2016-05-13T14:39:38-05:00 2015-06-30 381357951 PLANTE & MORAN PLLC 65 EAST STATE ST STE 600 COLUMBUS OH 43215 990 2014-07-01 311340918 OHIO PRESBYTERIAN RETIREMENT SERVICES OHIO 6148887800 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 ROBERT B STILLMAN CFO/TREASURER 6148887800 2016-05-13 1 BERNIE OSTROWSKI P00366367 6148493000 2014 2016-08-17 19:52:53Z LAURENCE C GUMINA 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 19213495 0 X WWW.OPRS.ORG X 1991 OH OHIO PRESBYTERIAN RETIREMENT SERVICES IS THE PARENT ORGANIZATION OF OPRS COMMUNITIES (OPRSC), OHIO PRESBYTERIAN RETIREMENT SERVICES FOUNDATION (OPRSF), AND SENIOR INDEPENDENCE (SI). 15 14 0 14 0 0 0 0 0 0 5213505 2258173 0 0 5213505 2258173 0 0 0 0 0 0 0 0 0 589762 427377 589762 427377 4623743 1830796 0 284568 1577604 113921 -1577604 170647 X SEE SCHEDULE OOHIO PRESBYTERIAN RETIREMENT SERVICES IS THE PARENT ORGANIZATION OF OPRSC, OPRSF, AND SI. ITS PRIMARY EXEMPT PURPOSE IS TO PLAN, DIRECT, AND OVERSEE THE FUNCTIONS OF OPRSC, OPRSF, AND SI, ALL OF WHICH ARE ORGANIZATIONS EXEMPT UNDER IRC SECTION 501(C)(3). 0 0 0 0 0 PARENT COMPANY OF OPRS COMMUNITIES, OHIO PRESBYTERIAN RETIREMENT SERVICES FOUNDATION, AND SENIOR INDEPENDENCE. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X X ROBERT B STILLMAN 6148887800 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 LAURENCE C GUMINA PRESIDENT/CEO 4.00 36.00 X X 0 453025 30809 WILLIAM C LEITER DIRECTOR/ASSISTANT TREASURER 2.00 4.00 X X 0 0 0 JOHN A PETERSON DIRECTOR/ASSISTANT SECRETARY 2.00 2.00 X X 0 0 0 STEVEN JOHNSTON DIRECTOR/BOARD CHAIR 2.00 2.00 X X 0 0 0 JUDITH BRIGGS DIRECTOR 2.00 0.00 X 0 0 0 AMY J ROSCOE 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 ERIC SMITH DIRECTOR 2.00 4.00 X 0 0 0 TED KARCHNER RESIDENT REPRESENTATIVE 2.00 4.00 X 0 0 0 RICHARD A KRIEGER DIRECTOR 2.00 2.00 X 0 0 0 BARBARA E RILEY DIRECTOR 2.00 2.00 X 0 0 0 KATHLEEN TUTTLE DIRECTOR 2.00 4.00 X 0 0 0 JOHN L GRAY DIRECTOR 2.00 2.00 X 0 0 0 DR SUZANNE F KIEWIT PHD DIRECTOR 2.00 4.00 X 0 0 0 ROBERT STILLMAN TREASURER/CFO 3.00 37.00 X 0 280003 19576 KENNETH KEMPER FORMER OFFICER 0.00 40.00 X 0 287478 35751 0 1020506 86136 0 1 1 0 0 951755 951755 18261740 16955322 1306418 1306418 1306418 2258173 0 0 2258173 356282 356282 71095 71095 427377 0 427377 0 0 284568 0 284568 0 113921 1577604 0 1577604 113921 X -1577604 170647 -1577604 170647 0 284568 X 1830796 -557762 475217 X 0 1 X 1 0 X X 2 OPRS COMMUNITIES 344429863 9 1 0 0 SENIOR INDEPENDENCE 272564811 9 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 11G: OHIO PRESBYTERIAN RETIREMENT SERVICES PROVIDES MANAGERIAL AND EXECUTIVE SUPPORT TO OPRS COMMUNITIES AND SENIOR INDEPENDENCE. ACTUAL SUPPORT PROVIDED TO OPRS COMMUNITIES AND SENIOR INDEPENDENCE COMES DIRECTLY FROM OPRS FOUNDATION, A TAX EXEMPT RELATED PARTY THAT OHIO PRESBYTERIAN RETIREMENT SERVICES IS THE SOLE MEMBER. PART IV, SECTION C, LINE 1: AT LEAST ONE OHIO PRESBYTERIAN RETIREMENT SERVICES BOARD MEMBER SERVES AS A MEMBER ON EACH OF THE ORGANIZATION'S SUPPORTED ORGANIZATIONS. THESE BOARD MEMBERS THEN REPORT TO THE OPRS BOARD WHERE THEY COULD THEN TAKE ACTION WHICH IS THE CONTROL. ALL BOARD MEMBERS OF THE SUBSIDIARY BOARDS SERVE AT THE FAVOR OF THE OPRS BOARD. PART IV, SECTION A, LINE 1: THE SUPPORTED ORGANIZATIONS OF OHIO PRESBYTERIAN RETIREMENT SERVICES: OPRS COMMUNITIES AND SENIOR INDEPENDENCE, ARE BOTH EXEMPT ORGANIZATIONS THAT PROVIDE HOUSING AND/OR MEDICAL CARE TO SENIORS. THE PURPOSES OF THESE ORGANIZATIONS ARE: OPRS COMMUNITIES: ESTABLISHED TO HOLD ASSETS AND LIABILITIES AND PERFORM OPERATIONS FOR ALL SENIOR LIVING CAMPUS SETTINGS. SENIOR INDEPENDENCE: ESTABLISHED TO PERFORM ALL OPERATION FOR HOME HEALTH, HOSPICE, HOME CARE AND OTHER COMMUNITY BASED SERVICES. X X X X X 0 0 0 0 0 0 0 0 0 LAURENCE C GUMINA PRESIDENT/CEO 0 402745 0 50000 0 280 0 11794 0 19015 0 483834 0 0 ROBERT STILLMAN TREASURER/CFO 0 259733 0 20000 0 270 0 0 0 19576 0 299579 0 0 KENNETH KEMPER FORMER OFFICER 0 285104 0 0 0 2374 0 16698 0 19053 0 323229 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 11 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 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 OPRS IN CONJUNCTION WITH THE OPRS 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 OPRS 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 OPRS PARENT BOARD MEETINGS. THIS PROCESS IS UPDATED ANNUALLY AND REVIEWED THROUGHOUT THE YEAR DURING QUARTERLY MEETINGS. THE CEO, EXECUTIVE OFFICERS (EXCLUDING THE FOUNDATION PRESIDENT), AND KEY EMPLOYEES ARE PAID FROM AND RECEIVE W-2'S FROM OPRS 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 475,217. OHIO PRESBYTERIAN RETIREMENT SERVICES FOUNDATION 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 311166164 SUPPORT OH 501(C)(3) LINE 11B, II OHIO PRESBYTERIAN RETIREMENT SERVICES 1 OPRS COMMUNITIES 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 344429863 ADULT CARE OH 501(C)(3) LINE 9 OHIO PRESBYTERIAN RETIREMENT SERVICES 1 VINEYARD CONDOMINIUM ASSOCIATION 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 262702410 MANAGEMENT OH 501(C)(4) N/A OPRS COMMUNITIES 1 SENIOR INDEPENDENCE 1001 KINGSMILL PARKWAY COLUMBUS OH 43229 272564811 ADULT CARE OH 501(C)(3) LINE 9 OHIO PRESBYTERIAN RETIREMENT SERVICES 1 SARAH MOORE HEALTH CARE CENTER INC 26 N UNION STREET DELAWARE OH 43015 311510768 SKILLED CARE/ASSISTED LIVING OH 501(C)(3) LINE 9 OPRS 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 0 0 0