2019-09-05T14:25:44-05:00 2018-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2018-01-01 310536997 THE OHIO MASONIC HOME OHIO 9373251531 2655 WEST NATIONAL ROAD SPRINGFIELD OH 45504 THOMAS MALONEY CHIEF OPERATING & FINANCIAL OFFICER 9373251531 2019-07-01 1 BERNIE OSTROWSKI P00366367 6148493000 2019-07-01 67.59.56.31 2019-07-01 12:37:20 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0E91126D0FB3B5231D35CFCADBE487908A76FDB7 2018 2019-02-21 02:37:17Z THOMAS J MALONEY 2655 WEST NATIONAL ROAD SPRINGFIELD OH 45504 10411401 0 3773 X WWW.OHIOMASONICHOME.ORG X 1890 OH WE ARE THE LIVING EXPRESSION OF OUR MASONIC VALUES - WE SERVE AS THE TRUSTED PARTNER TO HELP PEOPLE AGE RESPECTFULLY. 15 15 36 280 0 0 1474780 1553596 6571726 3694009 2016834 4499063 16010 466241 10079350 10212909 26000 45824 0 0 3786725 2682605 0 0 0 7496841 4913397 11309566 7641826 -1230216 2571083 136337092 132474971 31570022 27936327 104767070 104538644 WE ARE THE LIVING EXPRESSION OF OUR MASONIC VALUES - WE SERVE AS THE TRUSTED PARTNER TO HELP PEOPLE AGE RESPECTFULLY. 0 0 2171776 45824 3694009 THE OHIO MASONIC HOME PROVIDED MANAGEMENT SERVICES, STRATEGIC PLANNING, ADMINISTRATIVE SERVICES AND FINANCIAL SUPPORT TO AFFILIATES. THE LONG TERM GOAL IS TO BE A TRUSTED PARTNER TO HELP PEOPLE AGE RESPECTFULLY. 2171776 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 138 0 1 36 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X THOMAS J MALONEY 9375253012 2655 WEST NATIONAL ROAD SPRINGFIELD OH 455043698 RONALD CONNELLY CHAIRMAN 1.00 0.00 X X 0 0 0 ROSS B BLACK II MD 2ND VICE CHAIRMAN 1.00 2.00 X X 0 0 0 DONALD LOSASSO 1ST VICE CHAIRMAN 1.00 0.00 X X 0 0 0 THOMAS THINNES TREASURER 1.00 0.00 X X 0 0 0 KERMIT ZIMMERMAN SECRETARY 1.00 1.00 X X 0 0 0 DAVID COLLINS TRUSTEE 1.00 1.00 X 0 0 0 STEVEN DUNCAN TRUSTEE 1.00 2.00 X 0 0 0 DAVID FREEMAN TRUSTEE 1.00 1.00 X 0 0 0 CLARENCE HARTZELL III TRUSTEE 1.00 1.00 X 0 0 0 GARY NICHOLSON MD TRUSTEE 1.00 1.00 X 0 0 0 THOMAS SCHUCK TRUSTEE 1.00 1.00 X 0 0 0 WILLIAM D STRATTON TRUSTEE 1.00 1.00 X 0 0 0 KEVIN TODD TRUSTEE 1.00 1.00 X 0 0 0 GARY B WILLIAMS MD TRUSTEE 1.00 1.00 X 0 0 0 DENNIS HUGHES TRUSTEE 1.00 0.00 X 0 0 0 SCOTT A BUCHANAN CEO 40.00 1.00 X 255433 0 30347 THOMAS J MALONEY COO & CFO 40.00 2.00 X 231505 0 7950 CARA L SCHUSTER CHIEF CLINICAL OFFICER 40.00 0.00 X 166731 0 31582 LARA E BENTLEY DIRECTOR OF HUMAN RESOURCE 40.00 0.00 X 138141 0 15951 JOHN B WHITE DIRECTOR OF TREASURY 40.00 0.00 X 148703 0 16008 ADRIENNE HERRING DIRECTOR OF FINANCE 40.00 0.00 X 110352 0 21879 ROB LANE DIRECTOR OF PROCUREMENT 40.00 0.00 X 129553 0 25463 1180418 0 149180 7 0 1 0 HEALTH PRO REHABILITATION 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY 1431197 DATASERV INTEGRATIONS LLC 31280 VIKING PARKWAY WESTLAKE OH 44145 IT SUPPORT 587621 AMERICAN MEDICAL PERSONNEL 1428 EDISON STREET NW HARTVILLE OH 44632 TEMPORARY STAFFING 531709 REMEDI SENIOR CARE OF OHIO LLC PO BOX 75744 BALTIMORE MD 212755744 PHARMACY 511433 GCD OHIO 225 E JOHN CARPTENTER FREEWAY IRVING TX 75062 CONSTRUCTION CONSULTING 222242 7 1553596 1553596 SERVICE TO AFFILIATES 900099 3694009 3694009 3694009 1778477 1778477 61200 0 61200 61200 61200 2724181 194897 0 198492 2724181 -3595 2720586 2720586 SETTLEMENTS 900099 402500 402500 PROCESSING FEES 900099 2238 2238 HEALTH & LIFE INS REIMBURSEMENT 900099 288 288 15 15 405041 10212909 3694009 0 4965304 45824 45824 723548 325597 397951 1607289 407390 1199899 3000 60 2940 194629 49332 145297 154139 24034 130105 87397 87397 108790 108790 355129 355129 694066 575 693491 292160 244804 47356 525536 60289 465247 702681 652305 50376 536135 536135 121599 62201 59398 226742 226742 550184 48460 501724 258429 258429 FRANCHISE TAX 139722 0 139722 RECRUITING EXPENSES 110654 0 110654 CULTURAL STRENGTHS 73773 0 73773 STAFF DEVELOPMENT 41637 0 41637 88763 24163 64600 7641826 2171776 5470050 0 150 100 517619 -23402 276412 477362 26736953 33625104 341600 331376 93973205 54967709 41074721 39005496 58360189 50943272 9029448 8115663 136337092 132474971 2266526 2584930 27339811 25325873 1963685 25524 31570022 27936327 X 92429920 93254435 3638771 3261414 8698379 8022795 104767070 104538644 136337092 132474971 X 2571083 -5917054 3117545 X X 0 1 X 1 0 X 115345 285890 30231 1474780 1553596 3459842 115345 285890 30231 1474780 1553596 3459842 3459842 1396117 802276 1375018 1832660 1839677 7245748 26565 55337 -45190 405041 441753 11147343 28652249 0.31040 0.70890 X 237019857 61175 -12699984 -13330100 211050948 218121154 335035 32479455 -13915787 237019857 223012121 634708 4764783 -10290458 218121154 234095583 0 -5882654 -5200808 223012121 235932009 0 6496804 -8333230 234095583 0.00000 0.52550 0.47450 0 1 1 123096 622820 745916 76945404 41273880 35671524 10241922 9451446 790476 6039963 4242383 1797580 39005496 BENEFICIAL INTERESTS IN TRUSTS 8081281 DEPOSITS 34382 8115663 CHARITABLE GIFT ANNUITIES 25524 25524 PART V, LINE 4: THE PURPOSE OF THE FOUNDATION ENDOWMENT FUNDS IS/ARE TO PROVIDE PERPETUAL SUPPORT TO FUND THE CHARITABLE MISSION OF THE OHIO MASONIC HOME. PART V, LINE 1: IN PRIOR YEARS, THE ENDOWMENT FUNDS REPORTED IN PART V WERE THE PERMANENTLY RESTRICTED FUNDS ONLY. FOR THE 2018 PRESENTATION, LINES 1A, B, C, E, AND G WERE UPDATED FOR ALL YEARS TO REFLECT BOTH THE TEMPORARY RESTRICTED FUNDS AND THE PERMANENTLY RESTRICTED FUNDS AS PRESENTED IN THE ENDOWMENT FUND CLASSIFICATIONS ON THE AUDITED FINANCIAL STATEMENTS. 1 SCHOLARSHIPS 20 25000 HOPE GRANT ASSISTANCE 23 20824 PART I, LINE 2: THE OHIO MASONIC HOME SCHOLARSHIP COMMITTEE SET FORTH THE GUIDELINES FOR ELIGIBILITY FOR THE OHIO MASONIC HOME SCHOLARSHIP. THE CRITERIA USED TO DETERMINE WHICH APPLICANTS WILL ULTIMATELY RECEIVE THE SCHOLARSHIP IS BASED ON THE FOLLOWING CRITERIA: CONSISTENCY WITH THE ORIGINAL INTENT OF THE SCHOLARSHIP FUND, FINANCIAL NEED, ACADEMIC PERFORMANCE, AND AN INDIVIDUAL APPLICATION/ESSAY REVIEW. FROM THE ELIGIBLE POOL, A COMMITTEE COMPOSED OF THREE EMPLOYEES EVALUATES THE APPLICATION AND ASSIGNS A POINT VALUE. THIS POINT VALUE IS THEN USED TO DETERMINE WHICH INDIVIDUALS WILL ULTIMATELY RECEIVE THE SCHOLARSHIP. IN ORDER TO ENSURE THAT THE SCHOLARSHIPS ARE APPLIED TO THEIR INTENDED USE, THE OHIO MASONIC HOME PROVIDED THE FUNDS DIRECTLY TO THE COLLEGE/UNIVERSITY AND REQUESTS THAT ANY UNUSED PORTION BE RETURNED TO OHIO MASONIC HOME. PART III: IN 2018, THE OHIO MASONIC HOME ESTABLISHED THE HOPE PROGRAM (HELPING OUR PEOPLE EVERY DAY) WHICH PROVIDES LIMITED FINANCIAL ASSISTANCE TO ELIGIBLE EMPLOYEES WHO HAVE AN ECONOMIC HARDSHIP DUE TO CERTAIN EMERGENCY SITUATIONS. THE HOPE PROGRAM WAS INITIALLY FUNDED BY THE LEADERSHIP OF THE OHIO MASONIC HOME AND GROWS THROUGH SUBSEQUENT CONTRIBUTIONS BY BOTH EMPLOYEES AND OUTSIDE DONORS. EMPLOYEES COMPLETE A FORMAL HOPE APPLICATION WHICH IS THEN SUBMITTED TO THE EXECUTIVE DIRECTOR OF THE OHIO MASONIC HOME FOUNDATION. THE EXECUTIVE DIRECTOR DISTRIBUTES A CONFIDENTIAL APPLICATION TO THE HOPE COMMITTEE MEMBERS WHO THEN MAKE A DETERMINATION AS TO THE APPROVAL OF THE APPLICATION. IN ORDER TO ENSURE THE GRANT IS APPLIED TOWARDS THE INTENDED USE, THE HOPE COMMITTEE DOES REQUIRE THE EMPLOYEE PROVIDE A COPY OF A RECEIPT FOR ITEM(S) PURCHASED AS A RESULT OF AN APPROVED APPLICATION. THE HOPE PROGRAM DOES HAVE LIMITED FUNDS. ONCE EXHAUSTED, GRANTS CANNOT BE GIVEN UNTIL THE FUND HAS SUFFICIENT MONIES TO CONTINUE TO SUPPORT THE REQUESTS. IN 2018, THE HOPE PROGRAM PROVIDED $20,824 IN GRANTS TO 23 EMPLOYEES. X X X 0 0 0 0 0 0 0 0 0 SCOTT A BUCHANAN CEO 255433 0 0 0 0 0 9145 0 21202 0 285780 0 0 0 THOMAS J MALONEY COO & CFO 231505 0 0 0 0 0 6397 0 1553 0 239455 0 0 0 CARA L SCHUSTER CHIEF CLINICAL OFFICER 166731 0 0 0 0 0 6669 0 24913 0 198313 0 0 0 LARA E BENTLEY DIRECTOR OF HUMAN RESOURCE 138141 0 0 0 0 0 5526 0 10425 0 154092 0 0 0 JOHN B WHITE DIRECTOR OF TREASURY 148703 0 0 0 0 0 5948 0 10060 0 164711 0 0 0 ROB LANE DIRECTOR OF PROCUREMENT 129553 0 0 0 0 0 5182 0 20281 0 155016 0 0 0 A COUNTY OF CLARK OHIO 316000132 2014-10-01 43975000 SEE PART VI 0 0 0 A 10730000 43975000 43975000 2009 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 1 0 0 0 1 A 1 PART III, LINE 9; PART IV, LINE 7 AND PART V THE ORGANIZATION IMPLEMENTED POST-ISSUANCE COMPLIANCE PROCEDURES ON JANUARY 1, 2014. PART I, LINE A(F) SECOND REISSUANCE OF BONDS ISSUED ON 02/18/2009 AND 02/01/2012 TO CURRENTLY REFUND (A) 1999 BONDS ISSUED TO CURRENTLY REFUND 1997 AND 1998 BONDS AND FINANCE A 1999 MULTIFAMILY HOUSING PROJECT; (B) 2001 BONDS TO FINANCE A 2001 MULTIFAMILY HOUSING PROJECT; AND (C) 2002 BONDS TO FINANCE A 2002 MULTIFAMILY HOUSING PROJECT; AND (III) FINANCE THE ACQUISITION, CONSTRUCTION, RENOVATIONS AND EQUIPPING OF THE ORGANIZATION'S FACILITIES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WHO THEN SUBMITS THE FORM 990 TO THE CEO AND CFO FOR REVIEW. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO THE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE OHIO MASONIC HOME AND ITS RELATED ORGANIZATIONS HAVE A WRITTEN CONFLICT OF INTEREST POLICY THAT STATES THAT CORPORATION SHALL NOT ENGAGE OR CONTRACT WITH ANY BUSINESS ENTITY WITHIN WHICH A TRUSTEE OR OFFICER HAS A MATERIAL FINANCIAL OR PERSONAL INTEREST UNLESS CERTAIN CRITERIA IS MET. PART OF THIS CRITERIA INCLUDES A MAJORITY VOTE OF THE BOARD OF TRUSTEES. MONITORING OF THE STATE OF CONFLICT IS DONE ANNUALLY BY SENDING OUT A QUESTIONNAIRE TO ALL OF THOSE WHO ARE REQUIRED TO DISCLOSE IF A CONFLICT EXISTS. WITHIN ONE (1) BUSINESS DAY AFTER BEING NOTIFIED OF A POSSIBLE CONFLICT OF INTEREST, THE CORPORATE COMPLIANCE OFFICER SHALL CONTACT THE BOARD MEMBER, AND ACKNOWLEDGE THE POSSIBLE CONFLICT. WITHIN FOUR (4) BUSINESS DAYS OF ACKNOWLEDGEMENT OF A POSSIBLE CONFLICT OR RECEIPT OF OTHER INFORMATION WHICH INDICATES THE OCCURRENCE OF A CONFLICT, THE CORPORATE COMPLIANCE SHALL INITIATE A REVIEW TO DETERMINE WHETHER FURTHER INQUIRY SHOULD BE UNDERTAKEN ON BEHALF OF THE CORPORATION. THE CORPORATE COMPLIANCE OFFICER SHALL ACT DILIGENTLY TO DETERMINE WHETHER A CONFLICT OF INTEREST IS PRESENT. THE CORPORATE COMPLIANCE OFFICER MAY COORDINATE AN INTERNAL REVIEW AND/OR ENGAGE OUTSIDE AUDITORS AND/OR CONSULTANTS TO REVIEW THE POTENTIAL CONFLICT. THE REVIEWS MAY INVOLVE AN EXAMINATION OF ANY DEPARTMENT OF THE CORPORATION. IN THE EVENT THE REVIEW POINTS TO AN ACTUAL CONFLICT, THE CORPORATE COMPLIANCE OFFICER SHALL ADVISE THE CHIEF EXECUTIVE OFFICER, AND IF NECESSARY, THE CHIEF OPERATING OFFICER, THE CHAIRMAN OF THE BOARD OF TRUSTEES, AND THE CORPORATION'S LEGAL COUNSEL, OF THE CONFLICT OF INTEREST AND DETERMINE A COURSE OF ACTION. THE CHAIRMAN OF THE BOARD OF TRUSTEES MAY TEMPORARILY SUSPEND VOTING RIGHTS DURING THE REVIEW PROCESS AND MAY PERMANENTLY SUSPEND RIGHTS IF THE CONFLICT OF INTEREST IS SUBSTANTIATED. THE CHIEF EXECUTIVE OFFICER AND THE CHIEF OPERATING OFFICER HAVE THE AUTHORITY TO RECOMMEND A TEMPORARY OR PERMANENT SUSPENSION OF VOTING RIGHTS TO THE CHAIRMAN OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION OF THE ORGANIZATION'S CEO. THE COMPENSATION REVIEW FOR THE CEO IS CONDUCTED AND APPROVED BY THE BOARD ANNUALLY. THE ORGANIZATION HAS COMPENSATION GUIDELINES FOR MOST OTHER POSITIONS. THE REASONABLENESS OF THE COMPENSATION PAID IS REVIEWED PERIODICALLY WITH A REVIEW OF COMPENSATION DATA WHICH MAY BE AVAILABLE THROUGH PUBLISHED SOURCES OR THROUGH COMPARABLE ORGANIZATIONS AND/OR INDUSTRY GROUPS. THE COMPENSATION IS APPROVED IN ADVANCE FOR ALL EMPLOYEES THROUGH THE ANNUAL BUDGET APPROVAL AND THE DETERMINATIONS ARE RECORDED IN THE MEETING MINUTES AT THE TIME THE DECISIONS ARE MADE. THE COMPENSATION REVIEW FOR ALL OTHER OFFICERS AND KEY EMPLOYEES WAS LAST CONDUCTED IN 2012 AND IS PLANNED TO BE COMPLETED AGAIN IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL TRUST AND CONTRIBUTIONS RECEIVABLE -913,786. NET ASSETS RELEASED FROM RESTRICTION -408,585. TRANSFER FROM (TO) PARENT 4,275,765. CHANGE IN TEMP. RESTRICTED NET ASSETS 164,151. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE OVERSEES THE PROCESS FOR SELECTING AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. OHIO MASONIC HOME BENEVOLENT ENDOWMENT FOUNDATION FIVE MASONIC DRIVE SPRINGFIELD OH 45504 311451818 ENDOWMENT FUND OH 501(C)(3) LINE 12B, II THE OHIO MASONIC HOME 1 THE OHIO MASONIC HOME AFFILIATES 2655 WEST NATIONAL ROAD SPRINGFIELD OH 45504 900054759 AGING SERVICES OH 501(C)(3) LINE 11 THE OHIO MASONIC HOME 1 MASONIC AGING SERVICES 2655 WEST NATIONAL ROAD SPRINGFIELD OH 45504 901016483 ADMINISTRATIVE SERVICES OH MASONIC SENIOR SEVICES OF OHIO CORP C 1.00000 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 1 OHIO MASONIC HOME AFFILIATES J 2281272 CORPORATE LEASE OHIO MASONIC HOME AFFILIATES K 539508 CORPORATE LEASE THE OHIO MASONIC HOME BENEVOLENT ENDOWMENT FOUNDATION S 4275765 TRANSFER FROM AFFILIATES FORM 990, SCHEDULE R, PART II RELATED TAX-EXEMPT ORGANIZATIONS ARE UNDER GROUP EXEMPTION #3773.