2012-05-15T12:48:23-05:00 2011-12-31 381357951 PLANTE & MORAN PLLC 65 EAST STATE STREET COLUMBUS OH 43215 990 2011-01-01 340878993 WEST VIEW MANOR INC WEST 3302648640 1715 MECHANICSBURG RD WOOSTER OH 44691 JERROLD BLACKMORE 3302648640 2012-05-10 1 P00366367 6148493000 2011 2016-02-24 21:20:13Z JERROLD BLACKMORE 1715 MECHANICSBURG RD WOOSTER OH 44691 13364618 0 X WWW.WESTVIEWMANOR.ORG X 1956 OH TO PROVIDE PHYSICAL, SOCIAL, AND SPIRITUAL CARE TO OUR FRAIL ELDERLY. 9 9 293 390 0 0 17473 75131 12594826 12460366 179719 147391 41945 71254 12833963 12754142 0 0 0 0 6419606 6746355 0 0 0 6026064 5614084 12445670 12360439 388293 393703 22757728 22446400 10936838 10321922 11820890 12124478 X THE MISSION OF WEST VIEW MANOR IS TO FOSTER, MAINTAIN AND OPERATE A CHRISTIAN CONTINUING CARE SENIOR LIVING COMMUNITY THAT PROVIDES OLDER PERSONS WITH CARING AND QUALITY SERVICES TOWARD THE ENHANCEMENT OF THEIR PHYSICAL, MENTAL, AND SPIRITUAL WELL-BEING CONSISTENT WITH THE CHRISTIAN GOSPEL. 0 0 10865496 0 12504814 TO PROVIDE HEALTH CARE SERVICES INCLUDING RESIDENTIAL CARE. LICENSED BEDS INCLUDE:> 93 NURSING HOME BEDS, > 46 REST HOME BEDS,> 72 ASSISTED-LIVING BEDS, AND> 18 DETACHED INDEPENDENT LIVING UNITS 10865496 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 2 0 1 293 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X ERIN HILL 3302648640 1715 MECHANICSBURG RD WOOSTER OH 44891 MIKE FORCE 1.00 X X 0 0 0 DON BATTERSHELL 1.00 X X 0 0 0 WAYNE HOCHSTETLER 1.00 X X 0 0 0 JOHN FLEMING 1.00 X X 0 0 0 ROGER PROPER 1.00 X 0 0 0 ELLEN MOORE 1.00 X 0 0 0 KATHRYN GRAY 1.00 X 0 0 0 MOLLY FARLEY 1.00 X 0 0 0 CAROL VAN PELT 1.00 X 0 0 0 JERRY BLACKMORE 40.00 X 103238 0 15562 ROBERT D WETTER JR 40.00 X 41153 0 3247 144391 0 18809 1 0 0 0 THERAPY PARTNERS 14650 DETROIT AVE SUITE 710 CLEVELAND OH 44107 OCCUPATIONAL, SPEECH, PHYSICAL THERAPY 1313072 STANDARD PLUMBING & HEATING 435 WALNUT AVENUE SE CANTON OH 44702 PLUMBING, HVAC, CONTROLS & SHEET METAL 241737 PMG PHARMACY 757 BROOKSEDGE PLAZA DR WESTERVILLE OH 43081 PROVIDER OF PHARMACY SERVICES 208239 3 75131 75131 NET SERVICE REVENUE 623000 12460366 12460366 12460366 190198 190198 567669 600089 10387 -32420 -10387 -42807 -42807 OTHER REVENUE 900099 44448 44448 CAFETERIA INCOME 722210 26806 26806 71254 12754142 12504814 0 174197 163200 163200 5301874 4961448 340426 579219 514842 64377 702062 597205 104857 17001 17001 80045 80045 36027 36027 1328170 1328170 58818 58818 1385767 1099079 286688 23535 23535 437659 368207 69452 50005 9202 40803 275245 250743 24502 776608 707476 69132 116080 116080 FOOD 491499 491499 FRANCHISE TAXES 377062 377062 PROVISION FOR BAD DEBTS 107316 107316 BARBER AND GIFT SHOP 50778 50778 2469 2469 12360439 10865496 1494943 0 75 217 4256175 4646303 1607111 1036904 5000 8146 72721 86680 20786664 10735671 10403953 10050993 6129218 6340348 283475 276809 22757728 22446400 896721 678470 371021 320816 8960000 8495000 709096 827636 10936838 10321922 X 11193688 11472909 627202 651569 11820890 12124478 22757728 22446400 X 393703 -90115 X X 0 1 1 X 0 X 47437 16239 15081 17473 75131 171361 10366572 10874711 11623004 12594826 12460366 57919479 10414009 10890950 11638085 12612299 12535497 58090840 0 0 0 58090840 273276 245657 163674 182147 190198 1054952 273276 245657 163674 182147 190198 1054952 80633 75212 83162 41820 71254 352081 10767918 11211819 11884921 12836266 12796949 59497873 0.97640 0.97540 0.01770 0.01930 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 153816 153816 16729439 8034434 8695005 246666 153804 92862 3656743 2547433 1109310 10050993 DEFERRED REVENUE FROM ADVANCE FEES 532792 INTEREST RATE SWAP LIABILITY 294844 827636 CITY OF WOOSTER OH 346003129 981104AA0 2003-09-10 6985000 FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF FACILITIES 0 0 0 6985000 130151 36945 6817904 2005 0 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS COMPLETED BY AN INDEPENDENT ACCOUNTING FIRM. IT IS THEN MADE AVAILABLE ELECTRONICALLY TO THE BOARD OF TRUSTEES. THE MEMBERS OF THE BOARD OF TRUSTEES THEN HAVE A CHANCE TO REVIEW THE FORM 990 AND ASK QUESTIONS BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C NEW BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT WHEN THEY JOIN THE BOARD, AND ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. THE STATEMENTS ARE COLLECTED AND REVIEWED ANNUALLY BY WEST VIEW MANOR'S ATTORNEY. SHOULD THERE BE A CHANGE FROM THE PREVIOUS YEAR, IT IS REPORTED TO THE BOARD OF TRUSTEES WHEN SUCH CHANGE OCCURRED. IN ADDITION, BOARD MEMBERS ABSTAIN FROM VOTING AS WELL AS DISCUSSION ON ANY ISSUE FOR WHICH THEY HAVE A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 AN INDUSTRY SALARY SURVEY IS USED FOR DETERMINING WAGES FOR ALL PERSONNEL. THE ORGANIZATION'S FINANCE COMMITTEE REVIEWS ALL MANAGEMENT LEVEL COMPENSATION. THE CFO'S COMPENSATION IS APPROVED BY THE ORGANIZATION'S ADMINISTRATOR AND THE ORGANIZATION'S ADMINISTRATOR'S COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS. ALL DECISIONS REGARDING OFFICER COMPENSATION ARE DOCUMENTED IN THE OFFICERS' COMPENSATION PACKAGE. THE PROCESS WAS LAST UNDERTAKEN IN 2010 AND WILL AGAIN BE REVIEWED IN 2012. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -11,288. CHANGE IN INTEREST RATE SWAP AGREEMENT -78,827. TOTAL TO FORM 990, PART XI, LINE 5: -90,115. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WEST VIEW MANOR ENDOWMENT PROGRAM 1715 MECHANICSBURG RD WOOSTER OH 44691 341278615 SUPPORT WEST VIEW MANOR, INC. OH 501(C)(3) 11B NA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0