2023-11-15T17:00:53-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2022-01-01 344429276 UNITED CHURCH HOMES INC UNIT 7403824885 PO BOX 1806 MARION OH 43301 JOHN K RENNER SR. VP. FINANCE 7403824885 2023-11-15 1 JOHN RENNER 999009999 1 AMY CIMINELLO P00796388 6148493000 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z REV KENNETH DANIEL PO BOX 1806 MARION OH 43301 103232243 0 X WWW.UNITEDCHURCHHOMES.ORG X 1920 OH UCH'S MISSION IS TO TRANSFORM AGING BY BUILDING A CULTURE OF COMMUNITY, WHOLENESS, AND PEACE. 14 12 2872 13 307766 16040 9951209 7822451 90965119 89548841 11834668 -4173348 15740 46930 112766736 93244874 0 0 0 0 56181399 53808091 0 0 859064 50255159 57065241 106436558 110873332 6330178 -17628458 255741919 233737892 142256687 143273003 113485232 90464889 UNITED CHURCH HOMES' MISSION IS TO TRANSFORM AGING BY BUILDING A CULTURE OF COMMUNITY, WHOLENESS, AND PEACE. 0 0 96769857 0 86542805 UNITED CHURCH HOMES (UCH) IS A CHARITABLE, NOT-FOR PROFIT ORGANIZATION ORGANIZATION WHICH OWNS AND OPERATES LONG-TERM CARE, LICENSED SKILLED NURSING COMMUNITIES, RESIDENTIAL SENIOR HOUSING, AND HANDICAPPED COMMUNITIES PRIMARILY FOR SENIORS AND OTHER DISABLED INDIVIDUALS. 1902258 0 1845637 UNITED CHURCH HOMES (UCH) OFFERS AFFORDABLE HOUSING COMMUNITIES FOR RETIRED AND/OR DISABLED INDIVIDUALS. AS SPONSOR OF THESE LOW-INCOME HOUSING CORPORATIONS, UCH HELPS PROMOTE SAFE AND SECURE ENVIRONMENTS, WHICH ENCOURAGE INDEPENDENT LIVING FOR THEIR LOW-INCOME ELDERLY RESIDENTS. 424136 0 852633 UNITED CHURCH HOMES (UCH) OFFERS MANAGEMENT SERVICES TO HOUSING COMMUNITIES FOR RETIRED AND/OR DISABLED INDIVIDUALS. AS MANAGER OF THESE LOW-INCOME HOUSING CORPORATIONS, UCH HELPS PROMOTE SAFE AND SECURE ENVIRONMENTS FOR THE LOW-INCOME ELDERLY/DISABLED RESIDENTS. 99096251 1 1 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 237 0 1 2872 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 IN OH GA X JOHN K RENNER VP CFO 8662795125 PO BOX 1806 MARION OH 43301 REV KENNETH DANIEL PRESIDENT / CEO 45.00 0.00 X X 622754 0 47198 JB BOOTHE TREASURER 1.00 0.00 X X 0 0 0 JAMES HENRY SECRETARY 1.00 0.00 X X 0 0 0 KARL ULRICH CHAIR 1.00 0.00 X X 0 0 0 TREVOR BATES VICE-CHAIR 1.00 0.00 X X 0 0 0 REV GEOFFREY BLACK DIRECTOR 1.00 0.00 X 0 0 0 SANDY LINDAHL DIRECTOR 1.00 0.00 X 0 0 0 DIANE MORENO ZERBY DIRECTOR 1.00 0.00 X 0 0 0 DAVID BRAININ DIRECTOR 1.00 0.00 X 0 0 0 DR LAPEARL LOGAN WINFREY DIRECTOR 1.00 0.00 X 0 0 0 PAMELA BENJAMIN DIRECTOR 1.00 0.00 X 0 0 0 REV J BENNETT GUESS DIRECTOR 1.00 0.00 X 0 0 0 REV BOB TUSSING DIRECTOR 1.00 0.00 X 0 0 0 REV DAVID LONG-HIGGINS EX-OFFICIO 1.00 0.00 X 0 0 0 JOHN RENNER VP FINANCE 50.00 0.00 X 387689 0 49137 KENNETH YOUNG VP STRATEGIC GROWTH 45.00 0.00 X 376180 0 46066 SCOTT SLUTZ VP HUMAN RESOURCES 45.00 0.00 X 234360 0 57954 GLORIA HURWITZ VP COMMUNICATIONS 45.00 0.00 X 222498 0 46355 RICHARD DIBLE VP FINANCIAL SERVICES 45.00 0.00 X 213115 0 41743 CHERYL WICKERSHAM VP HOUSING SERVICES 45.00 0.00 X 191309 0 36116 TERRY SPITZNAGEL EXECUTIVE DIRECTOR 45.00 0.00 X 216644 0 26398 SHAWN RILEY EXECUTIVE DIRECTOR 45.00 0.00 X 202282 0 23802 DAVID ZACH EXECUTIVE DIRECTOR 45.00 0.00 X 177620 0 13257 LAURA FARRELL EXECUTIVE DIRECTOR 45.00 0.00 X 155412 0 13503 DAN MILLER EXECUTIVE DIRECTOR 45.00 0.00 X 145397 0 3844 3145260 0 405373 46 0 1 0 HEALTHPRO HERITAGE LLC 536 OLD HOWELL DR GREENVILLE SC 29615 REHABILITATION 5060987 OMNICARE INC 1201 GLENDALE MILFORD RD CINCINNATI OH 45215 GENERAL CONTRACTOR 2080337 INTELYCARE INC 1250 HANCOCK ST 501N QUINCY MA 02169 STAFFING SERVICES 1210576 HYLANT 50 E BUSINESS WAY STE 420 CINCINNATI OH 45241 EMPLOYEE BENEFIT SERVICES 1087039 RIDGE STONE GENERAL CONTRACTORS 7015 LIGHTHOUSE WAY 500 PERRYSBURG OH 43551 GENERAL CONTRACTOR 1023246 59 12345 2326637 5483469 1490 7822451 RESIDENT SERVICES 623000 85963645 85963645 HSG MANAGEMENT FEES 623000 2153403 1845637 307766 UCHM MANAGEMENT FEES 623000 852633 852633 ASSURANCE 623000 575000 575000 UP MANAGEMENT FEES 623000 4160 4160 89548841 1302451 1302451 32841 32841 3065 0 3065 3065 3065 4500000 2389193 7586606 -2389193 -3086606 -5475799 -5475799 22594 12345 11570 11024 11024 93244874 89241075 307766 -4126418 X 2718854 2718854 43533720 39678938 3328296 526486 289497 250503 30458 8536 4033619 3914568 60949 58102 3232401 2801522 393706 37173 210951 210951 159755 159755 184319 184319 11441051 10942421 498630 1496897 1332987 163910 3628841 2022714 1462788 143339 6692706 6515350 174010 3346 775730 155146 620584 206418 82567 123851 4219061 4078566 140495 7369479 7237565 131914 2041460 1916319 125141 REPAIR AND MAINTENANCE 4223165 4108295 64614 50256 MEDICAL SUPPLIES & EQUI 4217671 4217671 RAW FOOD 4052134 4052134 BED TAX 3402645 3402645 2742958 2386340 324792 31826 110873332 99096251 10918017 859064 569308 75815 3720567 9161683 255197 667003 8951054 10021787 326048 326048 1155005 947035 235710603 91522732 150565993 144187871 57057916 30288883 1000000 1000000 22970804 19765055 9170027 17296712 255741919 233737892 14767538 18933322 3953821 3228726 37745000 37745000 349132 222889 824945 824945 84616251 82318121 142256687 143273003 X 89254116 67957203 24231116 22507686 113485232 90464889 255741919 233737892 X -17628458 -8262664 2870779 X X 0 1 X 1 1 1 X 1854351 1232127 24310711 9920675 7822451 45140315 85910042 89007572 90459604 90965119 89241075 445583412 87764393 90239699 114770315 100885794 97063526 490723727 72846 65423 53209 191478 0 72846 65423 53209 191478 490532249 990502 968602 887402 1386228 1338357 5571091 408741 413830 421890 306727 17040 1568228 1399243 1382432 1309292 1692955 1355397 7139319 310012 284768 64299 32406 22594 714079 89473648 91906899 116143906 102611155 98441517 498577125 0.98390 0.97460 0.01430 0.02220 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 310,012. 2019 AMOUNT: $ 284,768. 2020 AMOUNT: $ 64,299. 2021 AMOUNT: $ 32,406. 2022 AMOUNT: $ 22,594. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 24231118 1654630 -1557968 1820092 22507688 15374404 7967750 1748512 859548 24231118 13248336 500596 1748512 123040 15374404 10316457 687128 2473628 228877 13248336 12808227 258660 -1100588 1649842 10316457 0.00000 0.63000 0.37000 0 0 12246418 12246418 183892261 68380672 115511589 500979 500979 0 19282901 12360013 6922888 19788044 10281068 9506976 144187871 DONOR RESTRICTED ASSETS 11903459 F DONOR RESTRICTED TRUST 817569 F DONOR RESTRICTED ENDOWMENTS 7044027 F 19765055 LAND HELD FOR FUTURE DEVELOPMENT 252410 OPERATING RIGHTS 1979137 RECEIVABLES FROM AFFILIATES 5029995 RESIDENT ESCROW 178219 POOLED INCOME FUNDS 103658 DONOR RESTRICTED FUNDS 10902 INTEREST RATE SWAP 5841102 ROU ASSET 1571645 452(B) RETIREMENT PLAN 1244588 RESERVES 1085056 17296712 REFUNDABLE ENTRANCE FEES 10826537 GIFT ANNUITY & OTHER 68622996 OBLIGATION TO PROVIDE FUTURE SERVICES 2775258 PAYABLES TO AFFILIATES 93330 82318121 X 92471035 -4994797 5299039 304242 92166793 184319 893762 1078081 93244874 112875495 11570 11570 112863925 184319 -2174912 -1990593 110873332 PART IV, LINE 2B: THE ORGANIZATION IS THE CUSTODIAN OF RESIDENT FUNDS PART V, LINE 4: UNITED CHURCH HOMES ENDOWMENT FUNDS WERE CREATED WITH THE PURPOSE OF SUSTAINING THE ONGOING MISSION OF CREATING ABUNDANT LIFE IN OUR COMMUNITIES AND TRANSFORMING THE LIVES OF OUR RESIDENTS. ALL FUNDS ARE USED FOR THE STRICT PURPOSE OF RESIDENT CARE AND SUSTAINING THE ENVIRONMENT IN WHICH THEY LIVE. PART X, LINE 2: MINIMAL PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UCH AND ITS CONSOLIDATED SUBSIDIARIES HAVE RECEIVED TAX-EXEMPT STATUS AS OTHER-THAN-PRIVATE FOUNDATIONS FROM THE INTERNAL REVENUE SERVICE UNDER SECTIONS 501(C)(3) OR 501(C)(4) OF THE INTERNAL REVENUE CODE, EXCEPT FOR THE WHOLLY OWNED OR CONTROLLED, FOR-PROFIT SUBSIDIARIES UCH ASSURANCE, UCH ENGAGE, UCH VENTURES, UCH POLARIS, AND UCHM. UCH ASSURANCE, UCH ENGAGE, HAMLET, SOUTH HAVEN WOODS, LP, AND UCH VENTURES ARE DISREGARDED FOR INCOME TAX PURPOSES, AS UCH IS THE SOLE CORPORATE MEMBER OF EACH. UCHM IS TAXED AS A FOR-PROFIT CORPORATION; HOWEVER, BOTH THE CURRENT AND DEFERRED INCOME TAX EXPENSE ARE INSIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 11,570. ASSETS RELEASED FROM RESTRICTION 1,763,290. INTEREST RATE SWAP 5,168,174. ADVANCEMENT EXPENSES -1,209,354. INVESTMENT LOSS ON GIFT ANNUITY -28,095. DISCONTINUED PROJECT EXPENSE -971,433. OTHER EXPENSES RECLASSED 1,465. REALIZED GAINS 512,648. INTEREST EXPENSE 58,274. GAIN/LOSS ON SALE OF ASSET -7,500. PART XI, LINE 4B - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTIONS 3,607,095. RESTRICTED INVESTMENT INCOME -2,713,333. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 11,570. PART XII, LINE 4B - OTHER ADJUSTMENTS: DISCONTINUED PROJECT EXPENSE 971,433. INTEREST EXPENSE -58,274. OTHER EXPENSES RECLASSED -1,465. GAIN/LOSS ON SALE OF ASSET 7,500. GAIN/LOSS ON INVESTMENT -3,094,106. GOLF TOURNAMENT 34939 12345 22594 300 3842 5842 1586 34939 12345 22594 300 3842 5842 1586 11570 11024 X 1 1 X X X 0 1 0 0 0 0 0 1 0 REV KENNETH DANIEL PRESIDENT / CEO 543253 0 79501 0 0 0 31424 0 15774 0 669952 0 0 0 JOHN RENNER VP FINANCE 339485 0 48204 0 0 0 24862 0 24275 0 436826 0 0 0 KENNETH YOUNG VP STRATEGIC GROWTH 329056 0 47124 0 0 0 26458 0 19608 0 422246 0 0 0 SCOTT SLUTZ VP HUMAN RESOURCES 209707 0 24653 0 0 0 24526 0 33428 0 292314 0 0 0 GLORIA HURWITZ VP COMMUNICATIONS 198831 0 23667 0 0 0 24362 0 21993 0 268853 0 0 0 RICHARD DIBLE VP FINANCIAL SERVICES 191724 0 21391 0 0 0 23817 0 17926 0 254858 0 0 0 TERRY SPITZNAGEL EXECUTIVE DIRECTOR 171785 0 44859 0 0 0 25051 0 1347 0 243042 0 0 0 CHERYL WICKERSHAM VP HOUSING SERVICES 171958 0 19351 0 0 0 22741 0 13375 0 227425 0 0 0 SHAWN RILEY EXECUTIVE DIRECTOR 183893 0 18389 0 0 0 3800 0 20002 0 226084 0 0 0 DAVID ZACH EXECUTIVE DIRECTOR 161284 0 16336 0 0 0 3293 0 9964 0 190877 0 0 0 LAURA FARRELL EXECUTIVE DIRECTOR 139912 0 15500 0 0 0 3125 0 10378 0 168915 0 0 0 PART I, LINE 1A UNITED CHURCH HOMES PROVIDES COUNTRY CLUB MEMBERSHIPS FOR TOP EXECUTIVE STAFF. THIS IS TREATED AS NONTAXABLE INCOME TO THE EXECUTIVES. PART I, LINE 4B UNITED CHURCH HOMES PROVIDES A SERP FOR CERTAIN DESIGNATED INDIVIDUALS. THERE WERE NO DISTRIBUTIONS IN 2022. PART I, LINE 7 ADDITIONAL COMPENSATION IS BASED OFF OF PERFORMANCE OF EMPLOYEES MEASURED BY MEETING SPECIFIC TARGETS AND COMPLETION OF GOALS SET EACH YEAR. A COUNTY OF MARION OHIO 316400076 569120AW8 2019-12-17 37615549 SEE PART VI 0 0 0 B COUNTY OF MARION OHIO 316400076 2021-07-28 26322562 SEE PART VI 0 0 0 A 37722123 3438840 748549 6530277 27206922 2020 1 0 1 1 B 284305 26322562 947754 699783 26322562 2021 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 1 NORTHWEST BANK 5.000000000000 0 0 0 0 1 A 1 B 1 PT I-A COL (F) THE PROCEEDS OF THE COUNTY OF MARION, OHIO VARIABLE RATE HEALTH CARE FACILITIES REFUNDING REVENUE BONDS, SERIES 2019 (UNITED CHURCH HOMES, INC.) WERE USED TO (I) FINANCE THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN FACILITIES OF UNITED CHURCH HOMES INC., (II) TO REFUND THE COUNTY OF MARION, OHIO HEALTH CARE FACILITIES REVENUE BONDS, SERIES 2015A (UNITED CHURCH HOMES, INC.) AND SERIES 2015A (UNITED CHURCH HOMES, INC.) PT I-B COL (F) THE PROCEEDS OF THE COUNTY OF MARION, OHIO HEALTH CARE FACILITIES REVENUE REFUNDING BONDS, SERIES 2021 (THE "SERIES 2021 BONDS") ARE FOR THE PURPOSE OF UCH POLARIS, LLC TO FINANCE THE PURCHASE OF POLARIS RETIREMENT COMMUNITY. ELIZABETH A LONG-HIGGINS SPOUSE OF BOARD MEMBER, REV. DAVID LONG-HIGGINS 109784 EMPLOYEE 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM. A COPY IS REVIEWED BY THE FINANCE COMMITTEE AND PROVIDED TO THE BOARD OF DIRECTORS FOR APPROVAL BEFORE THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CORPORATE BYLAWS REQUIRE THAT EACH OF THE BOARD OF DIRECTOR MEMBERS DISCLOSE ANNUALLY, IN WRITING, INTERESTS THAT COULD BE CONSTRUED AS A CONFLICT OF INTEREST. THE POLICY IS ENFORCED AND MONITORED ON AN ONGOING BASIS VIA MANAGEMENT, SELF, OR CONFIDENTIAL THIRD PARTY DISCLOSURE VIA A SECURE HOTLINE. ALTHOUGH MOST ALLEGATIONS OF MISCONDUCT ARE ADDRESSED BY THE CORPORATE COMPLIANCE OFFICER OR HR, OCCASIONALLY ISSUES ARISE THAT ADDRESSED UNDER DIRECTION OF LEGAL COUNSEL. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REQUESTS COPIES OF THE ANNUAL AAHSA-CEMO LEADERSHIP COMPENSATION SURVEY REPORT TO CONSIDER IN SETTING THE COMPENSATION PACKAGE OF THE PRESIDENT AND CEO. IN TURN, THE PRESIDENT AND CEO RELIES ON THE SAME SURVEY REPORT TO DETERMINE THE COMPENSATION PACKAGE OF THE VICE PRESIDENT POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 UNITED CHURCH HOMES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 8,960,221. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,960,221. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,863,923. MANAGEMENT AND GENERAL EXPENSES 321,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,185,138. OTHER FEES: PROGRAM SERVICE EXPENSES 118,277. MANAGEMENT AND GENERAL EXPENSES 177,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 295,692. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST SWAP AGREEMENT 5,168,174. TRANSFER TO PARENT -2,354,620. GIFT ANNUITY PV ADJUSTMENT 57,225. FORM 990, PART XII, LINE 2C: THE OVERSIGHT PROCESS HAS NOT CHANGED. SCHEDULE R, PART V, LINE 2 FOR PURPOSES OF INFORMATION GATHERING, THE RELATED ORGANIZATION TRANSACTIONS HAVE BEEN LISTED IN AGGREGATE. THE TRANSACTION LISTED IN LINES 2(1), (3), AND (4) ARE ONLY WITH TAX-EXEMPT SUBSIDIARIES. IF ADDITIONAL DATA IS DESIRED, PLEASE CONTACT THE ORGANIZATION FOR DETAIL. UCH ASSURANCE 100 BANK STREET STE 610 BURLINGTON VT 05401 453146793 CAPTIVE INSURANCE OH 577730 2489610 UNITED CHURCH HOMES INC UCH ENGAGE LLC PO BOX 1806 MARION OH 43301 850645456 HOLDING COMPANY OH 385194 75624 UNITED CHURCH HOMES INC UCH PERSONAL CARE SERVICES LLC PO BOX 1806 MARION OH 43301 853843817 RENTAL REAL ESTATE OH 0 0 UNITED CHURCH HOMES INC OHIO ADULT LIVING II LLC 1801 PHOENIX PLACE NILES OH 44446 822021614 RENTAL REAL ESTATE OH 0 0 UNITED CHURCH HOMES INC OHIO SENIOR LIVING I LLC 4255 CENTER ROAD BRUNSWICK OH 44212 475341736 RENTAL REAL ESTATE OH 0 0 UNITED CHURCH HOMES INC UCH-TX MISSION LLC 170 EAST CENTER ST MARION OH 43301 854356902 RENTAL REAL ESTATE OH 0 0 UNITED CHURCH HOMES INC UCH ADVANCE INC 170 EAST CENTER ST MARION OH 43301 871867285 RENTAL REAL ESTATE OH 0 0 UNITED CHURCH HOMES INC UCH VENTURES LLC PO BOX 1806 MARION OH 43301 853843957 HOLDING COMPANY OH 813668 13006042 UCH ADVANCE INC UCH POLARIS LLC 9180 ANTARES AVENUE COLUMBUS OH 43240 861663705 HOLDING 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