2022-10-17T16:46:16-05:00 2021-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2021-01-01 341265978 HILTY MEMORIAL HOME HILT 4193843218 PO BOX 359 304 HILTY DR PANDORA OH 458770359 DAREN LEE COO 4193843218 2022-10-03 1 DAREN LEE 999009999 AMY CIMINELLO P00796388 6148493000 2022-10-03 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DAREN LEE 410 W ELM STREET BLUFFTON OH 45817 5435147 0 X WWW.MHCOLIVING.ORG X 1992 OH HILTY HOME IN PANDORA OFFERS A FULL CONTINUUM OF CARE IN A LOVING CHRISTIAN ENVIRONMENT. THE TYPES OF CARE INCLUDE: INDEPENDENT LIVING, ASSISTED LIVING, SKILLED NURSING, A DEMENTIA CARE PROGRAM, AND TRANSITION TO HOME REHAB. HILTY HOME ALSO HAS AN ON-SITE CHILD CARE CENTER WHICH PROVIDES A UNIQUE INTERGENERATIONAL PROGRAM. IN OCTOBER OF 2012, HILTY HOME AND OUR CHILD CARE CENTER BECAME AFFILIATE MEMBERS OF MENNONITE HOME COMMUNITIES OF OHIO. THIS RELATIONSHIP ALLOWS US TO CONTINUE OUR TRADITION OF EXCELLENCE AND INNOVATION WHILE MAINTAINING AN ENVIRONMENT THAT FOSTERS SPIRITUAL GROWTH FOR RESIDENTS, RESIDENT FAMILY MEMBERS, CHILDREN, AND EMPLOYEES. 10 9 147 31 0 0 444796 963582 4539889 4448238 39909 -2664 8717 22001 5033311 5431157 0 0 0 0 3263437 3792179 0 0 0 2562161 2359205 5825598 6151384 -792287 -720227 6304522 5638790 7463733 7518228 -1159211 -1879438 X OUR MISSION IS TO PROVIDE EXCELLENT PHYSICAL CARE IN A CHRISTIAN ATMOSPHERE, SUPPORTIVE SPIRITUAL CARE WITH OPPORTUNITIES FOR CHRISTIAN GROWTH, AND COMPASSIONATE CARE WITH A SERVANT ATTITUDE. WE ARE DEDICATED TO BEING A CHRIST-CENTERED COMMUNITY THAT PROMOTES PERSONAL DECISION-MAKING, PURPOSEFUL LIVING FOR EACH OLDER ADULT SERVED. 0 0 4766136 0 3448058 SKILLED NURSING FACILITY 278883 0 581409 ASSISTED LIVING FACILITY 47204 0 74807 INDEPENDENT LIVING FACILITY 289941 0 343964 RESIDENT SERVICES 289941 0 343964 5382164 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 26 0 1 147 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DAREN LEE 4193581015 410 W ELM ST BLUFFTON OH 45817 DAREN LEE COO 14.00 26.00 X 0 81910 11886 ELIZABETH KELLY BOARD CHAIR 1.00 15.00 X X 0 17594 0 JOHN FISCHBACH CFO - PART YEAR 14.00 26.00 X 0 10066 1119 CLIFF HARMON BOARD VICE CHAIR 1.50 3.00 X X 0 0 0 BOB STAHL TREASURER 1.50 3.00 X X 0 0 0 LORRINDA SMITH SECRETARY 1.50 3.00 X X 0 0 0 JOHN WARNER CEO 2.00 38.00 X 0 0 0 CARL EUBANK CFO 6.00 34.00 X 0 0 0 ED BASINGER BOARD MEMBER 1.50 3.00 X 0 0 0 ROSS KAUFFMAN BOARD MEMBER 1.50 3.00 X 0 0 0 KEVIN NICKEL BOARD MEMBER 1.50 3.00 X 0 0 0 EMILY KOOGLER BOARD MEMBER 1.50 3.00 X 0 0 0 MYRNA MCCURDY MEMBER AT LARGE 1.50 3.00 X 0 0 0 BRICE BRENNEMAN BOARD MEMBER 1.50 3.00 X 0 0 0 0 109570 13005 0 0 0 0 ALL AMERICAN HEALTHCARE SERVICES INC 494 BROAD STREET 4TH FLOOR NEWARK NJ 07102 AGENCY NURSING 407590 SELECT REHABILITATION LLC 2600 COMPASS ROAD GLENVIEW IL 60026 THERAPY SERVICES 294680 DEDICATED NURSING ASSOCIATIONS INC 6536 US-22 DELMONT PA 15626 AGENCY NURSING 264094 GORDON FOOD SERVICE INC 1300 GEZON PARKWAY SW WYOMING MI 49509 FOOD SERVICE 233247 PROLINK HEALTHCARE 4600 MONTGOMERY RD SUITE 300 CINCINNATI OH 45212 AGENCY NURSING 124366 8 83290 876936 3356 963582 SKILLED NURSING 623000 3448058 3448058 ASSISTED LIVING 623000 581409 581409 RESIDENT SERVICES 623000 343964 343964 INDEPENDENT LIVING 623000 74807 74807 4448238 1326 1326 3990 -3990 -3990 -3990 BAD DEBT RECOVERY 900099 13467 13467 BARBER AND BEAUTY 900099 7068 7068 VENDING REVENUE 900099 25 25 1441 1441 22001 5431157 4448238 0 19337 3351593 3247097 104496 8848 8422 426 290605 277173 13432 141133 134344 6789 2355 2355 8999 8999 371546 335884 35662 8553 8553 110388 55715 54673 32690 2369 30321 147354 136464 10890 3605 2908 697 9015 833 8182 180573 176801 3772 300481 294915 5566 96429 94414 2015 INTERNAL ALLOCATIONS 456055 456055 FRANCHISE TAX 244835 244835 FOOD 192967 192967 MEDICAL SUPPLIES 167663 167541 122 25697 9482 16215 6151384 5382164 769220 0 11288 700 1029442 481947 419958 385318 12780 12780 114945 36463 6215482 2610622 3778756 3604860 488000 488000 449353 628722 6304522 5638790 424375 493208 134829 36169 3440193 3362723 587990 0 2876346 3626128 7463733 7518228 X -1159211 -1879438 -1159211 -1879438 6304522 5638790 -720227 0 X X 0 1 X 1 1 0 X 10327 11985 9797 444796 963582 1440487 5963616 5592074 5284311 4539889 4448238 25828128 5973943 5604059 5294108 4984685 5411820 27268615 0 312463 149821 317597 779881 312463 149821 317597 779881 26488734 490 878 2390 1516 1326 6600 490 878 2390 1516 1326 6600 -836 -2064 1819 8717 22001 29637 5973597 5602873 5298317 4994918 5435147 27304852 0.97010 0.96000 0.00020 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 330 330 0 PART II-B, LINE 1: HILTY MEMORIAL HOME IS A DUES-PAYING MEMBER OF LEADING AGE. ONE OF THE MANY SERVICES LEADING AGE PROVIDES TO ITS MEMBERSHIP IS LOBBYING LEGISLATIVE BODIES ON MATTERS IMPORTANT TO ITS MEMBER ORGANIZATIONS. DURING 2021, 3% OF THE $2,000 IN LEADING AGE NATIONAL DUES IS RELATED TO LOBBYING. 7.7% OF THE $3,500 IN LEADING AGE OHIO DUES IS RELATED TO LOBBYING. 100629 100629 4532694 1776291 2756403 1005749 576916 428833 576410 257415 318995 3604860 RESERVES AND ESCROW 628722 628722 DUE TO AFFILIATE 3559538 RESIDENT SECURITY DEPOSIT 16590 REFUNDABLE ADVANCE FEES 50000 3626128 FORM 990, PART VI, SECTION A, LINE 3 IN AUGUST 2021, MENNONITE HOME COMMUNITIES OF OHIO ENTERED INTO A MANAGEMENT AGREEMENT WITH BRETHREN HOME MANAGEMENT SERVICES, LLC ("BRETHREN"). BRETHREN PROVIDES VARIOUS ADMINISTRATIVE, FINANCIAL, STRATEGIC PLANNING, HUMAN RESOURCES, QUALITY OF CARE, LEGAL/COMPLIANCE, AND DEVELOPMENT SERVICES TO MENNONITE MEMORIAL HOME, HILTY MEMORIAL HOME AND MENNONITE HOME COMMUNITIES OF OHIO FUND. THOSE SERVICES INCLUDE, BUT AS NOT LIMITED TO, EMPLOYING THE EXECUTIVE DIRECTOR, CEO, COO AND CFO OF THE FACILITIES, COORDINATING VARIOUS FINANCIAL ACTIVITIES (ANNUAL OPERATING BUDGET, PAYROLL, BANK RELATIONSHIPS, ETC.), DEVELOPING COMMUNITY AND INDUSTRY RELATIONSHIPS, ASSISTING IN REFINEMENT OF EMPLOYEE POLICIES AND PROCEDURES, AS WELL AS BOARD EDUCATION AND STAFF DEVELOPMENT, AND COORDINATING WITH FACILITIES ON RISK MANAGEMENT AND DEVELOPMENT PLANS. THE CEO, CFO, AND COO OF MENNONITE MEMORIAL HOMES ARE EMPLOYED AND COMPENSATED BY BRETHREN. THE MANAGEMENT AGREEMENT BEGAN IN AUGUST 2021 SO THE AMOUNTS REFLECT REPORTABLE COMPENSATION FROM AUGUST 2021 THROUGH DECEMBER 2021. BELOW IS THEIR REPORTABLE COMPENSATION RECEIVED FROM BRETHREN FOR SERVICES PROVIDED TO THE ORGANIZATION AND RELATED ORGANIZATIONS DURING THE YEAR: JOHN WARNER, CEO - $42,093 CARL EUBANK, CFO - $12,110 DAREN LEE, COO/ON-SITE DIRECTOR - $93,796 KARA ALLREAD - SVP & COO - $27,738 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HILTY MEMORIAL HOME IS MENNONITE MEMORIAL HOME. FORM 990, PART VI, SECTION A, LINE 7A THE HILTY BOARD CONSIDERS NAMES OF POTENTIAL BOARD MEMBERS, INCLUDING ANY SUGGESTIONS MADE BY THE MENNONITE MEMORIAL HOME BOARD. THE NOMINATING COMMITTEE FOR HILTY BOARD CONTACTS THE POTENTIAL BOARD MEMBER AND MAKES AN INVITATION. IF THE NOMINATED PERSON AGREES, THEN THE DECISION GOES TO THE MENNONITE MEMORIAL HOME BOARD FOR THE FINAL APPROVAL. FORM 990, PART VI, SECTION A, LINE 7B THE MENNONITE MEMORIAL HOME BOARD HAS THE RESERVE POWERS TO MAKE GOVERNANCE DECISIONS FOR HILTY MEMORIAL HOME. WHEN SUCH DECISIONS ARE MADE, THE HILTY BOARD FIRST REVIEWS THE SITUATION AND MAKES A RECOMMENDATION (AFTER AN AFFIRMING VOTE) TO THE MENNONITE MEMORIAL HOME BOARD. THE MENNONITE MEMORIAL HOME BOARD THEN VOTES TO APPROVE OR NOT APPROVE THE RECOMMENDATION. AFTER BOTH BOARDS APPROVE THE RECOMMENDATION, THEN IT CAN BE IMPLEMENTED. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR REVIEWS FORM 990 FOR COMPLETENESS. THE BOARD OF TRUSTEES ARE PROVIDED WITH AN ELECTRONIC COPY OF THE FORM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS CONSCIENTIOUS IN ITS BUSINESS DEALINGS. DILIGENCE IS USED TO ENSURE THAT ALL BUSINESS TRANSACTIONS ARE MANAGED IN A WAY THAT ENSURES THAT ALL TRANSACTIONS ARE CONDUCTED AT AN "ARM'S LENGTH" TO AVOID ANY POTENTIAL CONFLICT OF INTEREST. ALL BOARD OF TRUSTEE MEMBERS AND KEY LEADERSHIP STAFF ARE REQUIRED TO COMPLETE, ANNUALLY, A CONFLICT OF INTEREST DISCLOSURE FORM, AS WELL AS COMPLY WITH THE ORGANIZATION'S BOARD-APPROVED CONFLICT OF INTEREST POLICY. THE CEO, DIRECTOR OF FINANCE, LEADERSHIP TEAM AND BOARD OF TRUSTEES DETERMINE AND REVIEW WHETHER A CONFLICT EXISTS. BOARD MEMBERS ARE NOT ALLOWED TO VOTE ON ANY TRANSACTION WHERE A POTENTIAL CONFLICT EXISTS. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE DIRECTOR IS AN EMPLOYEE OF THE MANAGEMENT COMPANY, BRETHREN MANAGEMENT SERVICES, LLC (BMS). THIS POSITION IS REVIEWED ANNUALLY THROUGH A WRITTEN PERFORMANCE EVALUATION CONDUCTED BY SENIOR VICE PRESIDENT, COO. COMPENSATION IS REVIEWED BASED UPON SALARY STUDY REPORTS FOR SIMILAR POSITIONS AND PERFORMANCE. COMPENSATION IS APPROVED ANNUALLY BY SENIOR VICE PRESIDENT, COO AND THEN BMS BOARD AND THE MENNONITE HOME COMMUNITIES OF OHIO BOARD VIA THE BUDGET PROCESS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 2C: HILTY MEMORIAL HOME UTILIZES THE EXECUTIVE AND FINANCE COMMITTEES OF THE MENNONITE MEMORIAL HOME BOARD FOR OVERSIGHT OF THE ANNUAL AUDIT OF THE FINANCIAL STATEMENTS AND FOR SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART XII, LINE 3B: THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT BEEN COMPLETED YET FOR THE CALENDAR YEAR-END 12/31/21, BUT PLANS TO BE COMPLETED BY THE EXTENDED DUE DATE AS ESTABLISHED IN THE RELEVANT OMB GUIDANCE. HILTY HOME REAL ESTATE LLC PO BOX 359 304 HILTY DR PANDORA OH 458773059 815265555 RENTAL REAL ESTATE OH 485466 3994998 HILTY MEMORIAL HOME MENNONITE HOME COMMUNITIES OF OHIO FUND INC 410 W ELM STREET BLUFFTON OH 45817 341336292 SUPPORT MENNONITE MEMORIAL OH 501(C)(3) LINE 7 MENNONITE MEMORIAL HOME 1 MENNONITE MEMORIAL HOME INC 410 W ELM STREET BLUFFTON OH 45877 344455701 CONTINUING CARE FOR THE ELDERLY OH 501(C)(3) LINE 10 N/A 0 0 0 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 0 1