2013-10-25T15:41:18-05:00 2012-12-31 381357951 PLANTE & MORAN PLLC 65 E STATE STREET COLUMBUS OH 43215 990 2012-01-01 310668084 HEINZERLING FOUNDATION HEIN 6142728888 1800 HEINZERLING DR COLUMBUS OH 43223 ROBERT E HEINZERLING 6142728888 2013-10-17 1 BERNIE OSTROWSKI P00366367 6148493000 2012 2016-02-25 16:41:14Z ROBERT E HEINZERLING 1800 HEINZERLING DR COLUMBUS OH 43223 24903961 0 X WWW.HEINZERLING.ORG X 1959 OH LONG-TERM CARE FOR DEVELOPMENTALLY DISABLED CHILDREN AND ADULTS. 11 10 775 1657 0 0 117625 306320 23463121 23954621 9656 7991 117136 525236 23707538 24794168 0 0 0 0 17411977 17728559 14881 14881 104760 6672391 6576262 24099249 24319702 -391711 474466 18357759 19078966 6913941 7155131 11443818 11923835 CARE AND HABILITATION OF DEVELOPMENTALLY DISABLED CITIZENS (208 TOTAL BEDS). 0 0 22737576 24383425 THE HEINZERLING FOUNDATION IS A 24-HOUR INTERMEDIATE CARE (MEDICAL, EDUCATIONAL, THERAPY, NUTRITIONAL, ETC.) FOR NON-AMBULATORY CHILDREN AND ADULTS WITH SEVERE/PROFOUND DEVELOPMENTAL DISABILITIES IN A RESIDENTIAL SETTING. 22737576 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 0 1 0 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 0 0 0 0 0 1 9 0 1 775 1 0 0 0 0 0 1 1 0 0 0 0 X 11 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OH X DANELLA HICKS 6142728888 1800 HEINZERLING DR COLUMBUS OH 43223 DANIEL M O'BRIEN 1.00 X X 0 0 0 ROBERT E HEINZERLING 40.00 X X 153993 0 15043 KATHRYN P HEINZERLING 1.00 X X 0 0 0 DORIS EDWARDS RN 1.00 X X 0 0 0 ROB KOOGLER 1.00 X X 0 0 0 RICK A WANNER 1.00 X 0 0 0 LINDA HEINZERLING RN 1.00 X 0 0 0 R KEVIN KERNS ESQ 1.00 X 0 0 0 COLLEEN K NISSL JD 1.00 X 0 0 0 JOHN E HOLLBACK JR 1.00 X 0 0 0 JAMES W PRUDEN 1.00 X 0 0 0 DANELLA HICKS 40.00 X 83749 0 18077 N CHRISTINE RAFELD 40.00 X 102902 0 23517 340644 0 56637 2 0 1 0 FRANKLIN COUNTY BOARD OF MRDD 2879 JOHNSTOWN RD COLUMBUS OH 43219 DAY PROGRAMMING SERVICES 848813 DOUBLE JAY CONSTRUCTION INC 25 HARRISBURG DR ENGLEWOOD OH 45322 DAY PROGRAMMING SERVICES 407630 COLUMBUS CENTER FOR HUMAN SERVICES 540 INDUSTRIAL MILE RD COLUMBUS OH 43228 DAY PROGRAMMING SERVICES 384075 PLANTE & MORAN PLLC 65 EAST STATE STREET SUITE 600 COLUMBUS OH 43215 AUDITING & TAX 110150 4 8445 297875 306320 PROGRAM SERVICES 623000 23954621 23954621 23954621 7991 7991 9925 2753 7172 7172 7172 101682 8445 107040 -5358 -5358 BENEFICIAL INTEREST 900099 411604 411604 SCHOOL LUNCH REVENUE 900099 63248 63248 INSURANCE REFUNDS 900099 11400 11400 37170 17200 19970 523422 24794168 24383425 0 104423 271506 269085 2421 13855319 13358421 460638 36260 2170285 2066936 102810 539 1431449 1352247 76899 2303 14358 14358 108550 108550 14881 14881 1604827 1526678 78149 29630 721 19253 9656 1473878 1287770 163130 22978 99228 97640 1588 409597 387813 21348 436 14176 1772 12404 156489 148237 8252 145609 145609 646494 598992 46983 519 98500 94549 3872 79 FRANCHISE FEES 1380198 1380198 FOOD 341559 341559 STAFF RECOGNITION 28266 28266 PROVISION FOR BAD DEBTS 19580 19580 5323 4627 696 24319702 22737576 1477366 104760 1900 1900 5758107 6137083 1841821 1894409 187029 164705 19983122 13649681 6325496 6333441 3724624 4136228 518782 411200 18357759 19078966 2165918 2749796 4219630 3892071 233335 215222 295058 298042 6913941 7155131 X 10535331 11219822 908487 704013 11443818 11923835 18357759 19078966 X 474466 5551 X X 0 1 X 1 0 X 146017 109305 157362 117625 306320 836629 22472694 24404812 23858684 23468073 24383425 118587688 70433 73040 67590 101735 94618 407416 22689144 24587157 24083636 23687433 24784363 119831733 0 0 0 119831733 124719 35534 31999 17777 17916 227945 124719 35534 31999 17777 17916 227945 108671 122132 89293 80681 101682 502459 22922534 24744823 24204928 23785891 24903961 120562137 0.99390 0.99160 0.00190 0.00410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3724623 425285 13680 4136228 3806931 -68964 13344 3724623 3390306 428846 12221 3806931 2626971 779583 16248 3390306 2864575 800000 -1019271 18333 2626971 1.00000 0.00000 0.00000 0 0 509608 509608 13452352 9045961 4406391 4559000 3896697 662303 1462162 707023 755139 6333441 BENEFICIAL INTEREST IN THE COLUMBUS FOUNDATION 4136228 F 4136228 RESIDENT FUND LIABILITY 129973 FV OF INTEREST RATE SWAP 168069 298042 24903962 0 24903962 -109794 -109794 24794168 24429496 109794 109794 24319702 0 24319702 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INVESTMENT UNTIL PURPOSE IS DESIGNATED BY THE BOARD. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF SPECIAL EVENT EXPENSES -107,041. RECLASS OF RENTAL EXPENSES -2,753. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS OF SPECIAL EVENT EXPENSES 107,041. RECLASS OF RENTAL EXPENSES 2,753. OFF THE WALL 69022 4775 64247 200 66468 GOLF OUTING 37355 3520 33835 2602 500 29423 106377 8295 98082 2602 700 95891 99193 -1111 X X 0 0 0 0 0 0 0 1 0 ROBERT E HEINZERLING 143824 0 10169 0 0 0 0 0 15043 0 169036 0 0 0 PART I, LINE 7 ROBERT HEINZERLING RECEIVED A NON-FIXED PAYMENT DURING 2012. THE BONUS WAS BASED ON A SUBJECTIVE ANALYSIS WHICH INCLUDES THE REVIEW OF ROBERT'S ANNUAL PERFORMANCE BY THE BOARD OF DIRECTORS AS WELL AS OTHER FACTORS. THESE OTHER FACTORS INCLUDE THE UNCERTAINTY OF THE STATE BUDGET RELATIVE TO MEDICAID FUNDING IN ADDITION TO THE AMOUNT OF PERFORMANCE BONUSES PAID TO THE MANAGEMENT TEAM OTHER THAN ROBERT. A COLUMBUS-FRANKLIN COUNTY FINANCE AUTHORITY 571239430 2010-12-30 4675000 REFINANCE PRIOR ISSUES DATED 11/1/1995 AND 03/27/2001 0 0 0 A 473343 4675000 4616776 58224 2002 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 1 0 0 0 1 A 0 FORM 990, PART VI, SECTION A, LINE 2 KATHRYN P. HEINZERLING, VICE PRESIDENT, IS THE MOTHER OF ROBERT E. HEINZERLING, PRESIDENT, AND LINDA S. HEINZERLING, TRUSTEE. FORM 990, PART VI, SECTION B, LINE 11 THE DIRECTOR OF FINANCE REVIEWS THE FINISHED FORM 990 BEFORE A COPY OF IT IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, MEMBERS OF THE BOARD OF DIRECTORS REVIEW THE CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS, OFFICERS, AND DEPARTMENT HEADS MUST COMPLETE A DISCLOSURE FORM WHEN THEY FIRST JOIN AND THEN ANNUALLY IDENTIFYING ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH HE OR SHE IS INVOLVED THAT HE OR SHE BELIEVES COULD CONTRIBUTE TO A CONFLICT OF INTEREST. ALL BOARD MEMBERS ARE AWARE THAT CONFLICTS OF INTEREST SHOULD BE DISCLOSED UPON DISCOVERY. THE DIRECTOR OF FINANCE REVIEWS THESE DISCLOSURES AND MONITORS INVOICES TO FOLLOW UP ON ACTIVITIES WITH PARTIES THAT MAY HAVE A CONFLICT OF INTEREST. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST ABSTAINS FROM VOTING ON THAT PARTICULAR ISSUE. FORM 990, PART VI, SECTION B, LINE 15A INPUT IS REQUESTED FROM ALL BOARD MEMBERS ANNUALLY REGARDING THE SALARY OF THE EXECUTIVE DIRECTOR. THE ORGANIZATION USES OTHER DIRECTORS' COMPENSATION AS A MEASUREMENT FOR THE EXECUTIVE DIRECTOR'S SALARY. THIS INFORMATION IS DISCUSSED AND APPROVED IN THE EXECUTIVE SESSION OF THE BOARD MEETING. COMPENSATION DECISIONS ARE DOCUMENTED IN THE MEETING NOTES KEPT BY THE SECRETARY AND PRESIDENT. THIS PROCESS WAS LAST UNDERTAKEN DURING 2012. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN FMV OF INTEREST RATE SWAP AGREEMENTS 5,551. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. THE SELECTION OF AN INDEPENDENT AUDITOR IS DISCUSSED AT BOARD MEETINGS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.