FURP.ORG / PUBLIC DATA EXPLORER

JACKSON COUNTY HEALTH FACILITIES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
JACKSON COUNTY HEALTH FACILITIES (EIN 31-0802091)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-08
IRS object ID
201242219349300814
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-08T10:52:12-05:00Timestamp
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)
EIN310802091EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JACKSON COUNTY HEALTH FACILITIES INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DAVID NICHOLSInCareOfName
Name ControlJACKNameControl
Phone7403842119Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1
CityWELLSTONCity
StateOHState
ZIP Code45692ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDavid NicholsName
TitleCFOTitle
Date Signed2012-08-02DateSigned
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

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1JENKINS MEMORIAL HEALTH FACILITYBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHERESA WOMELDORFNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1
CityWELLSTONCity
StateOHState
ZIP Code45692ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5162104GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1968YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE TO THOSE WHO SEEK OUR HELP, THE BEST POSSIBLE HALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIRONMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees139TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1964ContributionsGrantsPriorYear
Contributions Grants Current Year1949ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5163044ProgramServiceRevenuePriorYear
Program Service Revenue CY5110545ProgramServiceRevenueCY
Investment Income Prior Year79351InvestmentIncomePriorYear
Investment Income Current Year47047InvestmentIncomeCurrentYear
Other Revenue Prior Year2418OtherRevenuePriorYear
Other Revenue Current Year2563OtherRevenueCurrentYear
Total Revenue Prior Year5246777TotalRevenuePriorYear
Total Revenue Current Year5162104TotalRevenueCurrentYear
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 Year2800050SalariesEtcPriorYear
Salaries Etc Current Year2755775SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2110448OtherExpensePriorYear
Other Expenses Current Year2082621OtherExpensesCurrentYear
Total Expenses Prior Year4910498TotalExpensesPriorYear
Total Expenses Current Year4838396TotalExpensesCurrentYear
Revenues Less Expenses Prior Year336279RevenuesLessExpensesPriorYear
Revenues Less Expenses CY323708RevenuesLessExpensesCY
Total Assets BOY7403756TotalAssetsBOY
Total Assets EOY6743042TotalAssetsEOY
Total Liabilities BOY2007280TotalLiabilitiesBOY
Total Liabilities EOY1025622TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5396476NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5717420NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE TO THOSE WHO SEEK OUR HELP, THE BEST POSSIBLE HEALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIRONMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4207184Expense
Revenue5110545Revenue
DescriptionHOME FOR AGED 59 BED NURSING FACILITY AND 34 BED ASSISTED LIVING FACILITY ALSO OFFERING THE FOLLOWING SERVICES: ONSITE THERAPY SERVICES (PT,OT & ST), ONSITE BEAUTY SHOP, TRANSPORTATION SERVICES, AND MEDICAID ASSISTED LIVING WAIVER PARTICIPATION.Description
Total Program Service Expense4207184TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 AssetsfalseReportOtherAssets
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 EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees139NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
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 Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
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 PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
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 PersonDAVID NICHOLSNamePerson
Telephone Number7403842119TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1
CityWELLSTONCity
StateOHState
ZIP Code45692ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
GREG ERVIN
VICE PRESIDENT1.0XX000
MARTHA MASSIE
SECRETARY1.0XX000
BONNY HUFFMAN
PRESIDENT1.0XX000
RON HAYES
TREASURER1.0XX000
AARON MICHAEL
BOARD MEMBER1.0X000
JENNY MASSIE
BOARD MEMBER1.0X000
DAN FULKS
BOARD MEMBER1.0X000
THERESA WOMELDORF
ADMINISTRATOR40.0X94887016070
DAVID NICHOLS
CFO40.0X74437020466
FieldValueIRS element (for citing)
Total Reportable Comp From Org169324TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation36536TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonGENESIS ELDERCARE REHAB SERVICESNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101 EAST STATE STREETAddressLine1
CityKENNETT SQUARECity
StatePAState
ZIP Code19348ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPY SERVICESDescriptionOfServices
Compensation587424Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions1949AllOtherContributions
Total Contributions1949TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID62300037061493706149
RESIDENT REVENUE62300014043961404396
FieldValueIRS element (for citing)
Total Program Service Revenue5110545TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column47047TotalRevenueColumn
Exclusion$47,047ExclusionAmount

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

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code623000BusinessCode
Total Revenue Column2563TotalRevenueColumn
Exclusion$2,563ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2563TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5162104TotalRevenueColumn
Related Or Exempt Function Income5110545RelatedOrExemptFunctionIncome
Exclusion$49,610ExclusionAmount

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)
Total205860Total
Program Services183215ProgramServices
Management And General22645ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1900852Total
Program Services1674866ProgramServices
Management And General225986ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total28220Total
Program Services13056ProgramServices
Management And General15164ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total453058Total
Program Services304811ProgramServices
Management And General148247ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total167785Total
Program Services111845ProgramServices
Management And General55940ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total68Total
Management And General68ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total74Total
Management And General74ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total62735Total
Management And General62735ManagementAndGeneral

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)
Total629940Total
Program Services626685ProgramServices
Management And General3255ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3474Total
Program Services3474ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19544Total
Program Services768ProgramServices
Management And General18776ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total168597Total
Program Services133761ProgramServices
Management And General34836ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total979Total
Management And General979ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total38707Total
Program Services32901ProgramServices
Management And General5806ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total244674Total
Program Services207973ProgramServices
Management And General36701ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total64340Total
Program Services64340ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FOOD EXPENSE210612210612
FRANCHISE TAXES239211239211
MEDICAL SUPPLIES399666399666

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4838396Total
Program Services4207184ProgramServices
Management And General631212ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY400BOY
EOY400EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3679356BOY
EOY3371541EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY633644BOY
EOY474971EOY

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)
BOY42634BOY
EOY50901EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY21689BOY
EOY14826EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6723392LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3893989LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3025033BOY
EOY2829403EOY

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)
BOY1000BOY
EOY1000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7403756BOY
EOY6743042EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY526807BOY
EOY363278EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1460473BOY
EOY647344EOY

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)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20000BOY
EOY15000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2007280BOY
EOY1025622EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5396476BOY
EOY5717420EOY

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)
BOY5396476BOY
EOY5717420EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7403756BOY
EOY6743042EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses323708ReconcilationRevenueExpenses
Reconcilation Other Changes-2764ReconcilationOtherChanges
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 Years1305CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32285CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3056CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1964CurrentTaxYearMinus1Year
Current Tax Year1949CurrentTaxYear
Total40559Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4652924CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4727448CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4998648CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5163044CurrentTaxYearMinus1Year
Current Tax Year5110545CurrentTaxYear
Total24652609Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4654229CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4759733CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5001704CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5165008CurrentTaxYearMinus1Year
Current Tax Year5112494CurrentTaxYear
Total24693168Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years34231CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year71338CurrentTaxYearMinus1Year
Current Tax Year30009CurrentTaxYear
Total135578Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years34231CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year71338CurrentTaxYearMinus1Year
Current Tax Year30009CurrentTaxYear
Total135578Total
FieldValueIRS element (for citing)
Public Support Total50924557590PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99555CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years93174CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years104512CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79351CurrentTaxYearMinus1Year
Current Tax Year47047CurrentTaxYear
Total423639Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99555CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years93174CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years104512CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79351CurrentTaxYearMinus1Year
Current Tax Year47047CurrentTaxYear
Total423639Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2628CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1490CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1603CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2418CurrentTaxYearMinus1Year
Current Tax Year2563CurrentTaxYear
Total10702Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4756412CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4854397CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5107819CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5246777CurrentTaxYearMinus1Year
Current Tax Year5162104CurrentTaxYear
Total25127509Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97732PublicSupportPercentage509
Prior Year Support Percentage0.97690PriorYearSupportPercentage
Investment Income Percentage0.01686InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01840PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$257GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB257TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierMEMBERSHIP DUES RELATED TO LOBBYINGIdentifier
Return ReferencePART II-B, LINE 1FReturnReference
Explanation7% OF MEMBERSHIP DUES TO LEADINGAGE OHIO RELATED TO LOBBYING ACTIVITIES.Explanation

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 Basis26965OtherCostOrOtherBasis
Book Value26965BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5117621OtherCostOrOtherBasis
Depreciation2667110Depreciation
Book Value2450511BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1396434OtherCostOrOtherBasis
Depreciation1046668Depreciation
Book Value349766BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis182372OtherCostOrOtherBasis
Depreciation180211Depreciation
Book Value2161BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2829403TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRESIDENT DEPOSITSDescription
Amount$15,000Amount
FieldValueIRS element (for citing)
Total Of Amounts15000TotalOfAmounts
Total Revenue5162104TotalRevenue
Total Expenses4838396TotalExpenses
Excess Or Deficit For Year323708ExcessOrDeficitForYear
Net Unrealized GL On Investments-2764NetUnrealizedGLOnInvestments
Total Adjustments-2764TotalAdjustments
Excess Or Deficit Per FS320944ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5162104TotRevenueEtcAuditedFinclStmt
Revenue Subtotal5162104RevenueSubtotal
Total Revenue Per Form9905162104TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4841160TotExpensesEtcAuditedFinclStmt
Other Expenses Included2764OtherExpensesIncluded
Expenses Not Rptd F9902764ExpensesNotRptdF990
Expenses Subtotal4838396ExpensesSubtotal
Total Expenses Per Form9904838396TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
Identifierother losses not included on 990Identifier
Return Referencepage 4, part xiii, #2dReturnReference
ExplanationUnrealized losses on investments (2,764)Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF JACKSONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN316400071IssuerEIN
Date Issued2003-03-28DateIssued
Issue Price1100000IssuePrice
Description Of PurposeRENOVATION PROJECTDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds1100000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds31066IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures1060700CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent38446AmountUnspent
Year Of Subst Completion2005YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

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

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
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

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierTHE ORGANIZATION IS IN THE PROCESS OF ESTABLISHING THE WRITTENIdentifier
Return ReferenceCOMPLIANCE PROCEDURES DESCRIBED IN PART V OF SCHEDULE K.ReturnReference

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 REVIEW PROCESSPAGE 6, PART VI, SECTION B, #11ATHE CFO REVIEWS FORM 990 THEN PROVIDES THE FINAL COPY TO ALL BOARD MEMBERS PRIOR TO FILING.
MONITOR & ENFORCE CONFLICT OF INTEREST POLICYPAGE 6, PART VI, SECTION B, #12CTHE POLICY PROVIDED REQUIRES ALL STAFF (INCLUDING THE BOARD OF TRUSTEES) TO REPORT ANY POSSIBLE CONFLICTS TO MANAGEMENT WHICH ARE THEN REVIEWED FOR POTENTIAL CONFLICTS. IF A POTENTIAL CONFLICT OF INTEREST IS DISCOVERED IT IS DISCUSSED INITIALLY AMONG MANAGEMENT. IF IT MERITS FURTHER DISCUSSION IT IS DISCUSSED WITH THE ATTORNEY ON THE BOARD, THEN FINALLY WITH THE ENTIRE BOARD OF DIRECTORS IF NEEDED. DURING THE REVIEW OF THE POTENTIAL CONFLICT OF INTEREST PROCESS, A BOARD MEMBER MAY BE ASKED TO EXCUSE HIM/HERSELF FROM ANY AND ALL VOTES THAT THE BOARD DEEMS APPROPRIATE.
PROCESS FOR DETERMINING COMPENSATIONPAGE 6, PART VI, SECTION B, #15A & 15BCOMPARABILITY DATA IS USED FROM WAGE STUDIES AND THE COST REPORT FOR ANY NEW HIRES OR SIGNIFICANT WAGE ADJUSTMENTS, ALL DATA IS PROVIDED TO THE BOARD OF DIRECTORS FOR ALL WAGE CHANGES FOR FINAL APPROVAL. COPIES OF ALL WAGE STUDY DOCUMENTS AND ALL WAGE DECISIONS ARE DISCUSSED AND DOCUMENTED IN THE BOARD MINUTES WHICH ARE ALSO RETAINED.
DOCUMENTS AVAILABLE TO THE PUBLICPAGE 6, PART VI, SECTION C, #19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
CHANGE OF AUDIT OVERSIGHT PROCESSPAGE 12, PART XI, #2CTHE ORGANIZATION ESTABLISHED A NEW AUDIT COMMITTEE IN 2011 TO ASSUME THE OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT AUDITING FIRM.
DOCUMENT RETENTION & DESTRUCTIONPAGE 6, PART VI, SECTION B, #14THE ORGANIZATION FOLLOWS SARBANES-OXLEY FOR DOCUMENT RETENTION AND DESTRUCTION GUIDELINES.
OTHER CHANGES IN NET ASSETSPAGE 12, PART XI, #5Unrealized Losses on Investments (2,764)