramServiceRevenuePriorYear
Program Service Revenue CY4758085ProgramServiceRevenueCY
Investment Income Prior Year126529InvestmentIncomePriorYear
Investment Income Current Year25876InvestmentIncomeCurrentYear
Other Revenue Current Year-89258OtherRevenueCurrentYear
Total Revenue Prior Year4539416TotalRevenuePriorYear
Total Revenue Current Year4701392TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2567276SalariesEtcPriorYear
Salaries Etc Current Year2802438SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1998031OtherExpensePriorYear
Other Expenses Current Year2291516OtherExpensesCurrentYear
Total Expenses Prior Year4565307TotalExpensesPriorYear
Total Expenses Current Year5093954TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-25891RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-392562RevenuesLessExpensesCY
Total Assets BOY11536695TotalAssetsBOY
Total Assets EOY10984693TotalAssetsEOY
Total Liabilities BOY13305995TotalLiabilitiesBOY
Total Liabilities EOY13146555TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1769300NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2161862NetAssetsOrFundBalancesEOY
Mission DescriptionSarah Moore Health Center, Inc.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4210183Expense
Revenue4701392Revenue
DescriptionPROVIDED SKILLED CARE AND ASSISTED LIVING.Description
Total Program Service Expense4210183TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
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 AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
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 RequiredtrueScheduleJRequired
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 EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees130NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRONALD WHITENamePerson
Telephone Number7403629641TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line126 N UNIONAddressLine1
CityDELAWARECity
StateOHState
ZIP Code43015ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
TIM FLAHIVE
Board-President1.00X000
CHESTER HAMMOND
Board Treasurer1.00000X
DARLENE BARNES
Board Member1.00000X
BILL WILLIAMS
Board Member1.00000X
TIM CHESSER
Board Member1.00000X
DEBORAH MARTIN
Board Member1.00000X
MARY LOU WALDRON
Board Member1.00000X
RONALD J WHITE
Administrator40.0018821500XX
JERRY EDMONDS
Secretary-Board1.00000X
MARILYN SHEETS
Board Member1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org188215TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1FUNCTIONAL PATHWAYSAddressLine1
CityKNOXVILLECity
StateTNState
ZIP Code37932ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTherapyDescriptionOfServices
Compensation350148Compensation
FieldValueIRS element (for citing)
All Other Contributions6689AllOtherContributions
Total Contributions6689TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
32 Bed Nursing Home6230001660271
44 Bed Assisted Living6230003082962

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column14852TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue4758085TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column25876TotalRevenueColumn
Exclusion$25,876ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-89258TotalRevenueColumn
Exclusion-$89,258ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-89258TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4701392TotalRevenueColumn
Related Or Exempt Function Income4758085RelatedOrExemptFunctionIncome
Exclusion-$63,382ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total188215Total
Program Services0ProgramServices
Management And General188215ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2265507Total
Program Services2008861ProgramServices
Management And General256646ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total348716Total
Program Services228046ProgramServices
Management And General120670ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5190Total
Program Services0ProgramServices
Management And General5190ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total389352Total
Program Services389352ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total396Total
Program Services0ProgramServices
Management And General396ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16071Total
Program Services0ProgramServices
Management And General16071ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total19588Total
Program Services0ProgramServices
Management And General19588ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total133665Total
Program Services133665ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total11896Total
Program Services0ProgramServices
Management And General11896ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total436116Total
Program Services436116ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total292846Total
Program Services292846ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total61706Total
Program Services0ProgramServices
Management And General61706ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies21012221012200
Food19892919892900
Repairs & Maintenance592545925400
Other201212012100

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total436264Total
Program Services232871ProgramServices
Management And General203393ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5093954Total
Program Services4210183ProgramServices
Management And General883771ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY76396BOY
EOY121784EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY482213BOY
EOY289338EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY317370BOY
EOY375862EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4458BOY
EOY4915EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY301342BOY
EOY72999EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10521339LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1886914LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8891121BOY
EOY8634425EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1290625BOY
EOY1320072EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY173170BOY
EOY165298EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11536695BOY
EOY10984693EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY528076BOY
EOY553592EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8229035BOY
EOY7805965EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4548884BOY
EOY4786998EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13305995BOY
EOY13146555EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1769300BOY
EOY-2161862EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1769300BOY
EOY-2161862EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11536695BOY
EOY10984693EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-392562ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5996CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4060CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1143955CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62185CurrentTaxYearMinus1Year
Current Tax Year6689CurrentTaxYear
Total1222885Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2514712CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2565349CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3474902CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4350702CurrentTaxYearMinus1Year
Current Tax Year4758085CurrentTaxYear
Total17663750Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2520708CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2569409CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4618857CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4412887CurrentTaxYearMinus1Year
Current Tax Year4764774CurrentTaxYear
Total18886635Total
FieldValueIRS element (for citing)
Public Support Total50918886635PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6254CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16574CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1635CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28799CurrentTaxYearMinus1Year
Current Tax Year25876CurrentTaxYear
Total79138Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6254CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16574CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1635CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28799CurrentTaxYearMinus1Year
Current Tax Year25876CurrentTaxYear
Total79138Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years-9607CurrentTaxYearMinus2Years
Total-9607Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total18956166Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99630PublicSupportPercentage509
Prior Year Support Percentage0.99730PriorYearSupportPercentage
Investment Income Percentage0.00420InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00330PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis208750OtherCostOrOtherBasis
Book Value208750BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9430176OtherCostOrOtherBasis
Depreciation1380970Depreciation
Book Value8049206BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis844156OtherCostOrOtherBasis
Depreciation467687Depreciation
Book Value376469BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38257OtherCostOrOtherBasis
Depreciation38257Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8634425TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionFinancing costsDescription
Book Value165298BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets165298TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionIntercompanyDescription
Amount$4,786,998Amount
FieldValueIRS element (for citing)
Total Of Amounts4786998TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonRONALD J WHITENamePerson
Base Compensation Filing Org188215BaseCompensationFilingOrg
Nontaxable Benefits Filing Org23500NontaxableBenefitsFilingOrg
Total Compensation Filing Org211715TotalCompensationFilingOrg

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF DELAWAREBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN316400065IssuerEIN
CUSIP Number245872AH9CUSIPNumber
Date Issued2007-09-13DateIssued
Issue Price8905000IssuePrice
Description Of PurposeRefurbish/Add bedsDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds8905000TotalProceeds
Issuance Costs From Proceeds203000IssuanceCostsFromProceeds
Capital Expenditures5649000CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 18Upon request
Pt VI, Line 11a990 available upon request
Form 990, Part IX, Line 24fTELEPHONE 14435. 0. 14435. 0. DUES & SUBSCRIPTIONS 6785. 0. 6785. 0. BAD DEBTS 34642. 0. 34642. 0. FRANCHISE PERMIT FEE 129742. 0. 129742. 0. MISCELLANEOUS 17789. 0. 17789. 0. AMORTIZED LOAN EXP. 232871. 232871. 0. 0.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SARAH MOORE HOMEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line147 EAST WILLIAMS STAddressLine1
CityDELAWARECity
StateOHState
ZIP Code43015ZIPCode
FieldValueIRS element (for citing)
EIN314379575EIN
Primary ActivitiesASSISTED LIVINGPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(c)3ExemptCodeSection
Public Charity StatusyesPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COMMON BOARDBusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1SARAH MOORE HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypemnTransactionType

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