2023-05-15T10:55:48-05:00 2022-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2021-07-01 311340918 OHIO LIVING OHIO 6148887800 9200 WORTHINGTON ROAD 300 WESTERVILLE OH 43082 ROBERT B STILLMAN CFO/TREASURER 6148887800 2023-05-11 1 ROBERT STILLMAN 999009999 AMY CIMINELLO P00796388 6148493000 2023-05-11 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z LAURENCE C GUMINA 9200 WORTHINGTON ROAD 300 WESTERVILLE OH 43082 39528588 0 X WWW.OHIOLIVING.ORG X 1991 OH OHIO LIVING IS THE PARENT ORGANIZATION OF OHIO LIVING COMMUNITIES, OHIO LIVING FOUNDATION, OHIO LIVING HOLDINGS, AND OHIO LIVING VENTURES, LLC. 11 10 3955 10 0 0 0 0 0 17964932 3519109 6377959 15613171 0 19132280 24342891 0 0 0 0 7781429 10359462 0 0 0 4601260 5572548 12382689 15932010 6749591 8410881 5416312 5052025 3926803 3687779 1489509 1364246 X SEE SCHEDULE OOHIO LIVING IS THE PARENT ORGANIZATION OF OHIO LIVING COMMUNITIES, OHIO LIVING FOUNDATION, OHIO LIVING HOLDINGS, AND OHIO LIVING VENTURES, LLC. ITS PRIMARY EXEMPT PURPOSE IS TO PLAN, DIRECT, AND OVERSEE THE FUNCTIONS OF THOSE ENTITIES, ALL OF WHICH ARE ORGANIZATIONS EXEMPT UNDER IRC SECTION 501(C)(3). 0 0 0 0 17964932 PARENT COMPANY OF OHIO LIVING COMMUNITIES, OHIO LIVING FOUNDATION, OHIO LIVING HOLDINGS AND OHIO LIVING VENTURES, LLC. 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 537 0 1 3955 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBERT B STILLMAN 6148887800 9200 WORTHINGTON ROAD SUITE 300 WESTERVILLE OH 43082 LAURENCE C GUMINA CHIEF EXECUTIVE OFFICER 4.00 36.00 X X 566872 0 68445 MARK MATSON DIRECTOR 2.00 0.00 X 0 0 0 KEVIN FUTRYK DIRECTOR/ASST SECRETARY 2.00 2.00 X X 0 0 0 BARBARA SEARS-ROSHON DIRECTOR/CHAIR 2.00 2.00 X X 0 0 0 SANDY ADAM DIRECTOR/VICE CHAIR 2.00 6.00 X X 0 0 0 DONALD EDWARDS DIRECTOR 2.00 6.00 X 0 0 0 PAUL FLANNERY DIRECTOR 2.00 2.00 X 0 0 0 TERRY WHITE DIRECTOR 2.00 6.00 X 0 0 0 JAMES JOYCE DIRECTOR 2.00 2.00 X 0 0 0 BOB PARKER DIRECTOR 2.00 2.00 X 0 0 0 REV RAAFAT ZAKI DIRECTOR 2.00 2.00 X 0 0 0 ROBERT STILLMAN CHIEF FINANCIAL OFFICER 3.00 37.00 X 359925 0 43024 DANA ULLOM-VUCELICH CHIEF HR OFFICER/SECRETARY 1.00 39.00 X 274365 0 35870 MICHAELLA REES CHIEF BRAND & GROWTH OFFICER 1.00 39.00 X 198230 0 17340 LESLIE BELFANCE DIVISION EXECUTIVE OF COMMUNITIES 1.00 39.00 X 199068 0 31770 DEAN PALOMBARO DIVISION EXECUTIVE OF COMMUNITIES 1.00 39.00 X 178988 0 25111 WENDY KISER DIVISIONAL EXECUTIVE OF HOME HEALTH & HOSPICE 1.00 39.00 X 196979 0 17151 WILLIAM RENNER CORP EXEC OF OPERATIONAL PLANNING 1.00 39.00 X 158554 0 24340 DANIEL HOLSTEIN CORPORATE EXECUTIVE OF FINANCE 1.00 39.00 X 155649 0 9020 2288630 0 272071 19 0 1 0 MAXWELL HEALTHCARE ASSOCIATES 5910 RICE CREEK PARKWAY STE 450 SHOREVIEW MN 55126 CONSULTANT & STAFF AUG SERVICES 589122 HOMECARE HOMEBASE LLC PO BOX 678637 DALLAS TX 75267 SOFTWARE SERVICES 587076 NAS RECRUITMENT INNOVATION INC PO BOX 781315 PHILADELPHIA PA 191781315 RECRUIMENT SERVICES 279555 PLANTE MORAN PLLC 16060 COLLECTIONS CENTER DRIVE CHICAGO IL 606930160 ACCOUNTING SERVICES 197716 LANDMARK MEDIA ENTERPRISES LLC PO BOX 645209 PITTSBURGH PA 152645209 SOFTWARE SERVICES 188278 13 MANAGEMENT FEES 561000 17964932 17964932 17964932 1736397 1736397 19827259 15185697 4641562 4641562 4641562 24342891 17964932 0 6377959 X 93753 93753 8554567 8554567 1136276 1136276 574866 574866 236941 236941 98680 98680 129232 129232 1604079 1604079 367640 367640 626349 626349 802372 802372 645710 645710 125212 125212 142909 142909 793424 793424 15932010 0 15932010 0 0 3389 2400012 2400012 3016300 2648624 5416312 5052025 796075 959581 99775 112209 3030953 2615989 3926803 3687779 X 1489509 1364246 1489509 1364246 5416312 5052025 X 8410881 -17565020 9028876 X 0 1 X 1 1 1 X X 4 OHIO LIVING COMMUNITIES 344429863 10 1 0 0 OHIO LIVING HOLDINGS 272564811 10 1 0 0 OHIO LIVING QUAKER HEIGHTS 310538523 10 1 0 0 OHIO LIVING SARAH MOORE 311510768 10 1 0 0 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART I, LINE 12G, COLUMN VI: THE ORGANIZATION PROVIDES CORPORATE AND MANAGMENT SERVICES TO ALL SUPPORTED ORGANIZATIONS. PART IV, SECTION D, LINE 3: THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN OHIO LIVING'S INVESTMENT POLICIES AND THE USE OF ITS INCOME AND ASSETS. OFFICERS OF THE SUPPORTED ORGANIZATIONS MAKE UP A MAJORITY OF THE BOARD OF DIRECTORS OF OHIO LIVING. OFFICERS OF OHIO LIVING ARE CHOSEN FROM ITS BOARD MEMBERS, PROVIDING EVEN MORE OVERLAP. THE FINANCE COMMITTEE OF OHIO LIVING ADVISES THE BOARD OF DIRECTORS OF OHIO LIVING ON BUDGETARY GOALS, STRATEGIC FINANCIAL PLANS AND ALL FINANCIAL MATTERS AND THE COMMITTEE HAS THE RESPONSIBILITY TO REVIEW THE FINANCIAL STATEMENTS AND DISCUSS CORPORATE FINANCES WITH THE APPROPRIATE OFFICERS OF ITS SUPPORTED ORGANIZATIONS. AS A RESULT OF THESE RELATIONSHIPS, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE WITH RESPECT TO OHIO LIVING AND ITS INVESTMENTS, INCOME AND ASSETS. SCHEDULE A, PART IV, SECTION E, LINE 3A: OHIO LIVING COMMUNITIES IS GOVERNED BY A SIX (6) MEMBER BOARD OF DIRECTORS, INCLUDING THE CEO OF OHIO LIVING AND FOUR (4) OTHER MEMBERS APPOINTED BY THE BOARD OF DIRECTORS OF OHIO LIVING (AND AS NEEDED IN THE EVENT OF A SPLIT VOTE, THE CHAIR OF THE OHIO LIVING BOARD OF DIRECTORS). BOTH OHIO LIVING QUAKER HEIGHTS AND OHIO LIVING SARAH MOORE ARE CONTROLLED SUBSIDIARIES OF OHIO LIVING COMMUNITIES AND ARE THEREFORE PART OF THE SAME PARENT STRUCTURE WITH OHIO LIVING. SIMILARLY, OHIO LIVING HOLDINGS IS GOVERNED BY A SIX (6) MEMBER BOARD OF DIRECTORS INCLUDING THE CEO OF OHIO LIVING AND FOUR (4) OTHER MEMBERS APPOINTED BY THE BOARD OF DIRECTORS OF OHIO LIVING (AND AS NEEDED IN THE EVENT OF A SPLIT VOTE, THE CHAIR OF THE OHIO LIVING BOARD OF DIRECTORS). SCHEDULE A, PART IV, SECTION E, LINE 3B: AS MENTIONED IN THE RESPONSE TO PART IV, SECTION E, LINE 3A ABOVE, OHIO LIVING HAS THE POWER TO APPOINT A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS OF EACH OF OHIO LIVING COMMUNITIES AND OHIO LIVING HOLDINGS. THE BOARD OF DIRECTORS OF EACH OF OHIO LIVING COMMUNITIES AND OHIO LIVING HOLDINGS HAVE CONTROL OVER THEIR APPLICABLE ORGANIZATIONS SUBJECT TO THE RIGHTS, POLICIES, PLANS AND DIRECTIVES OF THE BOARD OF DIRECTORS OF OHIO LIVING. THEREFORE, OHIO LIVING BOTH APPOINTS A MAJORITY OF THE BOARD MEMBERS THAT CONTROL OHIO LIVING COMMUNITIES AND OHIO LIVING HOLDINGS AND HAS DIRECT OVERSIGHT OF HOW THOSE BOARDS MANAGE THEIR APPLICABLE ORGANIZATIONS. 0 PERENNIAL CONSORTIUM GROUP & PERENNIAL ADVANTAGE OF OHIO 2400012 C 2400012 RELATED PARTY RECEIVABLE 132190 LEASING ASSET 2516434 2648624 RELATED PARTY PAYABLE 99555 LEASE LIABILITY 2516434 2615989 X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 LAURENCE C GUMINA CHIEF EXECUTIVE OFFICER 566182 0 0 0 690 0 60364 0 8081 0 635317 0 0 0 ROBERT STILLMAN CHIEF FINANCIAL OFFICER 358660 0 0 0 1265 0 28159 0 14865 0 402949 0 0 0 DANA ULLOM-VUCELICH CHIEF HR OFFICER/SECRETARY 273178 0 0 0 1187 0 27789 0 8081 0 310235 0 0 0 LESLIE BELFANCE DIVISION EXECUTIVE OF COMMUNITIES 197967 0 0 0 1101 0 16905 0 14865 0 230838 0 0 0 MICHAELLA REES CHIEF BRAND & GROWTH OFFICER 198002 0 0 0 228 0 16837 0 503 0 215570 0 0 0 WENDY KISER DIVISIONAL EXECUTIVE OF HOME HEALTH 195945 0 0 0 1034 0 16648 0 503 0 214130 0 0 0 DEAN PALOMBARO DIVISION EXECUTIVE OF COMMUNITIES 178859 0 0 0 129 0 16672 0 8439 0 204099 0 0 0 WILLIAM RENNER CORP EXEC OF OPERATIONAL PLANNING 158244 0 0 0 310 0 1656 0 22684 0 182894 0 0 0 DANIEL HOLSTEIN CORPORATE EXECUTIVE OF FINANCE 154141 0 0 0 1508 0 1575 0 7445 0 164669 0 0 0 PART I, LINE 1A ANNUAL SOCIAL CLUB DUES ARE PAID ON BEHALF OF THE CEO, APPROVED BY THE CHAIR OF BOARD OF DIRECTORS, AND LOCATION IS USED FOR BUSINESS MEETINGS. PART I, LINE 4B: THE 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN IS AVAILABLE TO KEY EMPLOYEES OF THE ORGANIZATION, AS DEFINED BY THE ORGANIZATION AND NOT PART VII OF THE FORM 990. THE 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN WILL VEST 100% AFTER 3 FISCAL YEARS OF CONTINUED EMPLOYMENT HAVE CONCLUDED; OTHERWISE, AMOUNTS ARE FORFEITED. FORM 990, PART V, LINE 1A AND 2A OHIO LIVING IS A COMMON PAYMASTER FOR THE FOLLOWING RELATED ENTITIES: OHIO LIVING COMMUNITIES, OHIO LIVING FOUNDATION, OHIO LIVING HOLDINGS, OHIO LIVING SARAH MOORE, AND OHIO LIVING QUAKER HEIGHTS. FORM 990, PART VI, SECTION B, LINE 11B AFTER MANAGEMENT PERFORMS A DETAILED REVIEW OF THE DRAFT 990, THE ORGANIZATION DELEGATES THE REVIEW OF THE 990 TO A BOARD MEMBER WITH SUFFICIENT EXPERIENCE TO EVALUATE THE CONTENT CONTAINED THEREIN. THE MEMBER THEN REPORTS HIS/HER REVIEW FINDINGS TO THE BOARD AND FINANCE COMMITTEE. A DRAFT OF THE FORM 990 IS POSTED TO THE ONLINE BOARD PORTAL AND EACH BOARD MEMBER IS GRANTED ACCESS TO REVIEW AND COMMENT. THE FINAL ISSUED FORM 990 IS ALSO POSTED TO THE BOARD PORTAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD INQUIRES ABOUT CONFLICTS PRIOR TO EACH MEETING. ANNUALLY A WRITTEN DISCLOSURE IS CIRCULATED. IN ORDER TO CONTINUE SERVING, A MEMBER MUST COMPLETE THE WRITTEN DISCLOSURE. THE CORPORATE SECRETARY IS RESPONSIBLE FOR DETERMINING IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST ARISES OR IS DISCOVERED, THE INDIVIDUAL WITH THE CONFLICT MUST EITHER RESOLVE THE CONFLICT OF INTEREST OR MUST NOT SERVE IN THE MATTER WHICH GIVES RISE TO THE CONFLICT. ANY MEMBERS INVOLVED IN A VOTING MATTER MUST EXCUSE THEMSELVES BY NOT VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF HUMAN RESOURCES OFFICER OF OHIO LIVING IN CONJUNCTION WITH THE OHIO LIVING EXECUTIVE COMPENSATION AND EVALUATION COMMITTEE (ECEC) OF THE BOARD OVERSEE THE COMPENSATION OF THE EXECUTIVE LEADERSHIP PERSONNEL. THE ECEC IS COMPRISED OF KEY BOARD MEMBERS WHO INCLUDE THE BOARD CHAIR FROM EACH SUBSIDIARY BOARD, THE BOARD CHAIR FROM THE OHIO LIVING PARENT BOARD, AND THE FINANCE, AUDIT, ETHICS & COMPLIANCE COMMITTEE CHAIR. THE ECEC IS GOVERNED BY A CHARTER AND MEETS REGULARLY. RESOURCES USED BY THE ECEC INCLUDE MARKET SURVEYS AVAILABLE THROUGH HEALTHCARE, LONG-TERM CARE, HOSPICE AND HOME HEALTH DATA COLLECTION CLEARINGHOUSES, INDEPENDENT CONSULTANTS AND OTHER AVAILABLE RESOURCES THAT ARE IN COMPLIANCE WITH ANTI-TRUST REGULATIONS. DECISIONS INVOLVING EXECUTIVE LEADERSHIP PAY ARE DISCUSSED AND APPROVED DURING EXECUTIVE SESSIONS OF THE OHIO LIVING PARENT BOARD MEETINGS. THIS PROCESS IS UPDATED ANNUALLY AND REVIEWED THROUGHOUT THE YEAR DURING QUARTERLY MEETINGS. THE CEO, EXECUTIVE OFFICERS AND KEY EMPLOYEES ARE PAID FROM AND RECEIVE W-2'S FROM OHIO LIVING, AND ARE SUBJECT TO THE ABOVE PROCESS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G CLINICAL STAFFING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,604,079. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,604,079. FORM 990, PART XI, LINE 9: BOOK ENTRY TO CLOSE OUT CUMULATIVE INTERCOMPANY ACCOUNTS TO NET ASSETS 8,955,653. TRANSFERS TO/FROM RELATED PARTY 73,223. OHIO LIVING FOUNDATION 9200 WORTHINGTON ROAD SUITE 300 WESTERVILLE OH 43082 311166164 SUPPORT OH 501(C)(3) LINE 12A, I OHIO LIVING 1 OHIO LIVING COMMUNITIES 9200 WORTHINGTON ROAD SUITE 300 WESTERVILLE OH 43082 344429863 HOUSING AND CARE OH 501(C)(3) LINE 10 OHIO LIVING 1 OHIO LIVING HOLDINGS 9200 WORTHINGTON ROAD SUITE 300 WESTERVILLE OH 43082 272564811 HOME HEALTH AND HOSPICE CARE OH 501(C)(3) LINE 10 OHIO LIVING 1 OHIO LIVING SARAH MOORE 26 N UNION STREET DELAWARE OH 43015 311510768 SKILLED CARE/ASSISTED LIVING OH 501(C)(3) LINE 10 OHIO LIVING COMMUNITIES 1 QUAKER HEIGHTS FOUNDATION INC 514 W HIGH STREET WAYNESVILLE OH 45068 311575048 SUPPORT OH 501(C)(3) LINE 12A, I OHIO LIVING QUAKER HEIGHTS 1 OHIO LIVING QUAKER HEIGHTS 514 W HIGH STREET WAYNESVILLE OH 45068 310538523 SKILLED CARE/ASSISTED LIVING OH 501(C)(3) LINE 10 OHIO LIVING COMMUNITIES 1 OHIO PRESBYTERIAN RETIREMENT SERVICES DEVELOPMENT CORPORATION 9200 WORTHINGTON ROAD SUITE 300 WESTERVILLE OH 40382 311166160 INACTIVE OH OHIO LIVING C 1.00000 1 OHIO LIVING VENTURES LLC 9200 WORTHINGTON ROAD SUITE 300 WESTERVILLE OH 40382 371960450 HOLD INVESTMENTS OH OHIO LIVING C 397923 2797935 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 OHIO LIVING COMMUNITIES Q 3901145 CASH TRANSFER OHIO LIVING FOUNDATION C 73223 CASH TRANSFER