2011-04-27T14:38:44-05:00 2010-06-30 LARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2009-07-01 310544277 Maple Knoll Communities INC MAPL 5137822400 11100 Springfield Pike Cincinnati OH 45246 kenneth huff 5137822550 2011-04-19 1 CHAD KUNZE 3149254300 2009 2016-02-24 21:20:13Z James Formal 11100 Springfield Pike Cincinnati OH 45246 45326194 0 X www.mkcommunities.org X 1934 OH The mission of Maple Knoll Communities, Inc. is to be a growing provider of outstanding facilities and services for the aging within the TriState area which allows those we serve to thrive in a safe, stimulating, and dignified environment. This will be accomplished through the practice of responsible fiscal stwardship. 18 18 1222 562 0 0 790628 1348080 41793160 40377136 1485186 1376049 1220099 1358333 45289073 44459598 179654 263580 0 23825769 22465997 0 253944 22113605 22937705 46119028 45667282 -829955 -1207684 151920557 142973596 121238600 112930633 30681957 30042963 The mission of Maple Knoll Communities, Inc. is to be a growing provider of outstanding facilities and services for the aging within the TriState area which allows those we serve to thrive in a safe, stimulating, and dignified environment. This will be accomplished through the practice of responsible fiscal stwardship. 0 0 27097226 263580 27181638 "Maple Knoll Village" - Maple Knoll Village is a non-profit contining care retirement community with a history of more than 162 years. Located on a beautiful 54-acre campus, our community offers 279 villas and apartments, 60 assisted living apartments and a 186-bed nursing facility. The community is recognized as a teaching facility for future geriatricians through the University of Cincinnati. The Geriatric Evaluation Center, a clinical service of the University Family Physicians, Inc. is located on this campus. The quality of the Village's residential health care services and programs are attested to by a long list of accreditaions and citations, including the Continuing Care Accrediation Commission (CCAC) 11061898 9736458 "The Knolls of Oxford" - The Knolls of Oxford is a non-profit continuing care retirement community with culture and charm. Located on a beautiful 85-acre campus, the community offers 94 villas, 28 assisted living apartments and a 62-bed skilled nursing facility and rehabilitation center. The community boasts of a unique affiliation with Miami University. This agreement offers multiple opportunities for Miami students, but is also a tremendous benefit for Knolls residents as well. The quality of services and opportunities at The Knolls of Oxford is reinforced by its accreditation through the Continuing Care Accreditation Commission (CCAC). 1702797 1863289 "Maple Knoll Home Health Services" - The mission of Maple Knoll Home Health Services is to help older adults live to their highest potential as individuals who seek independence, good health and personal fulfillment. We strive to provide the highest quality of medical care and support in the home with compassion and respect for each person. Maple Knoll Home Health Services offers a full range of home health services that enable individuals to recuperate safely in their home. Nurses, therapists and aides provided a total of nearly 16,000 visits the past year in five Ohio counties (Hamilton, Butler, Warren, Clermont and Preble). 1212980 1145222 "Sycamore Senior Center" - Sycamore Senior Center provides needed outreach to the community. This past year, the Center served 94,018 home delivered meals. The Center provided 11,086 trips to hospitals, doctors' offices , therapy and rehab centers, grocery stores and the Senior Center. With more than 1,800 members, the Center has served 16,100 congregate meals demostrating the importance of a hot meal, good friends and great conversation! 541843 455795 "WMKV - FM" - WMKV continues to expand music and service programming to seniors and families with new shows including a pet care call-in show, and a holistic health program, and through community patnerships with major Cincinnati institutions such as Cincinnati Museum Center, the Hamilton County Park District, and Cincinnnati Ballet, among others. WMKV's audience continues to grow even beyond Cincinnati with high fidelity 24-hour a day streaming at www.WMKV.org which provides enjoyment and information to countless thousands in the Tristate area and around the world from Australia to Germany. 1754823 1601017 41616744 1 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 84 0 1 1222 1 0 0 0 0 0 0 0 0 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KENneth HUFF 5137822400 11100 Springfield Pike Cincinnati OH 45246 Steven L Brash 1.00 X X 0 0 0 William B Brown 1.00 X X 0 0 0 Diane Y Dumbauld 1.00 X 0 0 0 M Margaret Fanella 1.00 X 0 0 0 P Jeane Goings 1.00 X 0 0 0 Gary T Huffman 1.00 X X 0 0 0 Marilyn P Kremzar 1.00 X 0 0 0 Ronald Wiley Ph D 1.00 X X 0 0 0 Steven A Wilson 1.00 X X 0 0 0 Robert A Yearout EdD 1.00 X 0 0 0 RICHARDM NORMAN 1.00 X 0 0 0 WILLIAM S OSTRANDER 1.00 X 0 0 0 THOMAS E DEWEY 1.00 X 0 0 0 ANN HUFFMAN 1.00 X 0 0 0 James Formal 45.00 X X 328413 0 73241 Kenneth Huff 45.00 X X 207517 0 47760 BENJAMIN GILCHRIST 45.00 X 147890 0 33129 ROSE DENMAN 45.00 X 123604 0 34917 ROBERT HANNEKEN 50.00 X 125983 0 33244 TIMOTHY MCGOWAN 45.00 X 134978 0 17511 ANDREW CRAIG 45.00 X 109065 0 17396 JANET MANOOGIAN 45.00 X 123782 0 28960 LYNETTE PETERSON 45.00 X 96662 0 14800 Anne G Feuer 1.00 X 0 0 0 John M Green 1.00 X 0 0 0 Barry Porter 1.00 X 0 0 0 Arthur R Schiltz 1.00 X 0 0 0 1029738 0 218112 8 0 1 0 alliance rehab 1520 kensington road oak brook IL 60523 contract rehab services 1812793 1 27515 1320565 1348080 ROOM AND BOARD REVENUE 623000 37277474 37277474 HOme health revenue 623000 1860276 1860276 COMMUNITY SERVICES REV 623000 1014336 1014336 wmkv revenue 623000 225050 225050 40377136 1234073 1234073 328156 322890 5266 5266 5266 669560 527584 141976 141976 141976 13660 27515 16122 -2462 -2462 MISC REVENUE 900099 739607 739607 MEAL REVENUE 623000 302247 302247 BEAUTY SALON REVENUE 623000 182688 182688 130987 130987 1355529 44459598 40382402 0 2729116 263580 263580 807424 186688 531406 89330 16310310 15019076 1248384 42850 884395 785641 91928 6826 2990615 2656862 310725 23028 1473253 1308746 153136 11371 63118 63118 105764 16879 88885 207039 3683 203356 94504 94504 1857090 1841555 15535 655041 574636 80405 174826 106777 49995 18054 653810 580804 67960 5046 5717786 5717786 48094 48094 188923 49408 135872 3643 2537415 2537415 5844846 5185724 613564 45558 514345 456912 53463 3970 Food 1455112 1455112 license surcharge 1086736 1086736 senior center expenses 552949 491205 57476 4268 Misc Exp 547130 547130 uncollectible accounts 533572 533572 99605 99605 45667282 41616744 3796594 253944 7043385 2147507 386533 347843 572406 1148484 3244271 3843137 1635439 836455 216199 221991 388170 209175 166760344 64373413 106776528 102386931 19308285 19241228 165497 23032 12183844 12567813 151920557 142973596 7022869 6715839 35657794 32682948 65917573 61821268 4973275 3040723 7667089 8669855 121238600 112930633 X 21347926 20377956 459226 490750 8874805 9174257 30681957 30042963 151920557 142973596 X 0 1 1 X 0 X 1214182 1891729 958007 792981 1348080 6204979 38410823 36783474 39564477 41509812 40380271 196648857 39625005 38675203 40522484 42302793 41728351 202853836 340670 975679 367438 371103 676735 2731625 0 340670 975679 367438 371103 676735 2731625 200122211 1230677 1026700 1730701 1354875 1376049 6719002 1230677 1026700 1730701 1354875 1376049 6719002 2703974 2358248 1987811 1500779 1343857 9894669 43559656 42060151 44240996 45158447 44448257 219467507 0.91190 0.90630 0.03060 0.02910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100000 0 2437732 2437732 111954069 35779067 76175002 14227983 5742161 8485822 37742670 22852185 14890485 397890 397890 102386931 interest and dividend receivable 70047 unamortized bond costs 778435 supplemental pension plan assets 70803 operating rights 2512190 beneficial interest in irrevocable trusts 8387093 Investment in subsidiary 639135 works of art 100000 security deposits 10110 12567813 charitable gift annuity 491523 provisions for interest rate swap 4715900 line of credit 2500000 capital lease 884503 Security Deposit 7126 deferred Comp 70803 8669855 44459598 45667282 -1207684 1934950 -1366260 568690 -638994 46170528 1635498 -263580 1371918 44798610 -339012 -339012 44459598 45742838 339136 339136 45403702 263580 263580 45667282 Part X: Description of Uncertain Tax Positions Under FIN 48: Maple Knoll Communities, Inc. is a not-for-profit organization as described in Section 501(c)(3)of the Internal Revenue Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code. The organization files as a tax-exempt organization. Should that stauts be challenged in the future, all years since inception could be subject to review by the IRS. The organization's 2007, 2008, and 2009 tax returns are open for examination by the IRS. Part XI, Line 8 - Other Adjustments: CHANGE IN FAIR VALUE OF SWAP: -1313451. OTHER NON OPERATING EXPENSES: -60232. CHANGE IN VALUE OF CHARITABLE GIFT ANNUITIES: 8257. ROUNDING: -834. Part XII, Line 2d - Other Adjustments: GRANT ASSISTANCE INCLUDED AS EXPENSE ON 990: -263580. Part XII, Line 4b - Other Adjustments: RENTAL EXPENSE NETTED WITH RENTAL REVENUE ON 990: -322890. FUNDRAISING EXPENSE NETTED WITH FUNDRAISING REVENUE ON 990: -16122. Part XIII, Line 2d - Other Adjustments: RENTAL EXPENSE NETTED WITH RENTAL REVENUE ON 990: 322890. FUNDRAISING EXPENSE NETTED WITH FUNDRAISING REVENUE ON 990: 16122. Prior period adjustment: 124. Part XIII, Line 4b - Other Adjustments: GRANT ASSISTANCE INCLUDED IN EXPENSE ON 990: 263580. WMKV GOLF OUTING 41175 27515 13660 1150 1357 6010 6607 998 41175 27515 13660 1150 1357 6010 6607 998 16122 -2462 1 RENT ASSISTANCE 12 263580 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The organization provides monthly assistance to residents who are unable to pay full rent. When a resident applies for assistance, the organization will review their stated assets and bank and investment statements to determine if they are eligible to receive assistance. X X X 0 1 0 0 0 0 0 0 0 James Formal 289825 0 38588 0 0 0 15615 0 57626 0 401654 0 0 0 Kenneth Huff 192517 0 15000 0 0 0 7583 0 40177 0 255277 0 0 0 ROBERT HANNEKEN 125983 0 0 0 0 0 21288 0 11956 0 159227 0 0 0 TIMOTHY MCGOWAN 119978 0 15000 0 0 0 0 0 17511 0 152489 0 0 0 JANET MANOOGIAN 123782 0 0 0 0 0 11304 0 17656 0 152742 0 0 0 Part I, Line 4a James Formal, CEO of Maple Knoll Communities, had $17,000 contributed to a supplemental non qualified retirement plan. county of butler ohio 316000061 12354NAE6 1920-06-20 28145000 construction 0 0 27770719 374281 27770719 2007 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 Form 990, Part VI, Section B, line 11 A COPY OF THE 990 WAS PROVIDED TO THE FINANCE COMMITTEE prior to THE RETURN being FILED. Form 990, Part VI, Section B, line 12c The board of directors complete and sign a conflict of interest policy annually. If a potential conflict exists, it is discussed by the board and then voted on. The board member who has a potential conflict abstains from voting. Form 990, Part VI, Section B, line 15 The process for determining the compensation of the CEO is performed on an annual basis and is determined by a compensation committee and is approved by the board of directors. When the compensation committee meets they take into consideration the current salaried compensation program, how the organization performed in the current year, the expectations for the future, and other board comments. The organization will use an outside consultant on a need to basis. The organization compares the compensation to industry averages for the CEO. The CFO's salary is reviewed by the CEO. The same resources used to determine the CEO's salary are utilized in determining the reasonableness of the CFO's salary. Form 990, Part VI, Section C, line 19 The organization makes its financial statements availble to the public by distributing annual reports to any interested parties. The review of the financial statement remains unchanged from the prior year. mkv inc 11100 springfield pike cincinnati OH 45246 310914017 hud subsidized housing OH 501c3 509a2 N/A sycamore-anderson senior housing inc 11100 springfield pike cincinnati OH 45246 311209103 hud subsidized housing OH 501c3 509a2 N/A sycamore-anderson senior housing II inc 11100 springfield pike cincinnati OH 45246 311428462 hud subsidized housing OH 501c3 509a2 N/A 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 MKV Inc K 65152