2012-05-14T17:13:24-05:00 2011-06-30 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2010-07-01 310544277 MAPLE KNOLL COMMUNITIES INC MAPL 5137822400 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 KENNETH HUFF 5137822550 2012-05-10 1 CHAD KUNZE 3149254300 2010 2016-02-24 21:20:13Z JAMES FORMAL 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 73422940 0 X WWW.MKCOMMUNITIES.ORG X 1934 OH THE MISSION OF MAPLE KNOLL COMMUNITIES, INC. IS TO BE A GROWING PROVIDER OF OUTSTANDING FACILITIES AND SERVICES FOR THE AGING WITHIN THE TRISTATE AREA WHICH ALLOWS THOSE WE SERVE TO THRIVE IN A SAFE, STIMULATING, AND DIGNIFIED ENVIRONMENT. THIS WILL BE ACCOMPLISHED THROUGH THE PRACTICE OF RESPONSIBLE FISCAL STEWARDSHIP. 13 13 1183 562 0 0 1348080 1284385 40377136 42801931 1376049 1582273 1358333 1382566 44459598 47051155 263580 510146 0 0 22465997 22624404 0 0 258089 22937705 24557588 45667282 47692138 -1207684 -640983 142973596 142251569 112930633 109899067 30042963 32352502 X THE MISSION OF MAPLE KNOLL COMMUNITIES, INC. IS TO BE A GROWING PROVIDER OF OUTSTANDING FACILITIES AND SERVICES FOR THE AGING WITHIN THE TRISTATE AREA WHICH ALLOWS THOSE WE SERVE TO THRIVE IN A SAFE, STIMULATING, AND DIGNIFIED ENVIRONMENT. THIS WILL BE ACCOMPLISHED THROUGH THE PRACTICE OF RESPONSIBLE FISCAL STEWARDSHIP. 0 0 28595155 1266029 28817794 "MAPLE KNOLL VILLAGE" - MAPLE KNOLL VILLAGE IS A NON-PROFIT CONTINING CARE RETIREMENT COMMUNITY WITH A HISTORY OF MORE THAN 162 YEARS. LOCATED ON A BEAUTIFUL 54-ACRE CAMPUS, OUR COMMUNITY OFFERS 279 VILLAS AND APARTMENTS, 60 ASSISTED LIVING APARTMENTS AND A 186-BED NURSING FACILITY. THE COMMUNITY IS RECOGNIZED AS A TEACHING FACILITY FOR FUTURE GERIATRICIANS THROUGH THE UNIVERSITY OF CINCINNATI. THE GERIATRIC EVALUATION CENTER, A CLINICAL SERVICE OF THE UNIVERSITY FAMILY PHYSICIANS, INC. IS LOCATED ON THIS CAMPUS. THE QUALITY OF THE VILLAGE'S RESIDENTIAL HEALTH CARE SERVICES AND PROGRAMS ARE ATTESTED TO BY A LONG LIST OF ACCREDITAIONS AND CITATIONS, INCLUDING THE CONTINUING CARE ACCREDIATION COMMISSION (CCAC) 11673397 10322529 "THE KNOLLS OF OXFORD" - THE KNOLLS OF OXFORD IS A NON-PROFIT CONTINUING CARE RETIREMENT COMMUNITY WITH CULTURE AND CHARM. LOCATED ON A BEAUTIFUL 85-ACRE CAMPUS, THE COMMUNITY OFFERS 94 VILLAS, 28 ASSISTED LIVING APARTMENTS AND A 62-BED SKILLED NURSING FACILITY AND REHABILITATION CENTER. THE COMMUNITY BOASTS OF A UNIQUE AFFILIATION WITH MIAMI UNIVERSITY. THIS AGREEMENT OFFERS MULTIPLE OPPORTUNITIES FOR MIAMI STUDENTS, BUT IS ALSO A TREMENDOUS BENEFIT FOR KNOLLS RESIDENTS AS WELL. THE QUALITY OF SERVICES AND OPPORTUNITIES AT THE KNOLLS OF OXFORD IS REINFORCED BY ITS ACCREDITATION THROUGH THE CONTINUING CARE ACCREDITATION COMMISSION (CCAC). 1796927 1975447 "MAPLE KNOLL HOME HEALTH SERVICES" - THE MISSION OF MAPLE KNOLL HOME HEALTH SERVICES IS TO HELP OLDER ADULTS LIVE TO THEIR HIGHEST POTENTIAL AS INDIVIDUALS WHO SEEK INDEPENDENCE, GOOD HEALTH AND PERSONAL FULFILLMENT. WE STRIVE TO PROVIDE THE HIGHEST QUALITY OF MEDICAL CARE AND SUPPORT IN THE HOME WITH COMPASSION AND RESPECT FOR EACH PERSON. MAPLE KNOLL HOME HEALTH SERVICES OFFERS A FULL RANGE OF HOME HEALTH SERVICES THAT ENABLE INDIVIDUALS TO RECUPERATE SAFELY IN THEIR HOME. NURSES, THERAPISTS AND AIDES PROVIDED A TOTAL OF NEARLY 16,000 VISITS THE PAST YEAR IN FIVE OHIO COUNTIES (HAMILTON, BUTLER, WARREN, CLERMONT AND PREBLE). 1851830 1697388 SYCAMORE SENIOR CENTER PROVIDES NEEDED OUTREACH TO THE COMMUNITY. THIS PAST YEAR, THE CENTER SERVED 94,018 HOME DELIVERED MEALS. THE CENTER PROVIDED 11,086 TRIPS TO HOSPITALS, DOCTORS' OFFICES, THERAPY AND REHAB CENTERS, GROCERY STORES AND THE SENIOR CENTER. WITH MORE THAN 1,800 MEMBERS, THE CENTER HAS SERVED 16,100 CONGREGATE MEALS DEMONSTRATING THE IMPORTANCE OF A HOT MEAL, GOOD FRIENDS AND GREAT CONVERSATION! 1851830 1697388 43917309 1 1 0 1 0 0 1 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 104 0 1 1183 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KENNETH HUFF 5137822400 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 STEVEN L BRASH 1.00 X X 0 0 0 STEVEN A WILSON 1.00 X X 0 0 0 WILLIAM B BROWN 1.00 X X 0 0 0 GARY T HUFFMAN 1.00 X X 0 0 0 RONAL L WILEY 1.00 X X 0 0 0 P JEANE GOINGS 1.00 X 0 0 0 ROBERT YEAROUT 1.00 X 0 0 0 RICHARD M NORMAN 1.00 X 0 0 0 WILLIAM S OSTRANDER 1.00 X 0 0 0 THOMAS E DEWEY 1.00 X 0 0 0 DIANE Y DUMBAULD 1.00 X 0 0 0 ANN HUFFMAN 1.00 X 0 0 0 ANNE G FEUER 1.00 X 0 0 0 MARILYN P KREMZAR 1.00 X 0 0 0 JAMES FORMAL 40.00 X 299263 0 93508 KENNETH W HUFF 40.00 X 183663 0 44289 ROSE DENMAN 40.00 X 106489 0 26049 BENJAMIN GILCHRIST 40.00 X 127934 0 17928 ROBERT HANNEKEN 40.00 X 96145 0 27483 TIMOTHY MCGOWAN 40.00 X 131304 0 16766 ANDREW CRAIG 40.00 X 102828 0 20734 NANCY HENDRICKS 40.00 X 79339 0 27959 951481 0 219274 6 0 1 0 ALLIANCE REHAB 1520 KENSINGTON ROAD OAK BROOK IL 60523 CONTRACT REHAB SERVICES 1743400 EUGENE RUECKERT 9458 FLICK ROAD CINCINNATI OH 45247 CONSTRUCTION 174355 THALER BUILDERS 3140 WIWE HILL ROAD BROOKSVILLE IN 47012 CONSTRUCTION 121453 3 22786 1261599 1284385 ROOM AND BOARD REVENUE 623000 39891509 39891509 WMKV REVENUE 623000 1735328 1735328 COMMUNITY SERVICES REV 623000 972709 972709 HOME HEALTH REVENUE 623000 202385 202385 42801931 1274542 1274542 327257 316030 11227 11227 11227 26342042 26034311 307731 307731 307731 21444 22786 21444 0 MISC REVENUE 900099 727420 727420 MEAL REVENUE 623000 318611 318611 BEAUTY SALON REVENUE 623000 195812 195812 129496 129496 1371339 47051155 42813158 0 2953612 510146 510146 712352 76251 548716 87385 16710731 15396546 1268107 46078 792806 730464 60156 2186 2974802 2733577 228053 13172 1433713 1320974 108786 3953 55792 55792 62854 2500 60354 276676 100696 175980 83204 83204 97026 97026 1683681 1683681 705188 644481 60707 183746 90814 43416 49516 676860 676860 6677188 6677188 44377 43899 478 159245 50219 103583 5443 3025803 3025803 47414 47414 5800013 5139216 615123 45674 606591 538858 63051 4682 FOOD 1684668 1684668 LICENSE SURCHARGE 1086240 1086240 SENIOR CENTER EXPENSES 595670 595670 BAD DEBT 499734 499734 505618 505618 47692138 43917309 3516740 258089 2147507 3471835 347843 358170 1148484 460962 3913184 3399894 836455 1117508 221991 379411 209175 298988 168569197 70177320 102386931 98391877 19241228 19995920 8410125 9734228 4110673 4642776 142973596 142251569 6715839 6639379 32682948 30697353 61821268 60563337 6425226 7210087 5285352 4788911 112930633 109899067 X 20377956 21050081 490750 884637 9174257 10417784 30042963 32352502 142973596 142251569 X -640983 2950522 X X 0 1 1 X 0 X 1891729 958007 792981 1348080 1266029 6256826 36783474 39564477 41509812 40380271 42795251 201033285 38675203 40522484 42302793 41728351 44061280 207290111 975679 367438 371103 676735 333544 2724499 0 975679 367438 371103 676735 333544 2724499 204565612 1026700 1730701 1354875 1376049 1274542 6762867 1026700 1730701 1354875 1376049 1274542 6762867 2358248 1987811 1500779 1343857 1371339 8562034 42060151 44240996 45158447 44448257 46707161 222615012 0.91890 0.91190 0.03040 0.03060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 83204 0 0 0 83204 0 100000 0 2437732 2437732 128930875 48018558 80912317 14372741 6332694 8040047 21978263 15826068 6152195 849586 849586 98391877 BENEFICIAL INTEREST IN IRREVOCABLE TRUST 9630620 F DEBT SERVICE FUNDS 103608 F 9734228 CHARITABLE GIFT ANNUITY 321413 PROVISIONS FOR INTEREST RATE SWAP 4389569 SECURITY DEPOSIT 7126 DEFERRED COMP 70803 4788911 47051155 47692138 -640983 2595049 355473 2950522 2309539 49781557 2595049 -202121 2392928 47388629 -337474 -337474 47051155 47519432 0 47519432 172706 172706 47692138 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MAPLE KNOLL COMMUNITIES, INC. IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STAUTS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE ORGANIZATION'S 2008, 2009, AND 2010 TAX RETURNS ARE OPEN FOR EXAMINATION BY THE IRS. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 326,331. CHANGE IN VALUE OF CHARTIABLE GIFT ANNUITIES 29,108. ROUNDING 34. PART XII, LINE 2D - OTHER ADJUSTMENTS: GRANT ASSISTANCE INCLUDED AS EXPENSE ON 990 -510,146. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 326,331. CHANGE IN VALUE OF CHARITABLE GIFT ANNUITIES 29,108. OTHER NONOPERATING EXPENSE -47,414. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE NETTED WITH RENTAL REVENUE ON 990 -316,030. FUNDRAISING EXPENSE NETTED WITH FUNDRAISING REVENUE ON 990 -21,444. PART XIII, LINE 4B - OTHER ADJUSTMENTS: GRANT ASSISTANCE INCLUDED IN EXPENSE ON 990 510,146. MISCELLANEOUS 34. EXPENSE INCLUDED ON FORM 990 STATEMENT OF REVENUE -337,474. WMKV GOLF OUTING 44230 22786 21444 3179 6257 5458 6550 44230 22786 21444 3179 6257 5458 6550 21444 0 1 RENT ASSISTANCE 17 510146 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION PROVIDES MONTHLY ASSISTANCE TO RESIDENTS WHO ARE UNABLE TO PAY FULL RENT. WHEN A RESIDENT APPLIES FOR ASSISTANCE, THE ORGANIZATION WILL REVIEW THEIR STATED ASSETS AND BANK AND INVESTMENT STATEMENTS TO DETERMINE IF THEY ARE ELIGIBLE TO RECEIVE ASSISTANCE. X X X 0 0 0 0 0 0 0 0 0 JAMES FORMAL 260675 0 38588 0 0 0 73216 0 20292 0 392771 0 0 0 KENNETH W HUFF 163663 0 20000 0 0 0 29302 0 14987 0 227952 0 0 0 COUNTY OF BUTLER OHIO 316000061 12354NAE6 2007-06-20 28145000 CONSTRUCTION 0 0 0 COUNTY OF BUTLER OHIO 316000061 2010-07-28 30000000 REFUNDING BONDS 0 0 0 16975001 28145000 391550 155180 27598269 2007 0 0 1 1 255000 30000000 30000000 2010 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 1 SEE SCH K PART V 0 0 0 0 0 0 1 0 0 0 0 FORM 990, SCHEDULE K, COLUMN B, PART II, LINE 14 THE ISSUANCE REFUNDED THE 5/21/2002 BONDS. FORM 990, SCHEDULE K, PART IV, LINE 3B AS OF JUNE 30, 2011, MAPLE KNOLL COMMUNITIES HAD ENTERED INTO FIVE SWAP AGREEMENTS WITH AN OUTSTANDING INTEREST RATE SWAP POSITION (DERIVATIVE INSTRUMENT) AND A TOTAL NOTIONAL AMOUNT OF $49,470,000. THE SWAP AGREEMENTS HAVE SIMILAR TERMS TO THEIR RELATED BONDS AND ARE USED TO MANAGE MAPLE KNOLL COMMUNITIES'INTEREST RATE RISK. MAPLE KNOLL COMMUNITIES BELIEVES THAT THE RISK OF NONPERFORMANCE BY THE OTHER PARTY IN CONJUNCTION WITH THIS ARRANGEMENT IS NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE FAIR VALUE OF THE INTEREST RATE SWAP AGREEMENTS WAS A LIABILITY OF $4,389,569 AND $4,715,900 AS OF JUNE 30, 2011 AND 2010, RESPECTIVELY. FORM 990, SCHEDULE K, PART IV, LINE 3C OF THE FOUR INTEREST RATE SWAP AGREEMENTS, THE EARLIEST MATURING AGREEMENT HAS A MATURITY DATE OF AUGUST 15, 2013, THEREFORE A TERM 3.1. THE LONGEST AGREEMENT HAS A MATURITY DATE OF NOVEMBER 1, 2018, THEREFORE A TERM OF 7.3. FORM 990, PART VI, SECTION B, LINE 11 CFO REVIEWS WITH FINANCE COMMITTEE BEFORE FILING, POINTING OUT ANY CHANGES FROM THE PRIOR YEAR. THE 990 IS PROVIDED TO THE BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST POLICY IS COMPLETED ONCE AT YEAR AT A BOARD MEETING BY THE BOARD OF DIRECTORS. IF A POTENTIAL CONFLICT EXISTS IT IS DISCUSSED BY THE BOARD AND THEN VOTED ON BY THE BOARD EXCLUDING THE MEMBER WHO HAS THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 CEO - ANNUALLY. THE COMPENSATION COMMITTEE MEETS ANNUALLY. THEY REVIEW THE CURRENT SALARIED COMPENSATION PROGRAM. BONUSES ARE DETERMINED BY THE CONTRACTUAL AGREEMENT SIGNED IN THEIR SALARY CONTRACT. AN OUTSIDE CONSULTANT WILL BE USED IF NECESSARY. THE INCREASE IN SALARY IS BASED UPON HOW THE YEAR HAS GONE, EXPECTATIONS FOR THE FUTURE, AND OTHER BOARD COMMENTS. THE WAGE INCREASE IS COMPARED TO WHAT IS CUSTOMARY IN THE INDUSTRY THIS YEAR. FOR COMPENSATION OF THE OTHER OFFICERS OR KEY EMPLOYEES AN ANNUAL PERFORMANCE APPRAISAL WAS PERFORMED WHICH INCLUDED RELATED WAGE INCREASES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILBLE TO THE PUBLIC BY DISTRIBUTING ANNUAL REPORTS TO ANY INTERESTED PARTIES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 2,595,049. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 326,331. CHANGE IN VALUE OF CHARTIABLE GIFT ANNUITIES 29,108. ROUNDING 34. TOTAL TO FORM 990, PART XI, LINE 5: 2,950,522. FORM 990, PART XII, LINE 2C THIS PROCESS IS CONSISTENT WITH PRIOR YEARS. MKV INC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 310914017 HUD SUBSIDIZED HOUSING OH 501C3 509A2 MAPLE KNOLL COMMUNITIES INC 1 SYCAMORE-ANDERSON SENIOR HOUSING INC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 311209103 HUD SUBSIDIZED HOUSING OH 501C3 509A2 MAPLE KNOLL COMMUNITIES INC 1 SYCAMORE-ANDERSON SENIOR HOUSING II INC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 311428462 HUD SUBSIDIZED HOUSING OH 501C3 509A2 MAPLE KNOLL COMMUNITIES INC 1 53 PRIVATE BANK - ELIZABETH PATTERSON TRUST 5050 KINGSLEY DRIVE CINCINNATI OH 45263 TRUST OH N/A T 12947 382554 0.66000 US BANK - FLORIS SACKETT TRUST 425 WALNUT STREET 5TH FLOOR CINCINNATI OH 45202 TRUST OH N/A T 16906 344880 1.00000 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 MKV INC K 64140 CASH