2024-11-14T15:46:18-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2023-01-01 311480580 OHIO EASTERN STAR HEALTH CARE CENTER INC OHIO 7403971706 1451 GAMBIER ROAD MOUNT VERNON OH 43050 DARCY BUSSARD CONTROLLER 7403971706 2024-11-14 1 1 AMY CIMINELLO P00796388 6148493000 2024-11-05 2023 2024-10-15 13:58:12Z MICHELE ENGELBACH 1451 GAMBIER ROAD MOUNT VERNON OH 43050 6526251 0 X WWW.OESHOME.ORG X 2001 OH TO PROVIDE SKILLED AND LONG-TERM CARE AND TREATMENT TO RESIDENTS IN A COMFORTABLE, HOME-LIKE ENVIRONMENT. VISION: TO BE A RECOGNIZED HEALTH CARE LEADER AND A PREFERRED HEALTH CARE PROVIDER IN THE COMMUNITY AT LARGE. 4 4 0 4 0 0 0 0 6091682 6491014 22 16 24004 35221 6115708 6526251 0 0 0 0 5131973 5930077 0 0 0 3219215 3034304 8351188 8964381 -2235480 -2438130 688874 880102 428907 3058265 259967 -2178163 X THE CAMPUS OF THE OHIO EASTERN STAR HOME IS DEDICATED TO LEADING THE WAY INTO THE FUTURE WHILE PROVIDING THE HIGHEST QUALITY OF SERVICES AND ENRICHING THE LIVES OF ALL WE SERVE. OUR INNOVATION AND ADAPTABILITY SUPPORT OUR ENVIRONMENT FOR GROWTH AND PROMOTES OUR COMMITMENT TO BEING AN INDUSTRY LEADER. 0 0 7175066 6526235 OPERATES AN 86-BED SKILLED NURSING FACILITY PROVIDING CARE TO THE ELDERLY RESIDENTS. 7175066 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X DARCY BUSSARD 7403971706 1451 GAMBIER ROAD MOUNT VERNON OH 43050 RON HARDESTY CHAIRPERSON 2.00 4.00 X X 0 0 0 DAVID MERCKLE SECRETARY 2.00 2.00 X X 0 0 0 BECKY THATCHER VICE CHAIRPERSON 2.00 2.00 X X 0 0 0 BARBARA STUART QA/HR COMMITTEE CHAIR 2.00 2.00 X 0 0 0 MICHELE ENGELBACH CEO 18.00 22.00 X 0 153970 6366 KATHRINE WILSON CONTROLLER 15.00 25.00 X 0 54175 0 DARCY BUSSARD CONTROLLER 15.00 25.00 X 0 72613 0 0 280758 6366 1 0 1 0 EQUITY CONSTRUCTION SOLUTIONS LLC 4653 TRUEMAN BLVD HILLIARD OH 43026 CONSTRUCTION IN PROGRESS 5161047 WSB REHABILITATION SERVICES INC 510 W MAIN STREET CANFIELD OH 44406 THERAPY SERVICES 556542 2 MEDICARE/MEDICAID PMT 623000 3516401 3516401 RESIDENT SERVICES 623000 2974613 2974613 6491014 16 16 33014 2207 0 0 33014 2207 35221 35221 6526251 6526235 0 16 X 329944 329944 4827142 4371540 455602 369717 231241 138476 403274 347089 56185 7014 7014 3237 3237 50200 50200 690371 684318 6053 37678 37678 973805 879347 94458 58760 58760 320650 320650 7458 1753 5705 2035 2000 35 445654 326516 119138 FRANCHISE PERMIT FEE 426830 426830 BAD DEBT WRITE-OFF 6383 6383 COVID-19 EXPENSES 4229 4229 8964381 7175066 1789315 0 56949 282830 599348 558557 32577 38715 688874 880102 338730 381879 90177 2676386 428907 3058265 X 259967 -2178163 259967 -2178163 688874 880102 -2438130 0 X X 0 1 X 1 0 X X 1 OHIO EASTERN STAR HOME 314405826 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 INTERCOMPANY PAYABLE 2676386 2676386 0 0 0 0 0 0 0 0 0 MICHELE ENGELBACH CEO 0 153970 0 0 0 0 0 0 0 6366 0 160336 0 0 SCHEDULE J, PART III, LINE 3 THE RELATED ORGANIZATION, OHIO EASTERN STAR HOME, CONDUCTS THE COMPENSATION REVIEWS. THEY REFERENCE THE AASHA AND NHCA COMPENSATION SALARY SURVEY. THE DOCUMENTATION FOR THE REVIEW OF THE CEO AND OFFICER COMPENSATION IS RECORDED IN THE BOARD MINUTES. THIS PROCESS WAS LAST COMPLETED IN OCTOBER 2023. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD AND OHIO EASTERN STAR HOME'S FINANCE COMMITTEE, A RELATED ORGANIZATION, REVIEWS FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO FILL OUT A BOARD MEMBER QUESTIONNAIRE EACH YEAR TO IDENTIFY ANY TRANSACTIONS THAT NEED TO BE REPORTED ON SCHEDULE L. THE CORPORATE COMPLIANCE OFFICER REVIEWS THE QUESTIONNAIRES FOR ANY POTENTIAL CONFLICTS. ANY POTENTIAL CONFLICTS ARE REVIEWED BY THE CORPORATE COMPLIANCE COMMITTEE AND CEO. THE INDIVIDUAL IS THEN PROHIBITED FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DECISIONS. CONTINUOUS MONITORING IS DISCUSSED AS NEEDED AT QUARTERLY CORPORATE COMPLIANCE MEETINGS. ANY POTENTIAL CONFLICTS ARE REVIEWED BY MEMBERS OF THE COMMITTEE AND APPROPRIATE ACTIONS ARE TAKEN TO ENSURE COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 THE RELATED ORGANIZATION, OHIO EASTERN STAR HOME, CONDUCTS THE COMPENSATION REVIEWS. SALARY AMOUNTS FOR THE CEO AND OTHER OFFICERS ARE REVIEWED AND APPROVED BY THE BOARD AT HIRE DATE. THEY REFERENCE THE AASHA AND NHCA COMPENSATION SALARY SURVEY. THE DOCUMENTATION FOR THE REVIEW OF THE CEO AND OFFICER COMPENSATION IS RECORDED IN THE BOARD MINUTES. THIS PROCESS WAS LAST COMPLETED IN OCTOBER 2023. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICAL THERAPIST CONTRACT: PROGRAM SERVICE EXPENSES 248,413. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 248,413. OCCUPATIONAL THERAPIST CONTRACT: PROGRAM SERVICE EXPENSES 255,351. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 255,351. SPEECH THERAPIST CONTRACT: PROGRAM SERVICE EXPENSES 61,206. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,206. EMPLOYEE SCREENING SERVICES: PROGRAM SERVICE EXPENSES 55,302. MANAGEMENT AND GENERAL EXPENSES 6,053. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,355. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 64,046. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,046. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE OF OHIO EASTERN STAR HOME IS RESPONSIBLE FOR OVERSEEING 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. OHIO EASTERN STAR HOME 1451 GAMBIER ROAD MOUNT VERNON OH 43050 314405826 OPERATING A RESIDENTIAL CARE FACILITY OH 501(C)(3) LINE 10 N/A 0 OHIO EASTERN STAR COMMUNITY SERVICES 1451 GAMBIER ROAD MOUNT VERNON OH 43050 020803707 OPERATING A COMMUNITY-BASED HOME HEALTH AGENCY OH 501(C)(3) LINE 10 OHIO EASTERN STAR HOME 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0