2022-11-14T15:18:11-06:00 2021-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2021-01-01 610597708 KENTON HOUSING INC KENT 8594312244 4250 GLENN AVENUE LATONIA KY 410151641 LONDA KNOLLMAN EXECUTIVE DIRECTOR 8594312244 2022-11-11 1 LONDA KNOLLMAN 999009999 AMY CIMINELLO P00796388 6148493000 2022-11-11 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ROSEDALE GREEN LONDA KNOLLMAN 4250 GLENN AVENUE LATONIA KY 410151641 33873042 0 X WWW.ROSEDALEGREEN.ORG X 1962 KY PROVIDE CARE FOR RESIDENTS THAT HONORS THEIR PAST, ENRICHES THEIR PRESENT AND EMPOWERS THEIR FUTURE. 14 14 367 14 0 0 3299416 4601954 22427230 24309457 644432 2827906 5491 6504 26376569 31745821 0 0 0 0 10386502 10604452 0 0 0 15778746 17821948 26165248 28426400 211321 3319421 65339441 68380829 48540596 48741901 16798845 19638928 PROVIDE A COMMUNITY OF CARE FOR RESIDENTS THAT HONORS THEIR PAST, ENRICHES THEIR PRESENT AND EMPOWERS THEIR FUTURE. 0 0 25283385 0 24309457 TO PROVIDE A COMMUNITY OF CARE FOR RESIDENTS THAT HONORS THEIR PAST, ENRICHES THEIR PRESENT, AND EMPOWERS THEIR FUTURE. OUR SERVICES INCLUDE SHORT TERM REHAB, SKILLED CARE, LONG TERM CARE, PALLIATIVE CARE AND DEMENTIA CARE. AS A NOT-FOR-PROFIT FACILITY WE ARE ABLE TO STAY FOCUSED ON OUR MISSION WITHOUT REGARD TO FINANCIAL STATUS OF POTENTIAL AND CURRENT RESIDENTS. A COMMITMENT TO THIS APPROACH IS EVIDENCED BY THE FACT THAT FOR 2021 WE PROVIDED APPROXIMATELY $5.1 MILLION IN CHARITABLE CARE. 25283385 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 48 0 1 367 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LONDA KNOLLMAN 8594312244 4250 GLENN AVENUE COVINGTON KY 41015 KELLY SIMMONS BOARD CHAIRMAN 2.00 X X 0 0 0 TIFFANY PORTER-SHABAZZ BOARD VICE CHAIRMAN 2.00 X X 0 0 0 DR MARK MIDDENDORF SECRETARY 2.00 X X 0 0 0 STEVE WOLNITZEK TREASURER 2.00 X X 0 0 0 ED FRITZ BOARD MEMBER 2.00 X 0 0 0 BONNIE HALDERMAN BOARD MEMBER 2.00 X 0 0 0 DR JOHN ELDRIDGE BOARD MEMBER 2.00 X 0 0 0 JAMES TITUS BOARD MEMBER 2.00 X 0 0 0 RON KEITH BOARD MEMBER 2.00 X 0 0 0 TERRY FOSTER BOARD MEMBER 2.00 X 0 0 0 GENE WEAVER BOARD MEMBER 2.00 X 0 0 0 JOHN MIDDLETON BOARD MEMBER 2.00 X 0 0 0 JULIE JONES BOARD MEMBER 2.00 X 0 0 0 ERIC SCHIEMAN BOARD MEMBER 2.00 X 0 0 0 LONDA KNOLLMAN EXECUTIVE DIRECTOR 40.00 X 234955 0 31433 DAVID BOYER CFO 40.00 X 122661 0 30960 KARA KNOCHELMAN DIRECTOR OF NURSING 40.00 X 106000 0 12502 BRAD STANFORD CHIEF TALENT OFFICER & COO 40.00 X 122229 0 31044 RENE JAMISON ADMINISTRATOR - EMERALD TRACE 40.00 X 101899 0 31394 MARY JO MARINELLO CLINICAL CARE COORDINATOR 40.00 X 106630 0 12377 794374 0 149710 6 0 1 0 SELECT REHABILITATION LLC PO BOX 71985 CHICAGO IL 60694 CONTRACT THERAPY 2336509 PRIME TIME HEALTHCARE LLC PO BOX 3544 OMAHA NE 68013 NURSE AGENCY STAFFING 2138215 MED CARE PHARMACY 350 ARISTOCRAT DR FLORENCE KY 41042 PHARMACY SERVICES 536526 PRN SERVICES LLC 18 COMMONWEALTH AVE ERLANGER KY 41018 NURSE AGENCY STAFFING 486413 4 4591649 10305 4601954 ROOM REIMBURSEMENT/RESIDENT SERVI 623000 24309457 24309457 24309457 327832 327832 4627295 2127221 2500074 2500074 2500074 VENDING INCOME 900099 2988 2988 BARBER/BEAUTY 900099 1190 1190 CABLE/TV/PHONE 900099 899 899 1427 1427 6504 31745821 24309457 0 2834410 X 573282 573282 7904689 6972767 931922 1511402 1334620 176782 615079 511514 103565 20498 20498 172018 172018 88740 88740 8780382 8473098 307284 70639 70639 370695 126500 244195 1186441 1141356 45085 8103 2985 5118 2689431 2587233 102198 1703506 1638773 64733 590522 568082 22440 MEDICAL SUPPLIES 1051635 1051635 BAD DEBT 868051 868051 PROVIDER TAX 203786 203786 17501 6771 10730 28426400 25283385 3143015 0 1411800 0 2868598 6652023 268094 278243 49895521 12698687 38809873 37196834 16220413 18550031 5760663 5703698 65339441 68380829 2262176 2800476 353500 116447 45924920 45324978 0 500000 48540596 48741901 X 16798845 19638928 16798845 19638928 65339441 68380829 3319421 -479338 0 X X 0 1 X 1 1 1 X 498 833 1603 3299416 4601954 7904304 19427411 24101993 24859360 22427230 24309457 115125451 16227 14735 42337 73299 19444136 24117561 24903300 25726646 28911411 123103054 0 0 0 123103054 299469 369439 518577 644432 327832 2159749 299469 369439 518577 644432 327832 2159749 5491 6504 11995 19743605 24487000 25421877 26376569 29245747 125274798 0.98270 0.98160 0.01720 0.01830 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CABLE/TV/PHONE - 2020 AMOUNT: $ 1,758. 2021 AMOUNT: $ 899. BARBER/BEAUTY - 2020 AMOUNT: $ 1,727. 2021 AMOUNT: $ 1,190. VENDING INCOME - 2020 AMOUNT: $ 1,561. 2021 AMOUNT: $ 2,988. ALL OTHER REVENUE - 2020 AMOUNT: $ 445. 2021 AMOUNT: $ 1,427. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3547 3547 0 PART II-B, LINE 1: MEMBERSHIP DUES IN THE AMOUNT OF $13,263 WERE PAID TO KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, OF WHICH $2,220 RELATES TO LOBBYING ACTIVITIES. MEMBERSHIP DUES IN THE AMOUNT OF $4,738 WERE PAID TO ACHA, OF WHICH $1,327 RELATES TO LOBBYING ACTIVITIES. 2332616 2332616 42500226 10131600 32368626 4605664 2123443 2482221 457015 443644 13371 37196834 OPERATING RIGHTS 1034366 ASSETS LIMITED TO USE 4669332 5703698 LINE OF CREDIT 500000 500000 31177743 -479338 -479338 31657081 88740 88740 31745821 28337660 0 28337660 88740 88740 28426400 PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF INVESTMENT FEES 88,740. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF INVESTMENT FEES 88,740. X X X X 0 0 0 0 0 0 0 1 0 LONDA KNOLLMAN EXECUTIVE DIRECTOR 184453 0 25000 0 25502 0 0 0 31433 0 266388 0 0 0 DAVID BOYER CFO 103161 0 0 0 19500 0 0 0 30960 0 153621 0 0 0 BRAD STANFORD CHIEF TALENT OFFICER & COO 122229 0 0 0 0 0 0 0 31044 0 153273 0 0 0 PART I, LINE 3 ROSEDALE GREEN'S EXECUTIVE DIRECTOR'S COMPENSATION IS ADMINISTERED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR ESTABLISHING AND MAINTAINING A COMPETITIVE COMPENSATION PROGRAM. THE COMMITTEE MEETS AS NEEDED TO REVIEW THE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO THE BOARD, AS APPROPRIATE. A COMPETENT SALARY SURVEY IS USED TO BENCHMARK COMPENSATION FOR THE POSITION UTILIZING INDUSTRY-SPECIFIC REPORTS AND OTHER STUDIES. THE COMMITTEE ALSO REVIEWS THE COMPENSATION REPORTED ON OTHER FORMS 990 OF COMPARABLE ORGANIZATIONS. THE COMMITTEE MEETS INDEPENDENT OF THE EXECUTIVE DIRECTOR TO DISCUSS PERFORMANCE RELATIVE TO THE POSITION DESCRIPTION. DURING THESE DELIBERATIONS, THE COMMITTEE ALSO CONSIDERS INPUT OBTAINED FROM OTHER BOARD MEMBERS, STAFF, AND PROFESSIONAL ADVISORS. ONCE A CONSENSUS IS REACHED REGARDING PERFORMANCE, A SIMILAR DISCUSSION IS HELD CONCERNING COMPENSATION RELATIVE TO ANNUAL BENCHMARK AND ESTABLISHED OBJECTIVES. THE COMMITTEE PRESENTS ITS FINDINGS AND RECOMMENDATIONS, IN AN EXECUTIVE SESSION WITHOUT THE EXECUTIVE DIRECTOR PRESENT, TO THE FULL BOARD FOR REVIEW AND APPROVAL. THE COMMITTEE AND/OR THE BOARD CHAIR (A MEMBER OF THE COMMITTEE) THEN MEET WITH THE EXECUTIVE DIRECTOR TO DISCUSS AND DOCUMENT STRENGTHS, WEAKNESSES, AND GOALS FOR THE UPCOMING YEAR. COMPENSATION FOR THE UPCOMING YEAR IS ALSO DISCUSSED AND DOCUMENTED. PART I, LINE 7 THE BOARD COMPLETES A YEAR END REVIEW AND ISSUES A BONUS BASED ON THE RESULTS OF THE REVIEW. THE BONUS IS APPROVED BY THE BOARD. A KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY 610600439 49126TAU6 2015-10-28 48862737 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 2500000 49740059 3745613 4922485 6238681 977257 105143 33510606 10000 230275 2017 1 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 PART I, LINE A, COLUMN F: (A) CONSTRUCT, EQUIP AND INSTALL NEW HEALTHCARE AND HEALTH-RELATED FACILITIES AT THE ORGANIZATION'S EXISTING CAMPUS IN COVINGTON, KY; (B) CURRENTLY REFUND THE ORGANIZATION'S SERIES 2008 BONDS, WHICH WERE ISSUED TO ACQUIRE, CONSTRUCT, EQUIP AND INSTALL HEALTHCARE AND HEALTH-RELATED FACILITIES AT THE ORGANIZATION'S EXISTING CAMPUS IN COVINGTON, KY; AND (C) CURRENTLY REFUND THE ORGANIZATION'S LINE OF CREDIT WHICH WAS USED TO CONTRUCT HEALTHCARE AND HEALTH-RELATED FACILITIES, INCLUDING LAND ACQUISTION, AT THE ORGANIZATION'S CAMPUS ON TURKEYFOOT ROAD IN KENTON COUNTY, KY. PART II, LINE 3: TOTAL PROCEEDS OF ISSUE OF $49,740,059 ARE SALE PROCEEDS OF $48,862,737 PLUS AGGREGATE INVESTMENT PROCEEDS OF $877,322 (COMPRISED OF $53,598 OF INVESTMENT PROCEEDS ON INTEREST FUND PLUS $554,471 INVESTMENT PROCEEDS ON DEBT SERVICE RESERVE FUND PLUS $269,253 OF INVESTMENT PROCEEDS ON PROJECT FUND). PART II, LINE 6: THE CURRENT REFUNDING ESCROW WAS EXPENDED ON NOVEMBER 19, 2015. PART II, LINE 10: CAPITAL EXPENDITURES FROM PROCEEDS OF $33,510,606 ARE COMPRISED OF REIMBURSED CAPITAL EXPENDITURES AT CLOSING OF $3,119,039, PAYING OFF A TAXABLE LINE OF CREDIT OF $880,774 THAT FINANCED CAPITAL EXPENDITURES AND NEW MONEY CAPITAL EXPENDITURES OF $29,510,793 AS OF DECEMBER 31, 2021. PART II, LINE 11: $10,000 OF PROCEEDS WERE USED FOR THE BONDS ISSUER'S FEE. PART III, LINE 3A: THE ORGANIZATION HAS THREE SERVICES AGREEMENTS, WHICH HAVE BEEN REVIEWED FOR COMPLIANCE WITH REV. PROC. 2017-13. PART IV, LINE 2: A REBARE COMPUTATION WAS PERFORMED ON SEPTEMBER 2, 2021. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS GIVEN TO THE FINANCE COMMITTEE AND THE BOARD MEMBERS FOR REVIEW BEFORE A MONTHLY BOARD MEETING. THE BOARD MEMBERS WOULD DISCUSS THEIR CONCERNS AND THEN APPROVE THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SIGN A STATEMENT WHICH AFFIRMS THEY HAVE RECEIVED A COPY OF THE COI POLICY, HAVE READ AND UNDERSTAND THE POLICY, AND HAVE AGREED TO COMPLY WITH THE POLICY. FURTHERMORE, AT BOARD OF DIRECTORS MEETINGS, BOARD MEMBERS ARE ROUTINELY ASKED ABOUT COMPLIANCE WITH THE ORGANIZATIONS CONFLICT OF INTEREST POLICY. IF ANY POTENTIAL CONFLICTS OF INTEREST ARE IDENTIFIED, THE BOARD MEMBER IS ASKED TO LEAVE THE MEETING AND ABSTAIN FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 ROSEDALE GREEN'S EXECUTIVE DIRECTOR'S COMPENSATION AS WELL AS OTHER OFFICERS OF THE ORGANIZATION ARE ADMINISTERED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR ESTABLISHING AND MAINTAINING A COMPETITIVE COMPENSATION PROGRAM. THE COMMITTEE MEETS AS NEEDED TO REVIEW THE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO THE BOARD, AS APPROPRIATE. A COMPETENT SALARY SURVEY IS USED TO BENCHMARK COMPENSATION FOR THE POSITION UTILIZING INDUSTRY-SPECIFIC REPORTS AND OTHER STUDIES. THE COMMITTEE ALSO REVIEWS THE COMPENSATION REPORTED ON OTHER FORMS 990 OF COMPARABLE ORGANIZATIONS. THE COMMITTEE MEETS INDEPENDENT OF THE EXECUTIVE DIRECTOR TO DISCUSS PERFORMANCE RELATIVE TO THE POSITION DESCRIPTION. DURING THESE DELIBERATIONS, THE COMMITTEE ALSO CONSIDERS INPUT OBTAINED FROM OTHER BOARD MEMBERS, STAFF, AND PROFESSIONAL ADVISORS. ONCE A CONSENSUS IS REACHED REGARDING PERFORMANCE, A SIMILAR DISCUSSION IS HELD CONCERNING COMPENSATION RELATIVE TO ANNUAL BENCHMARK AND ESTABLISHED OBJECTIVES. THE COMMITTEE PRESENTS ITS FINDINGS AND RECOMMENDATIONS, IN AN EXECUTIVE SESSION WITHOUT THE EXECUTIVE DIRECTOR PRESENT, TO THE FULL BOARD FOR REVIEW AND APPROVAL. THE COMMITTEE AND/OR THE BOARD CHAIR (A MEMBER OF THE COMMITTEE) THEN MEET WITH THE EXECUTIVE DIRECTOR TO DISCUSS AND DOCUMENT STRENGTHS, WEAKNESSES, AND GOALS FOR THE UPCOMING YEAR. COMPENSATION FOR THE UPCOMING YEAR IS ALSO DISCUSSED AND DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 ANY REQUESTS TO VIEW FORM 990, ANY GOVERNING DOCUMENTS, AND ANY POLICIES ARE REFERRED TO THE ADMINISTRATOR WHO WOULD MAKE THE RETURN AVAILABLE FOR INSPECTION. FORM 990, PART IX, LINE 11G STAFFING AGENCY: PROGRAM SERVICE EXPENSES 3,558,349. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,558,349. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,890,183. MANAGEMENT AND GENERAL EXPENSES 85,686. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,975,869. PHARMACY CONSULTANT: PROGRAM SERVICE EXPENSES 24,566. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,566. IT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 219,021. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219,021. OTHER SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,577. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,577. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE OVERSEES THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.