2013-10-10T14:18:12-05:00 2012-12-31 316063298 MELLOTT & MELLOTT PLL 312 ELM STREET - SUITE 1250 CINCINNATI OH 45202 990 2012-01-01 310537069 BEECHWOOD HOME BEEC 5133219294 2140 POGUE AVE CINCINNATI OH 45208 PATRICIA CLARK 5133219294 2013-10-03 1 GREGORY A DEYHLE P00341594 5132412940 2012 2016-02-24 21:20:13Z PATRICIA CLARK 2140 POGUE AVE CINCINNATI OH 45208 10766973 0 X N/A X 1890 OH THE BEECHWOOD HOME OFFERS SPECIALIZED, LONG-TERM CARE SERVICES TO THOSE WHO HAVE INCURABLE, NEUROLOGICAL, CHRONIC AND DISABLING CONDITIONS. 21 21 193 25 0 0 2916769 3064834 6429953 5939561 2665 165232 96124 85351 9445511 9254978 0 0 0 0 5872977 5265266 0 0 88546 3794113 3825307 9667090 9090573 -221579 164405 48545220 49353713 6572892 6049377 41972328 43304336 X FOUNDED IN CINCINNATI, OHIO IN 1890, THE BEECHWOOD HOME IS A SKILLED NURSING CARE FACILITY FOR 88 ADULTS WITH PHYSICAL AND NEUROLOGICAL DISABILITIES. SERVICES AT THE BEECHWOOD HOME INCLUDE LONG-TERM, REHABILITATIVE MEDICAL AND NURSING CARE; PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES; AND SOCIAL ENRICHMENT PROGRAMS INCLUDING COMPUTER AND EDUCATION THERAPY, THERAPEUTIC RECREATION AND RELIGIOUS PROGRAMS. ALL BEECHWOOD HOMES PROGRAMS ARE DESIGNED TO MAXIMIZE THE INDEPENDENCE OF PEOPLE WITH PHYSICAL AND NEUROLOGICAL DISABILITIES IN A "PERSON CENTERED" HOMELIKE ENVIRONMENT.MANY YOUNGER PEOPLE WITH PHYSICAL AND NEUROLOGICAL DISABILITIES CHOOSE TO MOVE TO THE BEECHWOOD HOME SO THEY CAN LIVE WITH PEOPLE WITH SIMILAR AGES AND TYPES OF DISABILITIES. RESIDENTS RECEIVE CARE SPECIFICALLY DESIGNED TO MEET THEIR NEEDS. RESIDENTS ALSO CHOOSE BEECHWOOD HOME TO PURSUE MANY OF THEIR INTERESTS, HOBBIES AND EDUCATIONAL GOALS THROUGH THE SOCIAL ENRICHMENT PROGRAMS WE OFFER. 0 0 7839195 6085216 FOUNDED IN CINCINNATI, OHIO IN 1890, THE BEECHWOOD HOME IS A SKILLED NURSING CARE FACILITY FOR 88 ADULTS WITH PHYSICAL AND NEUROLOGICAL DISABILITIES. SERVICES AT THE BEECHWOOD HOME INCLUDE LONG-TERM, REHABILITATIVE MEDICAL AND NURSING CARE; PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES; AND SOCIAL ENRICHMENT PROGRAMS INCLUDING COMPUTER AND EDUCATION THERAPY, THERAPEUTIC RECREATION AND RELIGIOUS PROGRAMS. ALL BEECHWOOD HOMES PROGRAMS ARE DESIGNED TO MAXIMIZE THE INDEPENDENCE OF PEOPLE WITH PHYSICAL AND NEUROLOGICAL DISABILITIES IN A "PERSON CENTERED" HOMELIKE ENVIRONMENT.MANY YOUNGER PEOPLE WITH PHYSICAL AND NEUROLOGICAL DISABILITIES CHOOSE TO MOVE TO THE BEECHWOOD HOME SO THEY CAN LIVE WITH PEOPLE WITH SIMILAR AGES AND TYPES OF DISABILITIES. RESIDENTS RECEIVE CARE SPECIFICALLY DESIGNED TO MEET THEIR NEEDS. RESIDENTS ALSO CHOOSE BEECHWOOD HOME TO PURSUE MANY OF THEIR INTERESTS, HOBBIES AND EDUCATIONAL GOALS THROUGH THE SOCIAL ENRICHMENT PROGRAMS WE OFFER. THE BEECHWOOD HOME STAFF IS SKILLED AT WORKING WITH PEOPLE WHO HAVE MULTIPLE SCLEROSIS, CEREBRAL PALSY, HUNTINGTONS, SPINAL CORD INJURY AND OTHER NEUROLOGICAL DISORDERS AND DISABILITIES. 7839195 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 1 193 1 0 0 0 0 0 1 1 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X TIMOTHY H OWENS DIRECTOR OF FINANCE 5138420759 2140 POGUE AVENUE CINCINNATI OH 45208 GRANT V HESSER 0.50 X 0 0 0 MARY ANN MEANWELL 0.50 X 0 0 0 JAMES GIBBS 0.50 X 0 0 0 AUDRE SEDACCA 0.50 X 0 0 0 DR LINDA WORKMAN 0.50 X 0 0 0 JOSIE THAYER 0.50 X 0 0 0 CAROLINE SUTPHIN 0.50 X 0 0 0 IGOR DUMBADZE MD 0.50 X 0 0 0 RICHARD OLIVER 0.50 X 0 0 0 KIM DEATON 0.50 X 0 0 0 RICHARD MOORE 0.50 X 0 0 0 DANIEL SHIELS 0.50 X 0 0 0 WILLIAM BAECHTOLD 0.50 X 0 0 0 THOMAS BRENNAN 0.50 X 0 0 0 DONNA DE GRAAF 0.50 X 0 0 0 GREG FRENCH 0.50 X 0 0 0 ADELE CRAFT 0.50 X 0 0 0 DAVID OSBORN 0.50 X 0 0 0 PATRICIA CLARK 40.00 X 248616 0 47701 TIMOTHY TOFT 0.50 X 0 0 0 TIM OWENS 40.00 X 103331 0 3563 CYNTHIA FLICK 0.50 X 0 0 0 KATHYE HABIG NIPPERT 0.50 X 0 0 0 351947 0 51264 2 0 1 0 0 3064834 3064834 MEDICARE & MEDICAD 623000 5028956 5028956 PRIVATE/ASST LIVING 623000 611183 611183 VETERANS ADMINISTRATION 623000 270079 270079 29343 29343 5939561 19577 19577 1609791 11500 1465358 10278 144433 1222 145655 145655 121710 36359 85351 85351 9254978 6085216 0 104928 351947 99446 177916 74585 3847549 3680635 156595 10319 755440 625599 129841 310330 275671 34659 7139 7139 74494 74494 448890 407476 41414 644168 561283 82885 687939 687939 24165 24165 173677 173677 729660 583728 145932 96336 82298 14038 FRANCHISE FEE 340397 340397 FOOD 232654 232654 WORKERS COMP 167591 167591 LETTER OF CREDIT FEE 48480 48480 149717 45998 100077 3642 9090573 7839195 1162832 88546 578821 457695 623887 661361 192459 169922 19014328 11887487 7384443 7126841 676515 718744 39089095 40219150 48545220 49353713 936350 806995 5250000 4950000 386542 292382 6572892 6049377 X 29999435 31299404 291021 4982 11681872 11999950 41972328 43304336 48545220 49353713 X 164405 -59516 1227119 X X 1 X 0 1 0 X 9774185 9798045 9982641 9260294 8975052 47790217 9774185 9798045 9982641 9260294 8975052 47790217 0 0 0 47790217 41846 13381 6791 2665 165232 229915 41846 13381 6791 2665 165232 229915 177464 28795 158766 182552 151053 698630 9993495 9840221 10148198 9445511 9291337 48718762 0.98090 0.98320 0.00470 0.00530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11681872 350379 32301 11999950 11942972 -236625 24475 11681872 11410794 564223 32045 11942972 10818181 627282 34669 11410794 14160291 -3338621 3489 10818181 0 0 29131 29131 14527622 8719590 5808032 4457575 3167897 1289678 7126841 DEFERRED FINANCING COSTS 25951 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 11252640 BENEFICIAL INTEREST IN SUPPORTING ORGANIZATIONS 28579793 DEFERRED COMPENSATION- INVESTMENT 292382 RESTRICTED CASH 68384 40219150 DEFERRED COMPENSATION 292382 292382 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE HOME HAS A POLICY OF APPROPRIATING FOR DISTRIBUTION EACH YEAR 5 PERCENT OF ITS ENDOWMENT FUND'S AVERAGE FAIR VALUE OVER THE PRIOR THREE YEARS THROUGH THE CALENDAR YEAR END PRECEDING THE YEAR IN WHICH THE DISTRIBUTION IS PLANNED. IN ESTABLISHING THIS POLICY, THE HOME CONSIDERED THE LONG TERM EXPECTED RETURN ON ITS ENDOWMENT. ACCORDINGLY, OVER THE LONG TERM, THE HOME EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT A RATE THAT SUFFICIENTLY SATISFIES THE HOMES ABILITY TO PROVIDE CARE TO ITS RESIDENTS AT A CONSISTENT LEVEL INDEFINITELY. THIS IS CONSISTENT WITH THE HOME'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HOME IS EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CONTRIBUTIONS TO THE HOME QUALIFY AS CHARITABLE DEDUCTIONS. THE HOME HAS NOT ENTERED INTO ANY TRANSACTIONS WHICH WOULD SUBJECT IT TO UNRELATED BUSINESS INCOME TAX. THE FEDERAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAX FOR THE HOME IS NO LONGER SUBJECT TO FEDERAL INCOME TAX EXAMINATION BY TAX AUTHORITIES FOR THE YEARS ENDING PRIOR TO 2009. IN THE NORMAL COURSE OF BUSINESS, HOWEVER, THE HOME IS SUBJECT TO EXAMINATION BY VARIOUS OTHER TAXING AUTHORITIES. ALTHOUGH THE OUTCOME OF TAX AUDITS IS ALWAYS UNCERTAIN, THE HOME BELIEVES THAT THERE ARE NO SIGNIFICANT UNRECOGNIZED TAX LIABILITIES AT DECEMBER 31, 2012. CELEBRATION DINNER 80100 80100 16709 1500 4465 GUN SHOOT 41610 41610 335 13350 121710 121710 17044 1500 17815 36359 85351 X X X X 0 1 0 0 0 0 0 0 0 PATRICIA CLARK 248616 0 0 0 0 0 47701 0 0 0 296317 0 0 0 PART I, LINE 4B PATRICIA CLARK. THE HOME INSTITUTED A DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE SECTION 457(F). THE PURPOSE OF THE PLAN IS TO PROVIDE DEFERRED COMPENSATION FOR A SELECT GROUP OF MANAGEMENT. THERE WERE NO PAYMENTS MADE FOR THE CURRENT YEAR. SUPPLEMENTAL INFORMATION PART III IN 2006, THE HOME INSTITUTED A DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE SECTION 457(F). THE PURPOSE OF THE PLAN IS TO PROVIDE DEFERRED COMPENSATION FOR A SELECT GROUP OF MANAGEMENT. INCLUDED IN THE STATEMENT OF FINANCIAL POSITION ARE INVESTMENTS WHICH OFFSET THE DEFERRED COMPENSATION UNDER OTHER LIABILITIES. THERE WERE NO PAYMENTS MADE FOR THE CURRENT YEAR. FORM 990, PART VI, SECTION B, LINE 11 THE CFO WILL E-MAIL A COPY OF THE FORM 990 TO THE FINANCE COMMITTEE TO REVIEW AND APPROVE. ONCE THE FINANCE COMMITTEE APPROVES THE FORM 990, THEY WILL INFORM THE CFO. THE CFO WILL THEN DISTRIBUTE THE FORM 990 TO THE BOARD OF TRUSTEE'S FOR THEIR REVIEW. THE CFO WILL THEN INFORM THE ACCOUNTING FIRM OF THE APPROVAL BY THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT, WHICH AFFIRMS THAT THEY ARE FOLLOWING THE CONFLICT OF INTEREST POLICY. TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, ANNUAL REVIEWS SHALL BE CONDUCTED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION SYSTEM WILL EVALUATE POSITIONS TO MARKET BY USING LOCAL AND STATE SPECIFIC SURVEY DATA. THE MARKET DATA WILL PRIMARILY INCLUDE OTHER LONG TERM CARE FACILITIES AND WILL INCLUDE SURVEY DATA FOR MORE SPECIALIZED POSITIONS. ON AN ANNUAL BASIS THE CEO, DIRECTOR OF HR AND DIRECTOR OF FINANCE WILL REVIEW AND APPROVE RECOMMENDED CHANGES TO POSITION RANGE AS DETERMINED THROUGH THE MARKET DATA AVAILABILITY. AS PART OF THE ANNUAL BUDGETING PROCESS THE BOARD OF TRUSTEE'S WILL REVIEW AND APPROVE FUNDS TO BE ALLOCATED FOR TOTAL COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON INTEREST RATE SWAPS 159,383. UNREALIZED GAIN ON BENEFICIAL INTERESTS IN PERPETUAL TRUSTS 265,462. UNREALIZED GAIN ON BENEFICIAL FOUNDATION 802,274. FORM 990, PART XI, LINE 2C EXPLANATION THE FINANCE COMMITTEE REVIEWS THE REVIEWED FINANCIAL STATEMENTS PRIOR TO ISSUANCE. THE BEECHWOOD FOUNDATION 2140 POGUE AVENUE CINCINNATI OH 45208 311441552 TO SUPPORT BEECHWOOD HOME. OH 501(C)(3) 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 THE BEECHWOOD FOUNDATION C 1979799