~fiz Form 990 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung 2002 benefit trust or pmate foundation) Open to Pul The organization may have b use a copy of Nia realm to ss~sty state reporting requirements ~f19pBCt101 A For the 2002 calendar or tax ear be loom and ending B Check d applicable Plea! C Name of organization D Employer ID number use IF '2A _1ZQnQlQ Address change label Name charge print E Telephone number Instal return typo Number and street (or P O box d mail is not delivered to street address) RooMSUde 330-535-8116 Final return See F Accounting method N Cash Specil Amended velum City or town state or country and ZIP " 4 Puluai InsW 11 0 Other specify) Application pendin, thin fliSectlon 501(c)(3) orpanlraUOns and 4B47(a)(1) nonexempt charitable H and I are not applicable to section 527 organizations trusts muss attach a completed Schedule A (Form 990 or 990F2) H(a) Is this a group return for affilutesl O Yes ~ No G Wabsrte t orianahOU52 . CO[TI H(b) If 'Yes' enter no of affiliates J Organization type H(C) Are all affiliates inclwed? a Yes ~ No check on one 1 501 c 3 s insert no 4947 (,)( 1 ) or 527 (If'NO' an a list See msir ) K Check here 1 u if the organization's gross receipts are normally not more than H(d) Is this a separate return fled by an $25,000 The organization need not file a return with the IRS, but if the organization Yes I I No received a Form 990 Package in we mail, it should file a return without financial dale I 41 dGEN M E2"Check 1 U d the organizatIon is not required to attach Sch B (Form 990 990-EZ or 990-PF) Part l Revenue, Expenses, and Changes in Net Assets or Fund Balance Contributions, gifts grants, and similar amounts received a Direct public support 1a b Indirect public support 1b c Government contributions (grants) 7c d Total (add lines to 1c) $ , , noncash $ w through (cash 9 81 3 151 2 Program service revenue including government fees and contracts (from Part VII, line 93) 3 Membership dues and assessments 4 Interest on savings and temporary cash investments 5 Dividends and interest horn securities 6a Gross rents 6a -11 , 517 b Less rental expenses 522 Stmt 1 6b -11 517 mn c Net rental income or (loss) (subtract line 6b horn line 6a) 6c ~R 7 Other investment income (describe 111. 7 e v Ba Gross amount horn sales of assets other (A) Securities Other Le than inventory 8a Cn b Less cost or other basis and sales expenses Bb Oe c Gain or (loss) (attach schedule) Bc CD d Net gain or (loss) (combine line 8c, columns (A) and (B )T , Bd N 0 9 Special events and activities (attach schedule) w a Gross revenue (not including $f i Gf 90 Miles MAY J L contributions reported online 1E@2WM PATE 9a b Less direct expenses other than fundraising expenses 9b c Net income or (loss) from special events (subtract ine 9b from line 9a) 9e 10a Gross sales of inventory less returns and allowances -' + C- 1 - c b Less cost of goods sold RE\r~C 5'~-0a c Gross profit or (loss) from sales of inventory pan svh ) (subtract in 10b Yomy I-,~ ine 10c 11 Other revenue (from Part VJI line 103) c- ' of ^- . ^- -_l , ~ Mp 1 ~ ~ 11 M3 12 26 , 895, 750 E 13 Program services (from line 44, column (B)) 13 25 , 397 , 008 Px 14 Management and general (horn line 44, column (C)) ]OG D EN t UT 14 ne 15 Fundraising (horn line 44, column (D)) 15 5 16 Payments to affiliates (attach schedule) e 76 s 17 Total ex pe nses add lines 16 and 44 column A A 18 Excess or (deficit) for the year (subtract line 17 horn line 12) N 5 19 Net assets or fund balances at beginning of year (ham line 73, column (A)) j t° 20 Other changes in net assets or fund balances (attach explanation) g 27 Net assess or fund balances at end of ear combine lines 18 19 and 20 For Paperwork Reduction Act Notice, see the separate instructions Form 990 (2002) DAA Sc02 Fom,sso(zoo2) Oriana House . Inc . 39-1334919 Page 2 Part I I Statement of All organizations must complete column (A) Columns (B) (C) and (D) are required for Section 507(cx3) arid (4) organi7atlons Functional EXDBnSBS and section a9a7(a)(11 ronPxemot charitable trusts but oomrul for others (Sea oaae 27 0l the nnwuioro 1 Do not include amounts reported on (B) Program (C) Management (A) Total I (D) FuMraisuq
22 Grants and allocations (attach schedule) non- (cash S lash 5 23 Specific assistance to individuals 24 Benefits paid to or for members 25 Compensation of officers. directors, etc 26 Other salanes and wages 27 Pension plan contributions 28 Other employee benefits 29 Payroll taxes 30 Professional fundraising fees 31 Accountng fees 32 Legal fees 77 33 Supplies 34 Telephone 35 Postage and shipping 36 Occupancy 37 Equipment rental and maintenance 38 PnnUng and publications 39 Travel 40 Conferences, conventions and meetings 41 Interest 42 Depreciation, depletion etc (attach schedule) 43 Other expenses not covered above (itemize) a b See Statement 2 c d e 44 Total functional expenses (add lines 22-43) Organutabons
Joint Costs Check 1 U if you are following SOP 9&2 Are any point costs from a combined educational campaign and lund2ising soliGlauon reported in (B) Program services " ~ Yes 2 No If 'Yes' enter (i) Ire aggregate amount of these point costs $ , (II) the amount allocated to Program services $ (nl) the amount allocated b Management and general $ and (IV) the amount allocated to Fundraising 5 Part III Statement of Prog ram Service Accomplish ments See page 24 of the instructions What is the organization's pnmary exempt purposes Program Service Expenses Rehabilitation (Required for 507(c)(3) 8 All organizations must describe (heir exampt purpose achievements in a clear and concise manner Slate the number (a) orgs 8 asa7(a)(i) of clients served, publications issued etc Discuss achievements that are not measurable (Section 501(c)(3) and (4) vusAs stir optional for
a Rehabilitation of DUI convictees, work release for minor felony, drug counseling, electronic home incarceration, convict supervision
b
c
d
0 5002
Formsso(zooz) Oriana House, Inc . 39-1339919 Page a Part IV Balance Sheets (See page 24 of the instructions )
Note Where required, attached schedules and amounts within the description (A) (a column should be for end-of-year amounts on Be loom of Ye ar End of , 45 Cash - non-interest-bearing - 2 2 7 45 -1 46 Savings and temporary cash investments ~ 11H' : 2 12 ~ 46 '.
47a Accounts receivable b Less allowance for doubtful accounts
48a Pledges receivable 48a b Less allowance for doubtful accounts 4Bb 48c 49 Grants receivable 50 Recervables from officers, directors, trustees, and key employees A (attach schedule) 50 5 51a Other notes and loans receivable (attach s schedule) See Worksheet sta 3 000 77( e b Less allowance for doubtful accounts ~ 51b t 52 Inventories for sale or use s 53 Prepaid expenses and deferred charges % Investments-secumies See Strtlt 3 1 ~ Cost a FMV 7 55a Investments-land, buildings, and equipment basis SSa b Less accumulated depreciation (attach schedule) 55b 56 Investments-other (attach schedule) 57a Land, buildings, and equipment basis 57a 3 618 76E b Less accumulated depreciation (attach schedule) See Stmt 4 see 1 831 , 211 58 Other assets (describe 1 See Strtlt $ 1
60 Accounts payable and accrued expenses L 61 Grants payable a 62 Deferred revenue b 63 Loans from officers directors, trustees, and key employees (attach I I schedule) I 6da Tax-exempt bond liabilities (attach schedule) t b Mortgages and other notes payable (attach schedule) See Worksheet e 65 Other liabilities (descnbe 1 See StIRt 6 ) s
Organizations that follow SFAS 117, check here 1 N and complete lines 67 Through 69 and lines 73 and 74 NF 67 Unrestricted au 68 Temporarily restricted to d 69 Permanently restricted A Organizations that do not follow SFAS 117, check here 1 0 and 5B complete lines 70 through 74 sa 70 Capital stock trust principal, or current funds al to 71 Paid-in or capital surplus, or land, building and equipment fund 5n 72 Retained earnings, endowment accumulated income, or other funds c 73 Total net assets or fund balances (add lines 67 through 69 or lines oa ry 70 through 72 column (A) must equal line 19, column (B) must equal line 21)
Forth 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization How the public perceives an organization in such cases may be determined by the information presented on it return Therefore, please make sure the return is complete and accurate and fully describes, in Part III, we organization's programs and accomplishments ona SC02
Form 990 (20( Vildfld f7VU5e Inc . 39-1339717 p. Part IV-A Reconciliation of Revenue per Audited Part IV-B Reconciliation of Expenses per Audited Financial Statements with Revenue per Financial Statements with Expenses per Return (See oaae 26 of the instructions 1 Return a Total revenue, gains, & other support a Total expenses and losses per per audited financial statements audited financial statements b Amounts included on line a but not on b Amounts included on line a but not line 12, Form 990 on line 17, Form 990 (7) Net unrealized gains on (7) Donated services and use investments $ -34, 36 ' of facilities $ (2) Donated services and use (2) Prior year adjustments of facilities $ reported on line 20, (3) Recoveries of prior Form 990 f year grants f (3) Losses reported on line 20, (4) Other (specify) Forth 990 $ See Stmt 7 (4) Other (specify) $ -708, 57~ See Stmt 9 Add amounts on lines (1) through (4) It- Add amounts on lines (7) through (4) 1 c a minus line b 11. c Line a minus line b 1 d Amounts included on line 12, d Amounts included on line 17, Form 990 but not on line a Form 990 but not on line a (1) Investment expenses (7) Investment expenses not included on line 6b not included on line 6b, Form 990 f Forth 990 f (2) Other (specify) (2) Other (specify) See Stmt 8 See Stmt 10
Add amounts on lines (7) and (2) " I d Add amounts on lines (1) and (2) e Total revenue per line 12, Forth 990 e Total expenses per line 17, Form 990
Part V List of Officers, Directors, Trustees, and Key Employees (List each one even if nor compensated, see page 2s or the instructions ) Titl e Compensation (D) Contnb to (E) Expe (A) Name and address hours) per week devotedeC ~o (C)(II not paid, enter e °~~,h;^, acmunt and
75 Did any officer director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related organizations, of which more than $10,000 was provided by the related organizations? 1 O Yes 0 No If -Yes," attach schedule-see page 26 0( the insWChons
Form 990 (2002) DM SW2
7fr Did we organization engage in any achmly not previously reported to the IRS? If 'Yes .- attach a derailed description of each activity 76 X 77 Were any changes made in we organizing or governing documents but not reported to the IRS 77 X If -Yes .' attach a conformed copy of the changes 78a Did the organvahon have unrelated business gross inc of $1,000 or more during the year covered by this return? 78a X b If 'Yes,' has it filed a tax return on Form 990-T for this year? 78b 79 Was (here a liquidation, dissolution, termination, or substantial contraction during the years If "Yes; attach a statement 79 X BOa Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc , to any other exempt or nonexempt organization? BOa X b If 'Yes," enter the name of the organization No. See Statement 12 and check whether it is ~ exempt or O nonexempt 87a Enter dyed or indirect political expenditures See line 81 insV 81a b Did we organization file Form 7120-POL for this years 81b )( 82a Did the organization receive donated services or we use of materials equipment, or facilities at no charge or at substantially less than fair rental values 84a b If 'Yes " you may indicate the value of these items here Do not include this amount as revenue in Pan I or as an expense in Part II (See instructions in Part III ) 82b 83a Did the organization comply with the public inspection requirements for returns and exemption applications? 87a )C b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b X 8da Did we organization solicit any wninbuuons or gifts that were not tax deductible? Bite X b If 'Yes.' did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? N/A 84b BS 501(c)(4) (5), or (6) organizations a Were substantially all dues nondeductible by members N/A BSa b Did the organization make only in-house lobbying expenditures of $2 000 or less N/A BSb II'Yes' was answered to either BSa or 85b do not complete 85c through B5h below unless the organization received a waiver for proxy lax owed for the prior year c Dues, assessments and similar amounts from members BSc d Section 162(e) lobbying and political expenditures 85d e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e f Taxable amount of lobbying and political expenditures (line BSd less BSe) BSf g Does the organization elect to pay the section 6033(e) lax on the amount in BSf? N/A 85 h If section 6033(e)(7 )(A) dues notices were sent does the organization agree to add the amount in 85f to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following lax years N/A BSh 86 501(c)(7) orqs Enter a Initiation fees and capital contributions included on line 12 B6a b Gross receipts, included on line 72, for public use of dub facilities 86b 87 501(c)(12) orgs Enter a Gross income from members or shareholders 87a b Gross income horn other sources (Do not net amounts due or paid to other sources against amounts due or received from them ) 87b 88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate horn the organization under Regulations sections 301 7707-2 and 301 7707-3? If "Yes; complete Part IX 88 X 89a 501(c)(3) organizations Enter Amount of tax imposed on we organization during the year under section 4911 1 0 , secton 4912 1 0 , section 4955 1 b 501(c)(3) and 501(c)(4) orgs Did the organization engage in any section 4958 excess benefit transaction during we year or did it become aware of an excess benefit transaction from a prior years If "Yes; attach a statement explaining each transaction 89b X c Enter Amount of lax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 1 d Enter Amount of lax on line B9c above, reimbursed by the organization 10. 0 90a List the states with which a copy of this return is filed 1 pH b Number of employees employed in the pay period that includes March 12, 2002 (See instructions I 901a 490 91 The books are in rare of " Patricia F1dnlJdri Telephone no " 330-535-8116 Locaieaac " 885 East Buchtel Avenue ; Akron, OH ziP+a " 44309-1501 92 Section 4947(a)(1) nonexempt Uantable W515 filing Form 990 in lieu of Forth 1041-Check here 10. and enter the amount of tax-exempt interest received or accrued during the tax year 10-1 92 Form 990 (2002)
DAA qCA2
Note Enter gross amounts unless otherwise or 514 E Related or indicated (A) code I mount Nnount exempt kincuon 93 Program service revenue a Treatment Program Revenue b t d e f Medicare/Medicaid payments g Fees and contracts horn government agencies 94 Membership dues and assessments 95 Interest on savings and temporary cash investments 96 Dividends and interest from securities 97 Net rental income or (loss) horn real estate a debt-financed property b not debt-financed property 98 Net rental income or (loss) from personal property 99 Other investment income 100 Gain or (loss) horn sales of assets other than inventory 107 Net income or (loss) from special events 102 Gross profit or (loss) horn sales of inventory 703 Other revenue a b c a e 704 Subtotal (add columns (B) (D) and (E)) 105 Total (add line 104 columns (B) (D), and (E)) t 17,082,599
Part VIII Relationshi p of Activities to the Accom plishment of Exempt Purposes See page 32 of the i Line No Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
Part IX Information Regarding Taxable Subsidiaries and Disrec JA) lBl Name address and EIN of corporation Percentage of Nature
(a) Did the organization dunng the year receive any funds directly or indirectly to pay premiums on a personal benefit mnlraG'+ Yes QCC7~ No (b) Did the organization, during the year, pay premiums, directly or indirectly on a personal benefit conlracO Yes W No
Under penalties of penury, i declare that I have examined this glum including accompanying schedules and statements and to the best of my knowledge and belief it i e mrtect, and co plate DeUa n of pre0arer (other than oKcer based on all information of which preparer has any knowledge Please Sign ^ .1 ' Sgn of officer Date Here ' . . r /a w / ~/K P / ~Pf~ aH
Preparers p ~ ~/~~ Date Check .[ Pre roes SSN or PTIN (See Gen Instr W) self- Paid s nature ' u+~4f1'~lG~~ev~%('CPA 5 15 03 ~m`-bea t P00079065 Preparer's Finns name (or yoursJ , Brott Mardis & Co . EIN t 39-1308939 Use Only ~rsen-, mpwYea~ 1306 First National Tower Proms address and ziP " a Akron OH 99308 330-762-5022 o"^ Fog 990 (zooz) $C02 SCHEDULE A Organization Exempt 501(c)(3) Under Section OMB No t5e5-ooa7 (Form 990 or 990-F2) (Except Private Foundation) and Section 501(e), 5010, 501(k), 501(n), or Section 4947(a)(1) Nonexempt Charitable Trust ,100,2 Supplementary Information{See separate instructions.) Treasu ii"Revenue servam ry " MUST be com pleted b the above organizations and attached to their Forth 990 or 990-EZ Name a( the organvatbn Employer Identification number
Oriana House, Inc . ~ 39-1339919 Part I Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees See page 1 of the instructions List each one It there are none enter "None " (a) Name and address of each employee paid more (E) Title and average hours (d) ConinbWOns to (e) Expense ben pans d account and other than $50 per (c) C°'"pe^sxit'°^ employee 0130 week devoted to positron deferred am nsahon anowances
Harry Manolopoulos MIS Mgr
ce Allen Dir - Resid
Patricia Flanigan Account . Mgr
Patricia Seifert Clinical Dir
William Scheub Projects Mgr P .O . Box 1501' Akron OH 90 Total number of other employees paid over $50000 ...... 1110. I 0 Part II Compensation of the Five Highest Paid Independent Contractors Professional See page 2 of the mstr List each one whether individuals or firm: If there are no
(a) Name and address of each independent contractor paid more than S 50 000 (b) Type of service I (c) Compensation
Roetzel & Andress 7
Dr . Thrasher
BI Incorporated
Burges & Burges Strategists, Inc
Brott Mardis & Co 106 S Main St' Ste 1306 Akron OH 99308 Total number of others receiving over $50,000 for professional services 1 Fog Paperwork Reduction Act Notice, see the Instructions for Forth 990 and Form 990-EZ Schedule A (Form 990 or 990"EZ) 2002
DAA SCns
Part III Statements About Activities (See page 2 of the instructions ) No
1 During the year, has the organization attempted to influence national, state, or lout legislation . including any attempt to influence public opinion on a legislative matter or referendums II "Yes; enter the total expenses paid or marred in connection with the lobbying activities 1$ 3 6 , O O O (Must equal amount an line 38. Part VI-A, or line I of Part VI-B ) Organizations that made an election under section 501(h) by filing Form 5768 must complete Pan VI-A Other organizations checking 'Yes," must complete Pan VI-B AND attach a statement giving a detailed description of the lobbying activities 2 During the year, has the organization either directly or indirectly, engaged in any of the following acts with any substantial mntnbutors. trustees, directors, officers, creators, key employees, or members of their families or wish any taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? (If the answer to any question is 'Yes' attach a detailed statement explaining the transactions ) a Sale, exchange or leasing of property See Stmt 14
b Lending of money or other extension of aediO See Stmt 15
c Furnishing of goods, services, or facilities? See Stmt 16
d Payment of compensation (or payment or reimbursement of exp d mare than 51 000)7
e Transfer of any part of its income or assets
3 Does the organization make grants for scholarships fellowships, student loans etc ? (See Note below I 4 Do you have a section 403(b) annuity plan for your employees Note Attach a statement to explain how the organization determines that individuals or organizations receiving grants or loans from n in furtherance of its charitable Part IV Reason for Non-Private Foundation Status (See pages 3 through 5 of the instructions )
The organizabon is not a private foundation because it is (Please check only ONE applicable box ) 5 A church, convention of churches, or association of churches Section 170(b)(1)(A)(i) 6 A school Section 170(D)(1)(A)(u) (Also complete Part V ) 7 A hospital or a cooperative hospital service organization Section 170(b)(1 )(A)(ni) 8 A Federal, state, or tool government or governmental unit Section 170(b)(1)(A)(v) 9 ~ A medical research organization operated in conjunction with a hospital Section 170(b)(7 )(A)(w) Enter the hospital's name, city .
and state 10, 10 ~ M organization operated for we benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(rv) (Also complete the Support Schedule in Part IV-A ) 77a ~ M organization that normally receives a substantial part of its support from a governmental unit or from the general public Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A 11b A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A I 12 8 M organization that normally receives (1) more than 93 1/3Y. of its support from contributions, membership fees, and gross receipts horn activities related to its charitable etc functions-subject to certain exceptions and (2) no more than 33 113% of its support horn gross investment income and unrelated business taxable income (less section 511 tax) horn businesses acquired by the organization after June 30 1975 See section 5091a)(2) (Also complete the Support Schedule in Part IV-A I 13 r] M organization that is not controlled by any d~squa :,fied persons (other than foundation managers) and supports organizations described in (1) tines 5lhrough 12 above, or (2) section 501ic)(4) (5) or (6), if they meet the test of section 509(a)(2) (See
(b) Line number (a) Name(s) of supported organization(s)
14 [1 M organization organized and operated to test for public safety Section 509(a)(4) (See gape 5 of the instructions DAA Schedule A (Forth 990 or 990-EZ) 2002 =2
Schedule A(FOrmssoorssaez) 2002 Oriana House, Inc . 34-1339919 Page a Pelt IV-A Support Schedule (Complete only if you checked a box on line 10, 11, or 12 ) Use cash method of accounting Note You may use the worksheet in the instructions for converting from the accrual to the lash method of accounhna
15 Gifts, grants . and contributions received (Do not include unusual
17 Grew receipts from admissions merchandise sold or serves performed or fumishing of facilities m any act" that 4 related to
18 Gross inc from inl, Emdends amounts received from pymt an 5ewrrties bans (section 512(a)(5)) rents royallies 8 unrelated burn taxable inc (less sec 577 razes) from businesses acquired by the organization alter June 30, 7975 19 Net income from unrelated business activities not included in line 18 20 Tax rovn leased for 1h9 organ¢alqn's ben
21 The value of sew or fad fumshed co tie org by a governmental unit xi7qui charge Do riot ind the value of sew or fee gen-
22 Other income Anach a schedule Do rot iricluae flam or (loss)
25 Enterl°.6olline23 261, 629 238, 902 212 . 678 183 26 Organizations described on lines 10 or 17 a Enter 2% of amount in column (e), line 24 110.
b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly supported organization) whose total gifts for 1998 through 2001 exceeded the amount shown in line 26a Do not file this list with your return Enter we total of all these excess amounts 1 26b c Total support for section 509(a)(1) test Enter line 24, column (e) 1 26c 44 , 059 , 7 0 2 d Add Amounts from column (e) for lines 18 70 8 , 55 7 19 22 766,541 26n " 26a 1 475 , 098 e Public support (line 26t minus line 26d tout) 1 26e 42 , 584 , 604 f Public support percentage (line 26e (numerator) divided by line 26e (denominator)) 1 26f 96 . 6520 % 27 Organizations described on line 12 a For amounts included in lines 15,16 and 17 that were received from a 'disqualified person,' prepare a list for your records to show the name of and total amounts received in each year from each "disqualified person' Do not file this list with your return Enter the sum of such amounts for each year N/A
(2001) (2000) (1999) (1998) b For any amount included in line 17 That was received from each person (other than "disqualified persons'), prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations described in lines 5 through 11 as well as individuals ) Do not file this list with your return After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (we excess amounlsl for earn year N/A (2001) (2000) (1999) (1998) c Add Amounts from column (e) for lines 15 16 17 20 21 . 27c d Add Line 27a total and line 27b total " 27d e Public support (line 27c total minus line 27d total) " 27e f Total support for section 509(a)(2) test Enter amount on line 23 column (e) 1 I 27f g Public support percentage (line 27e (numerator) divided by line 27f (denominator) " 27 %
28 Unusual Grants For an organization described in line 10 11 or 12 that received any unusual grants during 1998 Through 2001, prepare a list for your records to show for each year, the name of the contributor the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with your return Do not include these grants in line 15 DAA Schedule A (Forth 990 or 990-EZ) 2002 gaz
Schedule A(Formssoo.ssaez) zooz Oriana House, Inc . 34-1339919 Page 4 Part V Private School Questionnaire (See page 7 of the instructions ) (To be completed ONLY by schools that checked the box on line 6 in Part IV) 29 Does we organization have a racially nondiscriminatory policy toward students by statement in i45 charter, bylaws . N other governing instrument, or in a resolution of its governing body? 30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues and other written communications with the public dealing with student admissions, programs and scholarships? 7t Has the organization publicized its racially nondiscriminatory policy through newspaper or broadest media during the period of solicitation far students, or dunng the registration penod d it has no solicitation program in a way that makes we policy known to all parts of the general community it serves If 'Yes,' please describe . if 'No.' please explain (If you need more space, attach a separate statement )
32 Does the organization maintain the following a Records indicating the racial composition of the student body tawny, and administrative staff? b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis c Copies of all catalogues, brochures, announcements, and other wntten communications to the public dealing with student admissions, programs, and scholarships d Copies of all matenal used by the organization or on ids behalf to solicit contributions?
If you answered *No' to any of the shove please explain (II you need more space attach a separate statement
33 Does we organizaUOn discriminate by race in any way with respect to
a Students' rights or privileges'
b Admissions policies
c Employment of faculty or administrative staff?
d Scholarships or other financial assistancti?
e Educational policies7
f Use of facilities?
g Athletic programs
h Other extracurricular acuvNes'+
If you answered 'Yes'to any of the above, please explain (If you need more space, attach a separate statement )
34a Does the organization receive any financial aid or assistance from a governmental agency
b Has the organization's right to such aid ever been revoked or suspended If you answered 'Yes' to either 34a or b, please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 Through 4 OS of Rev Pmc 7550 79759 C R SA7 rnvannn canal nnndwrnmmalinn9 It "Nn' aMarh an nrnlanatinn Schedule A (Form 990 or 900-EZ) 2002
DM s002 Schedule A(FOrtnssoorssaez) 2002 Oriana House . Inc . 39-1339919 Paces Part VI-A Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions )
(a) (b) Limits on Lobbying Expenditures Affiliated group totals To be complBteO for ALL electing organizations 36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 37 Total lobbying expenditures W influence a legislative body (dared lobbying) 38 Total lobbying expenditures (add lines 36 and 37) 39 Other exempt purpose expenditures 40 Total exempt purpose expenditures (add lines 38 and 39) 41 Lobbying nontaxable amount Enter the amount from we following table- If the amount on line 40 is- The lobbying nontaxable amount Is- Not over 5500,000 20% of the amount on line 40 Over $500,000 but not over $1,000,000 $100,000 plus 15% of we excess over $500 000 Over $1 000,000 but nor over $1,500 000 $175 000 plus 10% of the excess over $1 000,000 Over $1,500,000 but not over $17 000 000 $225 000 plus 5% of the excess aver $1,500,000 Over $17,000 000 $1,000,000 42 Grassroots nontaxable amount (enter 25% of line 41 ) 43 Subtract line 42 from line 36 Enter -0- if line 42 is more wan line 36 44 Subtract line 41 from line 38 Enter-0-if line 41 is more than line 38
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) elecbon do not have to complete all of the five columns below
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or (a) I Ibl I 1c1 I Idl (e) !002 2001 2000 199
46 Lobbying ceiling amount (150 % of
48 Grassroots nontaxable amount 49 Grassroots ceiling amount (1150% of
Part VI-B Lobbying Activity by Nonelecting Public Charities
During the year, did the organization attempt to influence national slate or local legislation, including any Yes No Amount attempt to influence public opinion on a legislative matter or referendum through the use of a Volunteers X b Paid stall or management (include compensat-on in expenses reported on line ; c through h I X c Media advertisements X d Mailings to members, legislators, or the public )( e Publications or published or broadcast statements X f Grants to other organizations for lobbying purposes X 36 , 000 g Direct contact with legislators, their staffs, government officials, or a legislative body X h Rallies, demonstrations, seminars conventions speeches, lectures or any other means ~ ~ X I Total lobbying expenditures (add lines c through h ) 36,000 If "Ves" to any of the above also attach a statement giving a detailed description of the lobbying activities Schedule A (Forth 990 or 990-EZ) 2002
DM SOD2
Schedule A(Formssoorssaez) 2002 Oriana House, Inc . 34-1339919 Paces Part VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable - Exempt Organizations (See page 12 of the instructions ) 57 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in seWOn 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, retaking to political organizabons? a Transfers from we reporting organization to a nonUantable exempt organization of, FY, No (p Cash (Ii) Other asset: b Other transachons (i) Sales or exchanges of assets with a nonchanlable exempt organ¢abon (ii) Purchases of assets from a nonUaritable exempt organization (m) Rental of facilities, equipment, or other assets (iv) Reimbursement arrangements (v) Loans or loan guarantees (vl) Performance of services or membership or fundraising solicitations c Sharing of facilities, equipment, mailing lists, other assets, or paid employees d If the answer to any of the above is 'Yes' complete the following schedule Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting organization If the organization received less than fair market value in any
lal I (b) (c) (d)
52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527 1 Q Yes M No
DM Schedule A (Form 990 or 990-EZ) 2002 Scot
Form ns 2002
Name Employer Identification Number
Name of borrower Relationship to disqualified person
Original amount Maturity Interest borrowed I Date of loan date Repayment terms rate
Balance due at I Balance due at I Fair market value Consideration famished by lender I beginning of year end of year ~SSaPF only) SCOz
Forth 2002 990/990-PF For Name Employer Identification Number
Original amount I I Maturity I I Interest borrowed Date of loan dale Repayment terms rate Oriana House, inc -34-1334919
CoNernment Grants (Contributions)
December 31, 2002
County of Summit, Ohio: Office of Budget Management 175 S. Main Street Akron, Ohio 44308 Commumh Based Correctional Facilities Grant 4,910,797 Community Corrections Act Grant 178,659 Byrne Clinic Grants : RSAT Female -0C 31 .504 Theft Treatment Program Domestic Violence Residential Treatment Program 249,096
Alcohol Drug and Mental Health Services Board 100 West Cedar Street, Suite 300 Akron, Ohio 44307 Other 708,659 Crisis Center Grant Indigent Fund Grant Detoxification program Grant 1,396,149 Work release / Halfway House Grant 115.470 Summit Countv Jail Liason Grant 218,577
Akron Metropolitan Housing Authority - Midtown 100 West Cedar Street Akron, Ohio 44307 Other 345,717 Midtown Revenue 57,735
County of Seneca, Ohio: 103 South Washington Street Tdfin, Ohio 44883 CrossNaeh CommunrtN-Based Correctional Facility Grants Day Reporting Grant Community Based Correctional Facilities Grant I,600.7RR
9,813,151
SC02 Onana House, Inc 34-1334919 Federal Statements _FYE: 12/31/2002
Statement 3 - Form 990. Part IV. Line 54 - Investments in Securities
Beginning End of Basis of Description Tear Year Valuation Corporate Stock Investment in Subsidiary 3,750 3,750 Cost 651 .769 William Blair Intl Growth 10,089 8,558 Market 358 .614 Janus Fund 8,822 6,391 Market 66 416 white Oak Growth Stock 2,553 1,532 Market 544 .559 T Rowe Price Blue Chip 7,817 11,953 Market 334 .6 Selected American Shares 10,291 8,536 Market 607 .882 Strong Mid Cap Fund 8,492 5,289 Market 534 795 Vanguard Total Stock Market 13,580 10,733 Market 475 86 Alliance Capital Reserves 176 476 Market 145 809 Clipper Fund 11,687 11,042 Market 628 48 Fidelity Dividend Growth 9,736 14,028 Market 375 566 Strong Growth 6,640 4,961 Market 265 647 Strong Opportunity 10,437 7,624 Market 400 153 Astisan International 5,918 Market 422 686 Berger Mid Cap Value 6,218 Market 193 .15 T Rose Price Mid Cap Growth 5,995 Market 175 Ishares TR Russell 1000 Value 8,026 Market 268 Ishares TR Russell 1000 Growth 9,743 Market 24 Month CD 156,600 Market 104,070 287,373
Statement 4 - Form 990. Part IV, Line 57 - Land. Buildings, and Equipment
Beginning Accum End of Accum Description of Year Deprec Year Deprec See attached schedule $ 3,434,560 $ 1,440,864 $ 3,618,768 $ 1,831,211 Total $ 3,434,560 $ 1,440,864 $ 3,618,768 $ 1,831,211
Statement 5 - Form 990, Part IV, Line 58 - Other Assets Beginning End of Description of Year Year Deposits/CSV Officers Life Insurance $ 64,183 $ 60,525 Total $ 64,183 $ 60,525
Statement 6 - Form 990, Part IV, Line 65 - Other Liabilities Beginning End of Description Tear Year Line of Credit $ 1,631,885 $ 137,274 Total $ 1,631,885 $ 137,274
3-6 SC02 Onana House, Inc 34-1334919 Federal Statements FYE 12/31/2002
Statement 7 - Form 990. Part IV-A - Other Revenue Included in Financial Statements
Description Amount Cash to Accrual Adjustment $ -708,574 Total $ -708,574
Statement 8 - Form 990. Part IV-A - Other Revenue Included on Return
Description Amount Rental income as expense $ 11,517 Total $ 11,517
Statement 9 - Form 990. Part IV-B - Other Expenses Included in Financial Statements Amount Cash to Accrual Adjustment $ 596,915 Total $ 596,915
Statement 10 - Form 990, Part IV-B - Other Expenses Included on Return
Description Amount Rental income as expense $ 11,517 Total $ 11,517
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Part V List of Officers, Directors, Trustees and Key Employees : Column C:
James J Lawrence: Salary 187,336 03 Taxable personal use of Organization auto 5,59988 192,935 91 m a) m O C t C O ' R 'T p, y O N 00 ~ ~ Co N ~ rL L O N ' y U C 5` > C o r tN N - C a 0~1 N p ~ lL n ~ o~ ' N N d - ~ O d co CD E M C O O N A d d w V N U v1 C C V 4 d d Z ur O (O] f~] U0c j m o ~ ao o0 y ~ 5 x c ~°' N Q) 0E~ ~ C Q A E d y U a m l9 ~ 0 y U O O C C C t d 7 r'- 0 F CD (Dp CN T m C6 C6 m u L N y O C , ~ v 3 0> n
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T O C 0 O a DC m ° d a ~°N OE E r 7 d O O v LL a ~ d N T y 0 4 d ~c -O o 0 y C C C j, V ~ l0 N j C m V1 N C C C V1 D H (0 L ~0 E ~0 (0 y d a N m t C 'O v a C p`~ ~ C ~ ~ 0 0 a) O U V .0 O C Q U O N d ~ - N N f~ a E `omm ° ~ O c c o 3 c c O (0 ~ ~ f0 J N r U N C d 4~ ~V Ol C C ~ O n G v c y o m ? E a O p W ~ Q N J C f0 m E d Q 0 0 p t5y d ` X F ~ C ~ F C O v u~ o w ~ , o p y p_N u) E L . m av m F co ~i SC02 Onana House, Inc 34-1334919 Federal Statements '-FYE 12/31/2002
Form 990. Part VI. Question 80 - Relation to other organizations
Name of related organization(s) Correctional Health Services, Inc Wholly-owned subsidiary-Non-exempt
Oriana Services, Inc -Exempt
Oriana House Rehabilitation, Treatment and Community Corrections Foundation, Inc . - Incorporated October 31, 2002 - no activity in 2002-Exempt
Statement 12 - Form 990. Part VI, Line SOb - Name of Related Organization( s )
Correctional Health Services, Inc Wholly-owned subsidiary-Non-exempt
Oriana Services, Inc -Exempt
Oriana House Rehabilitation, Treatment and Community Corrections Foundation, Inc - Incorporated October 31, 2002 - no activity in 2002-Exempt
12
Oriana House, Inc. EIN 34-1334919 Form 990-Schedule A December 31, 2002
Schedule A - Page 2 - Part III - Lines 2(a), 2(b) and 2(c)
RELATED PARTY TRANSACTIONS
Correctional Health Services, Inc (Company) is a "C" corporation which invests in real estate and equipment The Company leases one facility to the Organization All other leased real estate of the Company is rented to parties unrelated to the Organization
Notes receivable consist of the following at December 31, 2002 and 2001
December 31, 2002 2001 Note receivable from Correctional Health Services, Inc for various property and improvements requiring 240 monthly payments through November 1, 2020 of $27,640 including interest at 8% $ 3,000,770 $ 3,265,080 3,000,770 3,265,080
Less current portion
$ 3,000,770 $ 3,265,080
Although there are scheduled monthly payments, the current cash flow of the Company will not provide sufficient funds to make these payments Therefore, no amounts are considered current
At December 31, 2002 and 2001, the Company owes Onana House, Inc $65,992 and $217,423, respectively, m interest related to the above note The 2002 amount is net of recervables from Onana House, Inc for rent and other miscellaneous charges, which were $199,650 at December 31, 2001 Onana House, Inc recognized $254,521 aid $261,371 of interest income from the Company for the years ended December 31, 2002 and 2001, respectively
(Continued) Oriana House, Inc. EIN 34-1334919 Form 990 - Schedule A December 31, 2002
Schedule A - Page 2 - Part 111 - Lines 2(a), 2(b) and 2(c) (Continued)
Onana House, Inc paid rent to Correctional Health Services, Inc of $375,864 and $364,908 for yetis ended December 31, 2002 and 2001, respectively The Organization also leases office space to Correctional Health Services, Inc for $24,000 a year
Onana House, Inc rents facilities and office space from Onana Services, Inc Inter-company rental income for the years ended December 31, 2002 and 2001, was $1,757,688 and $1,433,971, respectively The payables to Onana Services, Inc related to this rent amounted to $601,360 and $42,781 at December 31, 2002 and 2001, respectively Onana Services also owes Onana House, Inc for certain miscellaneous expenses amounting to $1,720 and $24,537 at December 31, 2002 and 2001, respectively
SC02 Onana House, Inc 05/13/2003 3 09 PM 34-1334919 Book Group Summary 1/01/02 - 12/31/02 Page 1 -FYE 12/31/2002
Cost Cost Cost Cost Deprecation Deprecation Deprecation Depreciation Group Beginning Acquisitions Disposals Ending Prior Additions Reductions Ending 155001- IMP-40 E GLI 303,291 99 80,443 00 000 383,734 99 39,343 64 16,692 70 000 56,036 34 155001-1-2000 ADD-41 18,471 28 000 000 18,471 28 10835 30848 000 41683 155004- IMP-POWER 27,920 53 000 000 27,920 53 4,561 70 1,13281 000 5,69451 155008- IMP-55 E GLI 000 12,281 00 000 12,281 00 000 75051 000 75051 155013- IMP-921 SHE] 236,519 50 000 000 236,519 50 000 000 000 000 155040- IMP- KIT/LAf 1,08875 000 000 1,08875 3025 7259 000 10284 155041- IMP-OLIVE S 27,329 43 000 000 27,329 43 2,39725 82521 000 3,22246 155055- IMP-E 55TH ' 187,320 85 000 000 18732085 3,00233 6,24403 000 9,24636 155060- IMP-MIDT04 18,685 93 000 000 18,685 93 94948 62287 000 1,572 35 157100- FURNITURE, 459,238 31 000 000 45923831 239,035 68 66,024 49 000 305,060 17 157200- COMPUTER 1 954,392 90 48 391 78 000 1,002,784 68 513,857 02 157,609 99 000 671,467 01 157300- EQUIPMENT 834,558 02 1 22500 000 835 78302 537,607 62 91,342 02 000 628,949 64 157300-EQPT -KITC 272,73845 000 000 272,738 45 3239580 38,962 71 000 71,358 51 157400- WEB SITE CC 15,014 97 000 000 15,014 97 3,753 74 3,00299 000 6,75673 157500- 1993 TOYOTA 14,875 00 000 000 14,875 00 14,875 00 000 000 14,875 00 157550- 1997 TOYO'Cf 19,041 50 000 000 19,041 50 19,041 50 000 000 19,041 50 157560- 1994 FORD V 20,851 1 5 000 000 20,851 1 5 20,851 1 5 000 000 20,851 15 157570- 1991 CI-EVY 5,51950 000 000 5,51950 5,51950 000 000 5,51950 157580-1990 FORD Vi 2,64000 000 2,64000 000 61600 13200 74800 000 157585- 2001 TOYOTA 15,062 50 000 000 15,062 50 3,01250 3,01250 000 6,02500 157590- 2002 FORD V 000 26,405 00 000 26,405 00 000 3,96075 000 3,96075 1999 Ford W costar 000 8,10000 000 8,10000 000 13500 000 13500 2000 Plymouth Voyger 000 10,000 00 000 10,000 00 000 16667 000 16667
Grand Total 3,434,560 56 186,845 78 2,640 00 3 618,766 34 1,440,958 51 390,998 32 748 00 1,831,208 83 SC02 Oriana House, Inc 05/13/2003 3 10 PM 34-1334919 Book Current Year Additions Page 1 FYE 12/31/2002
Date In Book Asset Property Descnption Service Cost Group: 155001- SIP-40 E. GLENWD 2888 Furnace 2/14/02 8,38700 2890 FLOOR 2/14/02 20,806 00 2900 handicap ramp 11/15/02 51,25000 155001- IMP-40 E. GLEIYWD 80,443 00
Croup: 15500& f1VIP-55 E. CLEfYWD
2889 HOT WATER BOQ.ER 2/14/02 12,281 00 155008- I1MP-55 E. GLENWD 12,281 00
Group: 157200- COMPUTER EOUiP.
2893 COMPUTER SERVER 6/01/02 13,449 00 2894 COMPUTER 6/01/02 2,34000 2895 COMPUTER 6/01/02 2,34000 2897 file server at NRS Drug Ct 7/15/02 6,21978 2898 file server 8/15/02 12,546 00 2901 Incense Windowu NT 2000 12/15/02 3,35100 2902 transfer printer 12/15/02 3,73100 2903 Leamark color punter 12/15/02 2,45000 2904 Dell Computer 12/05/02 1,96500 157200- COMPUTER EQUIP. 48,391 78
Group: 157300- EQUIPMENT
2891 SURVEILLANCE CAMERAS 4/15/02 1,22500 157300- EQUIPMENT 1,22500
Group: 157590-2002 FORD VAN
2892 2002 JHI-I FORD ECONO VAN 4/15/02 26,405 00 157590- 2002 FORD VAN 26,405 00
Croup: 1999 Ford Wmstar
2906 1999 Ford Wmstar 12/15/02 8,10000 1999 Ford Wmstar 8,10000
Group: 2000 Plymouth Voveer
2905 2000 Plymouth Voyager 12/15/02 10,000 00 2000 Plymouth Voyger 10,00000
Grand Total 186,845 78
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