COLUMBUS COLONY FOR ELDERLY CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: COLUMBUS COLONY FOR ELDERLY CARE INC (EIN 31-0951208)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-06-14
IRS object ID: 201221669349300627
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
Form 990
Schedule A
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-06-14T12:36:58-07:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAM POWELSON CPA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1515 WEST LANE AVE STE 4	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43221	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	310951208	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COLUMBUS COLONY FOR ELDERLY CARE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COLU	NameControl
Phone	6148915055	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1150 COLONY DRIVE	AddressLine1
City	WESTERVILLE	City
State	OH	State
ZIP Code	43081	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	HOWARD SNYDER	Name
Title	PRESIDENT	Title
Phone	6148915055	Phone
Date Signed	2012-06-12	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	WILLIAM POWELSON	Name
Phone	6144814409	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RICHARD HUEBNER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	901 S SUNBURY RD	AddressLine1
City	WESTERVILLE	City
State	OH	State
ZIP Code	43081	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	10604213	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.ColumbusColony.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1977	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	Provide skilled nursing care for the elderly - specialized in caring for the hearing impaired.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	233	TotalNbrEmployees
Total Nbr Volunteers	4	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	3839	ContributionsGrantsPriorYear
Contributions Grants Current Year	21184	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	9729047	ProgramServiceRevenuePriorYear
Program Service Revenue CY	10562050	ProgramServiceRevenueCY
Investment Income Prior Year	1889	InvestmentIncomePriorYear
Investment Income Current Year	862	InvestmentIncomeCurrentYear
Other Revenue Prior Year	26538	OtherRevenuePriorYear
Other Revenue Current Year	20117	OtherRevenueCurrentYear
Total Revenue Prior Year	9761313	TotalRevenuePriorYear
Total Revenue Current Year	10604213	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4849442	SalariesEtcPriorYear
Salaries Etc Current Year	4774422	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	4888607	OtherExpensePriorYear
Other Expenses Current Year	5262734	OtherExpensesCurrentYear
Total Expenses Prior Year	9738049	TotalExpensesPriorYear
Total Expenses Current Year	10037156	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	23264	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	567057	RevenuesLessExpensesCY
Total Assets BOY	5742965	TotalAssetsBOY
Total Assets EOY	6052984	TotalAssetsEOY
Total Liabilities BOY	4705950	TotalLiabilitiesBOY
Total Liabilities EOY	4448912	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1037015	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1604072	NetAssetsOrFundBalancesEOY
Mission Description	Provide skilled nursing care for the elderly - specialized in	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	9025125	Expense
Revenue	10604213	Revenue
Description	LONG TERM CARE -SKILLED NURSING HOME - 150 BEDS	Description
Total Program Service Expense	9025125	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	3	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	233	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RICHARD STEPP	NamePerson
Telephone Number	6148915055	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1150 COLONY DRIVE	AddressLine1
City	WESTERVILLE	City
State	OH	State
ZIP Code	43081	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Key EmployeeKeyEmployee	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector
ROBERT GRIGGS
Administrator	40.00	X	101022	0	0
RICHARD HUEBNER
Bd President	2.00		0	0	0	X
JOHN BRADLEY
Bd. Secretary	1.00		0	0	0	X
STEVE RIDENOUR
Bd. V.P.	1.00		0	0	0	X
HOWARD SNYDER
Treasurer	1.00		0	0	0	X
WENDELL CLARK
Board Member	1.00		0	0	0	X
RICHARD CROSSEN
Board Member	1.00		0	0	0	X
HARVEY CRUM
Board Member	1.00		0	0	0	X
DELFINA ZEIGLER
Board member	1.00		0	0	0	X
WILLIAM NOBLE
Board Member	1.00		0	0	0	X
RICK SCHULTZ
Board Member	1.00		0	0	0	X
KIM SUTTON
Board Member	1.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	101022	TotalReportableCompFromOrg
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	THERAPY PARTNERS	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	MIDDLEBURG HEIGHTS	AddressLine1
City	SPRAGUE	City
State	OH	State
ZIP Code	44130	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	Therapy Services	DescriptionOfServices
Compensation	587798	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
All Other Contributions	21184	AllOtherContributions
Total Contributions	21184	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Routine/ancilliary	Description
Business Code	623000	BusinessCode
Total Revenue Column	10562050	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Program Service Revenue	10562050	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	862	TotalRevenueColumn
Exclusion	$862	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Miscellaneous	Description
Business Code	623000	BusinessCode
Total Revenue Column	20117	TotalRevenueColumn
Related Or Exempt Function Income	20117	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	20117	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	10604213	TotalRevenueColumn
Related Or Exempt Function Income	10582167	RelatedOrExemptFunctionIncome
Exclusion	$862	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	101295	Total
Program Services	0	ProgramServices
Management And General	101295	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4515635	Total
Program Services	4222618	ProgramServices
Management And General	293017	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	96112	Total
Program Services	96112	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	61380	Total
Program Services	61380	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	292000	Total
Program Services	0	ProgramServices
Management And General	292000	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	14495	Total
Program Services	0	ProgramServices
Management And General	14495	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	58023	Total
Program Services	0	ProgramServices
Management And General	58023	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	51534	Total
Program Services	0	ProgramServices
Management And General	51534	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	51712	Total
Program Services	0	ProgramServices
Management And General	51712	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	42028	Total
Program Services	0	ProgramServices
Management And General	42028	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	183260	Total
Program Services	183260	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	6707	Total
Program Services	0	ProgramServices
Management And General	6707	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	206649	Total
Program Services	206649	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	303193	Total
Program Services	303193	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	65023	Total
Program Services	65023	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral
Bad debts	21	21
Comunications	19714	19714
Employee Screening	8560	8560
Copier	3416	3416

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3956399	Total
Program Services	3886890	ProgramServices
Management And General	69509	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	10037156	Total
Program Services	9025125	ProgramServices
Management And General	1012031	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	151428	BOY
EOY	221050	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1095867	BOY
EOY	1314683	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	23334	BOY
EOY	23334	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	42630	BOY
EOY	32056	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	9128282	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	5051418	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3885347	BOY
EOY	4076864	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	544359	BOY
EOY	384997	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5742965	BOY
EOY	6052984	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1501536	BOY
EOY	1509352	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3157549	BOY
EOY	2898393	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	46865	BOY
EOY	41167	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	4705950	BOY
EOY	4448912	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1037015	BOY
EOY	1604072	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1037015	BOY
EOY	1604072	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5742965	BOY
EOY	6052984	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	567057	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2
Public Support Total170	0	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Pertcentage170	0	PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	39264	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3765	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3274	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3839	CurrentTaxYearMinus1Year
Current Tax Year	21184	CurrentTaxYear
Total	71326	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9012233	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8782743	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8957923	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9729047	CurrentTaxYearMinus1Year
Current Tax Year	10582167	CurrentTaxYear
Total	47064113	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9051497	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8786508	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8961197	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9732886	CurrentTaxYearMinus1Year
Current Tax Year	10603351	CurrentTaxYear
Total	47135439	Total

Field	Value	IRS element (for citing)
Public Support Total509	47135439	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	42018	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16399	CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year	1889	CurrentTaxYearMinus1Year
Current Tax Year	862	CurrentTaxYear
Total	61168	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	42018	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16399	CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year	1889	CurrentTaxYearMinus1Year
Current Tax Year	862	CurrentTaxYear
Total	61168	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Total	47196607	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99870	PublicSupportPercentage509
Prior Year Support Percentage	0.99780	PriorYearSupportPercentage
Investment Income Percentage	0.00130	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00220	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	188801	OtherCostOrOtherBasis
Book Value	188801	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6036964	OtherCostOrOtherBasis
Depreciation	2988935	Depreciation
Book Value	3048029	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2742185	OtherCostOrOtherBasis
Depreciation	1902151	Depreciation
Book Value	840034	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	160332	OtherCostOrOtherBasis
Depreciation	160332	Depreciation

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4076864	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
Resident funds	41167
Mortgage escrow deposits	105253
Replacement reserve fund	170148
Residual receipts fund
Deferred financing costs	67429
Other assets	1000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	384997	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Resident personal funds	Description
Amount	$41,167	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	41167	TotalOfAmounts
Total Revenue	10604213	TotalRevenue
Total Expenses	10037156	TotalExpenses
Excess Or Deficit For Year	567057	ExcessOrDeficitForYear
Excess Or Deficit Per FS	567057	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	10604213	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	10604213	RevenueSubtotal
Total Revenue Per Form990	10604213	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	10037156	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	10037156	ExpensesSubtotal
Total Expenses Per Form990	10037156	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	ExplanationExplanation
Pt VI, Line 19	Upon request
Pt VI, Line 11a	Form 990 reviewed at Board meeting
Pt VI, Line 6	Elected Board
Pt VI, Line 7a	Elected Board
Pt VI, Line 7b	Board resolutions voted upon
Pt VI, Line 15	Board reviews compensation in relation to nursing home
	administrators
Form 990, Part IX, Line 24f	DUES AND SUBSCRIPTIONS 5878. 0. 5878. 0. LICENSE 2252. 0. 2252. 0. COMPUTER MAINTENANCE 58854. 0. 58854. 0. OTHER 2525. 0. 2525. 0. MAINT. CONTRACTS 99188. 99188. 0. 0. MAINT. SUPPLIES 55185. 55185. 0. 0. TRASH REMOVAL 23511. 23511. 0. 0. GOVT MANADATED FEES 658179. 658179. 0. 0. DIETARY PURCHASED SERVICE 30029. 30029. 0. FOOD 401161. 401161. 0. DIETARY SUPPLIES 61259. 61259. 0. HOUSKEEPING SUPPLIES 63500. 63500. OTHER MEDICAL 12000. 12000. MINOR EQUIPMENT 35773. 35773. 0. 0. MEDICAL SUPPLIES 10

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	COLUMBUS COLONY INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	901 S SUNBURY RD	AddressLine1
City	WESTERVILLE	City
State	OH	State
ZIP Code	43081	ZIPCode

Field	Value	IRS element (for citing)
EIN	341265105	EIN
Primary Activities	MANAGEMENT	PrimaryActivities
Legal Domicile State	OH	LegalDomicileState
Exempt Code Section	501(c)3	ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	X	BusinessNameLine1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	COLUMBUS COLONY INC - MANAGEMENT FEE	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	o	TransactionType
Amount Involved	292000	AmountInvolved
Method Of Amt Determination	cost	MethodOfAmtDetermination