2021-03-15T09:58:23-07:00 2020-06-30 990 2019-07-01 310986918 FRIENDSHIP VILLAGE OF DUBLIN OHIO INC FRIE 6147641600 6000 Riverside Drive Dublin OH 43017 Rita Doherty Executive Director 6147641600 2021-03-15 2019 2022-09-23 18:48:47Z Rita Doherty 6000 Riverside Drive Dublin OH 43017 30640833 0 X www.fvdublin.org X 1979 OH SEE SCHEDULE O 17 17 446 390 0 0 174089 441906 25453929 27026986 2650162 2857707 107377 82939 28385557 30409538 22737 17500 0 0 11316417 11863597 0 0 138299 16382479 15861412 27721633 27742509 663924 2667029 164359720 164214655 124443139 124310279 39916581 39904376 To enhance the quality of life for older adults. 0 0 24423162 17500 27094055 OPERATION OF 304 INDEPENDENT LIVING UNITS, A SKILLED NURSING FACILITY WHICH HAS 50 BEDS. OPERATION OF AN ASSISTED LIVING FACILITY WHICH HAS 46 APARTMENTS. ALSO PROVIDED NON-SKILLED HOME CARE TO RESIDENTS WHO CHOOSE FOR SUPPORT. 0 0 0 24423162 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 82 0 1 446 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X Friendship Village of Dublin c/o Craig Flickinger 6147641600 6000 Riverside Drive Dublin OH 43017 RITA DOHERTY EXECUTIVE DIRECTOR 40 0 X 158568 0 15398 DONALD PAUL DIRECTOR OF CULINARY SERVICES 40 0 X 149240 0 16158 CRAIG FLICKINGER DIRECTOR OF FINANCE 40.0 0 X 130887 0 13602 JESSICA RIEKER ADMINISTRATOR LICENSED CARE 40 0 X 126672 0 3800 SETH WHITE ASSOCIATE EXECUTIVE DIRECTOR 40 0 X 105901 0 16251 STEVE WILLIAMSON DIRECTOR OF PLANT OPERATIONS 40 0 X 100489 0 10611 RICHARD SCHROCK CHAIRMAN 4.0 0 X X 0 0 0 CYNTHIA DOUGHERTY CHAIRMAN - ELECT 3.0 0 X X 0 0 0 CHARLES E ANSLEY TREASURER 3 0 X X 0 0 0 BRUCE PAIGE SECRETARY 2 0 X X 0 0 0 RONALD BACHMAN DIRECTOR 2 0 X 0 0 0 RICHARD BAKER DIRECTOR 2 0 X 0 0 0 KEITH DEVOE III DIRECTOR 2 0 X 0 0 0 LAURA ECKLAR DIRECTOR 2 0 X 0 0 0 THOMAS GESSELLS DIRECTOR 2 0 X 0 0 0 KAREN ICKES DIRECTOR 2 0 X 0 0 0 CAROL JENKINS DIRECTOR 2 0 X 0 0 0 DEBBIE JOHNSON DIRECTOR 2 0 X 0 0 0 WILLIAM KONIEWICH DIRECTOR 2 0 X 0 0 0 JOAN MANTER DIRECTOR 2 0 X 0 0 0 KATHLEEN McGINNIS DIRECTOR 2 0 X 0 0 0 STEFANIE MORROW DIRECTOR 2 0 X 0 0 0 BRUCE WALL DIRECTOR 2 0 X 0 0 0 MEDARD LUTMERDING DIRECTOR 2 0 X 0 0 0 771757 0 75820 5 0 1 0 RUSCILLI CONSTRUCTION 2041 ARLINGATE COLUMBUS OH 43017 CONSTRUCTION SERVICE 11640284 JMM ARCHITECTS 4685 LARWELL DRIVE COLUMBUS OH 43220 PROFESSIONAL SERVICES 980116 REHAB CARE GROUP THERAPY 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 THERAPY SERVICES 632670 LIFE CARE SERVICES 400 LOCUST STREET DES MOINES IA 50309 MANAGEMENT FEE 494740 MILES-MCCLELLAN 2100 BUILDERS PLACE COLUMBUS OH 43204 PROFESSIONAL SERVICES 417653 10 0 0 0 0 290245 151661 0 441906 Apartment & Amortization Revenue 531110 20104330 20104330 0 0 Health Center Revenue 531110 3688646 3688646 0 0 Assisted Living Revenue 531110 1981806 1981806 0 0 Home Care & At Home Revenue 621610 1252204 1252204 0 0 0 0 0 0 27026986 1087266 0 0 1087266 0 0 0 0 0 0 0 0 314234 0 231295 0 82939 0 82939 67069 0 15870 1770441 0 0 0 1770441 0 1770441 0 0 1770441 0 0 30409538 27094055 0 2873577 0 0 17500 17500 0 0 0 0 0 0 0 0 0 0 0 0 9641977 8523090 1018308 100579 94115 74158 19957 0 1568785 1210859 357926 0 558720 490965 62389 5366 418705 0 418705 0 114453 9226 105227 0 58600 0 58600 0 0 0 0 0 0 0 203298 0 203298 0 0 0 0 0 505782 505782 0 0 3716736 3208118 479220 29398 156896 156896 0 0 0 0 0 0 911769 911769 0 0 47199 14494 32705 0 0 0 0 0 39236 21884 17352 0 2129670 2127336 2277 57 0 0 0 0 4451971 4360585 89157 2229 280896 0 280896 0 Food 1424335 1424335 0 0 Real Estate Taxes 1337185 1309705 26810 670 Bad Debt 51600 51600 0 0 13081 4860 8221 0 27742509 24423162 3181048 138299 250300 250300 7370715 4997808 1590752 748115 94469 287392 358592 406149 137770714 45193045 81257036 92577669 49655719 47899355 804421 722497 22977716 16325370 164359720 164214655 5952808 4665976 0 0 48660107 48195026 60559704 59501386 271008 231511 8999512 11716380 124443139 124310279 X 39268062 39265275 648519 639101 39916581 39904376 164359720 164214655 X 2667029 -2703537 0 0 0 24303 X 0 1 X 1 0 X 181471 299989 144428 174089 151661 951638 20042049 20045309 26138359 31248367 32813684 130287768 20223520 20345298 26282787 31422456 32965345 131239406 4825 4650 5377 5600 5750 26202 4825 4650 5377 5600 5750 26202 131213204 932370 845583 1056330 1123081 1087266 5044630 932370 845583 1056330 1123081 1087266 5044630 21155890 21190881 27339117 32545537 34052611 136284036 0.96279 0.96022 0.03702 0.03958 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1201 1201 0 Schedule C, Part II-B, Line 1 THE ORGANIZATION IS A MEMBER OF LEADING AGE; A PORTION OF THE DUES PAYMENT TO LEADING AGE OHIO AND LEADING AGE NATIONAL GOES TOWARDS LOBBYING ACTIVITIES. MEMBERSHIP DUES IN THE AMOUNT OF $20,000 WERE PAID TO LEADING AGE: 6.01% ($1,201) OF THE DUES RELATED TO LOBBYING. 648519 131273 10970 17500 134161 0 639101 777791 55579 80812 22737 242926 0 648519 843853 81522 15978 16000 147562 0 777791 998867 84013 50646 17750 271923 0 843853 893898 131839 37950 12500 52320 0 998867 0 0 1 0 0 0 3986624 3986624 0 121257726 37458593 83799133 0 0 0 0 0 6140808 4221778 1919030 0 6385556 3512674 2872882 92577669 MASTER PLAN CONSTRUCTION IN PROGRESS 15410706 LAND HELD FOR FUTURE DEVELOPMENT 748914 PRE-OPEN COSTS ADVERTISING, VILLAS NET 160750 ORGANIZATIONAL COSTS 5000 16325370 Refundable Entrance Fee R.O.C. 10420821 Deposits 939109 Provision for Interest Rate SWAP 144262 Entrace Fee Refund Payable 139539 Gift Annuity Payable 72649 11716380 Schedule D, Part V, Line 4 THE FVD RESIDENTS BENEVOLENT FUND WAS CREATED TO PROVIDE REVENUE TO OFFSET THE COST FOR LIFE CARE RESIDENTS WHO HAVE OUTLIVED THEIR PERSONAL FINANCIAL MEANS. THE SCHOLARSHIP FUND WAS CREATED TO SUPPORT SELECTED ASSOCIATES AND/OR THEIR LEGAL DEPENDENTS AS THEY SEEK A COLLEGE EDUCATION. THE FVD HEALTH SERVICES FUND WAS CREATED TO PROVIDE ADDITIONAL FINANCIAL RESOURCES TO HELP SECURE THE PRESENT AND FUTURE HEALTH AND COMFORT OF THE RESIDENTS. UNLESS OTHERWISE INDICATED, CONTRIBUTIONS TO THE FVD HEALTH SERVICES FUND WILL BE DIRECTED TOWARDS PURCHASING SPECIALIZED EQUIPMENT, FACILITIES IMPROVEMENTS AND RELATED EXPENDITURES IN THE FOLLOWING AREAS: 1. HEALTH CENTER, 2. ASSSISTED LIVING, 3. HOME CARE SERVICES, 4. WELLNESS CENTER. 1 SEE SCHEDULE I, PART IV, STATEMENT 1 5 17500 0 Schedule I, Part I, Line 2 IT IS THE ROLE OF THE SCHOLARSHIP SELECTION COMMITTEE TO DETERMINE WHICH CANDIDATES FROM A QUALIFIED POOL OF APPLICANTS WILL RECEIVE SCHOLARSHIPS IN ANY GIVEN YEAR. IT IS THE ROLE OF THE CHARITABLE GIVING ADVISORY COMMITTEE TO DETERMINE AGGREGATE AMOUNTS TO BE DISTRIBUTED BY THE SCHOLARSHIP COMMITTEE. THE COMMITTEE WILL REVIEW APPLICATIONS AND THE SCHOOLS LISTED TO DETERMINE ELIGIBILITY. FRIENDSHIP VILLAGE OF DUBLIN, OHIO, INC. FOLLOWS ITS JOHN SCHWARCK SCHOLARSHIP FUND SPENDING PROCEDURE THROUGHOUT THE ENTIRE PROCESS FROM SELECTION TO ISSUANCE OF FUNDS. FUNDS ISSUED ARE VIA A CHECK MADE PAYABLE TO BOTH THE RECEIPIENT AND THE COLLEGE OR UNIVERSITY THEY ARE ATTENDING SO SCHOLARSHIPS ARE USED FOR THEIR INTENDED PURPOSES. X 0 0 0 0 0 0 0 0 0 RITA DOHERTY EXECUTIVE DIRECTOR 158568 0 0 0 3350 0 0 0 12048 0 173966 0 156548 0 A FRANKLIN COUNTY OHIO 316400067 353180JQ6 2014-12-03 25004402 REFUND AND RETIRE THE OUTSTANDING PRINCIPAL OF THE 2004B REVENUE BONDS & FUND CONSTRUCTION COSTS OF 0 0 0 B FRANKLIN COUNTY OHIO 316400067 2016-09-29 38482726 REFUND THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2004A REVENUE BONDS & FUND NEW IL CONSTRUCTION 0 0 0 A 0 0 25004650 0 0 17460000 500088 0 0 7044314 0 0 2015 1 0 1 1 B 0 0 38482726 0 0 5982726 0 0 0 32500000 0 0 2018 1 0 0 1 A 0 0 1 1 0 0 0 0 0 0 1 B 0 0 1 1 0 0 0 0 0 0 1 A 0 1 1 0 0 0 0 0 0 B 0 1 1 0 1 0 0 0 0 Schedule K, Part I, Column a-12/03/2014 25,004,402 FRANKLIN COUNTY OHIO ISSUER NAME: FRANKLIN COUNTY, OHIO Schedule K, Part I, Column f-12/03/2014 25,004,402 FRANKLIN COUNTY OHIO DESCRIPTION OF PURPOSE: REFUND AND RETIRE THE OUTSTANDING PRINCIPAL OF THE 2004B REVENUE BONDS, FUND CONSTRUCTION COSTS OF CERTAIN INDEPENDENT LIVING VILLAS, AND ROUTINE CAPITAL EXPENDITURES FOR 2014, 2015 AND 2016. Schedule K, Part I, Column f-09/29/2016 38,482,726 FRANKLIN COUNTY OHIO DESCRIPTION OF PURPOSE: REFUND THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2004A BONDS AND FUND CONSTRUCTION OF CERTAIN INDEPENDENT LIVING FLATS AND APARTMENTS. Schedule K, Part II, Line 3-12/03/2014 25,004,402 FRANKLIN COUNTY OHIO ISSUE PRICE ($25,004,002) AND INVESTMENT EARNINGS ($248) Schedule K, Part III, Line 3a-12/03/2014 25,004,402 FRANKLIN COUNTY OHIO THE ORGANIZATION HAS ONE MANAGEMENT AGREEMENT WHICH HAS BEEN DETERMINED TO COMPLY WITH REV. PROC. 97-13, AS MODIFIED BY REV. PROC. 2001-39, AND AMPLIFIED BY NOTICE 2014-67. Schedule K, Part III, Line 3a-09/29/2016 38,482,726 FRANKLIN COUNTY OHIO THE ORGANIZATION HAS ONE AGREEMENT WHICH HAS BEEN DETERMINED TO COMPLY WITH REV. PROC. 97-13, AS MODIFIED BY REV. PROC. 2001-39, AND AMPLIFIED BY NOTICE 2014-67. Form 990, Part VI, Section A, Line 3 LIFE CARE SERVICES PROVIDES THE EXECUTIVE DIRECTOR FOR THE ORGANIZATION. RITA DOHERTY SERVED AS EXECUTIVE DIRECTOR DURING THIS PERIOD. LIFE CARE SERVICES WAS COMPENSATED DURING 2019 FOR RITA'S SERVICES. IN ADDITION, LIFE CARE SERVICES PROVIDES ACCOUNTING SOFTWARE, IT SUPPORT, HUMAN RESOURCES, AND OTHER SUPPORT SERVICES. Form 990, Part VI, Section B, Line 11b THE FULL BOARD OF TRUSTEES RECEIVES A COPY FOR REVIEW PRIOR TO FILING BUT THE FINANCE AND INSURANCE COMMITTEE OF THE BOARD IS DELEGATED THE RESPONSIBILITY OF FULL REVIEW WITH THE EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE. Form 990, Part VI, Section B, Line 12c ALL CLASSES OF ASSOCIATES ARE INCLUDED IN THE CONFLICT OF INTEREST POLICY. TRAINING IS PROVIDED ANNUALLY TO ALL ASSOCIATES ON DISCLOSURE OF UNETHICAL PRACTICES AND A POSITIVE WORKPLACE ENVIRONMENT. THIS PROCESS IS GOVERNED BY DEPARTMENT DIRECTORS AND THE EXECUTIVE DIRECTOR. SHOULD A CONFLICT OF INTEREST BE IDENTIFIED, IT IS DISCUSSED WITH THE EXECUTIVE DIRECTOR AND NECESSARY ACTION IS TAKEN TO ELIMINATE THE CONFLICT OF INTEREST. A QUESTIONNAIRE IS SENT TO ALL BOARD MEMBERS ANNUALLY IN DECEMBER, AS WELL AS NEW BOARD MEMBERS, IN THE FIRST MONTH THEY JOIN THE BOARD OF TRUSTEES REQUIRING A SIGNATURE OF THE FORM AND DISCLOSURE OF ANY CONFLICT OF INTEREST. THESE FORMS ARE MONITORED BY THE BOARD SECRETARY. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST ON A SPECIFIC ISSUE, THEY ABSTAIN FROM VOTING. Form 990, Part VI, Section B, Line 15 THE EXECUTIVE DIRECTOR IS EVALUATED ANNUALLY BY VARIOUS LEVELS WITHIN LIFE CARE SERVICES (LCS), INCLUDING THEIR IMMEDIATE SUPERVISOR WHO IS AN LCS REGIONAL DIRECTOR. INPUT IS PROVIDED TO THE REGIONAL DIRECTOR FROM THE BOARD OF TRUSTEES AND OTHER KEY LEADERSHIP WITHIN THE VILLAGE AS PART OF THE REVIEW PROCESS. LCS PERFORMS INDUSTRY WIDE WAGE COMPARISON FOR EXECUTIVE DIRECTOR POSITIONS IN SIMILAR SIZE AND FUNCTION ORGANIZATIONS. THE PROCESS INCLUDES SUBSTANTIATION OF THE DELIBERATION AND DECISION MAKING PROCESS. THE WAGE EVALUATION WAS PERFORMED IN MARCH 2018 WHEN THE CURRENT EXECUTIVE DIRECTOR WAS HIRED. THE DEPARTMENT DIRECTORS ARE EVALUATED ANNUALLY BY THE EXECUTIVE DIRECTOR. TO DETERMINE DIRECTOR LEVEL COMPENSATION FVD AND LCS PERFORMED A COMPREHENSIVE WAGE ANALYSIS AND DEVELOPED A COMMUNITY PAY STRUCTURE. LEADING AGE SALARY AND BENEFITS DATA, AND LCS PAY FACTORS SALARY DATA, WERE USED TO CALCULATE VALUES FOR ALL POSITIONS. COMPENSATION DECISIONS ARE REFLECTED IN FORMAL EVALUATION DOCUMENTS. THE PROCESS WAS LAST UNDERTAKEN IN 2019. Form 990, Part VI, Section C, Line 19 GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC REVIEW BY APPOINTMENT AT 6000 RIVERSIDE DRIVE, DUBLIN, OH 43017. Form 990, Part XI, Line 9 CHANGE IN SWAP VALUE $26,502, DECREASE IN NET ASSETS WITH DONOR RESTRICTIONS ($9,418), MISC OTHER REVENUE $7,219 BIRCHTON LLC 6000 RIVERSIDE DRIVE DUBLIN OH 43017 261186696 HOLD AND DEVELOP REAL ESTATE OH 259953 2240873 FRIENDSHIP VILLAGE OF DUBLIN OHIO INC TRIANGLE HOUSING LLC 6000 RIVERSIDE DRIVE DUBLIN OH 43017 HOLD AND DEVELOP REAL ESTATE OH 0 521470 BIRCHTON LLC FRIENDSHIP VILLAGE OF DUBLIN HOME CARE LLC 6000 RIVERSIDE DRIVE DUBLIN OH 43017 471284626 HOME CARE SERVICES OH 674159 354071 FRIENDSHIP VILLAGE OF DUBLIN OHIO INC FRIENDSHIP AT HOME LLC 6000 RIVERSIDE DRIVE DUBLIN OH 43017 474000431 PROVIDE CONTINUING CARE AT HOME FOR LOCAL SENIORS OH 604064 2439290 FRIENDSHIP VILLAGE OF DUBLIN OHIO INC