2023-05-15T12:27:13-05:00 2022-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2021-07-01 344429863 OHIO LIVING COMMUNITIES 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 177643673 0 X WWW.OHIOLIVING.ORG X 1959 OH TO PROVIDE OLDER ADULTS WITH CARING AND QUALITY SERVICES TOWARD THE ENHANCEMENT OF PHYSICAL, MENTAL AND SPIRITUAL WELL BEING CONSISTENT WITH THE CHRISTIAN GOSPEL. 7 4 0 249 3520 0 5802010 3029864 146767250 148837540 -166388 -1465240 812015 959050 153214887 151361214 0 0 0 0 73991288 73874669 0 0 0 87511423 95756660 161502711 169631329 -8287824 -18270115 447327891 415063966 394486494 380833408 52841397 34230558 X SEE SCHEDULE OOHIO LIVING COMMUNITIES WAS FOUNDED IN 1922 AND WAS INCORPORATED AS AN OHIO NON-PROFIT CORPORATION IN 1959. THE CORPORATION'S MISSION STATEMENT IS AS FOLLOWS:OUR MISSION IS TO PROVIDE OLDER ADULTS WITH CARING AND QUALITY SERVICES TOWARD ENHANCEMENT OF PHYSICAL, MENTAL AND SPIRITUAL WELL-BEING CONSISTENT WITH THE CHRISTIAN GOSPEL. OHIO LIVING COMMUNITIES IS DEDICATED TO LIVING OUR MISSION AND KEEPING THE PROMISES WE MAKE TO THOSE FOR WHOM WE PROVIDE CARE. OHIO LIVING COMMUNITIES IS COMMITTED TO INCLUSIVENESS, A HIGH ETHICAL STANDARD, RESPECT AND RESPONSIVENESS, ALL OF WHICH ESTABLISHES OHIO LIVING COMMUNITIES AS AN INTEGRAL PART OF THE LARGER COMMUNITY. SINCE INCEPTION, WE HAVE ADHERED TO THE PROMISE THAT NO OHIO LIVING COMMUNITIES RESIDENTS WILL BE ASKED TO LEAVE BECAUSE THEY EXHAUST PERSONAL FUNDS, THROUGH NO FAULT OF THEIR OWN, TO PAY FOR THEIR HOUSING OR CARE. 0 0 149148322 0 148837540 SEE SCHEDULE OIN FISCAL YEAR 2022, OHIO LIVING COMMUNITIES OPERATED TWELVE COMMUNITIES FOR SENIORS THROUGHOUT OHIO. SERVICES OFFERED TO RESIDENTS INCLUDE INDEPENDENT LIVING (APARTMENTS, RANCH/VILLA HOMES), ASSISTED LIVING (INCLUDING MEMORY CARE), SKILLED NURSING (INCLUDING REHABILITATION SERVICES AND MEMORY CARE). DURING FISCAL YEAR ENDED JUNE 30, 2022 THE OHIO LIVING COMMUNITIES' AVERAGE OCCUPANCY IN EACH LEVEL OF CARE WAS AS FOLLOWS: UNITS AVERAGE OCCUPANCY AVAILABLE OCCUPANCY PERCENT ---------- ------------- ---------------INDEPENDENT 1,617 1,441 88.9%ASSISTED LIVING 454 381 83.6%SKILLED NURSING 824 681 82.6%TOTAL 2,895 2,503 86.3%THE PAYOR MIX FOR SKILLED NURSING FOR FISCAL YEAR 2022 WAS AS FOLLOWS: PRIVATE PAY 25% MEDICAID 46% MEDICARE 14% MANAGED CARE 15%TOTAL 100% 149148322 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 4 0 0 0 0 1 1 1 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 21.00 19.00 X X 0 566872 68445 LESLIE BELFANCE DIVISION EXECUTIVE OF COMMUNITIES 35.00 5.00 X 0 199068 31770 DEAN PALOMBARO DIVISION EXECUTIVE OF COMMUNITIES 35.00 5.00 X 0 178988 25111 SANDY ADAM DIRECTOR/VICE CHAIR 2.00 6.00 X X 0 0 0 DONALD EDWARDS DIRECTOR/CHAIR 2.00 6.00 X X 0 0 0 JAMES JOYCE DIRECTOR/ASSISTANT SECRETARY 2.00 6.00 X X 0 0 0 TERRY WHITE DIRECTOR/ASSISTANT TREASURER 2.00 6.00 X X 0 0 0 ROBERT B STILLMAN CHIEF FINANCIAL OFFICER/TREASURER 21.00 19.00 X 0 359925 43024 DANA ULLOM-VUCELICH CHIEF HR OFFICER/SECRETARY 26.00 14.00 X 0 274365 35879 MICHAELLA REES CHIEF BRAND & GROWTH OFFICER 23.00 17.00 X 0 198230 17340 STANLEY KAPPERS EXECUTIVE DIRECTOR-MOUNT PLEASANT 40.00 0.00 X 0 192159 9959 WILLIAM RENNER CORP EXECUTIVE OF PLANNING/ANALYSIS 27.00 13.00 X 0 158554 24340 MARK ROBERTS CHIEF EXEC OF PROJECT DEVELOPMENT 28.00 12.00 X 0 150144 18327 DANIEL HOLSTEIN CORP EXECUTIVE OF FINANCE 28.00 12.00 X 0 155649 9020 BRIAN KOLENICH EXECUTIVE DIRECTOR-LAKE VISTA 40.00 0.00 X 0 146891 16732 ANN BEEMAN EXECUTIVE DIRECTOR-LIFE PLAN COMM 40.00 0.00 X 0 155804 16477 CONNIE TOSTEVIN FORMER CNO: THRU 2/2021 28.00 12.00 X 0 159643 2130 0 2896292 318554 0 1 1 0 MESSER CONSTRUCTION CO 643 W COURT ST CINCINNATI OH 45203 CONSTRUCTION SERVICES 17683198 INTELYCARE INC PO BOX 200413 PITTSBURGH PA 152510413 MEDICAL STAFFING 8596288 CONCEPT REHAB INC 7150 GRANITE CIRCLE SUITE 200 TOLEDO OH 43617 REHABILITATION SERVICES 3265543 HARVEST GROVE LTC LLC PO BOX 745829 ATLANTA GA 30384 PHARMACY SERVICES 2813669 AMERICAN PERSONNEL INC 1440 EAST TURKEYFOOT LAKE RD DOOR AKRON OH 44312 MEDICAL STAFFING 2239974 113 3029864 3029864 RESIDENT REVENUE 623000 142673571 142673571 ENTRANCE FEE AMORTIZATION 623000 6163969 6163969 148837540 822 822 24816397 26282459 -1466062 -1466062 -1466062 MEALS 900099 346776 3520 343256 BEAUTY/BARBER SHOP 900099 301956 301956 TRANSPORTATION 900999 223411 223411 86907 86907 959050 151361214 148837540 3520 -509710 X 1466532 1466532 58214047 52404669 5809378 9808483 8903852 904631 4385607 3857605 528002 344516 331101 13415 10970 9500 1470 22462 22462 18662413 18155006 507407 380795 337153 43642 14583604 3593767 10989837 642502 615245 27257 11569434 11563986 5448 528644 444839 83805 9442 6966 2476 8583827 8583827 20913469 20913391 78 1945383 1945383 MEDICAL SUPPLIES/DRUGS 7234638 7234638 FOOD 6189208 6189208 FRANCHISE FEES 3480486 3480486 BAD DEBT 222643 222643 432224 332595 99629 169631329 149148322 20483007 0 18444348 5487982 11374486 9803524 250923 238204 331525 269000 592789 1957864 655970623 350950490 286479033 305020133 82751805 69559561 2776999 2776999 44325983 19950699 447327891 415063966 31124418 30167889 52513565 55925879 247535067 235001797 2738315 2534508 60575129 57203335 394486494 380833408 X 52841397 34230558 52841397 34230558 447327891 415063966 X -18270115 10154528 -10495252 X 0 1 X 1 1 1 X 933101 497926 364167 5751368 3029864 10576426 171661041 172122567 167891342 146817892 148837540 807330382 3655611 1536095 1168874 812015 955530 8128125 176249753 174156588 169424383 153381275 152822934 826034933 0 0 0 826034933 1160 1851 2006 19780 822 25619 1160 1851 2006 19780 822 25619 21437 29682 11039 3520 65678 176272350 174188121 169437428 153401055 152827276 826126230 0.99990 0.99990 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 22462 22462 0 PART II-B, LINE 1: OHIO LIVING PAYS MEMBERSHIP DUES TO LEADING AGE, AN ADVOCATE OF NOT-FOR-PROFIT SERVICES FOR ELDERLY OHIOANS. FOR FISCAL YEAR END JUNE 30, 2022, $14,962 RELATED TO LOBBYING ACTIVITIES. OHIO LIVING PAID $7,500 TO THE MCGREGOR FOUNDATION TO FUND LOBBYING TO PROMOTE PACE PROGRAM FOR ALL-INCLUSIVE CARE) TO THE OHIO GENERAL ASSEMBLY. 6588290 6588290 347466124 259653113 87813011 48976761 39885185 9091576 252939448 51412192 201527256 305020133 REFUNDABLE ENTRANCE FEES 33156075 INT RATE SWAP LIAB. 6182618 DEPOSITS 4224636 SELF INSURANCE MEDICAL 1500000 SELF INSURANCE PROF & EMPLOYER LIABILITY 1380006 INTERCOMPANY PAYABLE 6330361 LEASE LIABILITIES 4429639 57203335 0 1 0 0 0 0 0 0 0 LAURENCE C GUMINA CHIEF EXECUTIVE OFFICER 0 566182 0 0 0 690 0 60364 0 8081 0 635317 0 0 ROBERT B STILLMAN CHIEF FINANCIAL OFFICER/TREASURER 0 358660 0 0 0 1265 0 28159 0 14865 0 402949 0 0 DANA ULLOM-VUCELICH CHIEF HR OFFICER/SECRETARY 0 273178 0 0 0 1187 0 27798 0 8081 0 310244 0 0 LESLIE BELFANCE DIVISION EXECUTIVE OF COMMUNITIES 0 197967 0 0 0 1101 0 16905 0 14865 0 230838 0 0 MICHAELLA REES CHIEF BRAND & GROWTH OFFICER 0 198002 0 0 0 228 0 16837 0 503 0 215570 0 0 DEAN PALOMBARO DIVISION EXECUTIVE OF COMMUNITIES 0 178859 0 0 0 129 0 16672 0 8439 0 204099 0 0 STANLEY KAPPERS EXECUTIVE DIRECTOR-MOUNT PLEASANT 0 191443 0 0 0 716 0 1878 0 8081 0 202118 0 0 WILLIAM RENNER CORP EXECUTIVE OF PLANNING/ANALYSIS 0 158244 0 0 0 310 0 1656 0 22684 0 182894 0 0 ANN BEEMAN EXECUTIVE DIRECTOR-LIFE PLAN COMM 0 155504 0 0 0 300 0 1595 0 14882 0 172281 0 0 MARK ROBERTS CHIEF EXEC OF PROJECT DEVELOPMENT 0 149358 0 0 0 786 0 1593 0 16734 0 168471 0 0 DANIEL HOLSTEIN CORP EXECUTIVE OF FINANCE 0 154141 0 0 0 1508 0 1575 0 7445 0 164669 0 0 BRIAN KOLENICH EXECUTIVE DIRECTOR-LAKE VISTA 0 146097 0 0 0 794 0 0 0 16732 0 163623 0 0 CONNIE TOSTEVIN FORMER CNO: THRU 2/2021 0 159337 0 0 0 306 0 862 0 1268 0 161773 0 0 PART I, LINE 3: OHIO LIVING COMMUNITIES RELIED ON A RELATED ORGANIZATION (OHIO LIVING) THAT USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 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. A COUNTY OF FRANKLIN OHIO 2013 A&B HEALTHCARE REV BOND 316400067 353180JF0 2013-11-19 75048652 SEE PART V 0 0 0 B COUNTY OF FRANKLIN OHIO 2016 A&B HEALTHCARE REF REV BOND 316400067 2016-06-15 60000000 SEE PART V 0 0 0 C COUNTY OF FRANKLIN OHIO 2016 C&D HEALTHCARE REF REV BOND 316400067 353180JW3 2016-10-27 34170536 SEE PART V 0 0 0 D COUNTY OF FRANKLIN OHIO 2017 A&B HEALTHCARE REF REV BOND 316400067 2017-09-06 65597000 SEE PART V 0 0 0 A 27995 45716924 5059788 1028428 39628708 2015 1 0 1 1 B 31788967 60000000 60000000 2016 1 0 1 1 C 2853510 34354244 1949702 625617 31778925 2016 1 0 1 1 D 25175666 65597000 110998 65486002 2016 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 1 0.04280 1 1 B 0 0 1 1 0 0.00270 0.00010 0.00280 1 1 0.04340 1 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 1 0.08080 1 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 1 0.08220 1 1 A 0 0 0 1 1 0 0 0 1 B 0 0 1 0 1 1 PNC BANK NA 20.000000000000 0 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 1 1 0 1 1 PNC BANK NA 20.000000000000 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COUNTY OF FRANKLIN, OHIO 2013 A&B HEALTHCARE REV BOND DATE THE REBATE COMPUTATION WAS PERFORMED: 01/10/2019 SCHEDULE K SUPPLENTAL INFORMATION IN NOVEMBER 2013, OLC ISSUED $75,048,652 OF HEALTH CARE FACILITIES REFUNDING AND IMPROVEMENT BONDS. THE PROCEEDS WILL BE USED TO (I) FINANCE A PORTION OF CERTAIN CAPITAL EXPENDITURES OF THE CORPORATION INCLUDING THE ACQUISITION, CONSTRUCTION, INSTALLATION AND IMPROVEMENT OF "HOSPITAL FACILITIES" RELATED TO VARIOUS PROJECTS, (II) FUND THE DEBT SERVICE RESERVE FUND FOR THE SERIES 2013A BONDS, (III) REFUND CERTANIN OUTSTANDING TAXABLE INDEBTEDNESS WHICH WAS INCURRED ON JUNE 20, 2013 AND (IV) PAY CERTAIN COSTS RELATING TO THE ISSUANCE OF THE SERIES 2013A&B BONDS PERMITTED BY THE ACT. IN JUNE 2016, OLC ISSUED $60,000,000 OF HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, CONSISTING OF $30,000,000 SERIES 2016A AND $30,000,000 2016B. PROCEEDS WERE USED TO CURRENT REFUND $60,000,000 COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REVENUE BONDS SERIES 2006A (ISSUED JUNE 20, 2006). IN SEPTEMBER 2016, OLC ISSUED $32,130,000 OF HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, CONSISTING OF $21,955,000 SERIES 2016C AND $10,175,000 2016D. PROCEEDS WERE USED TO CURRENT REFUND COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REVENUE BONDS SERIES 2002A, SERIES 2002B AND SERIES 2005A (ISSUED MARCH 31, 2005). IN SEPTEMBER 2017, OLC ISSUED $60,000,000 OF HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, CONSISTING OF $38,750,000 SERIES 2017A AND $26,847,000 2017B. PROCEEDS WERE USED TO CURRENT REFUND COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REVENUE BONDS SERIES 2011 (ISSUED JUNE 30, 2011) AND SERIES 2016A (ISSUED JUNE 15, 2016). IN DECEMBER 2017, OLC ISSUED $12,260,000 OF HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2017C. PROCEEDS WERE USED TO CURRENT REFUND COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REVENUE BONDS SERIES 2005B (ISSUED MARCH 31, 2005). IN APRIL 2019, OLC ISSUED $25,000,000 OF HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2019A. PROCEEDS WERE USED TO CURRENT REFUND COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REVENUE BONDS SERIES 2013B (ISSUED NOVEMBER 19, 2013). INVESTMENT EARNINGS FOR THE 2013A, 2016C AND 2020B BOND SERIES HAVE BEEN ADDED TO THE TOTAL PROCEEDS OF ISSUE LINE. IN JULY 2020, OLC ISSUED $21,415,000 OF HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2020A. PROCEEDS WERE USED TO CURRENT REFUND COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REVENUE BONDS SERIES 2010A (ISSUED JUNE 30, 2010). IN SEPTEMBER 2020, OLC ISSUED $27,885,000 OF HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2020B. THE PROCEEDS WILL BE USED TO FINANCE THE ACQUISITION, CONSTRUCTION AND INSTALLATION OF "HOSPITAL FACILITIES". IN APRIL 2022, OLC ISSUED $40,160,000 OF HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2022. PROCEEDS WERE USED TO CURRENT REFUND COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REVENUE BONDS SERIES 2013A (ISSUED NOVEMBER 19, 2013). PART I COLUMN 10 COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2017A (OHIO LIVING COMMUNITIES) (THE "2017A BONDS") AND HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2017B (OHIO LIVING COMMUNITIES) (THE "2017B BONDS AND TOGETHER WITH THE 2017A BONDS, THE "SERIES 2017AB BONDS"). DEEMED REISSUANCE OF $3,708,191.30 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2017AB BONDS. THE SERIES 2017AB BONDS WERE ISSUED ON SEPTEMBER 6, 2017. NO CUSIP NUMBER. COUNTY OF FRANKLIN, HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2017C (OHIO LIVING COMMUNITIES) (THE "SERIES 2017C BONDS"). DEEMED REISSUANCE OF $1,102,898.37 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2017C BONDS. THE SERIES 2017C BONDS WERE ISSUED ON DECEMBER 21, 2017. NO CUSIP NUMBER. COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2016B (OPRS COMMUNITIES) (THE "SERIES 2016B BONDS"). DEEMED REISSUANCE OF $1,788,967.35 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2016B BONDS. NO CUSIP NUMBER. COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2016C AND 2016D (OPRS COMMUNITIES) (THE "SERIES 2016CD BONDS"). DEEMED REISSUANCE OF $764,478.51 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2016D BONDS. THE SERIES 2016D BONDS WERE ISSUED ON OCTOBER 27, 2016. CUSIP NUMBER 353180JW3. COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2012A (OPRS COMMUNITIES) (THE "SERIES 2012A BONDS"). DEEMED REISSUANCE OF $2,233,255.74 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2012A BONDS. THE SERIES 2012A BONDS WERE ISSUED ON AUGUST 1, 2012. NO CUSIP NUMBER. COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2012B (OPRS COMMUNITIES) (THE "SERIES 2012B BONDS"). DEEMED REISSUANCE OF $400,056.79 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2012B BONDS. THE SERIES 2012B BONDS WERE ISSUED ON AUGUST 1, 2012. NO CUSIP NUMBER. COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES IMPROVEMENT REVENUE BONDS, SERIES 2010A (OHIO PRESBYTERIAN RETIREMENT SERVICES) (THE "SERIES 2010A BONDS"). DEEMED REISSUANCE OF $3,050,312.99 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2010A BONDS. THE SERIES 2010A BONDS WERE ISSUED ON JUNE 30, 2010. CUSIP NUMBER 353180HN5. PART I COLUMN 11 THE SERIES 2016CD BONDS. DEEMED REISSUANCE OF $741,285.86 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2016CD BONDS. CUSIP NUMBER 353180JW3. THE SERIES 2012B BONDS. DEEMED REISSUANCE OF $137,742.89 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2012B BONDS. NO CUSIP NUMBER. PART II LINE 3 TO THE EXTENT THAT AMOUNTS ON LINE 3 EXCEED THE ISSUE PRICE OF ANY PARTICULAR ISSUE, SUCH EXCESS REPRESENTS INVESTMENT EARNINGS ON PROCEEDS OF SUCH ISSUE. PART II LINE 4 THE AMOUNT IN COLUMN 4 WAS REDUCED BY $96,250 TO ACCOUNT FOR THE AMOUNTS ALLOCABLE TO THE SERIES 2016D BONDS THAT WERE REISSUED. SUCH AMOUNTS ARE REFLECTED IN COLUMNS 10 AND 11. PART III COLUMN 10 ON JANUARY 31, 2020, OHIO LIVING COMMUNITIES ("OHIO LIVING") SOLD ONE OF ITS SENIOR LIVING FACILITIES, PARK VISTA ("PARK VISTA"), WHICH WAS FINANCED AND REFINANCED WITH PROCEEDS OF SEVERAL SERIES OF BONDS. IN CONNECTION WITH THE SALE OF PARK VISTA, OHIO LIVING EXERCISED THE REMEDIAL ACTIONS PROVIDED UNDER TREASURY REGULATIONS SECTION 1.141-12(D) AND (E). WITH RESPECT TO THE REMEDIAL ACTION EXERCISED UNDER TREASURY REGULATIONS SECTION 1.141-12(D) OHIO LIVING (I) DEFEASED $2,790,000 OF THE COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES IMPROVEMENT REVENUE BONDS, SERIES 2013A (OPRS COMMUNITIES) (THE "2013A BONDS") AND ESTABLISHED SUCH ESCROW ON APRIL 1, 2020 AND PROVIDED NOTICE OF SUCH DEFEASANCE TO THE INTERNAL REVENUE SERVICE ON JUNE 24, 2020, (II) REDEEMED $205,000 OF THE 2013A BONDS ON _________, 2020, (III) REDEEMED $726,020 OF THE COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2016D ON ________, 2020 AND (IV) REDEEMED $1,470,196 COUNTY OF FRANKLIN, OHIO HEALTHCARE REFUNDING REVENUE BONDS, SERIES 2019A ON________, 2020. OHIO LIVING EXERCISED THE REMEDIAL ACTION PROVIDED UNDER TREASURY REGULATIONS SECTION 1.141-12(E), RESULTING IN A DEEMED REISSUANCE OF THE FOLLOWING ISSUES IN THE FOLLOWING AMOUNTS: COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2017A (OHIO LIVING COMMUNITIES) (THE "2017A BONDS") AND HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2017B (OHIO LIVING COMMUNITIES) (THE "2017B BONDS AND TOGETHER WITH THE 2017A BONDS, THE "SERIES 2017AB BONDS"). DEEMED REISSUANCE OF $3,708,191.30 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2017AB BONDS. COUNTY OF FRANKLIN, HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2017C (OHIO LIVING COMMUNITIES) (THE "SERIES 2017C BONDS"). DEEMED REISSUANCE OF $1,102,898.37 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2017C BONDS. COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2016C AND 2016D (OPRS COMMUNITIES) (THE "SERIES 2016CD BONDS"). DEEMED REISSUANCE OF $764,478.51 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2016D BONDS. COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2012A (OPRS COMMUNITIES) (THE "SERIES 2012A BONDS"). DEEMED REISSUANCE OF $2,233,255.74 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2012A BONDS. COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2012B (OPRS COMMUNITIES) (THE "SERIES 2012B BONDS"). DEEMED REISSUANCE OF $400,056.79 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2012B BONDS. COUNTY OF FRANKLIN, OHIO HEALTH CARE FACILITIES IMPROVEMENT REVENUE BONDS, SERIES 2010A (OHIO PRESBYTERIAN RETIREMENT SERVICES) (THE "SERIES 2010A BONDS"). DEEMED REISSUANCE OF $3,050,312.99 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2010A BONDS. OHIO LIVING SPENT THE DEEMED REISSUED AMOUNTS OF EACH ISSUE NO LATER THAN JANUARY 31, 2022. PART III COLUMN 11 ON AUGUST 9, 2019, OHIO LIVING SOLD ITS CORPORATE OFFICE BUILDING WHICH WAS FINANCED WITH PROCEEDS OF THE SERIE 2012B BONDS AND THE SERIES 2016CD BONDS. OHIO LIVING EXERCISED THE REMEDIAL ACTION PROVIDED UNDER TREASURY REGULATIONS SECTION 1.141-12(E), RESULTING IN A DEEMED REISSUANCE OF THE FOLLOWING ISSUES IN THE FOLLOWING AMOUNTS: DEEMED REISSUANCE OF $137,742.89 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2012 B BONDS. DEEMED REISSUANCE OF $741,258.86 APPLIED ON A PRO RATA BASIS ACROSS ALL MATURITIES OF THE SERIES 2016CD BONDS. PART IV LINES 4(A) THROUGH (E) NAME OF PROVIDER: PNC BANK, N.A.; TERM: 20 YEARS; HEDGE WAS NOT SUPERINTEGRATED; HEDGE WAS NOT TERMINATED NAME OF PROVIDER: MORGAN STANLEY; TERM: 30 YEARS; HEDGE WAS NOT SUPERINTEGRATED; HEDGE WAS NOT TERMINATED A COUNTY OF FRANKLIN OHIO 2017 C HEALTHCARE REF REV BOND 316400067 2017-12-21 12260000 SEE PART V 0 0 0 B COUNTY OF FRANKLIN OHIO 2019 A HEALTHCARE REF REV BOND 316400067 2019-04-01 25000000 SEE PART V 0 0 0 C COUNTY OF FRANKLIN OHIO 2020 A HEALTHCARE REF REV BOND 316400067 2020-07-28 21415000 SEE PART V 0 0 0 D COUNTY OF FRANKLIN OHIO 2020 B HEALTHCARE REV BOND 316400067 353180KW1 2020-10-01 30595726 SEE PART V 0 0 0 A 4259028 12260000 12260000 2016 1 0 1 1 B 1695195 25000000 25000000 2015 1 0 1 1 C 4618929 21415000 184189 21230811 2013 1 0 1 1 D 30781443 593994 4190122 25997327 2023 1 0 0 1 A 0 0 1 1 0 0.00680 0.00010 0.00690 0 1 0.05580 1 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 1 0.04280 1 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 1 1 MORGAN STANLEY 30.000000000000 0 0 0 0 1 B 0 1 1 0 1 1 COMERICA BANK 30.000000000000 0 0 0 0 1 C 0 1 1 0 1 1 HUNTINGTON BANK 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A SALE OF PARK VISTA REISSUANCEREDEPLOYMENT OF 2010A REFUNDED BY 2020A 2012 316400067 2020-01-31 13048161 SEE PART V 0 0 0 B SALE OF CORPORATE OFFICE RESISSUANCEREDEPLOYMENT OF 2012B & 2016C 316400067 2019-08-09 879001 SEE PART V 0 0 0 C COUNTY OF FRANKLIN OHIO 2022 HEALTHCARE REV BOND 316400067 353180LT7 2022-04-06 43824630 SEE PART V 0 0 0 A 3248923 13048161 48866 13048161 2020 1 0 1 1 B 327196 879001 47385 879029 2019 1 0 1 1 C 42834630 686838 43137792 2023 1 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 FORM 990, PART V, LINE 1A AND 2A ALL W-2S AND 1099S ARE ISSUED FROM A RELATED PARTY, OHIO LIVING, A COMMON PAYMASTER. FORM 990, PART VI, SECTION A, LINE 6 OHIO LIVING, AN OHIO NONPROFIT CORPORATION, IS THE SOLE MEMBER OF OHIO LIVING COMMUNITIES AND SHALL HAVE AND EXERCISE ALL OF THE RIGHTS AND PRIVILEGES OF MEMBERS OF A NONPROFIT CORPORATION CONFERRED UNDER THE LAWS OF THE STATE OF OHIO. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS OF OHIO LIVING COMMUNITIES WILL BE APPOINTED BY THE SOLE MEMBER, OHIO LIVING, THROUGH ITS BOARD OF DIRECTORS, AT THE ANNUAL MEETING OF THE SOLE MEMBER. NOMINEES TO THE BOARD OF DIRECTORS OF OHIO LIVING COMMUNITIES WILL BE SELECTED AND APPOINTED BY THE OHIO LIVING BOARD OF DIRECTORS BASED UPON THEIR ABILITY TO CONTRIBUTE IN TERMS OF EXPERTISE AND TIME AND THEIR COMMITMENT TO THE OHIO LIVING MISSION STATEMENT. FORM 990, PART VI, SECTION A, LINE 7B THE CODE OF REGULATIONS OF OHIO LIVING COMMUNITIES MAY BE AMENDED BY A MAJORITY VOTE OF THE DIRECTORS PRESENT AT ANY MEETING AT WHICH THERE IS A QUORUM IN ATTENDANCE, PROVIDED NOTICE OF THE MEETING AND THE PROPOSED CHANGES IN THE CODE OF REGULATIONS HAVE BEEN GIVEN TO ALL DIRECTORS NO FEWER THAN TWENTY-ONE (21) DAYS IN ADVANCE OF SUCH A MEETING. THE ARTICLES OF INCORPORATION OF OHIO LIVING COMMUNITIES MAY ALSO BE AMENDED IN THE SAME MANNER. NOTWITHSTANDING THE FOREGOING, ALL AMENDMENTS TO THIS CODE OF REGULATIONS AND THE ARTICLES OF INCORPORATION OF OHIO LIVING COMMUNITIES MUST BE RATIFIED BY OHIO LIVING AS SOLE MEMBER. 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 GOVERNING BOARD AND ALL EMPLOYEES OF OHIO LIVING COMMUNITIES ARE BOUND BY THE CONFLICT OF INTEREST POLICY. 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 WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO THAT 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 PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 15,046,613. MANAGEMENT AND GENERAL EXPENSES 356,786. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,403,399. THERAPY, MEDICAL SUPPLIES, DRUGS AND OTHER ANCILLARY: PROGRAM SERVICE EXPENSES 2,888,936. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,888,936. CONTRACT CLINICAL: PROGRAM SERVICE EXPENSES 219,457. MANAGEMENT AND GENERAL EXPENSES 150,621. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 370,078. FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATES -3,560,000. BOOK ENTRY TO CLOSE OUT CUMULATIVE INTERCOMPANY ACCOUNTS TO NET ASSETS -6,589,419. TRANFERS TO/FROM RELATED PARTY -345,833. BV APARTMENTS LLC 9200 WORTHINGTON ROAD SUITE 300 WESTERVILLE OH 43082 275158029 HOUSING OH 2289701 3079866 OHIO LIVING COMMUNITIES 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 9200 WORTHINGTON ROAD SUITE 300 WESTERVILLE OH 43082 311340918 SUPPORT/PARENT OH 501 C (3) LINE 12C, III-FI N/A 0 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 43082 311166160 INACTIVE OH N/A C 1 OHIO LIVING VENTURES LLC 9200 WORTHINGTON ROAD SUITE 300 WESTERVILLE OH 43082 371960450 HOLD INVESTMENT OH N/A C 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 1 OHIO LIVING QUAKER HEIGHTS P 6645455 CASH TRANSFER OHIO LIVING QUAKER HEIGHTS O 1910361 CASH TRANSFER OHIO LIVING QUAKER HEIGHTS S 7812567 CASH TRANSFER OHIO LIVING SARAH MOORE S 4839369 CASH TRANSFER OHIO LIVING SARAH MOORE P 2366192 CASH TRANSFER OHIO LIVING SARAH MOORE O 3970893 CASH TRANSFER