2017-11-14T13:47:08-06:00 2016-12-31 HW&CO 23240 Chagrin Blvd Suite 700 Cleveland OH 441225450 990 2016-01-01 311340217 Waverly Care Center Inc % JOHN WHITLOCK WAVE 6144512151 2335 North Bank Drive Columbus OH 43220 JOHN WHITLOCK Treasurer 6144512151 2017-11-14 true Jordan L Keller CPA P01353255 2168311200 2017-11-13 68.171.14.4 34122420173185000027 2017-11-14 P 214C119E9606E110EE6BF267209660D97A949583 34089975C9E51BE86CA840C95A49BD49D8F931EE 2016 2021-01-29 14:40:06Z SEE SCHEDULE O ANTHONY EVANS 2335 NORTH BANK DRIVE Columbus OH 43220 8530306 false 5048 X www.nationalchurchresidences.org X 1991 OH ORIGINATING FROM A CHRISTIAN COMMITMENT OF SERVICE, OUR MISSION IS TO PROVIDE HIGH QUALITY CARE, SERVICES AND RESIDENTIAL COMMUNITIES FOR ALL SENIORS. 6 6 153 422 0 1049 0 8374255 8505840 27488 -25021 0 0 8402792 8480819 0 0 0 0 5208010 5468287 0 0 0 3164488 3305583 8372498 8773870 30294 -293051 9826565 9163397 5641028 5385440 4185537 3777957 ORIGINATING FROM A CHRISTIAN COMMITMENT OF SERVICE, OUR MISSION IS TO PROVIDE HIGH QUALITY CARE, SERVICES AND RESIDENTIAL COMMUNITIES FOR ALL SENIORS. false false 7978498 8505840 PROVIDE A LONG TERM HEALTH CARE FACILITY FOR THE ELDERLY IN THE FORM OF A MULTI-BED NURSING HOME. IN 2016, THE ORGANIZATION PROVIDED 75 LICENSED NURSING FACILITY BEDS AND 56 LICENSED RESIDENTIAL CARE FACILITY UNITS. 7978498 true false false false false false false false false false true false false true true false false true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false true 11 0 true 153 true false false false false false false false false false false X 6 6 false false false false true true true true true false false true true true true true true true true false OH X JOHN WHITLOCK 6144512151 2335 NORTH BANK DRIVE COLUMBUS OH 43220 Donald A Russell Director 0.1 2.0 X 0 0 0 Al Rupiper Director 0.1 2.0 X 0 0 0 Jeff Doles Director 0.1 2.0 X 0 0 0 Bob Foster Director 0.1 2.0 X 0 0 0 David Strickland Director 0.1 2.0 X 0 0 0 Richard Ellsworth Director 0.1 2.0 X 0 0 0 Jacci Nickell President 0.1 49.9 X 0 330971 17944 Tanya Kim Hahn Secretary 0.1 49.9 X 0 324498 5719 June D Himes Administrator 20.0 20.0 X 31051 31050 2437 Doug Vesey Treasurer 1/1 - 5/12 0.1 49.9 X 0 161935 26477 John Whitlock Treasurer 5/13 - 12/31 0.1 49.9 X 0 190396 8536 Barbara D Long Director of Nursing 40.0 0.0 X 103742 0 8776 Mindie L Bond Speech Lang. Pathologist 40.0 0.0 X 101724 0 7649 236517 1038850 77538 2 false true false 0 0 SERVICE REVENUE 623000 8505840 8505840 8505840 24466 24466 0 0 0 0 0 49487 -49487 -49487 -49487 0 0 0 0 0 0 0 0 0 0 8480819 8505840 -25021 0 0 0 0 0 0 3757414 3707923 49491 0 1374605 1374605 336268 336268 690811 29712 661099 11187 11187 0 0 0 0 68769 49384 19385 35985 35985 62919 33507 29412 224931 224931 0 244427 244427 6755 6755 0 0 146712 146712 0 563438 563438 81507 81507 PROGRAM SUPPLIES AND DRUGS 397192 397192 TAXES AND FILING FEES 336155 336155 RESIDENTS MEALS 210309 210309 EQUIPMENT AND MAINTENANCE 102813 102813 121673 121673 8773870 7978498 795372 0 732952 950594 1531438 1545038 0 0 1265863 774917 0 0 0 0 0 0 0 0 39533 49175 11304062 6428446 5286129 4875616 0 0 0 0 0 0 0 0 970650 968057 9826565 9163397 778702 678907 0 0 0 0 4706851 4518275 0 0 0 0 0 0 0 0 155475 188258 5641028 5385440 X 4185537 3777957 0 0 0 0 4185537 3777957 9826565 9163397 X -293051 -114529 X X false true X true false X 2595 0 1013 1049 0 4657 8730914 8646025 8405095 8374255 8505840 42662129 0 0 0 8733509 8646025 8406108 8375304 8505840 42666786 0 0 0 42666786 2323 4955 4982 27488 24466 64214 0 2323 4955 4982 27488 24466 64214 0 0 8735832 8650980 8411090 8402792 8530306 42731000 0.99850 0.99896 0.00150 0.00104 X 88000 88000 8551171 4376282 4174889 2541371 1983003 558368 123520 69161 54359 4875616 RESERVE FOR REPLACEMENT 968057 968057 0 OBLIGATIONS ON FINANCIAL INSTR 69276 DEPOSITS 118982 188258 false false false false false false false false false Jacci Nickell President 0 269573 0 59000 0 2398 0 14395 0 3549 0 348915 0 Tanya Kim Hahn Secretary 0 260892 0 61000 0 2606 0 2550 0 3169 0 330217 0 Doug Vesey Treasurer 1/1 - 5/12 0 149914 0 11841 0 180 0 23405 0 3072 0 188412 0 0 John Whitlock Treasurer 5/13 - 12/31 0 153676 0 36531 0 189 0 5391 0 3145 0 198932 0 Part I, Line 3: THIS ORGANIZATION RELIED ON A RELATED ORGANIZATION (NATIONAL CHURCH RESIDENCES) THAT USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE A Franklin County Ohio 316400067 2013-12-29 4970000 Franklin County, Ohio false false false A 361825 0 4970000 0 0 4855628 84372 0 0 0 0 0 true false true true A false false false false 0 false false true A false false false true true true HUNTINGTON 9. false false false 0 false false A false . . . Part VI, LINE 2C The Rebate reports were completed on March 1, 2017 Form 990, Part VI, Line 6: THE SOLE MEMBER OF THE CORPORATION SHALL, AT ALL TIMES, BE NATIONAL CHURCH RESIDENCES. Form 990, Part VI, Line 7A: MEMBERS OR TRUSTEES SHALL HAVE THE APPROVAL OF THE BOARD OF TRUSTEES OF NATIONAL CHURCH RESIDENCES. Form 990, Part VI, Line 7B: NATIONAL CHURCH RESIDENCES IS REQUIRED TO APPROVE THE SELECTION OF THE BOARD OF TRUSTEES. Form 990, Part VI, Line 11: THE 990 RETURN IS MADE AVAILABLE TO THE BOARD PRIOR TO FILING. AN OFFICER REVIEWS THE 990 RETURN PRIOR TO SIGNATURE. Form 990, Part VI, Line 12C: TWO CONFLICT OF INTEREST POLICIES EXIST FOR NATIONAL CHURCH RESIDENCES. ONE POLICY IS FOR STAFF, AND THE SECOND POLICY IS FOR SENIOR STAFF AND BOARD OF DIRECTORS. THE STAFF POLICY IS PUBLISHED IN THE EMPLOYEE INFORMATION GUIDE. THE POLICY FOR OFFICERS AND DIRECTORS IS REVIEWED ANNUALLY BY THE BOARD, AND OFFICERS AND DIRECTORS REVIEW AND SIGN THE POLICY ANNUALLY AND ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS WHICH ARE LIKEWISE REVIEWED BY THE BOARD. Form 990, Part VI, Line 19: GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. Form 990, Part XI, Line 9: CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT $ 28,199 PENSION ADJUSTMENT OTHER THAN NET PERIODIC COST $ 257,272 TRANSFERS TO RELATED PARTIES $(400,000) --------- TOTAL: $(114,529) Form 990, Part XII, Line 2c: NATIONAL CHURCH RESIDENCES, THE PARENT HAS AN AUDIT COMMITTEE WHICH OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. Form 990, Schedule R, Part II: THE RELATED TAX EXEMPT ORGANIZATIONS ARE ALL MEMBERS OF GROUP EXEMPTION #5048. Form 990, Page 1, Item C: THE ORGANIZATION CONDUCTS BUSINESS UNDER THE NAME: NATIONAL CHURCH RESIDENCES BRISTOL VILLAGE. Form 990, Part VI, Section B, Line 15: FOLLOWING AN ESTABLISHED EXECUTIVE COMPENSATION POLICY, THE HUMAN RESOURCE COMMITTEE REVIEWS AND APPROVES SALARIES OF ALL OFFICERS AND REPORTS TO THE EXECUTIVE COMMITTEE ON THEIR ACTION. THE COMMITTEES BASE THE SALARY DECISIONS ON SURVEY DATA FROM COMPARABLE ORGANIZATIONS, USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. THIS PROCESS WAS LAST COMPLETED IN MAY 2017. LAKE WALES RETIREMENT CENTER INC 2335 NORTH BANK DRIVE COLUMBUS OH 43220 593418554 HEALTH CARE FL 501(C)(3) 10 NCR PARENT true FIRST COMMUNITY VILLAGE FOUNDATION 2335 NORTH BANK DRIVE COLUMBUS OH 43220 202467451 SUPPORT OH 501(C)(3) 12A NCR PARENT true NATIONAL CHURCH RESIDENCES OF ST LOUIS I 2335 NORTH BANK DRIVE COLUMBUS OH 43220 460683354 HOUSING MO 501(C)(3) 10 NCR PARENT true Abbey Church Village Limited Partnership 6003 Abbey Chapel Dr Dublin OH 430171529 311416957 Rental OH NA N/A 0 0 0 Arlington By The Lake Senior Housing Lim 2101 Arlington Ave Toledo OH 436091979 204063801 Rental OH NA N/A 0 0 0 Avondale Woods Senior Housing Limited Pa 5215 Avery Road Dublin OH 43016 264260580 Rental OH NA N/A 0 0 0 Baptist Gardens Housing Limited Partners 1901 Myrtle Drive SW Atlanta GA 30311 272962768 Rental GA NA N/A 0 0 0 Battery Park Senior Housing Limited Part 1 Battle Square Asheville NC 288012712 260069390 Rental NC NA N/A 0 0 0 Betmar Village Senior Housing Limited Pa 345 Ashwood Ave 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