2016-11-15T12:21:26-06:00 2015-12-31 381357951 PLANTE & MORAN PLLC 250 S High St Suite 100 Columbus OH 43215 990 2015-01-01 310536997 THE OHIO MASONIC HOME OHIO 9373251531 PO BOX 120 SPRINGFIELD OH 45501 SCOTT A BUCHANAN CEO 9373251531 2016-11-14 1 Bernie Ostrowski P00366367 6148493000 2015 2017-02-10 21:41:12Z SCOTT A BUCHANAN 2655 WEST NATIONAL ROAD SPRINGFIELD OH 455043698 7666697 0 3773 X WWW.OHIOMASONICHOME.ORG X 1890 OH WE ARE THE LIVING EXPRESSION OF OUR MASONIC OBLIGATION - WE SERVE AS THE TRUSTED PARTNER TO HELP PEOPLE AGE RESPECTFULLY: HOW THEY WANT; WHERE THEY WANT. 15 15 44 40 0 0 115345 285890 6011796 5735782 4768452 1565208 0 78915 10895593 7665795 19000 21500 0 0 4095759 3783638 0 0 0 7306623 5401260 11421382 9206398 -525789 -1540603 135993564 137824504 38911698 38521950 97081866 99302554 THE MISSION OF THE OHIO MASONIC HOME IS TO BE THE TRUSTED PARTNER TO HELP PEOPLE AGE RESPECTFULLY, HOW THEY WANT, WHERE THEY WANT 0 0 6233032 21500 5735782 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. 6233032 1 0 0 0 0 0 0 0 0 1 1 0 0 0 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 1 175 0 1 44 1 0 1 CJ 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 X SCOTT BUCHANAN 9375254983 2655 WEST NATIONAL ROAD SPRINGFIELD OH 455043698 TERRY W POSEY CHAIRMAN 1.00 0.00 X X 0 0 0 DONALD L LOSSASSO 1ST VICE CHAIRMAN 1.00 0.00 X X 0 0 0 ROSS R BLACK MD 2ND VICE CHAIRMAN 1.00 1.00 X X 0 0 0 RONALD L CONNELLY TREASURER 1.00 0.00 X X 0 0 0 KERMIT V ZIMMERMAN SECRETARY 1.00 1.00 X X 0 0 0 CLARENCE HARTZELL III TRUSTEE 1.00 1.00 X 0 0 0 DAVID L COLLINS TRUSTEE 1.00 1.00 X 0 0 0 DAVID R FREEMAN TRUSTEE 1.00 1.00 X 0 0 0 GARY B WILLIAMS MD TRUSTEE 1.00 2.00 X 0 0 0 THOMAS N THINNES TRUSTEE 1.00 1.00 X 0 0 0 GARY L NICHOLSON MD TRUSTEE 1.00 1.00 X 0 0 0 STEVEN A DUNCAN TRUSTEE 1.00 1.00 X 0 0 0 KEVING B TODD TRUSTEE 1.00 1.00 X 0 0 0 WILLIAM D STRATTON TRUSTEE 1.00 1.00 X 0 0 0 PAXTON T MENDELSSOHN TRUSTEE 1.00 1.00 X 0 0 0 THOMAS STOFAC CEO 40.00 1.00 X 288209 0 26352 SCOTT A BUCHANAN CFO 40.00 1.00 X 166977 0 22955 GREGORY D HENSLEY CORP. DIR. OF CAPITAL PLANNING & DESIGN - 40.00 0.00 X 148330 0 25514 LARA E BENTLEY DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 128220 0 17281 JOHN B WHITE DIRECTOR OF TREASURY 40.00 0.00 X 130623 0 32611 ROB LANE CORP. DIR. OF PROCUREMENT 40.00 0.00 X 116513 0 21860 CARA L SCHUSTER CORP. DIR. OF CLINICAL PROCESS IMPROVEMENT 40.00 0.00 X 171409 0 30440 1150281 0 177013 8 0 1 0 CORNA KOKOSING CONSTRUCTION CO 6235 WESTERVILLE RD WESTERVILLE OH 430814046 CONSTRUCTION 13695745 HEALTH PRO REHABILITATION 16600 SPRAGUE ROAD SUITE 365 MIDDLEBURG HEIGHTS OH 44256 MEDICAL SERVICES 1393097 DATASERV INTEGRATIONS LLC 29260 CLEMENS RD WESTLAKE OH 44145 TECHNOLOGY SERVICES 928781 THERAPY IN MOTION LLC 690 HELEN AVE BRUNSIWCK OH 44212 MEDICAL SERVICES 586554 JACOBS TELEPHONE CONTRACTORS 3831 DAYTON PARK DR DAYTON OH 45414 TECHNOLOGY SERVICES 368949 16 285890 285890 SERVICE TO AFFILIATES 900099 5735782 5735782 5735782 1051585 1051585 52350 0 52350 52350 52350 514525 0 902 514525 -902 513623 513623 PROCESSING FEES 900099 20063 20063 LITIGATION PROCEEDS 900099 6502 6502 26565 7665795 5735782 0 1644123 21500 21500 504494 504494 2204768 1587433 617335 81233 58488 22745 808820 582350 226470 184323 132713 51610 117472 117472 171533 171533 249309 249309 643404 257362 386042 21070 21070 163370 65348 98022 765891 765891 147135 147135 137445 54978 82467 107978 107978 522554 522554 110368 110368 INTERCOMPANY ALLOCATION 4918474 4918474 STAFF DEVELOPMENT 83403 83403 RECRUITING EXPENSES 53315 53315 CORPORATE ALLOCATIONS -2897538 -2897538 86077 34431 51646 9206398 6233032 2973366 0 150 150 597163 1574203 270438 417250 32889919 32693834 133273 245985 90859332 47975696 30125348 42883636 64594654 53413125 7382619 6596321 135993564 137824504 3855782 4985256 32972600 31178631 2083316 2358063 38911698 38521950 X 79904368 80760780 9733717 12065817 7443781 6475957 97081866 99302554 135993564 137824504 X -1540603 -2250408 6011699 X X 0 1 X 1 0 X 8550838 667626 15676418 115345 285890 25296117 8550838 667626 15676418 115345 285890 25296117 25296117 1724338 2134067 1767292 1396117 802276 7824090 78284 4535 11540 26565 120924 33241131 0.76100 0.78460 X 106701991 0 69015 106771006 106704446 7061 -9516 106701991 106526036 0 34213 106704446 105299293 116773 27424 106670233 104023253 1244371 -17628 106526036 0.00000 1.00000 0.00000 0 1 1 97322 657016 754338 75239395 35854377 39385018 10074170 8548364 1525806 4791429 3572955 1218474 42883636 LINE OF CREDIT 2000000 ACCRUED PENSION LIABILITY 314417 SPLIT INTEREST AGREEMENTS 43646 2358063 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. 1 SCHOLARSHIPS 21 21500 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. X X X 0 0 0 0 0 0 0 0 0 THOMAS STOFAC CEO 288209 0 0 0 0 0 11528 0 14824 0 314561 0 0 0 SCOTT A BUCHANAN CFO 166977 0 0 0 0 0 6679 0 16276 0 189932 0 0 0 GREGORY D HENSLEY CORP. DIR. OF CAPITAL PLANNING & DES 148330 0 0 0 0 0 5933 0 19581 0 173844 0 0 0 JOHN B WHITE DIRECTOR OF TREASURY 130623 0 0 0 0 0 5129 0 27482 0 163234 0 0 0 CARA L SCHUSTER CORP. DIR. OF CLINICAL PROCESS IMPRO 171409 0 0 0 0 0 6856 0 23584 0 201849 0 0 0 A COUNTY OF CLARK OHIO 316000132 2014-02-01 43975000 SEE PART VI 0 0 0 A 3000000 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 11 THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WHO THEN SUBMITS THE FORM 990 TO THE PRESIDENT OF THE FOUNDATION, CEO, AND CFO FOR REVIEW. A COPY OF THE FORM 990 WAS 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. Form 990, Part VI, Section B, line 15 THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION OF THE ORGANIZATION'S CEO. 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 REASONABLENESS OF THE COMPENSATION PAID IS REVIEWED PERIODICALLY WITH A REVIEW OF COMPENSATION DATA WHICH MAY BE AVAILABLE THROUGH PUBLISHED SOURCES OR THOUGH COMPARABLE ORGANIZATIONS AND/OR INDUSTRY GROUPS. THE ORGANIZATION HAS COMPENSATION GUIDELINES FOR MOST OTHER POSITIONS. THE COMPENSATION REVIEW FOR THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES WAS LAST CONDUCTED IN 2012 AND IS PLANNED TO BE COMPLETED ONCE AGAIN IN 2017. 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 -921,682. NET ASSETS RELEASED FROM RESTRICTION -21,500. TRANSFER FROM (TO) PARENT 4,687,344. CHANGE IN PERMANENTLY RESTRICTED NET ASSESTS -46,142. CHANGE IN TEMPORARILY RESTRICTED NET ASSESTS 2,313,679. 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 11c, III-FI THE OHIO MASONIC HOME 1 THE OHIO MASONIC HOME AFFILIATES PO BOX 120 SPRINGFIELD OH 45501 900054759 AGING SERVICES OH 501(c)(3) Line 9 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 -10647 1.00000 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 1 THE OHIO MASONIC HOME BENEVOLENT ENDOWMENT FOUNDATION S 4687344 TRANSACTION FROM AFFILIATE SPRINGFIELD MASONIC COMMUNITY K 146610 CORPORATE LEASE SPRINGFIELD MASONIC COMMUNITY J 1728142 CORPORATE LEASE FORM 990, SCHEDULE R, PART II RELATED TAX-EXEMPT ORGANIZATIONS ARE UNDER GROUP EXEMPTION #3773.