FURP.ORG / PUBLIC DATA EXPLORER

WORTHINGTON CHRISTIAN VILLAGE CONGREGATE CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WORTHINGTON CHRISTIAN VILLAGE CONGREGATE CARE INC (EIN 31-1110376)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-22
IRS object ID
201222969349300037
Schema version
2011v1.3
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)
Timestamp2012-10-22T16:19:37-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 BLVDAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code441225450ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311110376EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WORTHINGTON CHRISTIAN VILLAGEBusinessNameLine1
Business Name Line2CONGREGATE CARE INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% RANDALL RICHARDSONInCareOfName
Name ControlWORTNameControl
Phone6148466076Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 HIGHBLUFFS BLVDAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432351484ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namerandy richardsonName
Titleexecutive directorTitle
Date Signed2012-10-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMatthew Dasta CPAName
Phone2168311200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer Personrandall richardsonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1165 HIGHBLUFFS BLVDAddressLine1
CitycolumbusCity
StateOHState
ZIP Code432351484ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4145800GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WCV.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission Descriptionto provide a comfortable and safe environment for its senior citizen residents in a 154 unit independent and assisted living facility.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year194550ContributionsGrantsPriorYear
Contributions Grants Current Year187049ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3952804ProgramServiceRevenuePriorYear
Program Service Revenue CY3955254ProgramServiceRevenueCY
Investment Income Prior Year8207InvestmentIncomePriorYear
Investment Income Current Year3497InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4155561TotalRevenuePriorYear
Total Revenue Current Year4145800TotalRevenueCurrentYear
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 Year2073651SalariesEtcPriorYear
Salaries Etc Current Year1999291SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1616562OtherExpensePriorYear
Other Expenses Current Year1660686OtherExpensesCurrentYear
Total Expenses Prior Year3690213TotalExpensesPriorYear
Total Expenses Current Year3659977TotalExpensesCurrentYear
Revenues Less Expenses Prior Year465348RevenuesLessExpensesPriorYear
Revenues Less Expenses CY485823RevenuesLessExpensesCY
Total Assets BOY6105174TotalAssetsBOY
Total Assets EOY6209144TotalAssetsEOY
Total Liabilities BOY3830934TotalLiabilitiesBOY
Total Liabilities EOY3342392TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2274240NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2866752NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A COMFORTABLE AND SAFE ENVIRONMENT FOR ITS SENIOR CITIZEN RESIDENTS IN A 154 UNIT INDEPENDENT AND ASSISTED LIVING FACILITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3113493Expense
Revenue3955254Revenue
DescriptionHealth care, general and other programsDescription
Total Program Service Expense3113493TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 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 EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
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 PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
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 PersonRANDALL RICHARDSONNamePerson
Telephone Number6148466076TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1165 HIGHBLUFFS BLVDAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432351484ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Lynn Borton
trustee1.0X000
william lavely
trustee1.0X000
Sue Massie
trustee1.0X000
Dan Spears
vice president1.0X000X
Ralph Love
trustee1.0X000
Robert Mckenzie
trustee1.0X000
hugh snepp
trustee1.0X000
Bill Thomas
trustee1.0X000
Mike Stumpf
trustee1.0X000
Bob Spengler
president1.0X000X
Mikl Davis
trustee1.0X000
Mel Harty
trustee1.0X000
Randy Richardson
Exec. Director/CEO2.001261857333X
Christoffer Welen
Secretary2.00278362867X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs154021TotalReportableCompFrmRltdOrgs
Total Other Compensation10200TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations187049RelatedOrganizations
Total Contributions187049TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column3955254TotalRevenueColumn
Related Or Exempt Function Income3955254RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3955254TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3497TotalRevenueColumn
Exclusion$3,497ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4145800TotalRevenueColumn
Related Or Exempt Function Income3955254RelatedOrExemptFunctionIncome
Exclusion$3,497ExclusionAmount

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1701692Total
Program Services1447786ProgramServices
Management And General253906ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total19684Total
Program Services14831ProgramServices
Management And General4853ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total98091Total
Program Services76948ProgramServices
Management And General21143ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total179824Total
Program Services150856ProgramServices
Management And General28968ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43988Total
Management And General43988ManagementAndGeneral

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)
Total11601Total
Program Services11601ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total62510Total
Program Services4516ProgramServices
Management And General57994ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total51557Total
Program Services14006ProgramServices
Management And General37551ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total12442Total
Management And General12442ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total189497Total
Program Services189497ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total7562Total
Management And General7562ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total203540Total
Program Services203540ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total325559Total
Program Services295321ProgramServices
Management And General30238ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total47839Total
Management And General47839ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
RAW FOOD426109426109
MEDICAL AND OTHER SUPPLIES8802088020
MAINTENANCE AND REPAIRS9683596835
UNRESTRICTED CONTRIBUTIONS5000050000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total43627Total
Program Services43627ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3659977Total
Program Services3113493ProgramServices
Management And General546484ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1871109BOY
EOY2238708EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY150000BOY
EOY150979EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY48626BOY
EOY37350EOY

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)
BOY4912BOY
EOY3550EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY30349BOY
EOY35190EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9515303LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6201969LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3565414BOY
EOY3313334EOY

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)
BOY434764BOY
EOY430033EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6105174BOY
EOY6209144EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY119508BOY
EOY119764EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY43960BOY
EOY59230EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3318000BOY
EOY2902200EOY

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)
BOY152490BOY
EOY45801EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY196976BOY
EOY215397EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3830934BOY
EOY3342392EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2274240BOY
EOY2866752EOY

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)
BOY2274240BOY
EOY2866752EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6105174BOY
EOY6209144EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses485823ReconcilationRevenueExpenses
Reconcilation Other Changes106689ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years211207CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years172047CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years155518CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year194550CurrentTaxYearMinus1Year
Current Tax Year187049CurrentTaxYear
Total920371Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3887964CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3919062CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3932722CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3952804CurrentTaxYearMinus1Year
Current Tax Year3955254CurrentTaxYear
Total19647806Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4099171CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4091109CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4088240CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4147354CurrentTaxYearMinus1Year
Current Tax Year4142303CurrentTaxYear
Total20568177Total
FieldValueIRS element (for citing)
Public Support Total50920568177PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68707CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30486CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9700CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8207CurrentTaxYearMinus1Year
Current Tax Year3497CurrentTaxYear
Total120597Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68707CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30486CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9700CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8207CurrentTaxYearMinus1Year
Current Tax Year3497CurrentTaxYear
Total120597Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11965CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9767CurrentTaxYearMinus3Years
Total21732Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4179843CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4131362CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4097940CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4155561CurrentTaxYearMinus1Year
Current Tax Year4145800CurrentTaxYear
Total20710506Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99313PublicSupportPercentage509
Prior Year Support Percentage0.99328PriorYearSupportPercentage
Investment Income Percentage0.00582InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00567PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis65517OtherCostOrOtherBasis
Book Value65517BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6998902OtherCostOrOtherBasis
Depreciation4457613Depreciation
Book Value2541289BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1442027OtherCostOrOtherBasis
Depreciation897914Depreciation
Book Value544113BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1008856OtherCostOrOtherBasis
Depreciation846441Depreciation
Book Value162415BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3313334TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED LOAN COSTS52028
ASSETS - RESTRICTED USE377779
ACCRUED INTEREST RECEIVABLE226
FieldValueIRS element (for citing)
Total Book Value Other Assets430033TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
SECURITY DEPOSITS$191,267
THIRD PARTY OVERPAYMENT$24,130
FieldValueIRS element (for citing)
Total Of Amounts215397TotalOfAmounts
Total Revenue4145800TotalRevenue
Total Expenses3659977TotalExpenses
Excess Or Deficit For Year485823ExcessOrDeficitForYear
Other$106,689OtherAmount
Total Adjustments106689TotalAdjustments
Excess Or Deficit Per FS592512ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4252489TotRevenueEtcAuditedFinclStmt
Other Revenues106689OtherRevenues
Revenue Not Rptd F990106689RevenueNotRptdF990
Revenue Subtotal4145800RevenueSubtotal
Total Revenue Per Form9904145800TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3659977TotExpensesEtcAuditedFinclStmt
Expenses Subtotal3659977ExpensesSubtotal
Total Expenses Per Form9903659977TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierReconciliation to audited financialsIdentifier
Return ReferenceSchedule D, Part XI #8 and Part XII #2dReturnReference
Explanationchange in value of interest rate swap $106,689Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1franklin county ohioBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN316400067IssuerEIN
CUSIP Number353180GY2CUSIPNumber
Date Issued2007-06-21DateIssued
Issue Price4544400IssuePrice
Description Of Purposerefund the 1998 bondsDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds4544400TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow4404613RefundingEscrow
Issuance Costs From Proceeds139787IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1Huntington BankBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge5.TermOfHedge
Superintegrated HedgetrueSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
membersFORM 990, PART VI, SECTION A, LINE 6:THE ORGANIZATION IS COMPRISED OF A GROUP OF CENTRAL OHIO CHRISTIAN CHURCHES THAT HAVE APPLIED AND ARE ELECTED AS MEMBERS OF THE WORTHINGTON CHRISTIAN VILLAGE CONGREGATE CARE.
election of membersFORM 990, PART VI, SECTION A, LINE 7A:WORTHINGTON CHRISTIAN VILLAGE CONGREGATE CARE IS COMPRISED OF A GROUP OF CENTRAL OHIO CHRISTIAN CHURCHES THAT ELECT 12 MEMBERS TO THE BOARD OF TRUSTEES.
990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11:THE ORGANIZATION HAS A FINANCE COMMITTEE THAT WILL REVIEW THE FORM 990 BEFORE FILING WITH THE IRS.
conflict of interest policyFORM 990, PART VI, SECTION B, LINE 12C:THE CONFLICT OF INTEREST POLICY IS ENFORCED WITH ANNUAL REVIEWS.
COMPENSATIONFORM 990, PART VI, SECTION B, LINE 15A:THE TOP MANAGEMENT IS INCLUDED IN DELIBERATION AND DECISIONS.
DOCUMENTS AVAILABLE TO PUBLICFORM 990, PART VI, SECTION C, LINE 19:THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
SCHEDULE K PART I BOND ISSUESSCHEDULE K PART I BOND ISSUESA - ISSUER NAME: FRANKLIN COUNTY, OHIO F - DESCRIPTION OF PURPOSE: REFUND THE 1998 SENIOR HOSPITAL FACILITIES REVENUE REFUNDING BONDS.
other change in net assetsform 990, part xi, line 5change in value of interest rate swap $106,689

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
WORTHINGTON CHRISTIAN VILLAGE INC
165 HIGHBLUFFS BLVDcolumbusOH43235310945352nursing careOH501(C)(3)Line 9N/Afalse
WCV COLONY DEVELOPMENT INC
165 HIGHBLUFFS BLVDcolumbusOH43235311593984nursing careOH501(C)(3)LINE 11BfalseWCV
WORTHINGTON CHRISTIAN VILLAGE COLONY INC
165 HIGHBLUFFS BLVDcolumbusOH43235311400208nursing careOH501(C)(3)Line 9falseWCV
WCV BENEVOLENT ASSOCIATION INC
165 HIGHBLUFFS BLVDcolumbusOH43235311145025PHILANTHROPYOH501(C)(3)Line 7falseWCV
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
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 OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg