FURP.ORG / PUBLIC DATA EXPLORER

CHAMPAIGN RESIDENTIAL SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHAMPAIGN RESIDENTIAL SERVICES INC (EIN 34-1200331)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-09
IRS object ID
201113139349301346
Schema version
2010v3.4
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)
Timestamp2011-11-09T10:59:15-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1NIPPS BROWN COLLINS & ASSOCIATES INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1648 TAYLOR RDAddressLine1
CityGAHANNACity
StateOHState
ZIP Code43230ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341200331EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHAMPAIGN RESIDENTIAL SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHAMNameControl
Phone9376531320Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11150 SCIOTO STREETAddressLine1
Address Line2ROOM/SUITE 100AddressLine2
CityURBANACity
StateOHState
ZIP Code43078ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSCOTT A DELONGName
TitleCFOTitle
Phone9376531320Phone
Date Signed2011-11-04DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBETTY L COLLINSName
Phone6145771101Phone
Date Prepared2011-11-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHAN JOHNSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11150 SCIOTO STREET SUITE 100AddressLine1
CityURBANACity
StateOHState
ZIP Code43078ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36714936GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CRSI-OH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDE RESIDENTIAL AND HABILITATION SERVICES FOR INDIVIDUALS WITH CHALLENGES. TO PROVIDE VOCATIONAL,RESIDENTIAL AND ASSOCIATED SERVICES TO THOSE IN NEED. TO EMPOWER AND SUPPORT INDIVIDUALS WITH CHALLENGES TO PROVIDE AN OPPORTUNITY TO DEVELOP THEIR MAXIMUM LEVEL OF INDEPENDENCE AS THEY CHOOSE. INHERENT IN THIS COMMITMENT IS THE ESTABLISHMENT OF QUALITY SUPPORT SYSTEMS FOR THOSE AT RISK THAT ENHANCE PHYSICAL, INTELLECTUAL, EMOTIONAL, COMMUNICATION, VOCATIONAL, AND SOCIAL SKILLS ACCORDING TO THE INDIVIDUAL'S NEEDS, ABILITIES AND CHOICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees1820TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year56446ContributionsGrantsPriorYear
Contributions Grants Current Year284134ContributionsGrantsCurrentYear
Program Service Revenue Prior Year35890880ProgramServiceRevenuePriorYear
Program Service Revenue CY36525329ProgramServiceRevenueCY
Investment Income Prior Year28053InvestmentIncomePriorYear
Investment Income Current Year24378InvestmentIncomeCurrentYear
Other Revenue Prior Year7050OtherRevenuePriorYear
Other Revenue Current Year-118905OtherRevenueCurrentYear
Total Revenue Prior Year35982429TotalRevenuePriorYear
Total Revenue Current Year36714936TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year26801649SalariesEtcPriorYear
Salaries Etc Current Year27441313SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year43662TotalFundrsngExpCurrentYear
Other Expense Prior Year8236722OtherExpensePriorYear
Other Expenses Current Year7768077OtherExpensesCurrentYear
Total Expenses Prior Year35038371TotalExpensesPriorYear
Total Expenses Current Year35209390TotalExpensesCurrentYear
Revenues Less Expenses Prior Year944058RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1505546RevenuesLessExpensesCY
Total Assets BOY18283454TotalAssetsBOY
Total Assets EOY19356694TotalAssetsEOY
Total Liabilities BOY5960255TotalLiabilitiesBOY
Total Liabilities EOY5778670TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12323199NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13578024NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE RESIDENTIAL AND HABILITATION SERVICES FOR INDIVIDUALS WITH CHALLENGES. TO PROVIDE VOCATIONAL,RESIDENTIAL AND ASSOCIATED SERVICES TO THOSE IN NEED. TO EMPOWER AND SUPPORT INDIVIDUALS WITH CHALLENGES TO PROVIDE AN OPPORTUNITY TO DEVELOP THEIR MAXIMUM LEVEL OF INDEPENDENCE AS THEY CHOOSE. INHERENT IN THIS COMMITMENT IS THE ESTABLISHMENT OF QUALITY SUPPORT SYSTEMS FOR THOSE AT RISK THAT ENHANCE PHYSICAL, INTELLECTUAL, EMOTIONAL, COMMUNICATION, VOCATIONAL, AND SOCIAL SKILLS ACCORDING TO THE INDIVIDUAL'S NEEDS, ABILITIES AND CHOICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangetrueSignificantChange
Expense30685086Expense
Revenue36763800Revenue
DescriptionPROVIDED RESIDENTIAL AND HABILITATION SERVICES FOR INDIVIDUALS WITH CHALLENGES IN OHIO. LONG-TERM CARE FACILITIES AND SEMI-INDEPENDENT LIVING APARTMENTS ARE OPERATED PROVIDING DIETARY, HABILITATION, MEDICAL AND OTHER DAILY LIVING SERVICES. SERVED APPROXIMATELY 728 DISABLED INDIVIDUALS RESIDING IN 28 OHIO COUNTIES THROUGH STATE LICENSED HOMES AND SUPPORTED LIVING ARRANGEMENTS. ALSO PROVIDED ADULT DAY SERVICES FOR 32 INDIVIDUALS IN CHAMPAIGN COUNTY AND PROVIDED SOCIAL AND VOCATIONAL SERVICES TO 96 OTHER INDIVIDUALS IN 6 COUNTIES.Description
Total Program Service Expense30685086TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
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 LiabilitiesfalseReportOtherLiabilities
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 ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109676NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1820NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
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 PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
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 PersonSCOTT DELONGNamePerson
Telephone Number9376531320TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11150 SCIOTO STREET SUITE 100AddressLine1
Address Line2SUITE 100AddressLine2
CityURBANACity
StateOHState
ZIP Code43078ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
PHIL EDWARDS
TRUSTEE2.00X000
RICHARD ANDERSON
BOARD CHAIRM2.00X000
CHRISTINE GLESSNER
BOARD VICE C2.00X000
MARY ANN METHERD
BOARD SECRET2.00X000
JEFF MCCULLA
BOARD TREASU2.00X000
WILLIAM DENKEWALTER
TRUSTEE2.00X000
JERRY SCHLAEGEL
TRUSTEE2.00X000
MARVIN STEVENS
TRUSTEE2.00X000
EDWIN CORWIN
TRUSTEE2.00X000
ALICE SCHLEMMER
TRUSTEE2.00X000
TERRY HOWELL
TRUSTEE2.00X000
RICHARD DIETZ
TRUSTEE2.00X000
PHYLLIS WHITE
TRUSTEE2.00X000
JOHN HORNSBY
TRUSTEE2.00X000
DANNY STOWE
TRUSTEE2.00X000
ROSEMARY SAUNDERS
TRUSTEE2.00X000
MIKE CAREY
TRUSTEE2.00X000
ED KAUFFMAN
TRUSTEE2.00X000
THAN JOHNSON
CEO40.0026093900X
BARBARA KELLER
CBO40.0015850600X
SCOTT DELONG
CFO40.0013092200X
MARTY FAGANS
COO40.0011763400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org668001TotalReportableCompFromOrg
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NIPPS BROWN COLLINS AND ASSOCIATES
648 TAYLOR ROADGAHANNAOH43230ACCTG & CONSULT123281
ARC OF ALLEN COUNTY
546 SOUTH COLLET STREETLIMAOH45805LEASE OF HOME120000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events45663FundraisingEvents
All Other Contributions238471AllOtherContributions
Total Contributions284134TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENTIAL SERVICES6230003634899636348996
RENT FROM 501(C)3623000135733135733
MISCELLANEOUS6230003125031250
TRANSPORTATION62300093509350
FieldValueIRS element (for citing)
Total Program Service Revenue36525329TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column24378TotalRevenueColumn
Exclusion$24,378ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events45663CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
GAIN ON ASSET DISPOSALS62300023644$23,644
LOSS OF DISCONTINUED 501(C)3623000-142549-$142,549
FieldValueIRS element (for citing)
Total Other Revenue-118905TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36714936TotalRevenueColumn
Related Or Exempt Function Income36525329RelatedOrExemptFunctionIncome
Exclusion-$94,527ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22963835Total
Program Services21032342ProgramServices
Management And General1924178ManagementAndGeneral
Fundraising7315Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2188957Total
Program Services1964707ProgramServices
Management And General223551ManagementAndGeneral
Fundraising699Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2288521Total
Program Services2106361ProgramServices
Management And General181398ManagementAndGeneral
Fundraising762Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total57978Total
Program Services21657ProgramServices
Management And General36321ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total76855Total
Program Services28708ProgramServices
Management And General48147ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total57227Total
Program Services196ProgramServices
Management And General57031ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total259906Total
Program Services49951ProgramServices
Management And General200463ManagementAndGeneral
Fundraising9492Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total340605Total
Management And General340605ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1289566Total
Program Services894435ProgramServices
Management And General395131ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total416404Total
Program Services413756ProgramServices
Management And General2648ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total203501Total
Program Services65333ProgramServices
Management And General138168ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total151446Total
Program Services70371ProgramServices
Management And General81075ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1005495Total
Program Services612145ProgramServices
Management And General393350ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total259102Total
Program Services199505ProgramServices
Management And General59597ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUBCONTRACT LABOR9886459818706775
DIETARY744948744948
GOVT FRANCHISE FEES558278558278
PROGRAM SUPPLIES42226240240715319702
TELEPHONE380400200422179978

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total555459Total
Program Services337694ProgramServices
Management And General212073ManagementAndGeneral
Fundraising5692Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35209390Total
Program Services30685086ProgramServices
Management And General4480642ManagementAndGeneral
Fundraising43662Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4539660BOY
EOY410453EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY759037BOY
EOY5803321EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY30485EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3911654BOY
EOY3784569EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY433931BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY417695BOY
EOY349740EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15187684LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7371883LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7314149BOY
EOY7815801EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY248082BOY
EOY314871EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY659246BOY
EOY847454EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18283454BOY
EOY19356694EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3044870BOY
EOY3157212EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY74704BOY
EOY20477EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2840681BOY
EOY2600981EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5960255BOY
EOY5778670EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12261516BOY
EOY13526804EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY61683BOY
EOY51220EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12323199BOY
EOY13578024EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18283454BOY
EOY19356694EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1505546ReconcilationRevenueExpenses
Reconcilation Other Changes-250721ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
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 Years27802CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11970CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56446CurrentTaxYearMinus1Year
Current Tax Year284134CurrentTaxYear
Total395845Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30765596CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30984306CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years33840353CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35890880CurrentTaxYearMinus1Year
Current Tax Year36525329CurrentTaxYear
Total168006464Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30793398CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30996276CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years33855846CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35947326CurrentTaxYearMinus1Year
Current Tax Year36809463CurrentTaxYear
Total168402309Total
FieldValueIRS element (for citing)
Public Support Total509168402309PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years93016CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years137477CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years145196CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28053CurrentTaxYearMinus1Year
Current Tax Year24378CurrentTaxYear
Total428120Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years93016CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years137477CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years145196CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28053CurrentTaxYearMinus1Year
Current Tax Year24378CurrentTaxYear
Total428120Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30886414CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31133753CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34001042CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35975379CurrentTaxYearMinus1Year
Current Tax Year36833841CurrentTaxYear
Total168830429Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99750PublicSupportPercentage509
Prior Year Support Percentage0.99710PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis517111OtherCostOrOtherBasis
Book Value517111BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7312424OtherCostOrOtherBasis
Depreciation2432074Depreciation
Book Value4880350BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1174740OtherCostOrOtherBasis
Depreciation867307Depreciation
Book Value307433BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2906117OtherCostOrOtherBasis
Depreciation2027119Depreciation
Book Value878998BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3277292OtherCostOrOtherBasis
Depreciation2045383Depreciation
Book Value1231909BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7815801TotalOfBookValueLandBuildings
Total Revenue36714936TotalRevenue
Total Expenses35209390TotalExpenses
Excess Or Deficit For Year1505546ExcessOrDeficitForYear
Excess Or Deficit Per FS1505546ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt36714936TotRevenueEtcAuditedFinclStmt
Revenue Subtotal36714936RevenueSubtotal
Total Revenue Per Form99036714936TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35209390TotExpensesEtcAuditedFinclStmt
Expenses Subtotal35209390ExpensesSubtotal
Total Expenses Per Form99035209390TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event145663GrossReceiptsEvent1
Charitable Contributions Event145663CharitableContributionsEvent1
Gross Receipts Total45663GrossReceiptsTotal
Charitable Contributions Total45663CharitableContributionsTotal

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
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 (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
THAN JOHNSON
260939260939
BARBARA KELLER
158506158506

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONPROVIDE RESIDENTIAL AND HABILITATION SERVICES FOR INDIVIDUALS WITH CHALLENGES. TO PROVIDE VOCATIONAL,RESIDENTIAL AND ASSOCIATED SERVICES TO THOSE IN NEED. TO EMPOWER AND SUPPORT INDIVIDUALS WITH CHALLENGES TO PROVIDE AN OPPORTUNITY TO DEVELOP THEIR MAXIMUM LEVEL OF INDEPENDENCE AS THEY CHOOSE. INHERENT IN THIS COMMITMENT IS THE ESTABLISHMENT OF QUALITY SUPPORT SYSTEMS FOR THOSE AT RISK THAT ENHANCE PHYSICAL, INTELLECTUAL, EMOTIONAL, COMMUNICATION, VOCATIONAL, AND SOCIAL SKILLS ACCORDING TO THE INDIVIDUAL'S NEEDS, ABILITIES AND CHOICES.
ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICESFORM 990, PAGE 2, PART III, LINE 3THE OPERATION AND MANAGMENT OF BEN-EL CHILD AND FAMILY CENTER EIN 31- 1466076, AN AFFILLIATED 501(C)3 ORGANIZATION THAT WAS A MEDICAID MENTAL HEALTH PROVIDER, CEASED OPERATIONS AND WAS DISCONTINUED AS OF MARCH 31, 2010.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BRETURN REVIEWED BY OFFICERS OF THE ORGANIZATION PRIOR TO FILING.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5TO RECONCILE TO AUDITED FINANCIAL STATEMENT BALANCE AS OF DECEMBER 31, 2010

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BEN-EL CHILD AND FAMILY CENTERBusinessNameLine1
Business Name Line2BEN-ELBusinessNameLine2

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11150 SCIOTO STREET SUITE 100AddressLine1
CityURBANACity
StateOHState
ZIP Code43078ZIPCode
FieldValueIRS element (for citing)
EIN311466076EIN
Primary ActivitiesHEALTHCAREPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501 CExemptCodeSection
Public Charity Status9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType
BEN-EL CHILD AND FAMILY CENTER
I
BEN-EL CHILD AND FAMILY CENTER
K
BEN-EL CHILD AND FAMILY CENTER
B
BEN-EL CHILD AND FAMILY CENTER
D