CRANDALL MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CRANDALL MEDICAL CENTER (EIN 34-1289433)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-04-26
IRS object ID
201241179349300539
Schema version
2010v3.4
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)
Timestamp2012-04-26T15:45:59-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HILL BARTH & KING LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1119 EAST STATE STREETAddressLine1
CityALLIANCECity
StateOHState
ZIP Code44601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341289433EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CRANDALL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCRANNameControl
Phone3309381050Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 SOUTH 15TH STREETAddressLine1
CitySEBRINGCity
StateOHState
ZIP Code44672ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVE MANNIONName
TitleCFO / CONTROLLERTitle
Phone3309381050Phone
Date Signed2012-04-24DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3308212150Phone
Date Prepared2012-04-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVE MANNIONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1800 SOUTH 15TH STREETAddressLine1
CitySEBRINGCity
StateOHState
ZIP Code44672ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15610111GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING TO RESIDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees295TotalNbrEmployees
Total Nbr Volunteers52TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year377000ContributionsGrantsPriorYear
Contributions Grants Current Year333371ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15506196ProgramServiceRevenuePriorYear
Program Service Revenue CY15274246ProgramServiceRevenueCY
Investment Income Prior Year1516InvestmentIncomePriorYear
Investment Income Current Year2494InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15884712TotalRevenuePriorYear
Total Revenue Current Year15610111TotalRevenueCurrentYear
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 Year9478138SalariesEtcPriorYear
Salaries Etc Current Year9209974SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5896394OtherExpensePriorYear
Other Expenses Current Year6017484OtherExpensesCurrentYear
Total Expenses Prior Year15374532TotalExpensesPriorYear
Total Expenses Current Year15227458TotalExpensesCurrentYear
Revenues Less Expenses Prior Year510180RevenuesLessExpensesPriorYear
Revenues Less Expenses CY382653RevenuesLessExpensesCY
Total Assets BOY4161662TotalAssetsBOY
Total Assets EOY4606467TotalAssetsEOY
Total Liabilities BOY1850033TotalLiabilitiesBOY
Total Liabilities EOY1849709TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2311629NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2756758NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING TO RESIDENTSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9846320Expense
DescriptionMEDICAL SERVICES PROVIDED TO THE RESIDENTSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1345440Expense
DescriptionDIETARY SERVICES PROVIDED TO RESIDENTSDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1046482Expense
DescriptionFACILITIES PROVIDED TO THE RESIDENTSDescription

Activity Other ActivityOther (2 entries)

ExpenseExpenseDescriptionDescription
586358HOUSEKEEPING SERVICES PROVIDED TO THE RESIDENTS
256688LAUNDRY SERVICES PROVIDED TO RESIDENTS
FieldValueIRS element (for citing)
Total Of Other Program Service Exp843046TotalOfOtherProgramServiceExp
Total Program Service Expense13081288TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees295NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVE MANNIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3309381050TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 S 15TH STAddressLine1
CitySEBRINGCity
StateOHState
ZIP Code44672ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
AMEY REV ROBERT
DIRECTOR1.00X000
CAMPBELL DELORES
DIRECTOR1.00X000
CHAPPELL SARAH SALLY
DIRECTOR1.00X000
DAVIDSON GARY
DIRECTOR1.00X000
GRIFFITH DANIEL
TREASURER1.00X000X
HARDGROVE LEE
DIRECTOR1.00X000
RYAN THOMAS
DIRECTOR1.00X000
SCARPITTI JOHN
VICE PRESIDENT1.00X000X
SLAGLE BRUCE
SECRETARY1.00X000X
VANCAMP LELAND
PRESIDENT1.00X000X
STITLE JIM
DIRECTOR1.00X000
BIERY J LYNNE
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ABSOLUTE REHABILITATION & CONSULT
7233 WHIPPLE AVE NW PO BOX 2880NORTH CANTONOH44720THERAPY1217750
PARIS HEALTHCARE LINEN SERVICE
PO BOX 1043DUBOISPA15801LINEN SERVICE168988
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations333371RelatedOrganizations
Total Contributions333371TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID62300097564199756419
MONTHLY CARE FUND62300046794254679425
MED. & HELPFUL LIVING623000757902757902
BEAUTY/BARBER SHOP INC6230005105951059
MISCELLANEOUS6230001674716747

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column12694TotalRevenueColumn
Related Or Exempt Function Income12694RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15274246TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2494TotalRevenueColumn
Exclusion$2,494ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15610111TotalRevenueColumn
Related Or Exempt Function Income15274246RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,494ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7509460Total
Program Services6678586ProgramServices
Management And General830874ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total968444Total
Program Services912248ProgramServices
Management And General56196ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total732070Total
Program Services706454ProgramServices
Management And General25616ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14866Total
Program Services5708ProgramServices
Management And General9158ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total36051Total
Program Services525ProgramServices
Management And General35526ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1599278Total
Program Services1571180ProgramServices
Management And General28098ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total201459Total
Program Services201459ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total29017Total
Program Services26780ProgramServices
Management And General2237ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total402521Total
Program Services402521ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1017285Total
Management And General1017285ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED MEALS12530091253009
SUPPLIES75351770209451423
PRESCRIPTION DRUGS350024350024
MAINTENANCE227441227441
MISCELLANEOUS97441768489757

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total35575Total
Program Services35575ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15227458Total
Program Services13081288ProgramServices
Management And General2146170ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY869665BOY
EOY1271838EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2581BOY
EOY2581EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1403958BOY
EOY1565976EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9845BOY
EOY62198EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8585401LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7361995LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1454831BOY
EOY1223406EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY374596BOY
EOY437072EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY46186BOY
EOY43396EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4161662BOY
EOY4606467EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1850033BOY
EOY1849709EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1850033BOY
EOY1849709EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1937033BOY
EOY2319686EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY359566BOY
EOY422042EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15030BOY
EOY15030EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2311629BOY
EOY2756758EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4161662BOY
EOY4606467EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses382653ReconcilationRevenueExpenses
Reconcilation Other Changes62476ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years625000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years450904CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years396000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year377000CurrentTaxYearMinus1Year
Current Tax Year333371CurrentTaxYear
Total2182275Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13818448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13181646CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14717243CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15506196CurrentTaxYearMinus1Year
Current Tax Year15274246CurrentTaxYear
Total72497779Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14443448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13632550CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15113243CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15883196CurrentTaxYearMinus1Year
Current Tax Year15607617CurrentTaxYear
Total74680054Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50974680054PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years204CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years779CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1516CurrentTaxYearMinus1Year
Current Tax Year2494CurrentTaxYear
Total8615Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years204CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years779CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1516CurrentTaxYearMinus1Year
Current Tax Year2494CurrentTaxYear
Total8615Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14443652CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13636172CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15114022CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15884712CurrentTaxYearMinus1Year
Current Tax Year15610111CurrentTaxYear
Total74688669Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99990PublicSupportPercentage509
Prior Year Support Percentage0.99990PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00010PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis44000InvestmentCostOrOtherBasis
Book Value44000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis6771252InvestmentCostOrOtherBasis
Depreciation6041060Depreciation
Book Value730192BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis218436InvestmentCostOrOtherBasis
Depreciation198178Depreciation
Book Value20258BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1455216InvestmentCostOrOtherBasis
Depreciation1075322Depreciation
Book Value379894BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis96497InvestmentCostOrOtherBasis
Depreciation47435Depreciation
Book Value49062BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1223406TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENT IN NET ASSETS OF THE OAKS FOUNDATIONDescription
Book Value437072BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities437072TotalOfBookValueSecurities
Total Revenue15610111TotalRevenue
Total Expenses15227458TotalExpenses
Excess Or Deficit For Year382653ExcessOrDeficitForYear
Other$62,476OtherAmount
Total Adjustments62476TotalAdjustments
Excess Or Deficit Per FS445129ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15672587TotRevenueEtcAuditedFinclStmt
Other Revenues62476OtherRevenues
Revenue Not Rptd F99062476RevenueNotRptdF990
Revenue Subtotal15610111RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015610111TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15227458TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15227458ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015227458TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:EFFECTIVE JANUARY 1, 2009 GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE THE ORGANIZATION TO EVALUATE THE LEVEL OF UNCERTAINTY RELATED TO WHETHER THE TAX POSITIONS TAKEN WILL BE SUSTAINED UPON EXAMINATION. ANY POSTIIONS TAKEN THAT DO NOT MEET THE MORE-LIKELY-THAN-NOT THRESHOLD MUST BE QUANTIFIED AND RECORDED AS A LIABILILTY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALING WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH THE UNRECOGNIZED TAX BENEFITS ARE CLASSIFIED AS ADDITIONAL INCOME TAXES IN THE STATEMENT OF INCOME. THE ORGANIZATION BELIEVES THAT NONE OF THE TAX POSITIONS TAKEN WOULD MATERIALLY IMPACT THE FINANCIAL STATEMENTS AND NO SUCH LIABILITIES HAVE BEEN RECORDED. IN GENERAL, THE ORGANIZATION IS NO LONGER SUBECT TO U.S. FEDERAL, STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIESFOR THE YEARS JUNE 30, 2008 AND PRIOR.
PART XI, LINE 8; CHANGE IN ASSETS OF SPLIT INTEREST PART XII, LINE 2D; CHANGE IN ASSETS OF SPLIT INTEREST

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11A COPY OF FORM 990 IS GIVEN TO ALL BOARD MEMBERS FOR REVIEW.
COMPLIANCE IS MET BY THE DISCLOSURE TO THE BOARD ON AN ANNUAL BASIS.FORM 990, PART VI, SECTION B, LINE 12C
THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED AT THE ANNUAL BOARD MEETING AND A SALARY SURVEY IS DONE PERIODICALLY.FORM 990, PART VI, SECTION B, LINE 15
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:CHANGE IN ASSETS OF SPLIT INTEREST 62,476. TOTAL TO FORM 990, PART XI, LINE 5: 62,476.FORM 990, PART XI, LINE 5:
THE FINANCE / AUDIT COMMITTEE OVERSEES THE AUDIT ON AN ANNUAL BASIS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
COPELAND OAKS
800 S 15TH STREETSEBRINGOH44672340941565PROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND NURSING TO RESIDENTS.OH501(C)(3)90
THE OAKS FOUNDATION INC
800 S 15TH STREETSEBRINGOH44672341724387PROVIDES FUNDS TO NOT FOR PROFIT ORGANIZATIONS.OH501(C)(3)III-FI0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
THE OAKS FOUNDATION INC
C369472ACTUAL CASH RECEIPTS
COPELAND OAKS
M0ESTIMATED FMV
THE OAKS FOUNDATION INC
M0ESTIMATED FMV
COPELAND OAKS
O2053851ACTUAL CASH RECEIPTS

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