2020-07-15T10:33:25-05:00 2019-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2018-07-01 202105415 NATIONAL CHURCH RESIDENCES HEALTH CARE NATI 6144512151 2335 NORTH BANK DRIVE COLUMBUS OH 43220 TANYA K HAHN VICE PRESIDENT 6144512151 2020-07-13 1 AMY CIMINELLO P00796388 6148493000 2020-07-13 107.214.141.134 2020-07-13 12:56:15 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F51046F0BD5714FDBFEEE435C204D6AFFC186FF5 2018 2020-09-23 17:36:50Z TANYA K HAHN 2335 NORTH BANK DRIVE COLUMBUS OH 43220 8899299 0 5048 X WWW.NATIONALCHURCHRESIDENCES.ORG X 2005 OH TO PROVIDE PROFESSIONAL, AFFORDABLE HEALTHCARE MANAGEMENT. 3 0 50 0 0 0 2390000 0 8037320 8899299 0 0 0 0 10427320 8899299 0 0 0 0 3939888 3945188 0 0 0 6801236 5152969 10741124 9098157 -313804 -198858 3830464 4995678 4204901 5568973 -374437 -573295 X ORIGINATING FROM A CHRISTIAN COMMITMENT OF SERVICE, OUR MISSION IS TO PROVIDE HIGH QUALITY CARE, SERVICES AND RESIDENTIAL COMMUNITIES FOR ALL SENIORS. 0 0 6136364 0 8899299 NATIONAL CHURCH RESIDENCES HEALTHCARE IS A NOT-FOR-PROFIT CORPORATION CERTIFIED AS A 501(C)(3) CHARITABLE ORGANIZATION. IN 2005, NATIONAL CHURCH RESIDENCES HEALTHCARE WAS FORMED OUT OF THE PARENT COMPANY OF NATIONAL CHURCH RESIDENCES TO SEPARATE OUT THE HEALTHCARE MANAGEMENT FUNCTION OF THAT OHIO NOT-FOR-PROFIT CORPORATION. IN 1961, THE REVEREND JOHN R. GLENN AND FOUR OHIO PRESBYTERIAN CHURCHES FORMED THE PARENT COMPANY OF NATIONAL CHURCH RESIDENCES OUT OF A CHRISTIAN COMMITMENT TO SERVE OLDER ADULTS' HOUSING, SOCIAL, AND HUMAN NEEDS.NATIONAL CHURCH RESIDENCES HEALTHCARE IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF A BROAD MIX OF PEOPLE WITH PROFESSIONAL, BUSINESS, AND HUMAN SERVICES BACKGROUNDS. AS OF 2019, IT OPERATES A NUMBER OF HEALTHCARE ENTITIES (SKILLED NURSING, ASSISTED LIVING, HOME HEALTH AND ADULT DAYCARE) IN OHIO AND FLORIDA. IT SUPPORTS AND IS AFFILIATED WITH SEVERAL OF THE NATION'S LEADING SENIOR, SOCIAL, AND HEALTH CARE ADVOCACY ORGANIZATIONS, INCLUDING THE LEADING AGE; THE NATIONAL AFFORDABLE HOUSING MANAGEMENT ASSOCIATION (NAHMA); THE LEADING AGE OHIO. 6136364 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 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 0 0 0 1 14 0 1 50 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X TANYA K HAHN 6144512151 2335 NORTH BANK DRIVE COLUMBUS OH 43220 TANYA K HAHN VICE PRESIDENT, DIRECTOR 1.00 49.00 X X 0 377204 27336 DOUGLAS K VESEY TREASURER, DIRECTOR 1.00 49.00 X X 0 167161 46075 SUSAN DIMICKELE SECRETARY, DIRECTOR 1.00 49.00 X X 0 432245 31079 MICHELLE H NORRIS BOARD CHAIR (UNTIL 01/19) 0.50 50.00 X 0 374961 64064 MARK R RICKETTS PRESIDENT (BEGAN 01/19) 5.00 45.00 X 0 590027 55339 STEVE BODKIN SVP/COO HOUSING 1.00 49.00 X 0 357310 62551 TERESA D SPITZNAGEL VP OF HC CO. 0.00 50.00 X 222169 0 48935 JUNE D HIMES VP RESIDENTIAL SERVICES 50.00 0.00 X 194043 0 20417 ANTHONY EVANS PRESIDENT (UNTIL 01/19) 30.00 20.00 X 312312 0 28216 KELLI R MEYUNG VP, OPERATIONS HC 50.00 0.00 X 126523 0 5813 SARAH D ORTLIEB VP HH HOSPICE & REHAB 50.00 0.00 X 171583 0 33832 1026630 2298908 423657 6 0 1 0 TEK SYSTEMS PO BOX 198568 ATLANTA GA 30384 TEMP STAFFING 106481 1 MANAGEMENT FEES 900099 8899299 8899299 8899299 8899299 8899299 0 0 X 3250859 2491982 758877 183631 123388 60243 292881 239384 53497 217817 178462 39355 1981540 1981540 63873 63873 620 620 1219619 1219619 789 789 378232 378232 1214984 1214984 9909 9909 106906 106906 19404 19404 336 336 4408 4408 BAD DEBT EXPENSE 131948 131948 SERVICE AND ANCILLARY 20401 20401 9098157 6136364 2961793 0 221294 512198 3488534 4423981 107716 50987 912554 904042 12920 8512 3830464 4995678 486613 486144 3718288 5082829 4204901 5568973 X -374437 -573295 -374437 -573295 3830464 4995678 -198858 0 X X 1 X 0 1 0 X X 1 NATIONAL CHURCH RESIDENCES 310651750 10 1 1981540 0 1 1981540 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 912554 904042 8512 8512 DUE TO INTERCOMPANY PAYABLE 5082829 5082829 0 1 0 0 0 0 0 0 0 TANYA K HAHN VICE PRESIDENT, DIRECTOR 0 290370 0 86000 0 834 0 13694 0 13642 0 404540 0 0 DOUGLAS K VESEY TREASURER, DIRECTOR 0 149008 0 17866 0 287 0 27526 0 18549 0 213236 0 0 SUSAN DIMICKELE SECRETARY, DIRECTOR 0 301954 0 130000 0 291 0 12060 0 19019 0 463324 0 0 MICHELLE H NORRIS BOARD CHAIR (UNTIL 01/19) 0 289728 0 83000 0 2233 0 54431 0 9633 0 439025 0 0 MARK R RICKETTS PRESIDENT (BEGAN 01/19) 0 467687 0 120000 0 2340 0 41723 0 13616 0 645366 0 0 STEVE BODKIN SVP/COO HOUSING 0 255257 0 97000 0 5053 0 43526 0 19025 0 419861 0 0 TERESA D SPITZNAGEL VP OF HC CO. 176490 0 44060 0 1619 0 28946 0 19989 0 271104 0 0 0 JUNE D HIMES VP RESIDENTIAL SERVICES 152894 0 41013 0 136 0 11351 0 9066 0 214460 0 0 0 ANTHONY EVANS PRESIDENT (UNTIL 01/19) 268021 0 44000 0 291 0 9684 0 18532 0 340528 0 0 0 SARAH D ORTLIEB VP HH HOSPICE & REHAB 149023 0 22436 0 124 0 22470 0 11362 0 205415 0 0 0 PART I, LINE 4B DURING THE CURRENT YEAR, NATIONAL CHURCH RESIDENCES, A RELATED ORGANIZATION, MADE CONTRIBUTIONS TO A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN FOR THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990: STEVEN T BODKIN: $15,989 SUSAN M. DIMICKELE: $5,871 MICHELLE H. NORRIS: $27,435 TANYA K. HAHN: $5,340 ANTHONY EVANS: $4,151 MARK R. RICKETTS: $28,049 TERESA D. SPITZNAGEL: $ 10,421 DOUGLAS K. VESEY: $9,484 JUNE D. HIMES: $5,880 SARAH D. HIMES: $7,935 KELLI R. MEYUNG: $491 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 UPON TRIGGERING SEVERANCE WITH THE ORGANIZATION. TRIGGERING SEVERANCE, AS DEFINED IN THE PLAN DOCUMENT, MEANS A PARTICIPANT'S SEVERANCE OF SERVICE, (1) AT ANY TIME ON OR AFTER THE PARTICIPANT'S ENTITLEMENT DATE OR (2) IF EARLIER, (A) BECAUSE OF DEATH OR DISABILITY, (B) BY THE EMPLOYER FOR REASONS OTHER THAN CAUSE, OR (C) BY THE PARTICIPANT FOR GOOD REASON. FOR THIS PURPOSE, SEVERANCE OF SERVICE SHALL BE CONSTRUED CONSISTENTLY WITH THE DEFINITION OF SEPARATION OF SERVICE UNDER CODE SECTION 409A. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION SHALL, AT ALL TIMES, BE NATIONAL CHURCH RESIDENCES. FORM 990, PART VI, SECTION A, LINE 7A NATIONAL CHURCH RESIDENCES IS REQUIRED TO APPROVE THE SELECTION OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS OR DIRECTORS SHALL HAVE THE APPROVAL OF THE BOARD OF DIRECTORS OF NATIONAL CHURCH RESIDENCES. FORM 990, PART VI, SECTION B, LINE 11B THE 990 RETURN IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING. AN OFFICER REVIEWS THE 990 RETURN PRIOR TO SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C TWO CONFLICT OF INTEREST POLICIES EXIST FOR NATIONAL CHURCH RESIDENCES. ONE POLICY IS FOR STAFF, AND THE SECOND POLICY IS FOR SENIOR STAFF AND BOARD OF DIRECTORS. THE STAFF POLICY IS PUBLISHED IN THE EMPLOYEE INFORMATION GUIDE. THE POLICY FOR OFFICERS AND DIRECTORS IS REVIEWED ANNUALLY BY THE BOARD, AND OFFICERS AND DIRECTORS REVIEW AND SIGN THE POLICY ANNUALLY AND ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS WHICH ARE LIKEWISE REVIEWED BY THE BOARD. IF A CONFLICT OF INTEREST EXISTS, BOARD MEMBERS WOULD EXCLUDE HIMSELF/HERSELF FROM THE VOTE. FORM 990, PART VI, SECTION B, LINE 15 FOLLOWING AN ESTABLISHED EXECUTIVE COMPENSATION POLICY, THE HUMAN RESOURCE COMMITTEE REVIEWS AND APPROVES SALARIES OF ALL OFFICERS AND REPORTS TO THE EXECUTIVE COMMITTEE ON THEIR ACTION. THE COMMITTEES BASE THE SALARY DECISIONS ON SURVEY DATA FROM COMPARABLE ORGANIZATIONS, USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. THIS PROCESS WAS LAST COMPLETED IN MAY 2018. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G TEMPORARY STAFFING AGENCIES: PROGRAM SERVICE EXPENSES 55,040. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,040. EMPLOYEE ASSESSMENTS AND SURVEYS: PROGRAM SERVICE EXPENSES 40,314. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,314. INFORMATION TECHNOLOGY SUPPORT: PROGRAM SERVICE EXPENSES 1,039,775. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,039,775. COMPLIANCE REVIEW: PROGRAM SERVICE EXPENSES 81,779. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,779. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,711. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,711. FORM 990, PART XI, LINE 2C THE ORGANIZATION HAS AN AUDIT COMMITTEE WHICH OVERSEES AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, SCHEDULE R, PART II THE RELATED TAX EXEMPT ORGANIZATIONS ARE ALL MEMBERS OF GROUP EXEMPTION # 5048. 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