2014-10-29T08:40:54-05:00 2013-12-31 381357951 PLANTE & MORAN PLLC 1111 SUPERIOR AVE SUITE 1250 CLEVELAND OH 441142533 990 2013-01-01 340963865 HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES HATT 3302742272 9772 DIAGONAL ROAD MANTUA OH 44255 DENNIS ALLEN CEO 3302742272 2014-10-23 1 JEREMY S HERMAN P00745789 2165231010 2013 2015-11-30 17:44:51Z DENNIS ALLEN 7996 DARROW ROAD SUITE 10 TWINSBURG OH 44087 18963648 0 X WWW.HATTIELARLHAM.ORG X 1963 OH PROVIDE LONG-TERM AND RESIDENTIAL CARE, IN INTERMEDIATE CARE FACILITIES, TO INDIVIDUALS WITH DISABILITIES AND MEDICAL CONDITIONS INCLUDING MEDICAL CARE, HABILITATION, SOCIAL, THERAPY AND RECREATION SERVICES. 6 6 459 355 0 0 19021 777793 17471432 17832610 -8981 -16046 85182 304517 17566654 18898874 0 0 0 0 11612050 11894390 0 0 1315 7441248 7576499 19053298 19470889 -1486644 -572015 20407854 19820935 6291655 6167694 14116199 13653241 X BECAUSE WE BELIEVE LIFE IS SACRED, HATTIE LARLHAM ENHANCES THE QUALITY OF LIFE FOR PEOPLE WITH DISABILITIES AND THEIR FAMILIES THROUGH OUR COMMITMENT TO COMFORT, JOY AND ACHIEVEMENT. 0 0 17667474 17957782 PROVIDE PRIMARY HEALTHCARE THAT PROMOTES THE HEALTH AND WELL-BEING FOR 183 CHILDREN, TEENS, AND ADULTS WITH COMPLEX MEDICAL CONDITIONS AND SEVERE INTELLECTUAL DISABILITIES. THROUGH HIGH QUALITY MEDICAL AND NURSING CARE, SUPPORTED BY RESPIRATORY THERAPISTS, ALLIED THERAPIES AND NUTRITIONAL SERVICES, THE INDIVIDUALS EXPERIENCE A HIGH QUALITY OF LIFE, DESPITE THEIR FRAGILE CONDITIONS. HABILITATION PROGRAMS DELIVERED BY HIGHLY TRAINED DIRECT CARE STAFF ASSIST THE INDIVIDUALS TO ATTAIN THEIR HIGHEST LEVEL OF FUNCTIONING IN ALL ASPECTS OF SELF-CARE AND INDEPENDENCE. RECREATION ASSISTANTS, AND THE MANY VOLUNTEERS WHO GENEROUSLY GIVE UP THEIR TIME TO BEFRIEND OUR RESIDENTS, SUPPORT PARTICIPATION IN THE COMMUNITY OUTINGS AND EVENTS. IN ADDITION, THE PLAY CENTER AT HATTIE LARLHAM IS A PLAY RESOURCE FOR FAMILIES OF PEOPLE WHO RECEIVE SERVICES FROM HATTIE LARLHAM AS WELL AS MEMBERS OF THE COMMUNITY. THE FACILITY WAS DESIGNED TO HOUSE PROGRAMS FOR CHILDREN WITH AUTISM SPECTRUM DISORDERS. 134009 ACHIEVE PERSONAL INDEPENDENCE AND SOCIAL RESPONSIBILITY FOR THE PRESCHOOL CHILD THAT WILL LEAD TO SUCCESSFUL TRANSITION TO A KINDERGARTEN. WORK WITH CHILDREN TO DEVELOP A PLAN TO TRANSITION EACH CHILD TO A PUBLIC OR PRIVATE SCHOOL AT THE AGE OF FIVE OR SIX. THIS PROGRAM IS AVAILABLE TO THE GENERAL PUBLIC AND TO HATTIE LARLHAM EMPLOYEE'S CHILDREN. THE PRESCHOOL IS LICENSED UNDER THE OHIO DEPARTMENT OF JOB AND FAMILY SERVICES. 56254 FUND, PROMOTE, AND CARRY ON SCIENTIFIC RESEARCH IN THE PUBLIC INTEREST RELATED TO INDIVIDUALS WHO ARE DISABLED AND TO PARTICIPATE IN SUCH ACTIVITIES DESIGNED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. RESEARCH INCLUDES AREAS OF PSYCHOSOCIAL, CLINICAL CARE, ALLIED THERAPY, AND ASSISTIVE TECHNOLOGY. 9943 ACHIEVE PERSONAL INDEPENDENCE AND SOCIAL RESPONSIBILITY FOR THE AUTISTIC CHILD THAT WILL LEAD TO SUCCESSFUL TRANSITION TO A REGULAR PUBLIC SCHOOL KINDERGARTEN WITH MINIMAL SUPPORT NEEDS. THE SPECIFIC RESEARCH OBJECTIVES INCLUDES: ESTABLISH A REPLICABLE PRESCHOOL MODEL INCORPORATING THE ELEMENTS COMMON TO EFFECTIVE INTERVENTION PROGRAMS; CREATE "BEST PRACTICE" GUIDELINES FOR DISSEMINATION TO FAMILIES AND PROFESSIONAL IN THE FIELD OF AUTISM; DEVELOP A TRANSITION PLANNING MODEL THAT WILL EFFECTIVELY TRANSITION EACH CHILD TO THEIR SCHOOL DISTRICT AT AGE FIVE OR SIX; AND CONTRIBUTE TO THE FIELD OF EARLY INTERVENTION PROGRAMMING FOR AUTISM THROUGH SCHOLARLY RESEARCH AND PUBLICATION. 9943 17867680 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 14 0 1 459 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 1 1 0 0 1 1 0 0 0 OH X GERI WEIS 3302742272 9772 DIAGONAL ROAD MANTUA OH 44255 PETER BILLINGTON PRESIDENT 0.50 0.30 X X 0 0 0 JACKE MUMAW VICE PRESIDENT 0.30 0.30 X X 0 0 0 CHARLIE SNYDER SECRETARY 0.30 0.50 X X 0 0 0 MARK SCHER DIRECTOR 0.30 0.30 X 0 0 0 SEAN SWEENEY DIRECTOR 0.30 0.30 X 0 0 0 DR MICHAEL REED DIRECTOR 0.30 0.50 X 0 0 0 MARC RUBINSTEIN VP OF FINANCE/CFO 22.40 17.60 X X 0 169974 22423 DENNIS ALLEN CEO 0.30 39.70 X 0 191835 24277 DARRYL MAST VP OF OPERATIONS 0.30 39.70 X 0 134276 34604 LORI OLIVER VP OF HLCCD 38.00 2.00 X 0 118053 23207 0 614138 104511 0 0 1 0 HATTIE LARLHAM INCUBATOR 9772 DIAGONAL ROAD MANTUA OH 44255 ACHIEVE PROGRAM /ACTIVE TREATMENT 661957 DEVAULT CONSTRUCTION PO BOX 1764 KENT OH 44240 CONSTRUCTION 181668 MAXIM STAFFING SOLUTIONS 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 STAFFING 139807 PORTAGE COUNTY BOARD OF DD 2606 BRADY LAKE ROAD RAVENNA OH 44266 ACTIVE TREATMENT 132226 4 777550 243 777793 RESIDENTIAL SERVICES 623990 17832610 17813623 18987 17832610 63 63 23836 25375 -1539 -1539 -1539 14651 30760 -16109 -16109 -16109 26056 8639 17417 17417 WORKERS COMPENSATION REBATE 900099 144459 144459 INSURANCE REIMBURSEMENT 900099 143924 143924 MEDICAL RECORDS 900099 196 196 60 39 21 288639 18898874 17957782 0 163299 9192456 9071689 119610 1157 32835 30996 1839 1717373 1697487 19728 158 951726 948642 3084 17485 17485 5712 5712 45000 45000 500649 488961 11688 36554 35306 1248 117198 98382 18816 53649 26958 26691 465423 463424 1999 49778 47157 2621 10993 10129 864 135166 134050 1116 1154732 1154732 109485 109485 HOME OFFICE 1355350 87104 1268246 ACTIVE TREATMENT 1163936 1163936 SUPPLIES 1060633 1060633 0 BED TAX 934091 934091 360665 304518 56147 19470889 17867680 1601894 1315 1350 1350 0 0 1068110 1247741 0 0 0 90832 92082 19891 15172 28274688 13208180 16048397 15066508 154870 4934 0 0 74744 0 2949660 3393148 20407854 19820935 1520627 2106847 0 0 3871164 3300852 0 0 771273 743542 0 128591 16453 6291655 6167694 X 14111149 13648191 5050 5050 0 14116199 13653241 20407854 19820935 X -572015 71263 37794 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45000 45000 19451264 19496264 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 47014 47457 46124 45000 185595 250000 250000 250000 250000 1000000 1500000 89390 89390 22385299 10005200 12380099 2522653 1677741 844912 3277346 1525239 1752107 15066508 DEPOSITS 1000 RELATED PARTY RECEIVABLES 3392148 3393148 INTEREST RATE SWAP CONTRACT 16453 16453 X PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. MANAGEMENT BELIEVES THAT IT IS NO LONGER SUBJECT TO TAX EXAMINATION FOR YEARS ENDED TO DECEMBER 31, 2010. GAZEBO PROJECT 26056 26056 8639 26056 26056 8639 8639 17417 0 0 0 0 0 0 0 0 0 MARC RUBINSTEIN VP OF FINANCE/CFO 0 169974 0 0 0 0 0 10736 0 11687 0 192397 0 0 DENNIS ALLEN CEO 0 191835 0 0 0 0 0 12000 0 12277 0 216112 0 0 DARRYL MAST VP OF OPERATIONS 0 134276 0 0 0 0 0 22917 0 11687 0 168880 0 0 A CITY OF STREESBORO OHIO 346002746 2011-12-16 4097000 REDEEM 2001 BONDS/LOAN REFINANCE 0 0 0 A 1395000 4097000 79150 4017850 1 0 1 1 A 0 1 0 0 0.04700 0.04700 1 0 1 A 0 0 0 0 1 1 PNC BANK 10.000000000000 1 0 0 0 0 A 1 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS HATTIE LARLHAM CARE GROUP. THERE IS ONLY ONE CLASS OF MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A ACTION BY THE MEMBER OF THE CORPORATION SHALL BE REQUIRED, AND SHALL BE SUFFICIENT, FOR THE FOLLOWING MATTERS A) TO ELECT THE MEMBERS OF THE BOARD OF DIRECTORS (THE "DIRECTORS") AND TO REMOVE THE DIRECTORS, B) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR THE CODE OF REGULATIONS, C) TO DISSOLVE OR TERMINATE THE EXISTENCE OF THE CORPORATION. THE DIRECTORS SHALL BE RELIEVED FROM LIABILITY FOR MANAGERIAL ACTS OR OMISSIONS IMPOSED UPON DIRECTORS BY LAW, TO THE EXTENT THAT, AND AS LONG AS, ANY DISCRETIONARY POWER IN THE MANAGEMENT OF CORPORATE AFFAIRS OF THE CORPORATION IS EXERCISED BY THE MEMBER PURSUANT TO THE CODE OF REGULATIONS, THE ARTICLES OF INCORPORATION, OR APPLICABLE LAW. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER MUST APPROVE THE FOLLOWING ACTIONS OF THE BOARD OF DIRECTORS BEFORE SUCH ACTIONS BECOME EFFECTIVE A) ANY MERGER OR CONSOLIDATION OF THE CORPORATION AND ANY SALE OF SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS, B) THE CREATION OF ANY SUBSIDIARY ORGANIZATION OR THE AFFILIATION OF THE CORPORATION WITH ANY OTHER ENTITY FOR THE PURPOSE OF THE JOINT CONDUCT OF BUSINESS OR OTHER PROGRAMS, WHETHER IN THE FORM OF PARTICIPATION IN A CORPORATION, PARTNERSHIP, LIMITED LIABILITY COMPANY, JOINT VENTURE, CO-TENANCY OR ANY OTHER FORM OF OWNERSHIP OR CONTROL, C) THE APPROVAL OF THE ANNUAL BUDGET OF THE CORPORATION, D) THE ADOPTION OF ANY NEW OR MATERIALLY REVISED SERVICES TO BE PROVIDED BY THE CORPORATION, E) ANY REQUESTS FOR FUNDING FROM HATTIE LARLHAM FOUNDATION, AND F) ANY OTHER ACT FOR WHICH MEMBERSHIP APPROVAL IS REQUIRED UNDER APPLICABLE LAW, THE ARTICLES OF INCORPORATION, OR THE CODE OF REGULATIONS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE CFO AND PRESENTED TO THE TREASURER'S (FINANCE) COMMITIEE BY THE TAX ACCOUNTANT/PREPARER AND CFO FOR REVIEW AND APPROVAL. THE BOARD OF DIRECTORS THEN RECEIVES A COPY OF FORM 990 TO REVIEW/COMMENT ON PRIOR TO THE TAX RETURN BEING FILED. FORM 990, PART VI, SECTION B, LINE 12 EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVES TRAINING ON ETHICAL CONDUCT BY THE DIRECTOR OF CORPORATE COMPLIANCE DURING THEIR ORIENTATION TO THE BOARD AND ON AN ANNUAL BASIS. HATTIE LARLHAM DISTRIBUTES TO THE BOARD OF DIRECTORS AT THE ANNUAL MEETING AND DURING ORIENTATION THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER HAS AN OBLIGATION TO MAKE FULL DISCLOSURE OF CONFLICTS OF INTEREST EACH YEAR THEY RECEIVE THE CONFLICT OF INTEREST POLICY AND A DECLARATION STATEMENT TO READ AND SIGN. IF A CONFLICT OF INTEREST IS REPORTED, THE DISCLOSURE IS PLACED ON THE AGENDA OF A BOARD MEETING WHERE A MOTION IS MADE TO ACKNOWLEDGE THE DISCLOSURE AND VOTE TO DETERMINE IF THE SERVICES ARE APPROPRIATE TO THE NEEDS OF THE ORGANIZATION. HATTIE LARLHAM HAS SPECIFIC POLICIES IN REGARDS TO GIFTS AND GRATUITIES AND EMPLOYMENT OF RELATIVES. THE EXECUTIVE STAFF OF HL AGENCIES MUST ALSO REPORT ANY CONFLICT OF INTEREST TO THE CEO IN REGARDS TO GIFTS, GRATUITIES, AND RELATIVES EMPLOYED AT HL UNDER AN EXECUTIVES SPAN OF CONTROL. IF A CONFLICT OF INTEREST IS REPORTED TO THE CEO, HE/SHE WILL FOLLOW THE SAME POLICY AS IT APPLIES TO THE BOARD OF DIRECTORS UNDER THE CONFLICT OF INTEREST POLICY. HL HAS A CORPORATE COMPLIANCE COMMITIEE WHICH MEETS MONTHLY TO MONITOR ALL CORPORATE COMPLIANCE ACTIVITIES. A CORPORATE COMPLIANCE EVALUATION IS COMPLETED ON AN ANNUAL BASIS BY THE DIRECTOR OF CORPORATE COMPLIANCE, A VICE PRESIDENT OF ONE OF THE HL AGENCIES, AND THE QUALITY IMPROVEMENT COORDINATOR TO DETERMINE WHICH ACTIVITIES NEED TO BE ADDRESSED. FORM 990, PART VI, SECTION B, LINE 15 HATTIE LARLHAM CARE GROUP, A RELATED ORGANIZATION, COMPENSATES THE ORGANIZATION'S CEO, VICE PRESIDENTS, TOP MANAGMENT AND KEY EMPLOYEES. THE PROCESS OF DETERMINING THE COMPENSATION FOR THE ORGANIZATION'S CEO, VICE PRESIDENTS, TOP MANAGEMENT AND KEY EMPLOYEES INCLUDES A MEETING OF THE COMPENSATION COMMITTEE WITH THE CEO WHERE THE COMMITTEE IS PRESENTED WITH SALARY RECOMMENDATIONS COMPARED TO PRIOR YEAR COMPENSATION AND COMPENSATION SURVEYS/STUDYS WHICH WOULD THEN LEAD TO AN APPROVAL BY THE COMMITTEE OF THE COMPENSATION TO BE PAID. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: AN ADJUSTMENT TO FUND BALANCE 37,794. FORM 990, PART XII, LINE 2C: THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS FROM THE PRIOR YEAR. HATTIE LARLHAM COMMUNITY CLINICS LLC 9772 DIAGONAL ROAD MANTUA OH 44255 264720011 MEDICAL SVCS OH 0 0 HLCCD HATTIE LARLHAM RESEARCH INSTITUTE 9772 DIAGONAL ROAD MANTUA OH 44255 020634814 RESEARCH OH 96550 61791 HLCCD HATTIE LARLHAM FOUNDATION 7996 DARROW ROAD SUITE 10 TWINSBURG OH 44087 341696794 SUPPORT ORG OH 501(C)(3) 11C N/A 1 HATTIE LARLHAM CARE GROUP 7996 DARROW ROAD SUITE 10 TWINSBURG OH 44087 364446861 ADMIN SRVC OH 501(C)(3) 11C N/A 1 HATTIE LARLHAM COMMUNITY SERVICE 9772 DIAGONAL ROAD MANTUA OH 44255 341863723 RESIDENTIAL OH 501(C)(3) 9 HLCG 1 HATTIE LARLHAM HOUSING CORPORATION 9772 DIAGONAL ROAD MANTUA OH 44255 201953841 HOUSING OH 501(C)(3) 9 HLCG 1 HATTIE LARLHAM COMMUNITY LIVING 9772 DIAGONAL ROAD MANTUA OH 44255 341897312 TRAIN/EMPLOY OH 501(C)(3) 9 HLCG 1 0 0 1 0 1 0 0 0 0 1 1 1 1 1 1 0 0 0 0 HATTIE LARLHAM CARE GROUP M 1357356 FMV HATTIE LARLHAM CARE GROUP L 191733 FMV HATTIE LARLHAM COMMUNITY LIVING K 92355 FMV HATTIE LARLHAM FOUNDATION C 777550 FMV