2018-05-14T14:28:02-05:00 2017-06-30 381357951 PLANTE & MORAN PLLC 250 S High St Suite 100 Columbus OH 43215 990 2016-07-01 311340918 OHIO LIVING OHIO 6148887800 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 ROBERT B STILLMAN CFO/TREASURER 6148887800 2018-05-11 1 BERNIE OSTROWSKI P00366367 6148493000 2018-05-09 2016 2022-09-23 18:48:47Z LAURENCE C GUMINA 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 20231701 0 X WWW.OHIOLIVING.ORG X 1991 OH OHIO LIVING IS THE PARENT ORGANIZATION OF OHIO LIVING COMMUNITIES, OHIO LIVING FOUNDATION, AND OHIO LIVING HOLDINGS. 18 17 0 17 0 0 0 0 0 0 1320909 1926606 0 0 1320909 1926606 0 0 0 0 0 0 0 0 0 45590 902405 45590 902405 1275319 1024201 0 1886073 237925 296190 -237925 1589883 X SEE SCHEDULE OOHIO LIVING IS THE PARENT ORGANIZATION OF OHIO LIVING COMMUNITIES, OHIO LIVING FOUNDATION, AND OHIO LIVING HOLDINGS. ITS PRIMARY EXEMPT PURPOSE IS TO PLAN, DIRECT, AND OVERSEE THE FUNCTIONS OF OHIO LIVING COMMUNITIES, OHIO LIVING FOUNDATION, AND OHIO LIVING HOLDINGS, ALL OF WHICH ARE ORGANIZATIONS EXEMPT UNDER IRC SECTION 501(C)(3). 0 0 0 0 0 PARENT COMPANY OF OHIO LIVING COMMUNITIES, OHIO LIVING FOUNDATION, AND OHIO LIVING HOLDINGS. 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBERT B STILLMAN 6148887800 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 LAURENCE C GUMINA CHIEF EXECUTIVE OFFICER 4.00 36.00 X X 0 418370 27760 BARBARA E RILEY DIRECTOR/BOARD CHAIR 2.00 2.00 X X 0 0 0 RICHARD LOWERY DIRECTOR/ASST SECRETARY 2.00 4.00 X X 0 0 0 EDWARD SNELZ DIRECTOR/VICE CHAIR/ASST TREASURER 2.00 0.00 X X 0 0 0 TED KARCHNER RESIDENT REPRESENTATIVE 2.00 0.00 X 0 0 0 STEVEN JOHNSTON DIRECTOR 2.00 2.00 X 0 0 0 JOHN A PETERSON DIRECTOR 2.00 2.00 X 0 0 0 DENNIS SHERRY DIRECTOR 2.00 0.00 X 0 0 0 BILL DIGREZIO DIRECTOR 2.00 0.00 X 0 0 0 FREDERICK C SMITH III DIRECTOR 2.00 4.00 X 0 0 0 RICHARD A KRIEGER DIRECTOR 2.00 2.00 X 0 0 0 KATHLEEN TUTTLE DIRECTOR 2.00 4.00 X 0 0 0 SANDRA R BYERS DIRECTOR 2.00 0.00 X 0 0 0 DONALD G CHENOWETH DIRECTOR 2.00 2.00 X 0 0 0 WILLIAM J CLEARY DIRECTOR 2.00 0.00 X 0 0 0 MARK MATSON DIRECTOR 2.00 0.00 X 0 0 0 BRETT WINGART DIRECTOR 2.00 0.00 X 0 0 0 RICHARD MACK DIRECTOR 2.00 0.00 X 0 0 0 ROBERT STILLMAN CHIEF FINANCIAL OFFICER/TREASURER 3.00 37.00 X 0 265486 29781 KENNETH KEMPER CORP EXEC PROJECT DEVELOPMENT 0.00 40.00 X 0 288284 26352 0 972140 83893 0 1 1 0 0 1062240 1062240 19169461 18305095 864366 864366 864366 1926606 0 0 1926606 266585 266585 9005 9005 626815 626815 902405 0 902405 0 0 1886073 0 1886073 237925 296190 237925 296190 X -237925 1589883 -237925 1589883 0 1886073 X 1024201 4921264 -4117657 X 0 1 X 1 0 X X 2 OHIO LIVING COMMUNITIES 344429863 10 1 0 0 OHIO LIVING HOLDINGS 272564811 10 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 12G: OHIO LIVING PROVIDES MANAGERIAL AND EXECUTIVE SUPPORT TO OHIO LIVING COMMUNITIES AND OHIO LIVING HOLDINGS. ACTUAL SUPPORT PROVIDED TO OHIO LIVING COMMUNITIES AND OHIO LIVING HOLDINGS COMES DIRECTLY FROM OHIO LIVING FOUNDATION, A TAX EXEMPT RELATED PARTY THAT OHIO LIVING IS THE SOLE MEMBER. PART IV, SECTION A, LINE 1: THE SUPPORTED ORGANIZATIONS OF OHIO LIVING: OHIO LIVING COMMUNITIES AND OHIO LIVING HOLDINGS, ARE BOTH EXEMPT ORGANIZATIONS THAT PROVIDE HOUSING AND/OR MEDICAL CARE TO SENIORS. THE PURPOSES OF THESE ORGANIZATIONS ARE: OHIO LIVING COMMUNITIES: ESTABLISHED TO HOLD ASSETS AND LIABILITIES AND PERFORM OPERATIONS FOR ALL SENIOR LIVING CAMPUS SETTINGS. OHIO LIVING HOLDINGS: ESTABLISHED TO PERFORM ALL OPERATIONS FOR HOME HEALTH, HOSPICE, HOME CARE AND OTHER COMMUNITY BASED SERVICES. PART IV, SECTION C, LINE 1: AT LEAST ONE OHIO LIVING BOARD MEMBER SERVES AS A MEMBER ON EACH OF THE ORGANIZATION'S SUPPORTED ORGANIZATIONS. THESE BOARD MEMBERS THEN REPORT TO THE OHIO LIVING BOARD WHERE THEY COULD THEN TAKE ACTION WHICH IS THE CONTROL. ALL BOARD MEMBERS OF THE SUBSIDIARY BOARDS SERVE AT THE FAVOR OF THE OHIO LIVING BOARD. 0 A/R - INTERZONE 1732073 COMPENSATION PLAN 154000 1886073 X X X X X 0 0 0 0 0 0 0 0 0 LAURENCE C GUMINA CHIEF EXECUTIVE OFFICER 0 417939 0 0 0 431 0 10819 0 16941 0 446130 0 0 ROBERT STILLMAN CHIEF FINANCIAL OFFICER/TREASURER 0 264902 0 0 0 584 0 10624 0 19157 0 295267 0 0 KENNETH KEMPER CORP EXEC PROJECT DEVELOPMENT 0 286371 0 0 0 1913 0 9611 0 16741 0 314636 0 0 Part I, Line 3 THE ORGANIZATION ESTABLISHES THE COMPENSATION POLICY BUT THE COMPENSATION IS PAID FROM A RELATED ORGANIZATION. THE POLICY USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (LAURENCE C. GUMINA): -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Form 990, Part VI, Section B, line 11b AFTER MANAGEMENT PERFORMS A DETAILED REVIEW OF THE DRAFT 990, THE ORGANIZATION DELEGATES THE REVIEW OF THE 990 TO A BOARD MEMBER WITH SUFFICIENT EXPERIENCE TO EVALUATE THE CONTENT CONTAINED THEREIN. THE MEMBER THEN REPORTS HIS/HER REVIEW FINDINGS TO THE BOARD AND FINANCE COMMITTEE. A DRAFT OF THE FORM 990 IS POSTED TO THE ONLINE BOARD PORTAL AND EACH BOARD MEMBER IS GRANTED ACCESS TO REVIEW AND COMMENT. THE FINAL ISSUED FORM 990 IS ALSO POSTED TO THE BOARD PORTAL PRIOR TO FILING. Form 990, Part VI, Section B, line 12c THE BOARD INQUIRES ABOUT CONFLICTS PRIOR TO EACH MEETING. ANNUALLY A WRITTEN DISCLOSURE IS CIRCULATED. IN ORDER TO CONTINUE SERVING, A MEMBER MUST COMPLETE THE WRITTEN DISCLOSURE. THE CORPORATE SECRETARY IS RESPONSIBLE FOR DETERMINING IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST ARISES OR IS DISCOVERED, THE INDIVIDUAL WITH THE CONFLICT MUST EITHER RESOLVE THE CONFLICT OF INTEREST OR MUST NOT SERVE IN THE MATTER WHICH GIVES RISE TO THE CONFLICT. ANY MEMBERS INVOLVED IN A VOTING MATTER MUST EXCUSE THEMSELVES BY NOT VOTING ON THE MATTER. Form 990, Part VI, Section B, line 15 THE CHIEF HUMAN RESOURCES OFFICER OF OHIO LIVING IN CONJUNCTION WITH THE OHIO LIVING EXECUTIVE COMPENSATION AND EVALUATION COMMITTEE (ECEC) OF THE BOARD OVERSEE THE COMPENSATION OF THE EXECUTIVE LEADERSHIP PERSONNEL. THE ECEC IS COMPRISED OF KEY BOARD MEMBERS WHO INCLUDE THE BOARD CHAIR FROM EACH SUBSIDIARY BOARD, THE BOARD CHAIR FROM THE OHIO LIVING PARENT BOARD, THE FINANCE, AUDIT, ETHICS & COMPLIANCE COMMITTEE CHAIR AND THE HUMAN RESOURCES COMMITTEE CHAIR. THE ECEC IS GOVERNED BY A CHARTER AND MEETS REGULARLY. RESOURCES USED BY THE ECEC INCLUDE MARKET SURVEYS AVAILABLE THROUGH HEALTHCARE, LONG-TERM CARE, HOSPICE AND HOME HEALTH DATA COLLECTION CLEARINGHOUSES, CONSULTANTS SUCH AS AON HEWITT AND OTHER AVAILABLE RESOURCES THAT ARE IN COMPLIANCE WITH ANTI-TRUST REGULATIONS. DECISIONS INVOLVING EXECUTIVE LEADERSHIP PAY IS DISCUSSED AND APPROVED DURING EXECUTIVE SESSIONS OF THE OHIO LIVING PARENT BOARD MEETINGS. THIS PROCESS IS UPDATED ANNUALLY AND REVIEWED THROUGHOUT THE YEAR DURING QUARTERLY MEETINGS. THE CEO, EXECUTIVE OFFICERS AND KEY EMPLOYEES ARE PAID FROM AND RECEIVE W-2'S FROM OHIO LIVING COMMUNITIES, AND ARE SUBJECT TO THE ABOVE PROCESS. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON WRITTEN REQUEST. Form 990, Part XI, line 9: BOOK ENTRY TO CLOSE OUT CUMULATIVE INTERCOMPANY ACCOUNTS TO NET ASSETS -4,117,657. OHIO LIVING FOUNDATION 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 311166164 SUPPORT OH 501(c)(3) Line 12b, II OHIO LIVING 1 OHIO LIVING COMMUNITIES 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 344429863 ADULT CARE OH 501(c)(3) Line 10 OHIO LIVING 1 VINEYARD CONDOMINIUM ASSOCIATION 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 262702410 MANAGEMENT OH 501(c)(4) N/A OHIO LIVING COMMUNITIES 1 OHIO LIVING HOLDINGS 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 272564811 ADULT CARE OH 501(c)(3) Line 10 OHIO LIVING 1 SARAH MOORE HEALTH CARE CENTER INC 26 N UNION STREET DELAWARE OH 43015 311510768 SKILLED CARE/ASSISTED LIVING OH 501(c)(3) Line 10 OHIO LIVING COMMUNITIES 1 OPRS DEVELOPMENT CORPORATION 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 311166160 INACTIVE OH N/A C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 OHIO LIVING COMMUNTITIES Q 3601268 CASH TRANSFER