2023-10-20T15:16:41-05:00 2022-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2022-01-01 351680796 BHI FOUNDATION INC BHIF 3178733371 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 ROGER E WEIDEMAN II DIRECTOR, SVP & CFO 3178733371 2023-10-19 1 ROGER WEIDEMAN II XXX-XX-XXXX 1 AMY CIMINELLO P00796388 6148493000 2023-10-12 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROGER E WEIDEMAN II 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 1734881 0 X WWW.BHISENIORLIVING.ORG/FOUNDATION X 1985 IN TO SUPPORT BHI SENIOR LIVING, INC., A SECTION 501(C)3 ORGANIZATION. 15 13 0 20 0 0 210244 217090 0 0 486339 536634 0 -5276 696583 748448 424162 537179 0 0 55297 71943 0 0 273495 338531 253889 817990 863011 -121407 -114563 8620000 6748777 260576 278453 8359424 6470324 TO SUPPORT BHI SENIOR LIVING, INC., A SECTION 501(C)3 ORGANIZATION. 0 0 537179 537179 0 EXPENSES WERE INCURRED ON BEHALF OF AND FOR THE BENEFIT OF BHI SENIOR LIVING, INC., A SECTION 501(C)3 ORGANIZATION. 537179 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 IN X ROGER E WEIDEMAN II 3178733371 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 JOHN S DATTILO DIRECTOR & PRESIDENT/CEO 2.00 56.00 X X 0 363620 37901 ROGER E WEIDEMAN II DIRECTOR & SENIOR VP AND CFO 2.00 56.00 X X 0 334250 35922 JERRY MEREDITH DIRECTOR & TREASURER 2.00 0.00 X X 0 0 0 WENDY L MEREDITH DIRECTOR & SECRETARY 2.00 10.50 X X 0 0 0 JANE A RICHARDSON DIRECTOR & VICE-CHAIRPERSON 2.00 6.50 X X 0 0 0 JEFFREY W CALDWELL DIRECTOR 2.00 6.50 X 0 0 0 DEXTER COOLEY DIRECTOR 2.00 6.50 X 0 0 0 BRIAN R ELLIS DIRECTOR 2.00 6.50 X 0 0 0 L DEAN JONES DIRECTOR 2.00 6.50 X 0 0 0 BETH KELLY DIRECTOR 2.00 6.50 X 0 0 0 HARRY H HENNERK DIRECTOR 2.00 6.50 X 0 0 0 ROGER D MILLER DIRECTOR 2.00 10.50 X 0 0 0 FRED ROBBINS DIRECTOR 2.00 6.00 X 0 0 0 JANE A SEIGEL DIRECTOR & CHAIRPERSON 2.00 6.50 X X 0 0 0 JEFFREY A TERP DIRECTOR 2.00 6.50 X 0 0 0 WILLIAM R HURT DIRECTOR (PART YEAR) 2.00 10.50 X 0 0 0 JOHN D LIPSON DIRECTOR (PART YEAR) 2.00 8.50 X 0 0 0 SHAWNA V GOTTLIEB DIRECTOR (PART YEAR) 2.00 6.50 X 0 0 0 0 697870 73823 0 0 1 0 0 46048 171042 217090 184840 184840 1308447 956653 351794 351794 351794 24504 46048 29780 -5276 -5276 748448 0 0 531358 X 480300 480300 56879 56879 71943 71943 1971 1971 7572 7572 16376 16376 20449 20449 2267 2267 2725 2725 2141 2141 35961 35961 WELLNESS EMPLOYEE BENEF 158736 158736 DONATIONS 5000 5000 INTERCOMPANY EXPENSES 691 691 863011 537179 52337 273495 186762 196376 701808 61201 6952893 5956216 749367 513426 29170 21558 8620000 6748777 56890 95082 203686 183371 260576 278453 X 7011039 5416100 1348385 1054224 8359424 6470324 8620000 6748777 X -114563 -1774539 2 X X 0 1 X 1 0 X X 1 BHI SENIOR LIVING INC 350931432 10 1 480300 0 1 480300 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, QUESTION 6 THE FOUNDATION PROVIDES FINANCIAL ASSISTANCE (I.E., TUITION REIMBURSEMENT FOR COLLEGE CLASSES) TO QUALIFYING EMPLOYEES OF BHI SENIOR LIVING, INC. WHO ARE EITHER PURSUING PROFESSIONAL NURSING LICENSURE OR FOR FULL TIME EMPLOYEES WHO ARE SEEKING TO ENHANCE PROFESSIONAL GROWTH THROUGH PARTICIPATION IN EDUCATIONAL PROGRAMS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1030426 -146029 41400 842997 861183 210643 41400 1030426 808649 93934 41400 861183 711199 138250 40800 808649 799524 -47525 40800 711199 0.36630 0.63370 0.00000 0 0 0 ALTERNATIVE INVESTMENTS 513426 F 513426 ANNUITY OBLIGATIONS 180288 TRUST LIABILITY 3083 183371 X PART V, LINE 4: THE $500,000 MUST BE PERMANENTLY HELD, WITH THE EARNINGS TO BE USED FOR LANDSCAPING WAGES AND EXPENSES AT THE FOUR SEASONS CAMPUS IN COLUMBUS, IN. PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GOLF TOURNAMENT FUNDRAISER 70552 46048 24504 1350 17871 6633 3926 70552 46048 24504 1350 17871 6633 3926 29780 -5276 1 BHI SENIOR LIVING INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 350931432 501(C)(3) 480300 0 GENERAL SUPPORT 1 0 EMPLOYEE SCHOLARSHIPS 15 56879 PART I, LINE 2: BHI FOUNDATION, INC. PROVIDES THE MAJORITY OF ITS GRANTS TO THE COMMUNITIES OF BHI SENIOR LIVING, INC. THE FOUNDATION IS A TYPE I SUPPORTING ORGANIZATION FOR BHI SENIOR LIVING, INC. AND THEIR FINANCIAL STATEMENTS ARE CONSOLIDATED. THE MAJORITY OF THE FOUNDATION'S BOARD MEMBERS ALSO SERVE ON THE BOARD OF BHI SENIOR LIVING, INC. THROUGH THE BUDGETING PROCESS THE FOUNDATION'S BOARD APPROVES ALL GRANT REQUESTS AND EXPENDITURES RECEIVED FROM BHI SENIOR LIVING, INC. BHI FOUNDATION'S PROCESS IS TO PROVIDE REIMBURSEMENT IN THE FORM OF A SCHOLARSHIP TO QUALIFYING NURSES. SCHOLARSHIP RECIPIENTS MUST SHOW PROOF OF COMPLETED COURSES BEFORE ISSUING ANY SCHOLARSHIP MONEY. 0 1 0 0 0 0 0 0 0 JOHN S DATTILO DIRECTOR & PRESIDENT/CEO 0 323620 0 40000 0 0 0 16957 0 20944 0 401521 0 0 ROGER E WEIDEMAN II DIRECTOR & SENIOR VP AND CFO 0 299250 0 35000 0 0 0 15282 0 20640 0 370172 0 0 FORM 990, SCH J, PART I, LINE 3 METHODS USED TO DETERMINE COMPENSATION: COMPENSATION PAID BY BHI RETIREMENT COMMUNITIES IS DETERMINED BY THE REVIEW AND APPROVAL OF THE BOARD WHICH INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: A 457(F) DEFERRED COMPENSATION PLAN WAS SET UP FOR JOHN DATILLO AND ROGER WEIDEMAN IN APRIL OF 2019. JOHN DATILLO'S PLAN BEGINS VESTING IN 2031 AND ROGER WEIDEMAN'S PLAN BEGINS VESTING IN 2034 FORM 990, PART VI, SECTION A, LINE 2 JERRY MEREDITH AND WENDY MEREDITH HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 BHI SENIOR LIVING IS THE MEMBER OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A BHI SENIOR LIVING HAS THE RIGHT TO APPROVE/REMOVE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B BHI SENIOR LIVING HAS THE RIGHT TO APPROVAL OR REJECTION OF CERTAIN GOVERNANCE DECISIONS SUCH AS APPROVAL OF THE GOVERNING BODY'S ELECTION OR REMOVAL OF MEMBERS OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CEO OF BHI SENIOR LIVING, INC. WILL REVIEW THE 990 PRIOR TO FILING. A DRAFT COPY OF THE 990 WILL BE MADE AVAILABLE TO ALL DIRECTORS TO REVIEW PRIOR TO FILING. THE FORM 990 WILL ALSO BE REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BHI REPRESENTATIVES ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY POTENTIAL OR PERCEIVED CONFLICT OF INTEREST AT THE TIME IT DEVELOPS BY SUBMITTING A COMPLETED CONFLICT OF INTEREST STATEMENT FORM. THE STATEMENT SHALL BE FORWARDED TO THE CORPORATE COMPLIANCE OFFICER FOR REVIEW BY THE CORPORATE COMPLIANCE, INTERNAL AUDIT, AND RISK MANAGEMENT COMMITTEE OF THE BHI BOARD OF DIRECTORS. IN ADDITION, BOARD OF DIRECTORS, OFFICERS, EXECUTIVE DIRECTORS, AND OTHER DESIGNATED PERSONS ARE REQUIRED TO COMPLETE THE CONFLICT OF INTEREST STATEMENT TO DISCLOSE OR RE-DISCLOSE ANY CONFLICT OF INTEREST ON AN ANNUAL BASIS. IN ADDITION, THE BOARD OF DIRECTOR MEMBERS SHALL REVIEW AND SUBMIT A SIGNED CODE OF PROFESSIONAL ETHICS STATEMENT ON AN ANNUAL BASIS. THE STATEMENTS WILL BE REVIEWED BY THE CORPORATE COMPLIANCE COMMITTEE AND WILL RESULT IN ONE OF THE FOLLOWING ACTIONS; THE DISCLOSED CONFLICT SHALL BE APPROVED AS SUBMITTED. THE DISCLOSED CONFLICT SHALL NOT BE APPROVED AS SUBMITTED AND SPECIFIC REQUIREMENTS SHALL BE DEVELOPED BY THE CORPORATE COMPLIANCE COMMITTEE REGARDING ACTIONS TO BE TAKEN BY THE INDIVIDUAL TO RESOLVE THE CONFLICT. THE DISCLOSED CONFLICT SHALL BE APPROVED WITH THE REQUIREMENT OF SPECIFIED PROCEDURES TO BE IMPLEMENTED AND THEREAFTER MONITORED BY THE CORPORATE COMPLIANCE COMMITTEE TO ENSURE PROPER MANAGEMENT OF THE IDENTIFIED CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 IS AVAILABLE UPON REQUEST AT THE MAIN OFFICE, 8330 ALLISON POINTE TRAIL, STE 300, INDIANAPOLIS, IN 46250. THE OTHER GOVERNING DOCUMENTS HAVE NOT GENERALLY BEEN AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 7 SALARY REIMBURSEMENT: ALL SALARIES AND WAGES WERE PAID THIS YEAR BY BHI RETIREMENT COMMUNITIES, INC. AND BHI SENIOR LIVING, INC. HOWEVER, THE AMOUNT ON LINE 7 REPRESENTS THE AMOUNT OF SALARY REIMBURSED BY BHI FOUNDATION, INC. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST TRUST 2. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BHI SENIOR LIVING INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 350931432 SENIOR LIVING IN 501(C)(3) LINE 10 N/A 0 BHI RETIREMENT COMMUNITIES INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 260262903 SENIOR LIVING IN 501(C)(3) LINE 12A, I BHI SENIOR LIVING INC 1 WESLEY MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 351020934 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 PRAIRIE LANDING COMMUNITY INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 262053830 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 FOUR SEASONS VILLAS INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011187 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 HOOSIER MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011190 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 MAPLE KNOLL COMMUNITIES INC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 310544277 SENIOR LIVING OH 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 MAPLE KNOLL FOUNDATION 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 881290177 SENIOR LIVING OH 501(C)(3) LINE 7 BHI RETIREMENT COMMUNITIES INC 1 CLARK RETIREMENT COMMUNITY FOUNDATION 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 383236052 SENIOR LIVING MI 501(C)(3) LINE 12A, I CLARK RETIREMENT COMMUNITY INC 1 CLARK RETIREMENT SERVICES COMPANY 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 842692761 SENIOR LIVING MI 501(C)(3) LINE 12B, II CLARK RETIREMENT COMMUNITY INC 1 CLARK RETIREMENT COMMUNITY INC 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 381366932 SENIOR LIVING MI 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 WESLEY MANOR SOUTHSIDE LP 2455 W TILL ROAD FORT WAYNE IN 46818 473330645 RETIRE LIVING IN N/A 0 1 SLDEVELOPMENT INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 452664455 GOLF COURSE IN N/A C 1 BHI HOME CARE INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 475160712 HOME CARE IN N/A C 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0