2017-12-13T14:15:01-06:00 2017-06-30 381357951 PLANTE & MORAN PLLC 250 S High St Suite 100 Columbus OH 43215 990 2016-07-01 310651750 NATIONAL CHURCH RESIDENCES NATI 6142733531 2335 NORTH BANK DRIVE COLUMBUS OH 43220 TANYA K HAHN SENIOR VP / CFO 6142733531 2017-12-07 1 Bernie Ostrowski P00366367 6148493000 2017-12-01 67.59.56.30 2017-12-07 08:31:33 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1674A2254C8EB78FFC88BE4D5865C21DF24A8C7C 2016 2017-02-10 21:41:12Z MARK RICKETTS 2335 NORTH BANK DRIVE COLUMBUS OH 43220 38630586 0 5048 X WWW.NATIONALCHURCHRESIDENCES.ORG X 1961 OH TO DEVELOP AND MANAGE HOUSING AND PROVIDE SERVICES TO INDIVIDUALS WITH LIMITED INCOMES. 19 19 197 2504 77760 0 5136212 4341623 38702576 33573462 841521 420105 -157479 -119373 44522830 38215817 2583353 1234101 0 0 26097904 21014375 0 0 807608 11417499 11420537 40098756 33669013 4424074 4546804 76554800 79689921 28130391 25981840 48424409 53708081 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 29722297 1234101 33573462 NATIONAL CHURCH RESIDENCES IS A NOT-FOR-PROFIT CORPORATION CERTIFIED AS A 501 (C)(3) CHARITABLE ORGANIZATION. IN 1961, THE REVEREND JOHN R. GLENN AND FOUR OHIO PRESBYTERIAN CHURCHES FORMED NATIONAL CHURCH RESIDENCES OUT OF A CHRISTIAN COMMITMENT TO SERVE OLDER ADULTS' HOUSING, SOCIAL, AND HUMAN NEEDS. NATIONAL CHURCH RESIDENCES HAS GROWN TO BECOME THE LARGEST NON-PROFIT PROVIDER OF AFFORDABLE HOUSING FOR SENIORS AND OTHER VULNERABLE POPULATIONS IN THE NATION WITH MORE THAN 25,000 UNITS IN 28 STATES AND PUERTO RICO. NATIONAL CHURCH RESIDENCES OPERATES CONTINUING CARE RETIREMENT COMMUNITIES, NURSING, ASSISTED LIVING, MEMORY CARE, AND ADULT DAY FACILITIES AS WELL AS HOME HEALTH AND HOSPICE PROGRAMS. GOVERNED BY VOLUNTEER BOARD OF DIRECTORS COMPRISED OF A BROAD MIX OF PEOPLE WITH PROFESSIONAL, BUSINESS, AND HUMAN SERVICES BACKGROUNDS, NATIONAL CHURCH RESIDENCES HAS BUILT A PROVEN TRACK RECORD OF EXCELLENCE BASED ON CONTINUOUS IMPROVEMENT TO ITS SERVICES AND STANDARDS OF CARE FOR THOSE WE SERVE. NATIONAL CHURCH RESIDENCES SUPPORTS AND IS AFFILIATED WITH SEVERAL OF THE NATION'S LEADING SENIOR, SOCIAL SERVICE, AND HEALTH CARE ADVOCACY ORGANIZATIONS, INCLUDING LEADINGAGE, THE NATIONAL AFFORDABLE HOUSING MANAGEMENT ASSOCIATION (NAHMA), AND LEADINGAGE OHIO. NATIONAL CHURCH RESIDENCES IS RECOGNIZED AS A NATIONAL LEADER IN INTEGRATING HOMES AND SUPPORTIVE SERVICES FOR SENIORS AND VULNERABLE INDIVIDUALS. AS A RESPECTED MEMBER OF THE NOT-FOR-PROFIT COMMUNITY, NATIONAL CHURCH RESIDENCES IS VITALLY INTERESTED IN CONTRIBUTING TO THE FORMATION OF PUBLIC POLICY ISSUES AFFECTING THOSE WE SERVE. OUR GROWTH IS ATTRIBUTABLE TO THE SUCCESSFUL PUBLIC AND PRIVATE PARTNERSHIPS REQUIRED TO DEVELOP NEEDED HOUSING COMMUNITIES AND ESTABLISH MEANINGFUL SERVICE PROGRAMS FOR RESIDENTS IN THE COMMUNITIES WE SERVE. OUR VISION IS TO CONTINUALLY IMPROVE SOCIETY BY TRANSFORMING THE WAY SENIORS AND VULNERABLE POPULATIONS LIVE AND THRIVE. 29722297 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1079 0 1 197 1 1 1 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TANYA K HAHN 6144512151 2335 NORTH BANK DRIVE COLUMBUS OH 43220 JAMES SAVAGE BOARD CHAIR (BEGAN 01/17), DIRECTOR 0.50 1.50 X X 0 0 0 ALLEN RUPIPER BOARD CHAIR (UNTIL 12/16), DIRECTOR 0.50 2.00 X X 0 0 0 DEBORAH RUSSELL DIRECTOR 0.50 1.50 X 0 0 0 DON GARDINER DIRECTOR 0.50 2.00 X 0 0 0 ERIC BORDERS DIRECTOR 0.50 1.50 X 0 0 0 FLOYD JONES DIRECTOR 0.50 1.50 X 0 0 0 GREG OVERMYER DIRECTOR 0.50 1.50 X 0 0 0 JEFF COPELAND DIRECTOR 0.50 2.00 X 0 0 0 JIM MOATS DIRECTOR 0.50 1.50 X 0 0 0 LYNN ANDERSON DIRECTOR 0.50 1.50 X 0 0 0 MARK THOMPSON DIRECTOR 0.50 1.50 X 0 0 0 MIKE FLOWERS DIRECTOR 0.50 1.50 X 0 0 0 PETER VOGEL DIRECTOR 0.50 1.50 X 0 0 0 ROBERT WALTER DIRECTOR 0.50 1.50 X 0 0 0 VIRGINIA BARNEY DIRECTOR 0.50 1.50 X 0 0 0 DR JOHN DAVIS DIRECTOR 0.50 1.50 X 0 0 0 JANET MEEKS DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 JENNIFER SPAULDING DIRECTOR 0.50 1.50 X 0 0 0 PETER PAVARINI DIRECTOR 0.50 1.50 X 0 0 0 MARK MACNAUGTON DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 CYNTHIA JONES DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 KEN PIERCE DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 STEPHEN RISH DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 PAUL BLOOMFIELD DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 SUSAN DIMICKELE DIRECTOR (PART YEAR) 38.00 2.00 X 67263 0 553 DANIELLE A WILLIS SVP/HUMAN RESOURCES 40.00 0.00 X 179729 0 9315 JACCI J NICKELL SVP/COO SENIOR LIVING (PART YEAR) 10.00 30.00 X 0 330971 17943 TERESA D ALLTON SVP/HOME AND COMMUNITY SERVICE 1.00 39.00 X 0 224368 27997 ANTHONY EVANS SVP/COO SENIOR LIVING (BEGAN 06/17) 10.00 30.00 X 0 0 0 MARK R RICKETTS PRESIDENT/CEO 39.00 1.00 X 573119 0 39335 DOUGLAS K VESEY VP/TREASURER/CONTROLLER 31.00 9.00 X 161935 0 26477 JEFFREY S WOLF SVP/COO FOUNDATIONS 9.00 31.00 X 226253 0 25767 STEVEN T BODKIN SVP/COO HOUSING 28.00 12.00 X 341271 0 22973 MICHELLE H NORRIS EVP EXT. AFFAIRS & STRATEG 29.00 11.00 X 356330 0 36197 DAVID A KAYUHA SVP/CHIEF ADMIN OFFICER (PART YEAR) 38.00 2.00 X 256764 0 25393 TANYA K HAHN SVP/SECRETARY/CFO 28.00 12.00 X 324498 0 5719 MATTHEW D RULE SVP/DEVELOPMENT AND CONSTRUCTION 40.00 0.00 X 229788 0 12948 JULIA A FRATIANNE VP ACCOUNTING 40.00 0.00 X 236728 0 19760 KEITH I SPALSBURY VP QUALITY IMPROVEMENT 40.00 0.00 X 221069 0 9166 KIMBERLY A SPEIDEL VP, INFORMATION TECH. 40.00 0.00 X 201589 0 28611 PAMELA T MONROE VP, HOUSING OPERATIONS 40.00 0.00 X 209222 0 5394 KAREN K TWINEM VP, COMMUNICATIONS 40.00 0.00 X 185951 0 9802 3771509 555339 323350 38 0 1 0 PRELUDE SERVICES 5095 RITTER RD 112 MECHANICSBURG PA 17055 INFORMATION TECHNOLOGY SERVICES 1817281 TOMY CONSTRUCTION SUPPORT SERVICES INC 206 SHERRY RD LABADIE MO 63055 CONSTRUCTION SERVICES 882284 YARDI SYSTEMS INC PO BOX 82572 GOLETA CA 93118 SOFTWARE IMPLEMENTATION CONSULTING 697376 RUSCILLI CONSTRUCTION COINC 5000 ARLINGTON CENTER BLVD COLUMBUS OH 43220 CONSTRUCTION SERVICES 497792 THE GARRETT HOSPITALITY GROUP INC 1147 GOODALE BLVD COLUMBUS OH 43212 EVENT PLANNING 488102 14 3296817 739443 305363 4341623 MANAGEMENT FEES 900099 20864605 20864605 DEVELOPER FEES AND OTHER 900099 9130515 9130515 PARTNERSHIP INVESTMENT DISTRIBUTI 900099 1792674 1792674 SERVICE AND ADMINISTRATION 900099 1785668 1785668 33573462 420102 420102 217453 414586 -197133 -197133 -197133 186 183 3 3 3 MANAGEMENT FEES 900099 77760 77760 77760 38215817 33573462 77760 222972 1234101 1234101 3496069 2989822 506247 14142650 11975840 1628028 538782 850876 734894 62046 53936 1431167 1239817 147416 43934 1093613 930410 116743 46460 107344 67494 37600 2250 121639 121639 208582 208582 1603281 1386983 204689 11609 305180 92225 176097 36858 1321581 1202641 90584 28356 341982 336942 4316 724 701889 698554 3335 1240053 1116997 92468 30588 653607 600343 45655 7609 367150 367150 559780 559780 190952 190952 BAD DEBT EXPENSE 3004100 3004100 DEVELOPMENT 380099 380099 OTHER PROJECT COSTS 313318 282932 23884 6502 33669013 29722297 3139108 807608 9699302 7515284 947951 1015276 11326865 6996225 27195057 37560444 3696 145459 64498 15141873 9416211 6181309 5725662 5589815 6291371 1184401 977566 14284641 13539899 76554800 79689921 6533105 5656179 2095000 1965000 17532532 16940792 82846 85804 1886908 1334065 28130391 25981840 X 48424409 53708081 48424409 53708081 76554800 79689921 X 4546804 605440 131428 X X 0 1 X 1 1 1 X 7326998 6398849 4911570 5136212 4341623 28115252 38046956 40065227 40922184 38614034 33573462 191221863 45373954 46464076 45833754 43750246 37915085 219337115 921222 138500 115250 165693 218500 1559165 5564691 7997386 5832835 6432687 6799915 32627514 6485913 8135886 5948085 6598380 7018415 34186679 185150436 713699 435908 584091 741541 637555 3112794 713699 435908 584091 741541 637555 3112794 57251 104782 99117 88542 77760 427452 46144904 47004766 46516962 44580329 38630400 222877361 0.83070 0.83420 0.01400 0.01450 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 208582 208582 33460431 33669013 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 171333 225278 203353 208582 808546 250000 250000 250000 250000 1000000 1500000 225000 225000 9117039 4367611 4749428 5799834 5048600 751234 5725662 DEPOSITS 3496422 OTHER CURRENT ASSETS 78808 RESTRICTED CASH 6282 LAND - INVESTMENT 9958387 13539899 Other long-term liabilities 1334065 1334065 1 RENAISSANCE SENIOR APARTMENTS 2335 NORTH BANK DR COLUMBUS OH 43220 262062189 501(C)(3) 22574 GENERAL SUPPORT VILLAGE MANOR 2335 NORTH BANK DR COLUMBUS OH 43220 311037325 501(C)(3) 12950 GENERAL SUPPORT MAPLE VILLAGE 2335 NORTH BANK DR COLUMBUS OH 43220 311046787 501(C)(3) 12950 GENERAL SUPPORT NATIONAL CHURCH RESIDENCES PERMANENT SUPPORT HOUSING SERIVCES 2335 NORTH BANK DR COLUMBUS OH 43220 452399965 501(C)(3) 548382 GENERAL SUPPORT COMMONS AT THIRD 2335 NORTH BANK DR COLUMBUS OH 43220 562443058 501(C)(3) 89849 GENERAL SUPPORT COMMONS AT LIVINGSTON 2335 NORTH BANK DR COLUMBUS OH 43220 264339592 501(C)(3) 92598 GENERAL SUPPORT COMMONS AT BUCKINGHAM 2335 NORTH BANK DR COLUMBUS OH 43220 260223319 501(C)(3) 76509 GENERAL SUPPORT TELFAIR ARMS SENIOR HOUSING LIMITED PARTNERSHIP 2335 NORTH BANK DR COLUMBUS OH 43220 475656342 501(C)(3) 185000 GENERAL SUPPORT NATIONAL CHURCH RESIDENCES HEALTH CARE 2335 NORTH BANK DR COLUMBUS OH 43220 202105415 501(C)(3) 135000 GENERAL SUPPORT NATIONAL CHURCH RESIDENCES AFFORDABLE HOUSING MGMT & SERVICES 2335 NORTH BANK DR COLUMBUS OH 43220 203866727 501(C)(3) 37000 GENERAL SUPPORT NATIONAL CHURCH RESIDENCES INVESTMENT CORPORATION 2335 NORTH BANK DR COLUMBUS OH 43220 201238160 501(C)(3) 20959 GENERAL SUPPORT 11 0 Part I, Line 2: SCHEDULE I, PART I, LINE 2: GRANTS ARE PROVIDED TO RELATED TAX-EXEMPT ENTITIES TO FURTHER THE ORGANIZATION'S EXEMPT-PURPOSES. SINCE THESE ARE INTERCOMPANY GRANTS, TRANSFERS ARE MONITORED INTERNALLY TO ENSURE THAT THE GRANTS ARE USED FOR PROPER PURPOSES. X X X X X 0 0 0 0 0 0 0 0 0 DANIELLE A WILLIS SVP/HUMAN RESOURCES 150591 0 29000 0 138 0 7089 0 2226 0 189044 0 0 0 JACCI J NICKELL SVP/COO SENIOR LIVING (PART YEAR) 0 269573 0 59000 0 2398 0 14394 0 3549 0 348914 0 0 TERESA D ALLTON SVP/HOME AND COMMUNITY SERVICE 0 180059 0 43342 0 967 0 24774 0 3223 0 252365 0 0 MARK R RICKETTS PRESIDENT/CEO 420215 0 150000 0 2904 0 35831 0 3504 0 612454 0 0 0 DOUGLAS K VESEY VP/TREASURER/CONTROLLER 149914 0 11841 0 180 0 23405 0 3072 0 188412 0 0 0 JEFFREY S WOLF SVP/COO FOUNDATIONS 196404 0 28000 0 1849 0 22363 0 3404 0 252020 0 0 0 STEVEN T BODKIN SVP/COO HOUSING 243408 0 93000 0 4863 0 19448 0 3525 0 364244 0 0 0 MICHELLE H NORRIS EVP EXT. AFFAIRS & STRATEG 270664 0 83000 0 2666 0 33135 0 3062 0 392527 0 0 0 DAVID A KAYUHA SVP/CHIEF ADMIN OFFICER (PART YEAR) 207038 0 0 0 49726 0 21867 0 3526 0 282157 0 0 0 TANYA K HAHN SVP/SECRETARY/CFO 260892 0 61000 0 2606 0 2550 0 3169 0 330217 0 0 0 MATTHEW D RULE SVP/DEVELOPMENT AND CONSTRUCTION 194096 0 35000 0 692 0 9691 0 3257 0 242736 0 0 0 JULIA A FRATIANNE VP ACCOUNTING 189650 0 46694 0 384 0 16417 0 3343 0 256488 0 0 0 KEITH I SPALSBURY VP QUALITY IMPROVEMENT 184503 0 36322 0 244 0 6985 0 2181 0 230235 0 0 0 KIMBERLY A SPEIDEL VP, INFORMATION TECH. 178415 0 22825 0 349 0 26564 0 2047 0 230200 0 0 0 PAMELA T MONROE VP, HOUSING OPERATIONS 175922 0 31404 0 1896 0 2609 0 2785 0 214616 0 0 0 KAREN K TWINEM VP, COMMUNICATIONS 166032 0 19000 0 919 0 7467 0 2335 0 195753 0 0 0 A COUNTY OF PIKE OHIO 316400084 72127PCV1 2008-11-25 4030000 CAPITAL IMPROVEMENTS 0 0 0 A 4030090 21603 131022 39977 3837488 2011 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 1 0 0 0 0 A 0 SCHEDULE K, PART IV, LINE 2C THE REBATE CALCULATION WAS PERFORMED ON JANUARY 13, 2014. 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 THE HUMAN RESOURCE & EXECUTIVE COMMITTEES JOINTLY REVIEW EXECUTIVE COMPENSATION ACCORDING TO THE EXECUTIVE COMPENSATION POLICY & PHILOSOPHY. THE BOARD OF DIRECTORS CONSISTING OF INDEPENDENT MEMBERS REVIEWS PERFORMANCE AND THIRD PARTY SURVEY DATA TO ESTABLISH COMPENSATION LEVELS FOR ALL OFFICER POSITIONS REPORTING TO THE PRESIDENT AS WELL AS THE PRESIDENT / CEO. THIS PROCESS WAS LAST COMPLETED IN MAY 2017. 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 XI, line 9: CHANGE IN VALUE OF INTEREST RATE SWAPS 12,759. ACTUARIAL GAIN (PENSION) 118,669. 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. THE COMMONS AT GARDEN LAKE LLC 2335 NORTH BANK DRIVE COLUMBUS OH 43220 463730299 PROVIDER OF AFFORDABLE HOUSING AND SERVICES OH -92 2272910 NATIONAL CHURCH RESIDENCES NATIONAL CHURCH RESIDENCES OF PARKVIEW PLACE SENIOR HOUSING LLC 2335 NORTH BANK DRIVE COLUMBUS OH 43220 454548932 PROVIDER OF AFFORDABLE HOUSING AND SERVICES TX -13 945425 NATIONAL CHURCH RESIDENCES NATIONAL CHURCH RESIDENCES OF PUTNAM HOWE VILLAGE LLC 2335 NORTH BANK DRIVE COLUMBUS OH 43220 464829073 PROVIDER OF AFFORDABLE HOUSING AND SERVICES OH -21 2632287 NATIONAL CHURCH RESIDENCES NATIONAL CHURCH RESIDENCES OF PECAN VILLA SENIOR HOUSING LLC 2335 NORTH BANK DRIVE COLUMBUS OH 43220 352467595 PROVIDER OF AFFORDABLE HOUSING AND SERVICES LA -83 1956041 NATIONAL CHURCH RESIDENCES NATIONAL CHURCH RESIDENCES OF DEKALB LLC 2335 NORTH BANK DRIVE COLUMBUS OH 43220 461740112 PROVIDER OF AFFORDABLE HOUSING AND SERVICES GA -65 43526 NATIONAL CHURCH RESIDENCES NATIONAL CHURCH RESIDENCES OF CHIMES TERRACE LLC 2335 NORTH BANK DRIVE 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