WIDOWS HOME OF DAYTON OHIO: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WIDOWS HOME OF DAYTON OHIO (EIN 31-0641121)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201243209349304734
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)
Timestamp2012-11-15T12:58:10-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN310210560EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BATTELLE & BATTELLE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12000 WEST DOROTHY LANEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45439ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310641121EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WIDOWS HOME OF DAYTON OHIOBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWIDONameControl
Phone9372521661Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 SOUTH FINDLAY STREETAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45403ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNANCY HINESName
TitlePRESIDENTTitle
Phone9372521661Phone
Date Signed2012-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN O CRIMName
PTINP00368385PTIN
Phone9372980201Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNANCY HINESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line150 SOUTH FINDLAY STREETAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45403ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5740915GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WIDOWSHOME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1961YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE PURPOSE OF THE WIDOWS HOME IS TO PROVIDE LONG-TERM CARE SERVICES TO ELDERLY INDIVIDUALS.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees182TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5817943ProgramServiceRevenuePriorYear
Program Service Revenue CY5739765ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year-470InvestmentIncomeCurrentYear
Other Revenue Prior Year1037OtherRevenuePriorYear
Other Revenue Current Year1150OtherRevenueCurrentYear
Total Revenue Prior Year5818980TotalRevenuePriorYear
Total Revenue Current Year5740445TotalRevenueCurrentYear
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 Year2839919SalariesEtcPriorYear
Salaries Etc Current Year2721822SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3100474OtherExpensePriorYear
Other Expenses Current Year2914089OtherExpensesCurrentYear
Total Expenses Prior Year5940393TotalExpensesPriorYear
Total Expenses Current Year5635911TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-121413RevenuesLessExpensesPriorYear
Revenues Less Expenses CY104534RevenuesLessExpensesCY
Total Assets BOY7830247TotalAssetsBOY
Total Assets EOY7485759TotalAssetsEOY
Total Liabilities BOY8861176TotalLiabilitiesBOY
Total Liabilities EOY8417215TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1030929NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-931456NetAssetsOrFundBalancesEOY
Mission DescriptionTHE PURPOSE OF THE WIDOWS HOME IS TO PROVIDE LONG-TERM CARE SERVICES TO ELDERLY INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4595727Expense
Revenue5739295Revenue
DescriptionTHE WIDOWS HOME OF DAYTON, OHIO PROVIDES LONG-TERM NURSING AND RESIDENTIAL CARE, SHORT-TERM REHABILITATION, AND ADULT DAY PROGRAMS TO ELDERLY INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE HOME IS AN INNER-CITY FACILITY WITH 75 LICENSED BEDS.Description
Total Program Service Expense4595727TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
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 Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees182NumberOfEmployees
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1UNITED CHURCH HOMES MANAGEMENTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7403824885TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1170 EAST CENTER STAddressLine1
CityMARIONCity
StateOHState
ZIP Code433011806ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BILL DEAS
PRESIDENT1.00XX000
NANCY HINES
VICE PRESIDENT0.50XX000
SUSAN MOLL
TREASURER0.50XX000
MARILYN HOBACK
SECRETARY0.50XX000
ROBERT APPLEBAUM
BOARD MEMBER0.50X000
GAIL MODDEMAN
BOARD MEMBER0.50X000
ROSE WILDENHAUS
BOARD MEMBER0.50X000
JANE CLIFTON
BOARD MEMBER0.50X000
ANNE VEGHTE
BOARD MEMBER0.50X000
ROBERT PROPHATER
BOARD MEMBER0.50X000
KENT SCHOLL
BOARD MEMBER0.50X000
MICHAEL D FREEMAN
ADMINISTRATOR UNTIL APRIL 201140.00X000
KRISTINA DIXON
ADMINISTRATOR STARTED DECEMBER 201140.00X327000
FieldValueIRS element (for citing)
Total Reportable Comp From Org3270TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNITED CHURCH HOMES MANAGEMENT INC
170 EAST CENTER STREETMARIONOH433011806MANAGEMENT SERVICES CONTRACT490756
ALPHA & OMEGA STAFFING SOLUTIONS
6276 PLATTSBURG ROADSOUTH CHARLESTONOH45368THERAPY SERVICES474416
BEEBERS PHARMACIES
PO BOX 715268COLUMBUSOH432715268PHARMACY SERVICES176522
SENECA MEDIAL INC
85 SHAFFER PARK DRIVE PO BOX 399TIFFINOH44883MEDICAL SURGICAL PRODUCT DISTRIBUTION101129
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM62300044403764440376
HOSPICE CARE RESIDENTS623000627788627788
PRIVATE PAY RESIDENTS623000621823621823
SENIOR ADULT DAY CARE6230004977849778
FieldValueIRS element (for citing)
Total Program Service Revenue5739765TotalProgramServiceRevenue

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other470Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-470Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-470TotalRevenueColumn
Related Or Exempt Function Income-470RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column1150TotalRevenueColumn
Exclusion$1,150ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1150TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5740445TotalRevenueColumn
Related Or Exempt Function Income5739295RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,150ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total38695Total
Management And General38695ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1907718Total
Program Services1805942ProgramServices
Management And General101776ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total176688Total
Program Services164163ProgramServices
Management And General12525ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total598721Total
Program Services548511ProgramServices
Management And General50210ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total283097Total
Management And General283097ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3901Total
Management And General3901ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7675Total
Management And General7675ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total20851Total
Management And General20851ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total297104Total
Program Services297104ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total382624Total
Program Services382624ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
HEALTH SERVICES10269341026934
BED TAX303254303254
ADMINISTRATION161349161349
DIETARY159697159697

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total267603Total
Program Services210752ProgramServices
Management And General56851ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5635911Total
Program Services4595727ProgramServices
Management And General1040184ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY145385BOY
EOY79547EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY698922BOY
EOY779394EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5722BOY
EOY4339EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY41126BOY
EOY44407EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10856153LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4283162LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6931278BOY
EOY6572991EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7814BOY
EOY5081EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7830247BOY
EOY7485759EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY628188BOY
EOY452572EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4567897BOY
EOY4250348EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY9331BOY
EOY17833EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3655760BOY
EOY3696462EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8861176BOY
EOY8417215EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1030929BOY
EOY-931456EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1030929BOY
EOY-931456EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7830247BOY
EOY7485759EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses104534ReconcilationRevenueExpenses
Reconcilation Other Changes-5061ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3111990CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4420400CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5677102CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5768165CurrentTaxYearMinus1Year
Current Tax Year5689985CurrentTaxYear
Total24667642Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3111990CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4420400CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5677102CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5768165CurrentTaxYearMinus1Year
Current Tax Year5689985CurrentTaxYear
Total24667642Total

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 Total50924667642PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44818CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47293CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48939CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49778CurrentTaxYearMinus1Year
Current Tax Year49778CurrentTaxYear
Total240606Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44818CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47293CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48939CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49778CurrentTaxYearMinus1Year
Current Tax Year49778CurrentTaxYear
Total240606Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3156808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4467693CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5726041CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5817943CurrentTaxYearMinus1Year
Current Tax Year5739763CurrentTaxYear
Total24908248Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99030PublicSupportPercentage509
Prior Year Support Percentage0.98930PriorYearSupportPercentage
Investment Income Percentage0.00970InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$0OtherActivitiesAmount
Total Lobbying Expenditures IIB0TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA SMALL PORTION OF THE ORGANIZATION'S DUES PAID TO LEADINGAGE OHIO (FKA AOPHA) IS ALLOCABLE TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis131650OtherCostOrOtherBasis
Book Value131650BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8938937OtherCostOrOtherBasis
Depreciation3419859Depreciation
Book Value5519078BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1785566OtherCostOrOtherBasis
Depreciation863303Depreciation
Book Value922263BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6572991TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED EXPENSES$301,237
DEFERRED COST OF INTEREST RATE SWAP$336,502
FUNDS ADVANCED FROM WIDOWS HOME FOUNDATION - RELATED ORGANIZATION$3,058,723
FieldValueIRS element (for citing)
Total Of Amounts3696462TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENT SAVINGS ACCOUNTS ARE HELD IN A SEPARATE BANK ACCOUNT.
PART X:THE HOME AND THE FOUNDATION QUALIFY AS TAX-EXEMPT NON-PROFIT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAX IS REQUIRED. MANAGEMENT EVALUATED THE HOME AND THE FOUNDATION'S TAX POSITIONS AS OF DECEMBER 31, 2011 AND 2010 AND CONCLUDED THAT THEY HAVE TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. IN GENERAL, THE HOME AND FOUNDATION ARE NO LONGER SUBJECT TO FEDERAL, STATE, OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2008.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationMICHAEL D. FREEMAN, ADMINISTRATOR OF THE WIDOWS HOME OF DAYTON, OHIO, WAS EMPLOYED BY UNITED CHURCH HOMES MANAGEMENT, INC., AN UNRELATED ORGANIZATION. HIS REPORTABLE COMPENSATION WAS $30,149 PER FORM W-2 BOX 5. HE RECEIVED A RETIREMENT PLAN CONTRIBUTION ($624), HEALTH INSURANCE ($3,538), AND OTHER NONTAXABLE BENEFITS - SECTION 125 PLAN ($1,115) FROM THE UNRELATED MANAGEMENT COMPANY. THERE IS NO OWNERSHIP INTEREST IN UNITED CHURCH HOMES MANAGEMENT, INC. BY THE WIDOWS HOME OF DAYTON OR ANY OFFICERS OR BOARD MEMBERS OF THE WIDOWS HOME OF DAYTON, OHIO.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF RIVERSIDEBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN316000133IssuerEIN
Date Issued2003-12-29DateIssued
Issue Price2500000IssuePrice
Description Of Purpose25 BED EXPANSIONDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds2500000TotalProceeds
Year Of Subst Completion2008YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3UNITED CHURCH HOMES MANAGEMENT, INC. PROVIDES MANAGEMENT AND CONSULTING SERVICES, FINANCIAL MANAGEMENT, HUMAN RESOURCES, CENSUS AND BUSINESS DEVELOPMENT, MEDICARE BILLING SERVICES, AND SIMILAR MANAGEMENT SERVICES TO THE WIDOWS HOME OF DAYTON. THE ADMINISTRATOR OF THE WIDOWS HOME IS EMPLOYED BY UNITED CHURCH HOMES MANAGEMENT, INC. AND RECEIVES SALARY AND BENEFITS FROM THAT ORGANIZATION. THERE IS NO OWNERSHIP INTEREST IN UNITED CHURCH HOMES MANAGEMENT, INC. BY THE WIDOWS HOME OF DAYTON OR ANY OFFICERS OR BOARD MEMBERS OF THE WIDOWS HOME.
FORM 990, PART VI, SECTION A, LINE 8BCOMMITTEE MEETING MINUTES WERE NOT TAKEN. HOWEVER, THE DISCUSSIONS DURING COMMITTEE MEETINGS ARE REPORTED AT BOARD MEETINGS AND ARE DOCUMENTED IN THE BOARD MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WILL BE PROVIDED TO BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS PROVIDE SELF-DISCLOSURE OF CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VIITHE ADMINISTRATOR WAS EMPLOYED BY THE WIDOWS HOME BEGINNING IN DECEMBER 2011. THE PREVIOUS ADMINISTRATOR WAS AN EMPLOYEE OF THE MANAGEMENT COMPANY, UNITED CHURCH HOMES.ADMINISTRATOR COMPENSATION
FORM 990, PART XI, LINE 5:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP OBLIGATION -2,303. CHANGE IN CASH SURRENDER VALUE OF RESIDENT LIFE INSURANCE -2,758. TOTAL TO FORM 990, PART XI, LINE 5: -5,061.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHE ORGANIZATION'S COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS HAS NOT CHANGED THAT PROCESS FROM THE PRIOR YEAR. THE FINANCIAL STATEMENTS ARE CONSOLIDATED WITH THE WIDOWS HOME FOUNDATION, A PUBLIC CHARITY WHOSE PURPOSE IS TO CONDUCT FUNDRAISING ACTIVITIES AND MANAGE THE ENDOWMENT FUNDS FOR THE BENEFIT OF THE WIDOWS HOME OF DAYTON.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WIDOWS HOME FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line150 SOUTH FINDLAY STREETAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45403ZIPCode
FieldValueIRS element (for citing)
EIN311584036EIN
Primary ActivitiesTO CONDUCT FUNDRAISING ACTIVITIES AND MANAGE ENDOWMENT FUNDS.PrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
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 Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1WIDOWS HOME FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeETransactionType
Amount Involved3058723AmountInvolved
Method Of Amt DeterminationFAIR MARKET VALUEMethodOfAmtDetermination

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.