S E M HAVEN INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
S E M HAVEN INC (EIN 23-7366692)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202313199349327891
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-15T17:57:03-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HW&COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line128601 Chagrin Blvd 210AddressLine1Txt
CityWoodmereCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44122ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237366692EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SEM Haven IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JOHN K RENNER SRInCareOfNm
Business Name ControlSEMHBusinessNameControlTxt
Phone5132481270PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 Cleveland AvenueAddressLine1Txt
CityMilfordCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45150ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn RennerPersonNm
Person TitleVice PresidentPersonTitleTxt
Phone7403824885PhoneNum
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJohnPersonFirstNm
Person LastRennerPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid M Reape CPAPreparerPersonNm
PTINP00068117PTIN
Phone2168311200PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn RennerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1806AddressLine1Txt
CityMarionCityNm
State AbbreviationOHStateAbbreviationCd
ZIP433011806ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,672,430GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionSEM Haven provides nursing & residential care for older adults of varying economic, ethnic, & religious backgrounds.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee322TotalEmployeeCnt
Total Volunteers37TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,420,134PYContributionsGrantsAmt
CY Contributions Grants$3,408CYContributionsGrantsAmt
PY Program Service Revenue$12,662,531PYProgramServiceRevenueAmt
CY Program Service Revenue$13,078,651CYProgramServiceRevenueAmt
PY Investment Income$495,742PYInvestmentIncomeAmt
CY Investment Income$370,738CYInvestmentIncomeAmt
PY Other Revenue$70,532PYOtherRevenueAmt
CY Other Revenue$48,083CYOtherRevenueAmt
PY Total Revenue$14,648,939PYTotalRevenueAmt
CY Total Revenue$13,500,880CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,735,367PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,698,864CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,796,789PYOtherExpensesAmt
CY Other Expenses$4,376,558CYOtherExpensesAmt
PY Total Expenses$12,532,156PYTotalExpensesAmt
CY Total Expenses$13,075,422CYTotalExpensesAmt
PY Revenues Less Expenses$2,116,783PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$425,458CYRevenuesLessExpensesAmt
Total Assets BOY$20,413,426TotalAssetsBOYAmt
Total Assets EOY$18,544,269TotalAssetsEOYAmt
Total Liabilities BOY$2,315,520TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,863,038TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,097,906NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,681,231NetAssetsOrFundBalancesEOYAmt
MissionSEM HAVEN PROVIDES NURSING AND RESIDENTIAL CARE FOR OLDER ADULTS OF VARYING ECONOMIC, ETHNIC, AND RELIGIOUS BACKGROUNDS. SEM HAVEN OPERATES 95 LICENSED NURSING HOME BEDS AND 42 ASSISTED LIVING APARTMENTS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,975,742ExpenseAmt
Revenue$13,126,734RevenueAmt
DescSEM Haven provides nursing and residential care for older adults of varying economic, ethnic, and religious backgrounds. SEM Haven strives to preserve and promote human dignity, self-determination, individual freedom, and accustomed lifestyle. SEM Haven operates 95 licensed nursing home beds and 42 assisted living apartments.Desc
Total Program Service Expenses$11,975,742TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee322EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOHN K RENNER SRPersonNm
Phone7403824885PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1170 EAST CENTER STREET PO BOX 1806AddressLine1Txt
CityMarionCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Mike Fletcher
President0.30.0Yes (X)Yes (X)$0$0$0
Mary Anne Will
Vice President0.30.0Yes (X)Yes (X)$0$0$0
Pat Dunn
Secretary0.30.0Yes (X)Yes (X)$0$0$0
Mike Celebrezze
Treasurer0.30.0Yes (X)Yes (X)$0$0$0
Robert Booth
Director thru 6/20220.30.0Yes (X)$0$0$0
Sally Moore
Director0.30.0Yes (X)$0$0$0
Charlotte Evans
Director0.30.0Yes (X)$0$0$0
Randle Egbert
Director0.30.0Yes (X)$0$0$0
Jane Hostetler
Director0.30.0Yes (X)$0$0$0
Don Holmes
Director0.30.0Yes (X)$0$0$0
Karen Wikoff
Director0.30.0Yes (X)$0$0$0
Debi Robinson
Director thru 4/20220.30.0Yes (X)$0$0$0
Don Nicolaus
Director from 6/20220.30.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Gordon Food Service
PO Box 88029CHICAGOIL606801029food/supply service$571,809
UCH Management
170 E Center STMARIONOH43302management services$422,125
Roofing For Troops
27 Water StMILFORDOH45150Construction Service$723,031
Grapetree Medical Staffing LLC
2501 Boji Bend Dr Suite 100MILFORDIA51351Staffing Services$275,391
Omnicare Inc
201 East Fourth StreetCINCINNATIOH45202Pharmacy Services$142,988
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
All Other Contributions$3,408AllOtherContributionsAmt
Total Contributions$3,408TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICE REVENUE623000$12,728,684$12,728,684
PROVIDER RELIEF FUNDS900099$349,967$349,967
FieldValueIRS element (for citing)
Total Program Service Revenue$13,078,651TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$187,338TotalRevenueColumnAmt
Exclusion$187,338ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$157,002SecuritiesAmt
Other$197,948OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$171,550OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$157,002SecuritiesAmt
Other$26,398OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$183,400TotalRevenueColumnAmt
Exclusion$183,400ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS INCOME900099$39,139$39,139
BARBER & BEAUTY REVENUE623000$8,944$8,944
FieldValueIRS element (for citing)
Other Revenue Total$48,083OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,500,880TotalRevenueColumnAmt
Related Or Exempt Func Income$13,126,734RelatedOrExemptFuncIncomeAmt
Exclusion$370,738ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,798,268TotalAmt
Program Services$6,419,604ProgramServicesAmt
Management And General$378,664ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$35,708TotalAmt
Program Services$33,719ProgramServicesAmt
Management And General$1,989ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,299,955TotalAmt
Program Services$1,227,564ProgramServicesAmt
Management And General$72,391ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$564,933TotalAmt
Program Services$533,466ProgramServicesAmt
Management And General$31,467ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$296,494TotalAmt
Management And General$296,494ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$16,279TotalAmt
Program Services$13,971ProgramServicesAmt
Management And General$2,308ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$29,850TotalAmt
Management And General$29,850ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$617,373TotalAmt
Program Services$596,280ProgramServicesAmt
Management And General$21,093ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$50,281TotalAmt
Program Services$50,281ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,953TotalAmt
Program Services$23,953ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$256,144TotalAmt
Program Services$256,144ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,070TotalAmt
Management And General$6,070ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,064TotalAmt
Management And General$14,064ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$60,026TotalAmt
Program Services$60,026ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$719,044TotalAmt
Program Services$719,044ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$172,412TotalAmt
Program Services$162,809ProgramServicesAmt
Management And General$9,603ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
FOOD$549,582$549,582
SUPPLIES$493,096$493,096
BED TAX$475,260$475,260
REPAIRS & MAINTENANCE$195,414$195,414

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$401,216TotalAmt
Program Services$165,529ProgramServicesAmt
Management And General$235,687ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,075,422TotalAmt
Program Services$11,975,742ProgramServicesAmt
Management And General$1,099,680ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$600BOYAmt
EOY$750EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$877,860BOYAmt
EOY$848,678EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$797,708BOYAmt
EOY$485,810EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$123,699BOYAmt
EOY$149,093EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,319,844LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,143,021LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,184,612BOYAmt
EOY$8,176,823EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,402,947BOYAmt
EOY$8,857,115EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$26,000BOYAmt
EOY$26,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,413,426BOYAmt
EOY$18,544,269EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,440,020BOYAmt
EOY$1,548,453EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$719,936BOYAmt
EOY$311,144EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$155,564BOYAmt
EOY$3,441EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,315,520BOYAmt
EOY$1,863,038EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,056,637BOYAmt
EOY$16,644,381EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,269BOYAmt
EOY$36,850EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,097,906BOYAmt
EOY$16,681,231EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,413,426BOYAmt
EOY$18,544,269EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$425,458ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,888,070NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$45,937OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,084CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,089CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,713CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,420,134CurrentTaxYearMinus1YearAmt
Current Tax Year$3,408CurrentTaxYearAmt
Total$1,478,428TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,972,277CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,334,564CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,591,510CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,662,531CurrentTaxYearMinus1YearAmt
Current Tax Year$13,078,651CurrentTaxYearAmt
Total$61,639,533TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,001,361CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,349,653CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,602,223CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,082,665CurrentTaxYearMinus1YearAmt
Current Tax Year$13,082,059CurrentTaxYearAmt
Total$63,117,961TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$63,117,961PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$130,317CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,913CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$150,713CurrentTaxYearMinus1YearAmt
Current Tax Year$187,338CurrentTaxYearAmt
Total$727,828TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$130,317CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,913CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$150,713CurrentTaxYearMinus1YearAmt
Current Tax Year$187,338CurrentTaxYearAmt
Total$727,828TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$174,684CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197,616CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,548,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,532CurrentTaxYearMinus1YearAmt
Current Tax Year$48,083CurrentTaxYearAmt
Total$2,039,802TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,307,592CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,677,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,279,023CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,303,910CurrentTaxYearMinus1YearAmt
Current Tax Year$13,317,480CurrentTaxYearAmt
Total$65,885,591TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95799PublicSupportCY509Pct
Public Support PY5090.95517PublicSupportPY509Pct
Investment Income CY0.01105InvestmentIncomeCYPct
Investment Income PY0.01070InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$218,146OtherCostOrOtherBasisAmt
Book Value$218,146BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,516,353OtherCostOrOtherBasisAmt
Depreciation$5,723,666DepreciationAmt
Book Value$4,792,687BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,170,380OtherCostOrOtherBasisAmt
Depreciation$2,204,448DepreciationAmt
Book Value$1,965,932BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,116,833OtherCostOrOtherBasisAmt
Depreciation$2,232,317DepreciationAmt
Book Value$884,516BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,298,132OtherCostOrOtherBasisAmt
Depreciation$2,982,590DepreciationAmt
Book Value$315,542BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,176,823TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
EQUITY$7,228,187F
FIXED INCOME$1,545,891F
COMMON STOCK$50,799F
GREATER CINCINNATI FOUNDATION$32,238F
FieldValueIRS element (for citing)
Total Book Value Securities$8,857,115TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescSWAP LIABILITY - LTDesc
Amt$3,441Amt
FieldValueIRS element (for citing)
Total Liability$3,441TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$11,658,747TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,888,070NetUnrealizedGainsInvstAmt
Other Revenue$45,937OtherRevenueAmt
Revenue Not Reported-$1,842,133RevenueNotReportedAmt
Revenue Subtotal$13,500,880RevenueSubtotalAmt
Total Revenue Per Form990$13,500,880TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,075,422TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$13,075,422ExpensesSubtotalAmt
Total Expenses Per Form990$13,075,422TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart XI, line 2dFormAndLineReferenceDesc
ExplanationChange in interest rate swap obligation: 45,937ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1County of Clermont OhioBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN316000067BondIssuerEIN
CUSIP185704AA1CUSIPNum
Bond Issued2014-09-26BondIssuedDt
Issue Price$3,405,000IssuePriceAmt
PurposeHealthcare Facility RevenuePurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$897,048RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$3,405,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$45,454IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$3,405,000CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2015SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Engage Bond Counsel ResearchfalseEngageBondCounselResearchInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1fifth third bankBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge240.TermOfHedgePct
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line A, Column EFormAndLineReferenceDesc
ExplanationThe proceeds of the 2014 Series Tax Exempt Bonds were used to finance the purchase of updated equipment, renovation, and construction within the community.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 3United Church Homes, Inc. (UCH) is the Managing Agent for SEM Haven. Under the Terms of the Management Agreement, Management Fees are charged to the organization on a per month basis.
Part VI, Line 11bA copy of the form 990 is provided to the governing body which votes on its approval prior to its filing.
Part VI, Line 12cAnnually, employees are given an employee handbook that discusses conflict of interest. The employees are to disclose any instances of conflict of interest as they become aware of them. The Board of Directors is to also disclose any instances of Conflict of Interest as they arise throughout the year.
Part VI, Line 19Governing Documents, Conflict of Interest Policy, and Financial Statements are kept on Site and made available for public viewing upon request.
Part XI, Line 9Change in interest rate swap valuation: 45,937

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