CREEKSIDE AT THE VILLAGE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CREEKSIDE AT THE VILLAGE (EIN 30-0165308)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-08
IRS object ID
201243139349300409
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)
Timestamp2012-11-08T08:49:49-00:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN300165308EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CREEKSIDE AT THE VILLAGEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCREENameControl
Phone6142314900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 WELCOME PLACEAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43209ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID DRIVERName
TitleCFOTitle
Date Signed2012-11-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6145590332Phone
Date Prepared2012-11-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID ROSENBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11151 COLLEGE AVENUEAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43209ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4222967GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WHV.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionWE ARE AN 83 UNIT RESIDENTIAL ASSISTED LIVING FACILITY AND A 10 UNIT DEMENTIA ASSISTED LIVING FACILITY PROVIDING SERVICES FOR THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees98TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year40520ContributionsGrantsPriorYear
Contributions Grants Current Year40335ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3873536ProgramServiceRevenuePriorYear
Program Service Revenue CY4139584ProgramServiceRevenueCY
Investment Income Current Year1164InvestmentIncomeCurrentYear
Other Revenue Prior Year47514OtherRevenuePriorYear
Other Revenue Current Year41884OtherRevenueCurrentYear
Total Revenue Prior Year3961570TotalRevenuePriorYear
Total Revenue Current Year4222967TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1231788SalariesEtcPriorYear
Salaries Etc Current Year1230389SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2953773OtherExpensePriorYear
Other Expenses Current Year2490316OtherExpensesCurrentYear
Total Expenses Prior Year4185561TotalExpensesPriorYear
Total Expenses Current Year3720705TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-223991RevenuesLessExpensesPriorYear
Revenues Less Expenses CY502262RevenuesLessExpensesCY
Total Assets BOY9634950TotalAssetsBOY
Total Assets EOY9551416TotalAssetsEOY
Total Liabilities BOY13011771TotalLiabilitiesBOY
Total Liabilities EOY12425975TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-3376821NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2874559NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE AN 83 UNIT RESIDENTIAL ASSISTED LIVING FACILITY AND A 10 UNIT DEMENTIA ASSISTED LIVING FACILITY PROVIDING SERVICES FOR THE ELDERLYMissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3019827Expense
Revenue4182632Revenue
DescriptionWE ARE AN 83 UNIT RESIDENTIAL ASSISTED LIVING FACILITY AND A 10 UNIT DEMENTIA ASSISTED LIVING FACILITY PROVIDING SERVICES FOR THE ELDERLYDescription
Total Program Service Expense3019827TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 InvesttrueReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
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
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees98NumberOfEmployees
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 Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
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 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 PersonDAVID DRIVERNamePerson
Telephone Number6145590332TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11151 COLLEGE AVENUEAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432092897ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirector
DAVID ROSEN
PRESIDENT040.00X000
DAVID DRIVER
TREASURER040.00X000
CHRIS CHRISTIAN
SECRETARY040.00X000
NISHA HAMMEL
MEMBER040.00000X
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MORRISON MANAGEMENT SPECIALISTSBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 102289AddressLine1
CityATLANTACity
StateGAState
ZIP Code303682289ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesDINING SERVICESDescriptionOfServices
Compensation679958Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions40335AllOtherContributions
Total Contributions40335TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column4139584TotalRevenueColumn
Related Or Exempt Function Income4139584RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4139584TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1164TotalRevenueColumn
Related Or Exempt Function Income1164RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MAINTENANCE6230002992529925
BUILDING RENTAL62300030943094
GUEST MEALS62300069626962

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1903TotalRevenueColumn
Related Or Exempt Function Income1903RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue41884TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4222967TotalRevenueColumn
Related Or Exempt Function Income4182632RelatedOrExemptFunctionIncome

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)
Total1035016Total
Program Services783230ProgramServices
Management And General251786ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4230Total
Management And General4230ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total74534Total
Program Services72837ProgramServices
Management And General1697ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total116609Total
Program Services94389ProgramServices
Management And General22220ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total153000Total
Management And General153000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13436Total
Management And General13436ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9000Total
Management And General9000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total740830Total
Program Services676400ProgramServices
Management And General64430ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total22647Total
Management And General22647ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13143Total
Management And General13143ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total1256Total
Management And General1256ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1284Total
Program Services895ProgramServices
Management And General389ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total544790Total
Program Services544790ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total558577Total
Program Services558577ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total56404Total
Management And General56404ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES858673477451093
UTILITIES19596017535020610
REMARKETING/BOND ADMINISTRATION FEES7859978599
BANK FEES15111511

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14012Total
Program Services-14ProgramServices
Management And General14026ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3720705Total
Program Services3019827ProgramServices
Management And General700878ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY74982BOY
EOY50682EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY246228BOY
EOY356036EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY-4182661BOY
EOY-3835975EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY141770BOY
EOY109304EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15864996LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3343080LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13002459BOY
EOY12521916EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY351182BOY
EOY348463EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY990BOY
EOY990EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9634950BOY
EOY9551416EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY116311BOY
EOY91300EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12394722BOY
EOY11755359EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY500738BOY
EOY579316EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13011771BOY
EOY12425975EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3378301BOY
EOY-2876039EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1480BOY
EOY1480EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-3376821BOY
EOY-2874559EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9634950BOY
EOY9551416EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses502262ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years275CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years78363CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51677CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40520CurrentTaxYearMinus1Year
Current Tax Year40435CurrentTaxYear
Total211270Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2970019CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2944590CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3642480CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3873536CurrentTaxYearMinus1Year
Current Tax Year4139584CurrentTaxYear
Total17570209Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2970294CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3022953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3694157CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3914056CurrentTaxYearMinus1Year
Current Tax Year4180019CurrentTaxYear
Total17781479Total
FieldValueIRS element (for citing)
Public Support Total50917781479PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Total0Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2937CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11465CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38725CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47514CurrentTaxYearMinus1Year
Current Tax Year41884CurrentTaxYear
Total142525Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2973231CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3034418CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3732882CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3961570CurrentTaxYearMinus1Year
Current Tax Year4221903CurrentTaxYear
Total17924004Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99200PublicSupportPercentage509
Prior Year Support Percentage0.99380PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestPart III Line 12A MAINTENANCE REVENUE/CREEKSIDE CAFE REVENUE Part III Line 12B MAINTENANCE REVENUE/CREEKSIDE CAFE REVENUE/MISCELLANEOUS REVENUE Part III Line 12C MAINTENANCE REVENUE/CREEKSIDE CAFE REVENUE/MISCELLANEOUS REVENUE Part III Line 12D MAINTENANCE REVENUE/CREEKSIDE CAFE REVENUE/GUEST MEAL REVENUE Part III Line 12E MAINTENANCE REVENUE/BUILDING RENTAL REVENUE/GUEST MEAL REVENUE/MISCELLANEOUS REVENUEFactsAndCircumstancesTest

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis56907OtherCostOrOtherBasis
Book Value40826BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13999851OtherCostOrOtherBasis
Depreciation2301464Depreciation
Book Value11698387BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1772343OtherCostOrOtherBasis
Depreciation989640Depreciation
Book Value782703BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis35895OtherCostOrOtherBasis
Depreciation35895Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12521916TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionDEBT SERVICE RESERVE FUNDDescription
Book Value348463BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related348463TotalOfBookValueProgramRelated

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDEPOSIT - WORKERS COMPENSATIONDescription
Book Value990BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets990TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
SECURITY DEPOSITS$265,681
INTEREST RATE SWAP AGREEMENTS$313,635
FieldValueIRS element (for citing)
Total Of Amounts579316TotalOfAmounts
Total Revenue4222967TotalRevenue
Total Expenses3720705TotalExpenses
Excess Or Deficit For Year502262ExcessOrDeficitForYear
Excess Or Deficit Per FS502262ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4222967TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4222967RevenueSubtotal
Total Revenue Per Form9904222967TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3720705TotExpensesEtcAuditedFinclStmt
Expenses Subtotal3720705ExpensesSubtotal
Total Expenses Per Form9903720705TotalExpensesPerForm990

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF FRANKLIN OHIOBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2010-02-01DateIssued
Issue Price12800000IssuePrice
Description Of PurposeHEALTHCARE REVENUE BONDSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds12800000TotalProceeds
Amount In Reserve Fund280000AmountInReserveFund
Refunding Escrow65560RefundingEscrow
Issuance Costs From Proceeds96000IssuanceCostsFromProceeds
Capital Expenditures12358440CapitalExpenditures
Year Of Subst Completion2005YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1HUNTINGTON TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge0000000005.000000000000TermOfHedge
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part III2A 10 UNIT DEMENTIA ASSISTED LIVING FACILITY WAS OPENED
Form 990 Part VI11AREVIEWED BY FINANCE COMMITTEE
Form 990 Part VI12CBOARD ORIENTATION AND COMPLIANCE SESSION
Form 990 Part VI19AVAILABLE UPON REQUEST
Form 990 Part III Line 2 A 10 UNIT DEMENTIA ASSISTED LIVING FACILITY WAS OPENED Form 990 Part VI Section B Line 11A REVIEWED BY FINANCE COMMITTEE Form 990 Part VI Section B Line 12C BOARD ORIENTATION AND COMPLIANCE SESSION Form 990 Part VI Section C Line 19 AVAILABLE UPON REQUEST

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