2013-11-15T14:56:18-06:00 2012-12-31 Howard Wershbale & Co 23240 Chagrin Blvd Suite 700 Cleveland OH 441225450 990 2012-01-01 311340217 Waverly Care Center Inc % JOSPEH KASBERG WAVE 6144512151 2335 North Bank Drive Suite Columbus OH 43220 Judith Naderhoff 6142733589 2013-11-15 true Stanley J Olejarski CPA 2168311200 2012 2016-02-25 16:41:14Z SEE SCHEDULE O Joseph Kuyoth 2335 NORTH BANK DRIVE Columbus OH 43220 8735832 false 5048 X www.nationalchurchresidences.org X 1991 OH provide housing for low and moderate income families. 3 3 182 88 0 8583 2595 8768248 8730914 5159 2323 0 0 8781990 8735832 0 0 0 0 4996849 5021370 0 0 0 3222878 3277794 8219727 8299164 562263 436668 10146463 9851403 6272587 6128549 3873876 3722854 X THE MISSION OF THE NATIONAL CHURCH RESIDENCES IS TO PROVIDE QUALITY HOUSING AND CARE AT AFFORDABLE PRICES IN COMMUNITIES OF CARING PERSONS. OUR MINISTRY IS NATIONAL IN SCOPE AND ORIGINATES FROM A CHRISTIAN COMMITMENT OF SERVICE TO OLDER ADULTS, WHICH BEGAN IN 1961. false false 7481890 8730914 PROVIDE A LONG TERM HEALTH CARE FACILITY FOR THE ELDERLY IN THE FORM OF A MULTI-BED NURSING HOME. IN 2012, THE ORGANIZATION PROVIDED 75 LICENSED NURSING FACILITY BEDS AND 56 LICENSED RESIDENTIAL CARE FACILITY UNITS. 7481890 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 17 0 true 182 true false false false false false false false false false false X 3 3 false false false false true true true true true false false true true true true true true true true false OH X X JOSPEH KASBERG 6144512151 2335 NORTH BANK DRIVE COLUMBUS OH 43220 DONALD A RUSSELL 0.1 2.0 X 0 0 0 ALLEN V RUPIPER 0.1 2.0 X 0 0 0 ROBERT E FOSTER 0.1 2.0 X 0 0 0 JOSEPH KASBERG 0.1 49.9 X 0 282454 35074 JOSEPH B KUYOTH JR 0.1 49.9 X 0 262474 33533 JUDITH NADERHOFF 0.1 49.9 X 0 197845 42964 0 742773 111571 0 false true false 0 2595 2595 SERVICE REVENUE 623000 8730914 8730914 8730914 2323 2323 0 0 0 0 0 0 0 0 0 0 8735832 8730914 2323 0 0 0 0 0 0 3763580 3763580 0 911918 911918 345872 345872 790212 3987 786225 0 2514 2514 0 28535 28535 0 0 0 0 78789 78789 42408 42408 76548 76548 56518 56518 0 275793 275793 11204 11204 0 0 183718 183718 0 452321 452321 89980 89980 PROGRAM SUPPLIES AND DRUGS 421384 421384 TAXES AND FILING FEES 319322 319322 PATIENT MEALS 213057 213057 EQUIPMENT & MAINTENANCE 93115 93115 142376 142376 8299164 7481890 817274 0 503894 614784 0 0 0 0 703633 792443 0 0 0 0 0 0 0 0 39463 44676 10602975 4623426 6272179 5979549 0 0 150000 0 0 0 0 0 2477294 2419951 10146463 9851403 776759 775237 0 0 0 0 5230000 5085000 0 0 0 0 0 0 0 0 265828 268312 6272587 6128549 X 3873876 3722854 0 0 0 0 3873876 3722854 10146463 9851403 X 436668 -587690 X false true X true false X 937 0 4415 8583 2595 16530 8054081 8755586 8942128 8768248 8730914 43250957 0 0 0 8055018 8755586 8946543 8776831 8733509 43267487 0 0 0 43267487 5656 6882 5013 5159 2323 25033 0 5656 6882 5013 5159 2323 25033 0 0 8060674 8762468 8951556 8781990 8735832 43292520 0.99942 0.99930 0.00058 0.00070 X 88000 88000 8424765 3133923 5290842 0 2021899 1446282 575617 68311 43221 25090 5979549 RESERVE FOR REPLACEMENT 2268665 NET FINANCING COST 151286 2419951 0 OBLIGATIONS ON FINANCIAL INSTRUMENT 172340 DEPOSITS 41148 268312 X X X X X X false true false false false false false false false JOSEPH KASBERG 0 214341 0 27000 0 41113 0 25666 0 9408 0 317528 0 JOSEPH B KUYOTH JR 0 195541 0 65000 0 1933 0 31166 0 2367 0 296007 0 JUDITH NADERHOFF 0 163281 0 34418 0 146 0 30539 0 12425 0 240809 0 PROCEDURES USED TO ESTABLISH COMPENSATION SCHEDULE J, PART I, LINE 3 NATIONAL CHURCH RESIDENCES, A RELATED ORGANIZATION, ESTABLISHES THE TOP MANAGEMENT OFFICIALS' COMPENSATION. THE FOLLOWING METHODS WERE USED BY NATIONAL CHURCH RESIDENCES TO ESTABLISH COMPENSATION LEVELS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PARTICIPATION IN 457(f) PLAN PART I, LINE 4B JOSEPH R. KASBERG $36,089 A FRANKLIN COUNTY OHIO 316400067 353180GT3 2005-07-14 3815000 FRANKLIN COUNTY ADJUSTABLE RATE false false false B PIKE COUNTY OHIO 316400084 72127pas0 2007-10-29 2100000 suplemental indenture to 2005 bond false false false A 830000 0 3815000 0 0 2158624 76300 7730 0 1572347 0 0 2005 false false true true B 0 0 2100000 0 0 0 42000 18000 0 2040000 0 0 2007 false false true true A false false false false 0 false false false true B false false false false 0 false false false true A false false false true true true morgan stanley 10. false false false 0 false true B false false false true true false 0 false 0 false true A true B true 1 PART IV, LINE 2C REBATE COMPUTATION WAS PERFORMED IN 2012. PAGE 2, PART III, LINE 1 WHILE OUR MINISTRY HAS BEEN TARGETED PRIMARILY TOWARD OLDER ADULTS, WE HAVE SPECIAL CONCERN FOR LOW- AND MODERATE-INCOME SENIORS, PERSONS WITH DISABILITIES, AND LOW- AND MODERATE-INCOME FAMILIES. WE ARE COMMITTED TO EXPANDING AND FUNDING SERVICES IN ASSISTED LIVING, NURSING HOMES, AND FULL-SERVICE RETIREMENT COMMUNITIES. WE ALSO PLAN FOR THROUGHTFUL GROWTH IN AFFORDABLE FAMILY HOUSING. WE ARE COMMITTED TO PROFESSIONALISM IN THE MANAGEMENT OF PROPERTY, PROGRAMS, AND HUMAN RESOURCES AND EQUALLY COMMITTED TO COMPASSION FOR THE PEOPLE WE SERVE. PAGE 6, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION SHALL, AT ALL TIMES, BE NATIONAL CHURCH RESIDENCES. PAGE 6, PART VI, SECTION A, LINE 7A MEMBERS OR TRUSTEES SHALL HAVE THE APPROVAL OF THE BOARD OF TRUSTEES OF NATIONAL CHURCH RESIDENCES PAGE 6, PART VI, SECTION A, LINE 7B NATIONAL CHURCH RESIDENCES IS REQUIRED TO APPROVE THE SELECTION OF THE BOARD OF TRUSTEES. PAGE 6, PART VI, Section B, LINE 11 THE 990 RETURN IS MADE AVAILABLE TO THE BOARD PRIOR TO FILING. AN OFFICER REVIEWS THE 990 RETURN PRIOR TO SIGNATURE. PAGE 6, PART VI, SECTION B, LINE 12C ANY DIRECTOR, EXECUTIVE OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS IS COVERED UNDER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ANY PERSON COVERED UNDER THIS POLICY MUST DISCLOSE THE EXISTENCE OF A CONFLICT AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF BOARD COMMITTEES. ALL DIRECTORS AND OFFICERS SHALL ALSO REVIEW AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT ON AN ANNUAL BASIS, IDENTIFYING FAMILY MEMBERS, POSSIBLE RELATED BUSINESSES, AND INVESTMENTS AND PROMPTLY REPORT ANY CHANGES TO THE CHAIRPERSON THAT OCCUR THROUGHOUT THE YEAR. IF A CONFLICT EXISTS, PARTICIPATION AND VOTING RIGHT RESTRICTIONS ARE IMPOSED. PAGE 6, 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. THE COMPENSATION POLICY REVIEW WAS LAST PERFORMED IN 2012. PAGE 6, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST AND THROUGH A SECURED WEBSITE. PAGE 12, PART XI, LINE 9 TRANSFERS TO NATIONAL CHURCH RESIDENCES - ($626,000) CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT - $ 38,310 ------------ ($587,690) PAGE 12, PART XII, LINE 2C The organization 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. SCHEDULE R, PART II THE RELATED TAX EXEMPT ORGANIZATIONS ARE ALL MEMBERS OF GROUP EXEMPTION # 5048. 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