2011-11-14T11:15:38-06:00 2010-12-31 PLANTE & MORAN PLLC 65 E STATE STREET COLUMBUS OH 43215 990 2010-01-01 310668084 HEINZERLING FOUNDATION HEIN 6142728888 1800 HEINZERLING DR COLUMBUS OH 43223 ROBERT E HEINZERLING 6142728888 2011-11-07 1 BERNIE OSTROWSKI 6148493000 2010 2016-03-07 17:11:31Z ROBERT E HEINZERLING 1800 HEINZERLING DR COLUMBUS OH 43223 25327187 0 X WWW.HEINZERLING.ORG X 1959 OH LONG-TERM CARE FOR MENTALLY RETARDED CHILDREN AND ADULTS. 11 9 748 1875 0 0 109305 157362 23598115 23427961 22249 -26649 878912 525530 24608581 24084204 0 0 0 0 17402300 17669333 10140 10140 60243 6178076 6172802 23590516 23852275 1018065 231929 18811976 23494917 7034756 11485768 11777220 12009149 X CARE AND HABILITATION OF MENTALLY RETARDED CITIZENS (213 TOTAL BEDS). 0 1 22362846 23858684 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. 22362846 1 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 11 0 1 748 1 0 0 0 0 0 1 1 0 0 0 0 X 11 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 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 144395 0 13598 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 75375 0 16284 N CHRISTINE RAFELD 40.00 X 102588 0 21306 322358 0 51188 2 0 1 0 MEDICAL MUTUAL OF OHIO 2060 E 9TH ST CLEVELAND OH 44115 INSURANCE SERVICES 1505582 FRANKLIN COUNTY BOARD OF MRDD 2879 JOHNSTOWN RD COLUMBUS OH 43219 DAY PROGRAMMING 1097093 UNITED HEALTHCARE INSURANCE 22561 NETWORK PLACE CHICAGO IL 60673 INSURANCE SERVICES 1003006 QUAL-MED 864 FREEWAY DRIVE NORTH COLUMBUS OH 43229 MEDICAL SUPPLIES 510741 GORDON FOOD SERVICE 420 50TH ST SW GRAND RAPIDS MI 49501 FOOD SERVICES 228869 12 7605 149757 23300 157362 PROGRAM SERVICES 623000 23427961 23427961 23427961 20383 20383 11616 3378 8238 8238 8238 1122259 1122259 47032 0 -47032 -47032 -47032 89293 7605 70314 18979 18979 BENEFICIAL INTEREST 900099 416626 416626 SCHOOL LUNCH REVENUE 900099 67590 67590 MISCELLANEOUS REVENUE 623000 14097 14097 498313 24084204 23858684 0 68158 255806 253248 2558 13792689 13304948 466769 20972 2147178 2027729 117571 1878 1473660 1404713 67071 1876 43374 43374 85225 85225 10140 10140 3284 3284 1395746 1331649 64097 16873 162 16711 1386834 1121070 249189 16575 1849 1849 473195 449535 23187 473 2821 1761 1060 166587 157144 9443 358087 356920 1167 685845 668105 17380 360 106121 100815 5200 106 FRANCHISE FEES 1065338 1065338 FOOD 308386 308386 MISCELLANEOUS 73237 66332 4509 2396 23852275 22362846 1429186 60243 2098 1131598 5273583 4349418 2232618 1795717 179814 196424 19242802 12371053 7316644 6871749 3390306 3806932 416913 5343079 18811976 23494917 1739790 2071051 4290000 4631347 267306 4675000 737660 108370 7034756 11485768 X 10670077 11001334 1107143 1007815 11777220 12009149 18811976 23494917 231929 0 X X 0 1 1 X 0 X 377598 185350 146017 109305 157362 975632 23874769 23840378 22472694 24404812 23858684 118451337 73803 74857 70433 73040 67590 359723 24326170 24100585 22689144 24587157 24083636 119786692 0 0 0 119786692 204242 279313 124719 35534 31999 675807 204242 279313 124719 35534 31999 675807 123243 116136 108671 122132 89293 559475 24653655 24496034 22922534 24744823 24204928 121021974 0.98980 0.98870 0.00560 0.00610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3390306 428846 12221 3806931 2626971 779583 16248 3390306 2864575 800000 -1019271 18333 2626971 1.00000 0.00000 0.00000 0 0 509608 509608 13397093 8187726 5209367 4412573 3575711 836862 923528 607616 315912 6871749 BENEFICIAL INTEREST IN THE COLUMBUS FOUNDATION 3806932 F 3806932 DEBT SERVICE RESERVE 4768335 CASH SURRENDER VALUE LIFE INSURANCE 32426 DEFERRED FINANCING COSTS 225698 RESIDENT FUNDS HELD IN TRUST 114866 NONCURRENT ASSETS 201754 5343079 RESIDENT FUND LIABILITY 108370 108370 24084204 23852275 231929 0 231929 24092963 0 24092963 -8759 -8759 24084204 23796625 73692 73692 23722933 129342 129342 23852275 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INVESTMENT UNTIL PURPOSE IS DESIGNATED BY THE BOARD. PART XII, LINE 4B - OTHER ADJUSTMENTS: REVENUE FROM DISCONTINUED OPERATIONS 64,933. RECLASS OF SPECIAL EVENT EXPENSES -70,314. RECLASS OF RENTAL EXPENSES -3,378. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RECLASS OF SPECIAL EVENT EXPENSES 70,314. RECLASS OF RENTAL EXPENSES 3,378. PART XIII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES FROM DISCONTINUED OPERATIONS 129,342. OFF THE WALL 62920 1475 61445 50793 GOLF OUTING 19264 540 18724 1796 5722 6863 1 14714 5590 9124 100 5040 96898 7605 89293 1796 100 5722 62696 70314 18979 X X 0 0 0 0 0 0 0 1 0 ROBERT E HEINZERLING 129395 0 15000 0 0 0 0 0 13598 0 157993 0 0 0 PART I, LINE 7 ROBERT HEINZERLING RECEIVED A NON-FIXED PAYMENT DURING 2010. 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. COLUMBUS-FRANKLIN COUNTY FINANCE AUTHORITY 571239430 2010-12-30 4675000 REFINANCE PRIOR INDEBTEDNESS 0 0 0 1 0 0 0 0 0 0 0 1 0.00000 0.00000 0.00000 0 0 1 0 0 0 0 FORM 990, SCHEDULE K, PART II, LINES 1-17 THE PROCEEDS WERE NOT DISTRIBUTED UNTIL MARCH OF 2011. AT THAT TIME, THE BONDS ORIGINALLY ISSUED IN 1995 AND 2001 FROM US BANK AND THE BANK OF NY WERE REDEEMED AND THE TERM LOAN FROM CHASE WAS PAID IN FULL. THE FINAL ALLOCATION OF PROCEEDS WAS MADE IN MARCH 2011, AND ADEQUATE BOOKS AND RECORDS ARE KEPT TO SUPPORT THE ALLOCATION. TOMMY O'BRIEN TOMMY IS THE SON OF CHAIRMAN 108584 RESIDENT SERVICES & USE OF FACILITIES CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 HEINZERLING FOUNDATION DISCONTINUED OPERATIONS AT THE HEINZERLING RESIDENTIAL CENTER ON 6/20/10. 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 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. 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 15 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 2009. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE UPON REQUEST. 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. 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.