2012-05-14T14:40:37-05:00 2011-06-30 PLANTE & MORAN PLLC 65 E STATE STREET SUITE 600 COLUMBUS OH 43215 990 2010-07-01 272564811 SENIOR INDEPENDENCE SENI 6148887800 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 LAURENCE C GUMINA 6148887800 2012-05-14 1 BERNIE OSTROWSKI 6148493000 2010 2016-02-24 21:20:13Z X OHIO PRESBYTERIAN RETIREMENT SERVICE SALLY HOUSTON 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 43381578 0 X WWW.SENIORINDEPENDENCE.ORG X 2010 OH SENIOR INDEPENDENCE'S MISSION IS TO SERVE OLDER ADULTS WHO CHOOSE TO REMAIN HOME BY PROVIDING SERVICES THAT WILL HELP THEM LIVE SAFELY AND SUCCESSFULLY IN THEIR OWN HOMES, WHEREVER THAT HOME MAY BE. OUR MOST SIGNIFICANT ACTIVITIES INCLUDE PROVIDING HOME CARE, HOME HEALTH CARE, HOSPICE, ADULT DAY SERVICES, TRANSPORTATION AND HOME DELIVERED MEALS. 16 15 0 384 0 0 335092 41308218 0 1738268 43381578 0 0 25234208 0 0 15452420 40686628 2694950 8410631 2083373 6327258 X OUR MISSION IS TO EXTEND AND ENHANCE THE INDEPENDENCE AND WELL BEING OF OLDER ADULTS AND BUILD THE CAPACITY OF FAMILY MEMBERS, COMMUNITIES, AND ORGANIZATIONS TO CARE FOR THEM AT HOME. 0 0 21138251 25818617 HOME HEALTH 10708379 13388605 HOSPICE 2444147 2727253 ADULT DAY CARE 525284 232474 OTHER 525284 232474 34816061 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 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 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 OH X THOMAS KELLY 6148887800 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 X SANDRA R BYERS 2.00 X 0 0 0 LORI A BROHM 2.00 X 0 0 0 RODNEY J HARRISON 2.00 X 0 0 0 CHRISTOPER D JENKINS 2.00 X 0 0 0 DAVID J KAASA 10.00 X X 0 365774 13293 GORDON A KENDALL 2.00 X 0 0 0 RICHARD A KRIEGER 2.00 X 0 0 0 DANIEL R LANE 2.00 X 0 0 0 KASSIM MAHDI 2.00 X 0 0 0 JOHN A PETERSON 2.00 X 0 0 0 BARBARA E RILEY 2.00 X 0 0 0 AMY J ROSCOE 2.00 X 0 0 0 DEBORAH D SAMPSEL 2.00 X 0 0 0 LOUISE R SEIPEL 2.00 X 0 0 0 AMY T SHORE 2.00 X 0 0 0 FAITH M WILLIAMS 2.00 X 0 0 0 NANCY KING 40.00 X 205606 0 8684 SALLY HOUSTON 40.00 X 125374 0 3957 JOE BELVEDERE 40.00 X 118182 0 6232 MICHELLE BRIDGES 40.00 X 87980 0 9493 LINDA ARTIS 40.00 X 0 99047 5345 ANN HERINGHAUS 40.00 X 0 98837 4728 537142 365774 41659 3 0 1 0 PARK REHAB 14176 NATIONAL RD SW REYNOLDSBURG OH 43068 REHAB SERVICE 693560 DAYTON PHYSICAL THERAPY 5391 APPLEWOOD LNE LEBANON OH 45036 PHYSICAL THERAPY 448745 WALLACE MANAGEMENT CORPORATION 16600 SPRAGUE RD SUITE 365 MIDDLEBURG HEIGHTS OH 44130 THERAPY SERVICE 333041 CONCEPT REHAB INC 7150 GRANITE CIRCLE TOLEDO OH 43617 REHAB SERVICE 256640 PHILIPS LIFELINE PO BOX 403109 ATLANTA GA 30384 ALERT CHAINS-PUSH BUTTONS 250015 19 222833 112259 335092 RESIDENT SERVICES 623000 41308218 41308218 41308218 40000 40000 40000 40000 MEALS 900099 879537 879537 ADMINISTRATIVE SERVICE 900099 818731 818731 1698268 43381578 42166949 0 879537 20040979 18595007 1445972 497467 452350 45117 3241582 2947588 293994 1454180 1454180 185888 185888 6319823 5630230 689593 520844 461911 58933 3025727 1542532 1483195 322841 322841 752077 711687 40390 1724664 1572894 151770 135662 111081 24581 272082 169120 102962 39780 39780 CORPORATE ALLOCATIONS 1348172 1348172 COST OF FOOD 526904 526904 BAD DEBT EXPENSE 138996 138996 RECOGNITION & AWARDS 47764 47764 ACTIVITY & EVENT FEES 26990 26990 64206 64206 40686628 34816061 5870567 0 200 5824155 9363 2688396 1511276 0 1177120 0 1399793 0 8410631 2033373 50000 0 2083373 X 6327258 0 6327258 0 8410631 X 2694950 3632308 X X 0 1 1 X 1 1 X 335092 335092 42166949 42166949 879537 879537 43381578 43381578 0 0 0 43381578 43381578 43381578 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 321379 109580 211799 30563 15595 14968 623563 1105584 -482021 1712891 280517 1432374 1177120 LEASE SECURITY DEPOSIT 24281 INTERCOMPANY 1375512 1399793 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CORPORATION RECORDS ANY ACCRUALS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC 740, INCOME TAXES. THE CORPORATION HAD NO ACCRUALS FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2011 OR 2010. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION REQUIRED TO FILE WITH THE IRS, AND HAS CONCLUDED THAT AS OF JUNE 30, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OF DISCLOSURE IN THE FINANCIAL STATEMENTS. CERTAIN ORGANIZATIONS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. 0 0 0 0 0 0 0 0 0 DAVID J KAASA 0 328495 0 0 0 37279 0 7147 0 6146 0 379067 0 0 NANCY KING 205606 0 0 0 0 0 4185 0 4499 0 214290 0 0 0 SUPPLEMENTAL INFORMATION PART III PART I, LINE 3: SENIOR INDEPENDENCE RELIED ON A RELATED ORGANIZATION (OHIO PRESBYTERIAN RETIREMENT SERVICES) THAT USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 OHIO PRESBYTERIAN RETIREMENT SERVICES (OPRS), AN OHIO NONPROFIT CORPORATION, IS THE SOLE MEMBER OF SENIOR INDEPENDENCE AND SHALL HAVE AND EXERCISE ALL OF THE RIGHTS AND PRIVILEGES OF MEMBERS OF A NONPROFIT CORPORATION CONFERRED UNDER THE LAWS OF THE STATE OF OHIO. FORM 990, PART VI, SECTION A, LINE 7A TRUSTEES OF SENIOR INDEPENDENCE WILL BE APPOINTED BY THE SOLE MEMBER, OHIO PRESBYTERIAN RETIREMENT SERVICES (OPRS), THROUGH ITS BOARD OF TRUSTEES, AT THE ANNUAL MEETING OF THE SOLE MEMBER. NOMINEES TO THE BOARD OF TRUSTEES OF SENIOR INDEPENENCE WILL BE SELECTED AND APPOINTED BY OPRS BASED UPON THEIR ABILITY TO CONTRIBUTE IN TERMS OF EXPERTISE AND TIME AND THEIR COMMITMENT TO THE OPRS MISSION STATEMENT. FORM 990, PART VI, SECTION A, LINE 7B THE CODE OF REGULATIONS OF SENIOR INDEPENENCE MAY BE AMENDED BY A MAJORITY VOTE OF THE TRUSTEES PRESENT AT ANY MEETING AT WHICH THERE IS A QUORUM IN ATTENDANCE, PROVIDED NOTICE OF THE MEETING AND THE PROPOSED CHANGES IN THE CODE OF REGULATIONS HAVE BEEN GIVEN TO ALL TRUSTEES NO FEWER THAN TWENTY-ONE (21) DAYS IN ADVANCE OF SUCH A MEETING. THE ARTICLES OF INCORPORATION OF SENIOR INDEPENENCE MAY ALSO BE AMENDED IN THE SAME MANNER. NOTWITHSTANDING THE FOREGOING, ALL AMENDMENTS TO THIS CODE OF REGULATIONS AND THE ARTICLES OF INCORPORATION OF SENIOR INDEPENDENCE MUST BE RATIFIED BY OPRS AS SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION DELEGATES THE REVIEW OF THE 990 TO A BOARD MEMBER WITH SUFFICIENT EXPERIENCE TO EVALUATE THE CONTENT CONTAINED THEREIN. THE MEMBER THEN REPORTS HIS REVIEW FINDINGS TO THE BOARD AND FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD INQUIRES ABOUT CONFLICTS PRIOR TO EACH MEETING. ANNUALLY A WRITTEN DISCLOSURE IS CIRCULATED. IN ORDER TO CONTINUE SERVING, A MEMBER MUST COMPLETE THE WRITTEN DISCLOSURE. THE CORPORATE SECRETARY REVIEWS DISCLOSURES FOR CONFLICTS OF INTEREST. IF A CONFLICT ARISES, MEMBERS MUST RESOLVE THE CONFLICT OR BE REMOVED FROM SERVICE. THE GOVERNING BOARD AND ALL EMPLOYEES OF OPRSF ARE BOUND BY THE CONFLICT OF INTEREST POLICY. THE CORPORATE SECRETARY IS RESPONSIBLE FOR DETERMINING IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST ARISES OR IS DISCOVERED, THE INDIVIDUAL WITH THE CONFLICT MUST EITHER RESOLVE THE CONFLICT OF INTEREST OR MUST NOT SERVE IN THE MATTER WHICH GIVES RISE TO THE CONFLICT. ANY MEMBERS INVOLVED IN A VOTING MATTER WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO THAT VOTING MATTER MUST EXCUSE THEMSELVES, IE, NOT VOTE ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 OHIO PRESBYTERIAN RETIREMENT SERVICES OVERSEES THE PROCESS FOR DETERMINING COMPENSATION OF TOP OFFICIALS. THE PROCESS IS TO COMPLETE A SURVEY OF TOP OFFICIALS OF SIMILAR ORGANIZATIONS USING 990 INFORMATION WHERE AVAILABLE. A REVIEW OF THE JOB PERFORMANCE IS COMPLETED ANNUALLY AND THE AVERAGE INCREASE OF EACH OPRSC EMPLOYEE IS ALSO CONSIDERED. THIS PROCESS WAS COMPLETED IN 2011. THIS PROCESS IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE AND DOCUMENTED IN ITS MINUTES. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE PROVIDED UPON WRITTEN REQUEST. FORM 990, PART VII: DAVID KAASA WORKED 20 HOURS AND 10 HOURS FOR RELATED ORGANIZATIONS OPRS COMMUNITIES AND OPRS FOUNDATION, RESPECTIVELY. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFER OF NET ASSETS FROM OPRS COMMUNITIES 3,632,308. TOTAL TO FORM 990, PART XI, LINE 5: 3,632,308. FORM 990, PART XII, LINE 2C EXPLANATION THE AUDIT COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT. OHIO PRESBYTERIAN RETIREMENT SERVICES 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 311340918 SUPPORT OH 501 C (3) LINE 11B, II N/A 0 OHIO PRESBYTERIAN RETIREMENT SERVICES COMMUNITIES 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 344429863 ADULT CARE OH 501 C (3) LINE 9 OPRS 1 VINEYARD CONDOMINIUM ASSOCIATION 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 262702410 MANAGEMENT OH 501 C (4) OPRSC 1 OHIO PRESBYTERIAN RETIREMENT SERVICES FOUNDATION 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 311166164 FUNDRAISING OH 501 C (3) LINE 11A, I OPRS 1 OPRS DEVELOPMENT CORP 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 311166160 INACTIVE OH N/A C PORT CLINTON HOUSING PTNS INC 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 341785661 INVESTMENT OH N/A C 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 OHIO PRESBYTERIAN RETIREMENT SERVICES FOUNDATION C 222833 CASH TRANSACTION OHIO PRESBYTERIAN RETIREMENT SERVICES COMMUNITIES R 3632308 CASH TRANSACTION OHIO PRESBYTERIAN RETIREMENT SERVICES L 1348172 CASH TRANSACTION