OHIO LIVING SARAH MOORE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OHIO LIVING SARAH MOORE (EIN 31-1510768)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-07-01
IRS object ID
201111829349300601
Schema version
2010v3.2
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)
Timestamp2011-07-01T06:07:15-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM POWELSONBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11515 WEST LANE AVE STE 4AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43221ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311510768EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SARAH MOORE HEALTH CARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSARANameControl
Phone7403629641Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line126 N UNION STREETAddressLine1
CityDELAWARECity
StateOHState
ZIP Code43015ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRON WHITEName
TitleADMINISTRATORTitle
Phone7403629641Phone
Date Signed2011-07-01DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM POWELSONName
Phone6144814409Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRONALD WHITENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line126 N UNIONAddressLine1
CityDELAWARECity
StateOHState
ZIP Code43015ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5719714GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSarah Moore Health Center, Inc. operates a 32 bed skilled nursing facility and a 44 bed assisted living facility.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees141TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1143955ContributionsGrantsPriorYear
Contributions Grants Current Year62185ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3474902ProgramServiceRevenuePriorYear
Program Service Revenue CY4350702ProgramServiceRevenueCY
Investment Income Prior Year-7972InvestmentIncomePriorYear
Investment Income Current Year126529InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4610885TotalRevenuePriorYear
Total Revenue Current Year4539416TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2222694SalariesEtcPriorYear
Salaries Etc Current Year2567276SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1742667OtherExpensePriorYear
Other Expenses Current Year1998031OtherExpensesCurrentYear
Total Expenses Prior Year3965361TotalExpensesPriorYear
Total Expenses Current Year4565307TotalExpensesCurrentYear
Revenues Less Expenses Prior Year645524RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-25891RevenuesLessExpensesCY
Total Assets BOY11178433TotalAssetsBOY
Total Assets EOY11536695TotalAssetsEOY
Total Liabilities BOY12921842TotalLiabilitiesBOY
Total Liabilities EOY13305995TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1743409NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1769300NetAssetsOrFundBalancesEOY
Mission DescriptionSarah Moore Health Center, Inc.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3684524Expense
Revenue4350702Revenue
DescriptionPROVIDED SKILLED CARE AND ASSISTED LIVING.Description
Total Program Service Expense3684524TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
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 RequiredtrueScheduleJRequired
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 EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees141NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
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 PersonRONALD WHITENamePerson
Telephone Number7403629641TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line126 N UNIONAddressLine1
CityDELAWARECity
StateOHState
ZIP Code43015ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
TIM FLAHIVE
Board-President1.00X000
JOYCE EKELBERRY
Board-Secretary1.00X000
CHESTER HAMMOND
Board Member1.00000X
DARLENE BARNES
Board Member1.00000X
BILL WILLIAMS
Board Member1.00000X
ROSALYN SMITH
Board Member-VP1.00X000X
TIM CHESSER
Board Member1.00000X
DEBORAH MARTIN
Board Member1.00000X
MARY LOU WALDRON
Board Member1.00000X
RONALD J WHITE
Administrator40.00178181023500XX
FieldValueIRS element (for citing)
Total Reportable Comp From Org178181TotalReportableCompFromOrg
Total Other Compensation23500TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1FUNCTIONAL PATHWAYSAddressLine1
CityKNOXVILLECity
StateTNState
ZIP Code37932ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTherapyDescriptionOfServices
Compensation289049Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions62185AllOtherContributions
Total Contributions62185TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
32 Bed Nursing Home6230002795563
44 Bed Assisted Living6230001551142

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column3997TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue4350702TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column28799TotalRevenueColumn
Exclusion$28,799ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1278028Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1180298Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities97730Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column97730TotalRevenueColumn
Exclusion$97,730ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4539416TotalRevenueColumn
Related Or Exempt Function Income4350702RelatedOrExemptFunctionIncome
Exclusion$126,529ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2260534Total
Program Services1848997ProgramServices
Management And General411537ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total306742Total
Program Services203311ProgramServices
Management And General103431ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total358068Total
Program Services326791ProgramServices
Management And General31277ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total855Total
Program Services0ProgramServices
Management And General855ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15120Total
Program Services0ProgramServices
Management And General15120ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total13123Total
Program Services0ProgramServices
Management And General13123ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total139839Total
Program Services139839ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total21784Total
Program Services0ProgramServices
Management And General21784ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total445236Total
Program Services445236ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total297658Total
Program Services297658ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total73550Total
Program Services0ProgramServices
Management And General73550ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies16473616473600
Food16649616649600
Repairs & Maintenance722687226800
Other3303719192138450
Franchise permit fee14036401403640

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total55897Total
Program Services0ProgramServices
Management And General55897ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4565307Total
Program Services3684524ProgramServices
Management And General880783ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY237851BOY
EOY76396EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1001087BOY
EOY482213EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY226841BOY
EOY317370EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3110BOY
EOY4458EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY12061BOY
EOY301342EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10485189LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1594068LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9137485BOY
EOY8891121EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY1290625EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY559998BOY
EOY173170EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11178433BOY
EOY11536695EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY390240BOY
EOY528076EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8422435BOY
EOY8229035EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4109167BOY
EOY4548884EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12921842BOY
EOY13305995EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1743409BOY
EOY-1769300EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1743409BOY
EOY-1769300EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11178433BOY
EOY11536695EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-25891ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3380CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5996CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4060CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1143955CurrentTaxYearMinus1Year
Current Tax Year62185CurrentTaxYear
Total1219576Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2275158CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2514712CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2565349CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3474902CurrentTaxYearMinus1Year
Current Tax Year4350702CurrentTaxYear
Total15180823Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2278538CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2520708CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2569409CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4618857CurrentTaxYearMinus1Year
Current Tax Year4412887CurrentTaxYear
Total16400399Total
FieldValueIRS element (for citing)
Public Support Total50916400399PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years659CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6254CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16574CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1635CurrentTaxYearMinus1Year
Current Tax Year28799CurrentTaxYear
Total53921Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years659CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6254CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16574CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1635CurrentTaxYearMinus1Year
Current Tax Year28799CurrentTaxYear
Total53921Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year-9607CurrentTaxYearMinus1Year
Total-9607Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total16444713Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99730PublicSupportPercentage509
Prior Year Support Percentage0.99880PriorYearSupportPercentage
Investment Income Percentage0.00330InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00180PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis208750OtherCostOrOtherBasis
Book Value208750BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9398875OtherCostOrOtherBasis
Depreciation1132608Depreciation
Book Value8266267BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis14170OtherCostOrOtherBasis
Depreciation8236Depreciation
Book Value5934BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis825137OtherCostOrOtherBasis
Depreciation414967Depreciation
Book Value410170BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38257OtherCostOrOtherBasis
Depreciation38257Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8891121TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionFinancing costsDescription
Book Value173170BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets173170TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionIntercompanyDescription
Amount$4,548,884Amount
FieldValueIRS element (for citing)
Total Of Amounts4548884TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonRONALD J WHITENamePerson
Base Compensation Filing Org178181BaseCompensationFilingOrg
Deferred Comp Filing Org23500DeferredCompFilingOrg
Total Compensation Filing Org201681TotalCompensationFilingOrg
Comp Report Prior990 Filing Org193462CompReportPrior990FilingOrg

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF DELAWAREBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN316400065IssuerEIN
CUSIP Number245872AH9CUSIPNumber
Date Issued2007-09-13DateIssued
Issue Price8905000IssuePrice
Description Of PurposeRefurbish/Add bedsDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds8905000TotalProceeds
Issuance Costs From Proceeds203000IssuanceCostsFromProceeds
Capital Expenditures5649000CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
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

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-C, Line 18Upon request
Pt VI-B, Line 11a990 available upon request
Form 990, Part IX, Line 24fTELEPHONE 11223. 0. 11223. 0. DUES & SUBSCRIPTIONS 7987. 0. 7987. 0. BAD DEBTS 36687. 0. 36687. 0.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SARAH MOORE HOMEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line147 EAST WILLIAMS STAddressLine1
CityDELAWARECity
StateOHState
ZIP Code43015ZIPCode
FieldValueIRS element (for citing)
EIN314379575EIN
Primary ActivitiesASSISTED LIVINGPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(c)3ExemptCodeSection
Public Charity StatusyesPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COMMON BOARDBusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SARAH MOORE HOME
1e4548884cost
SARAH MOORE HOME
1n

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