2025-11-13T16:40:09-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 1785 INDIAN WOOD CIRCLE MAUMEE OH 43537 990 2024-01-01 340930124 FAIRLAWN HAVEN FAIR 4194453075 407 E LUTZ ROAD ARCHBOLD OH 43502 TAMMY ALLISON CEO 4194453075 2025-11-13 1 1 CAITLIN BAINTER P01985124 4197942000 2025-11-10 2024 2025-03-06 01:10:19Z TAMMY ALLISON 407 E LUTZ ROAD ARCHBOLD OH 43502 14890599 0 X WWW.FAIRLAWNARCHBOLD.ORG X 1961 OH FAIRLAWN HAVEN PROMOTES QUALITY OF LIFE FOR EACH RESIDENT THROUGH POSITIVE, FULFILLING EXPERIENCES. 10 10 253 20 0 0 1024029 221783 12543864 14270780 216656 228653 26 37392 13784575 14758608 0 0 0 0 5908412 7233826 0 0 0 7343100 6998765 13251512 14232591 533063 526017 14416445 14654702 3711533 3408841 10704912 11245861 X FAIRLAWN HAVEN, A FAITH-BASED AND NOT-FOR-PROFIT SENIOR LIVING COMMUNITY, IS COMMITTED TO PROVIDING COMPASSIONATE, HIGH-QUALITY CARE AND SERVICES THAT SUPPORT THE DIGNITY, INDEPENDENCE, AND WELL-BEING OF OLDER ADULTS. ROOTED IN CHRISTIAN VALUES AND GUIDED BY A LEGACY OF SERVICE SINCE 1964, FAIRLAWN HAVEN STRIVES TO MEET THE PHYSICAL, EMOTIONAL, SPIRITUAL, AND SOCIAL NEEDS OF EACH RESIDENT IN A SAFE, WELCOMING, AND ENRICHING ENVIRONMENT. THROUGH A CONTINUUM OF CARE INCLUDING INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE, REHABILITATION, AND LONG-TERM SKILLED NURSING. FAIRLAWN HAVEN FOSTERS A VIBRANT COMMUNITY WHERE SENIORS CAN THRIVE WHILE REMAINING CLOSE TO FAMILY, FRIENDS, AND FAITH. 0 0 12345559 0 14270780 FAIRLAWN HAVEN OPERATES AS A COMPREHENSIVE SENIOR CARE FACILITY OFFERING A FULL CONTINUUM OF SERVICES ON ITS ARCHBOLD, OHIO CAMPUS. THE PROGRAM INCLUDES INDEPENDENT LIVING DUPLEXES AND APARTMENTS, ASSISTED LIVING STUDIOS, SHORT-TERM INPATIENT REHABILITATION, OUTPATIENT THERAPY, MEMORY CARE FOR RESIDENTS WITH DEMENTIA, AND LONG-TERM SKILLED NURSING. LICENSED NURSES AND CERTIFIED NURSING ASSISTANTS PROVIDE 24-HOUR CARE, INCLUDING MEDICATION MANAGEMENT, WOUND CARE, AND COORDINATION WITH OUTSIDE SPECIALISTS. RESIDENTS BENEFIT FROM ON-SITE PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, THERAPEUTIC DIETS, AND LIFE ENRICHMENT ACTIVITIES. THE COMMUNITY EMPHASIZES A HOMELIKE SETTING WITH PRIVATE AND SEMI-PRIVATE ACCOMMODATIONS, COMMUNAL DINING, AND AMENITIES SUCH AS A WHIRLPOOL, SHUFFLEBOARD COURT, AND REHABILITATION GYM. FAIRLAWN HAVEN'S HOLISTIC APPROACH ENSURES THAT SENIORS RECEIVE PERSONALIZED CARE IN A SUPPORTIVE AND FAITH-CENTERED ENVIRONMENT. 12345559 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 14 0 1 253 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TODD MOORE 5674445089 407 E LUTZ ROAD ARCHBOLD OH 43502 TOM WARNER CHAIR 0.39 0.20 X X 0 0 0 TIM WAGLER VICE CHAIR 0.39 0.20 X X 0 0 0 RUTH KAUFFMAN TREASURER 0.97 0.20 X X 0 0 0 KAREN WALKER SECRETARY 0.49 0.20 X X 0 0 0 LONNIE RUFENACHT IMMEDIATE PAST CHAIR 0.39 0.20 X 0 0 0 LORI FREY TRUSTEE 0.39 0.20 X 0 0 0 BONNIE HEATWOLE TRUSTEE (EXITED 04/2024) 0.06 0.06 X 0 0 0 DOUG KAUFFMAN TRUSTEE (EXITED 04/2024) 0.06 0.06 X 0 0 0 JOY KAUZLICK TRUSTEE 0.49 0.20 X 0 0 0 KEVIN MORTON TRUSTEE 0.97 0.20 X 0 0 0 BRENT RINGENBERG TRUSTEE (JOINED 04/2024) 0.34 0.14 X 0 0 0 CINDY ROSE TRUSTEE (JOINED 04/2024) 0.34 0.14 X 0 0 0 TAMMY ALLISON CEO 40.00 15.00 X 149461 0 0 TODD MOORE DIRECTOR OF FINANCE 50.00 0.00 X 102840 0 8784 REBECCA HATTON DIRECTOR OF NURSING 60.00 0.00 X 119030 0 10566 371331 0 19350 3 0 0 0 0 221783 221783 LONG-TERM CARE PATIENT REVENUE 623990 11829936 11829936 INDEPENDENT LIVING REVENUE 623990 1727933 1727933 MANAGEMENT FEE REVENUE 623990 603515 603515 GUEST & EMPLOYEE MEALS 623990 106811 106811 OTHER OPERATING REVENUE 623990 2585 2585 14270780 199328 199328 161316 131991 29325 29325 29325 OTHER MISCELLANEOUS INCOME 900099 37392 37392 37392 14758608 14270780 0 266045 X 261085 54109 206976 5697769 4953328 744441 853133 507455 345678 421839 360716 61123 5280 5280 98426 98426 9743 9743 2788509 2707964 80545 22204 2140 20064 155404 110031 45373 172138 65247 106891 301542 286677 14865 14047 13372 675 25114 25113 1 91413 91413 574666 549619 25047 105300 100035 5265 MEDICAL SUPPLIES 1272824 1272824 FRANCHISE FEE 563080 563080 RESIDENT ASSISTANCE 456767 456767 REPAIRS AND MAINTENANCE 160510 153939 6571 181798 163143 18655 14232591 12345559 1887032 0 2617 983620 4041868 3213039 931183 1040887 182262 203763 18636956 10872749 7718554 7764207 1524646 1438976 15315 10210 14416445 14654702 1219240 1174958 2492293 2233883 3711533 3408841 X 10454912 10835618 250000 410243 10704912 11245861 14416445 14654702 526017 14932 0 X X 0 1 X 1 0 X 2282927 1112112 1596455 1024029 221783 6237306 11388177 9959781 10805005 12543890 14270780 58967633 13671104 11071893 12401460 13567919 14492563 65204939 100100 100100 0 100100 100100 65104839 76062 77748 51042 213072 196093 614017 76062 77748 51042 213072 196093 614017 37392 37392 13747166 11149641 12452502 13780991 14726048 65856348 0.98860 0.99220 0.00930 0.00780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30613 30613 30608 5 30613 30608 30608 52274 21666 30608 30608 21666 52274 1.00000 0 0 10569 10569 13895446 8069766 5825680 4561417 2802983 1758434 169524 169524 7764207 X PART V, LINE 4: BUILDING FUND - DESIGNATED BY THE BOARD PART X, LINE 2: FAIRLAWN HAVEN IS A NOT-FOR-PROFIT ENTITY DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501 (A) OF THE CODE. MANAGEMENT OF THE ORGANIZATION IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE ORGANIZATION IS MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT OF THE ORGANIZATION IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. HOWEVER, MANAGEMENT'S CONCLUSIONS MAY BE SUBJECT TO REVIEW AND ADJUSTMENT AT A LATER DATE BASED ON FACTORS INCLUDING, BUT NOT LIMITED TO, NEW TAX LAWS, REGULATIONS, AND ADMINISTRATIVE INTERPRETATIONS (INCLUDING RELEVANT COURT DECISIONS). THE ORGANIZATION'S FEDERAL TAX RETURNS FOR THE PRIOR THREE FISCAL YEARS REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). FORM 990, PART VI, SECTION B, LINE 11B FAIRLAWN HAVEN RETIREMENT COMMUNITY'S FORM 990 IS REVIEWED IN ITS ENTIRETY BY THE FULL BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED OFF ON BY EACH BOARD MEMBER ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO IS APPROVED BY THE BOARD OF TRUSTEES. OTHER OFFICERS & OTHER KEY EMPLOYEES ARE REVIEWED BY THE CEO AND APPROVED BY THE BOARD OF TRUSTEES. THE BOARD, CEO, DIRECTOR OF FINANCE AND DIRECTOR OF HR USES COMPARABILITY DATA, INCLUDING THE LEADINGAGE CCRC COMPENSATION MANUAL, TO EVALUATE REASONABLENESS. THE BASIS FOR THE DECISION, INCLUDING DATA REVIEWED AND TERMS OF APPROVAL, IS DOCUMENTED IN THE MEETING MINUTES AT THE TIME OF THE DETERMINATION. THE MOST RECENT REVIEW OF COMPENSATION UNDER THIS PROCESS WAS COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 FAIRLAWN HAVEN, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. REQUESTS MAY BE SUBMITTED IN WRITING. FORM 990, PART IX, LINE 11G CONTRACTED & PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,707,964. MANAGEMENT AND GENERAL EXPENSES 80,545. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,788,509. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS PROCESS FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS, NOR ITS PROCESS FOR SELECTING AN INDEPENDENT ACCOUNTANT DURING THE TAX YEAR. OVERSIGHT RESPONSIBILITIES REMAIN CONSISTANT TO PRIOR YEARS. FAIRLAWN INC 407 E LUTZ ROAD ARCHBOLD OH 43502 311106704 CARE AND HOUSING FOR THE AGED OH 501(C)(3) LINE 10 FAIRLAWN HAVEN 1 FAIRLAWN APARTMENTS 407 E LUTZ ROAD ARCHBOLD OH 43502 341198877 LONG TERM NURSING CARE OH 501(C)(3) LINE 10 FAIRLAWN HAVEN 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 FAIRLAWN INC Q 572535 AUDITED VALUE FAIRLAWN APARTMENTS Q 30980 AUDITED VALUE