2024-11-15T11:42:59-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 1785 INDIAN WOOD CIRCLE MAUMEE OH 43537 990 2023-01-01 208597755 FMHM COMMUNITY LIVING FMHM 4195926451 N-160 SR 108 NAPOLEON OH 43545 TERRI RODRIGUEZ CEO 4195926451 2024-11-14 1 1 DIANN STRETTEN P01983935 4197942000 2024-11-07 2023 2024-10-15 13:58:12Z TERRI RODRIGUEZ N-160 SR 108 NAPOLEON OH 43545 2760788 0 X N/A X 2006 OH RECOGNIZING THAT WE ARE ALL CREATED IN GOD'S IMAGE, OUR MISSION IS TO SUPPORT PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN REACHING THEIR GREATEST LEVEL OF INDEPENDENCE IN A CARING COMMUNITY OF RESPECT, DIGNITY AND PARTNERSHIP. 3 3 0 3 0 0 0 0 2603023 2646542 0 0 0 114246 2603023 2760788 0 0 0 0 3072227 3469432 0 0 0 280760 234100 3352987 3703532 -749964 -942744 1493570 623769 3528552 3601481 -2034982 -2977712 X RECOGNIZING THAT WE ARE ALL CREATED IN GOD'S IMAGE, OUR MISSION IS TO SUPPORT PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN REACHING THEIR GREATEST LEVEL OF INDEPENDENCE IN A CARING COMMUNITY OF RESPECT, DIGNITY AND PARTNERSHIP. 0 0 3295707 2760788 THE PURPOSE OF THE FILLING HOMES WAIVER/SUPPORTED LIVING SERVICES IS TO ENABLE ADULTS WITH DEVELOPMENTAL DISABILITIES TO LIVE IN MORE TYPICAL HOUSING OPTIONS IN SAFE RESIDENTIAL NEIGHBORHOODS, WITH PERSONS OF THEIR CHOICE THROUGH A COMMUNITY BASED SYSTEM OF SUPPORT AND SERVICES. THIS IS DONE THROUGH HOMEMAKER PERSONAL CARE (HPC) AND TRANSPORTATION SERVICES AVAILABLE THROUGH THE INDIVIDUAL OPTIONS, LEVEL 1, AND SELF WAIVERS. THE GOAL IS ASSISTING EACH PERSON TO BE AS INDEPENDENT AS POSSIBLE, WHILE MAINTAINING THE PERSON'S HEALTH AND SAFETY. PERSONS PARTICIPATING IN THIS PROGRAM ARE ELIGIBLE TO RECEIVE ADULT DAY PROGRAMMING FROM THE FILLING HOMES CERTIFIED HABILIATION CENTER. A WIDE VARIETY OF ACTIVITIES ARE AVAILABLE TO MEET INDIVIDUAL NEEDS AND PREFERENCES. SEE SCHEDULE O FOR CONTINUATION. A LARGE PORTION OF THE PROGRAM FOCUSES ON CREATING OPPORTUNITIES FOR SOCIALIZATION, COMMUNITY INVOLVEMENT, SENSORY STIMULATION, REPOSITIONING, ENHANCEMENT OF LIFE SKILLS, AND WORK TRAINING SKILLS ALONG WITH AQUATIC AND PHYSICAL THERAPIES. EVERYTHING IS DONE IN A WAY TO PROMOTE RESPECT, DIGNITY, AND THE HIGHEST LEVEL OF PERSONAL ACHIEVEMENT AND INDEPENDENCE. 3295707 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 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 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KEN RICHMOND 4195926451 N-160 SR 108 NAPOLEON OH 43545 CHRIS DELFAVERO PRESIDENT 0.25 0.00 X X 0 0 0 KEVIN NYE SECRETARY/TREASURER 0.25 0.00 X X 0 0 0 JOHN SHAFFER TRUSTEE 0.25 0.00 X 0 0 0 TERRI RODRIGUEZ CEO/EXECUTIVE DIRECTOR 1.15 38.85 X 0 149149 16318 CAROL SLIGHT EXECUTIVE VICE PRESIDENT 6.00 34.00 X 0 89204 2507 KEN RICHMOND FINANCE DIRECTOR 2.25 37.75 X 0 87452 13531 0 325805 32356 0 0 1 0 0 MEDICAID 621610 2646542 2646542 2646542 MISCELLANEOUS REVENUE 900099 114246 114246 114246 2760788 2760788 0 0 2950639 2639120 311519 9507 8652 855 250214 227711 22503 259072 233261 25811 5479 5479 17139 14134 3005 272 272 32614 27070 5544 111295 92375 18920 44585 37006 7579 7185 5964 1221 DUES & SUBSCRIPTIONS 5052 4193 859 RECRUITMENT 3242 3242 MEDICAL COSTS 1259 1259 5978 4962 1016 3703532 3295707 407825 0 2087 2087 654439 0 764446 567247 72598 54435 1493570 623769 24425 159413 41816 16485 3462311 3425583 3528552 3601481 X -2034982 -2977712 -2034982 -2977712 1493570 623769 X -942744 14 X 0 1 X 0 0 X 138111 1759334 0 0 1897445 2471012 3064258 2698233 2603023 2646542 13483068 2471012 3202369 4457567 2603023 2646542 15380513 0 0 0 15380513 41641 261222 1939 114246 419048 2512653 3463591 4459506 2603023 2760788 15799561 0.97350 0.97720 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2020 AMOUNT: $ 2,849. 2021 AMOUNT: $ 1,939. 2023 AMOUNT: $ 114,246. REFUNDS REBATES - 2019 AMOUNT: $ 41,641. 2020 AMOUNT: $ 258,373. 0 1 X 0 CLIENT FUNDS 54435 54435 AMOUNT DUE RELATED PARTY 3425583 3425583 X PART IV, LINE 2B: THE ORGANIZATION MANAGES AND MAINTAINS CLIENT OWNED FUNDS AT THE REQUEST OF ITS CLIENTS. PART X, LINE 2: 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 TWELVE 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. 0 0 0 0 0 0 0 0 0 TERRI RODRIGUEZ CEO/EXECUTIVE DIRECTOR 0 149149 0 0 0 0 0 3330 0 12988 0 165467 0 0 FORM 990, PART VI, SECTION A, LINE 3 FILLING MEMORIAL HOME OF MERCY PERFORMS MANAGEMENT DUTIES FOR FMHM COMMUNITY LIVING. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S SIGNING OFFICER REVIEWS THE FORM 990 FOR COMPLETENESS PRIOR TO SIGNATURE AND PROVIDES A COPY TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE LMM BOARD OF DIRECTORS USES THE LUTHERAN SERVICES IN AMERICA ANNUAL COMPENSATION SURVEY AS A BASIS FOR DETERMINING THE SALARY OF THE PRESIDENT AND C.E.O THIS ANNUAL SURVEY COMPARES NATIONAL COMPENSATION LEVELS WITHIN THE INDUSTRY BASED ON ORGANIZATIONAL OPERATING BUDGETS. IN ADDITION, THE BOARD OF DIRECTORS CONSULTS WITH THE EMPLOYERS ASSOCIATION OF TOLEDO SHOULD ADDITIONAL COMPENSATION INFORMATION BE NEEDED. FORM 990, PART VI, SECTION B, LINE 15 THE LMM BOARD OF DIRECTORS USES THE LUTHERAN SERVICES IN AMERICA ANNUAL COMPENSATION SURVEY AS A BASIS FOR DETERMINING THE SALARY OF THE PRESIDENT AND C.E.O THIS ANNUAL SURVEY COMPARES NATIONAL COMPENSATION LEVELS WITHIN THE INDUSTRY BASED ON ORGANIZATIONAL OPERATING BUDGETS. IN ADDITION, THE BOARD OF DIRECTORS CONSULTS WITH THE EMPLOYERS ASSOCIATION OF TOLEDO SHOULD ADDITIONAL COMPENSATION INFORMATION BE NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: ROLL NET ASSETS 14. FILLING MEMORIAL HOME OF MERCY INC N-160 SR 108 NAPOLEON OH 43545 344481347 PROVIDE RESIDENTIAL CARE OH 501(C)(3) LINE 10 N/A 0 FILLING HOME FOUNDATION N-160 SR 108 NAPOLEON OH 43545 341747447 SUPPORT FILLING MEMORIAL HOME OH 501(C)(3) LINE 12A, I N/A 0 FULFILLING HOUSING INC N-160 SR 108 NAPOLEON OH 43545 450577994 PROVIDE RESIDENTIAL CARE OH 501(C)(3) LINE 7 N/A 0 FULFILLING HOUSING II INC N-160 SR 108 NAPOLEON OH 43545 320272307 PROVIDE RESIDENTIAL CARE OH 501(C)(3) LINE 10 N/A 0 FULFILLING HOUSING III INC N-160 SR 108 NAPOLEON OH 43545 320272309 PROVIDE RESIDENTIAL CARE OH 501(C)(3) LINE 10 N/A 0 FULFILLING HOUSING IV INC N-160 SR 108 NAPOLEON OH 43545 320272312 PROVIDE RESIDENTIAL CARE OH N/A 0 FMHM HOUSING CORP N-160 SR 108 NAPOLEON OH 43545 208599973 PROVIDE RESIDENTIAL CARE OH 501(C)(3) LINE 10 N/A 0 LUTHER HOME OF MERCY 5810 N MAIN ST PO BOX 187 WILLISTON OH 43468 344441788 PROVIDE LONG TERM CARE FOR ADULTS WITH MENTAL RETARDATION & DISABILITIES OH 501(C)(3) LINE 10 N/A 0 LUTHER HOME OF MERCY FOUNDATION 5810 N MAIN ST PO BOX 187 WILLISTON OH 43468 341680157 PROVIDE DONATIONS FOR LUTHER HOME OF MERCY FOR COSTS NOT COVERED BY GOV'T OH 501(C)(3) LINE 12A, I N/A 0 MERCY OUTREACH MINISTRIES INC 5810 N MAIN ST PO BOX 187 WILLISTON OH 43468 311762518 PROVIDE ELDERLY OR HANDICAPPED ON A NONPROFIT BASIS RENTAL HOUSING OH 501(C)(3) LINE 7 N/A 0 MERCY OUTREACH MINISTRIES II INC 5810 N MAIN ST PO BOX 187 WILLISTON OH 43468 300074718 PROVIDE ELDERLY OR HANDICAPPED ON A NONPROFIT BASIS RENTAL HOUSING OH 501(C)(3) LINE 7 N/A 0 MERCY OUTREACH MINISTRIES III INC 5810 N MAIN ST PO BOX 187 WILLISTON OH 43468 510559043 PROVIDE ELDERLY OR HANDICAPPED ON A NONPROFIT BASIS RENTAL HOUSING OH 501(C)(3) LINE 7 N/A 0 MERCY OUTREACH MINISTRIES IV INC 5810 N MAIN ST PO BOX 187 WILLISTON OH 43468 161758563 PROVIDE ELDERLY OR HANDICAPPED ON A NONPROFIT BASIS RENTAL HOUSING OH 501(C)(3) LINE 7 N/A 0 MERCY OUTREACH MINISTRIES V INC 5810 N MAIN ST PO BOX 187 WILLISTON OH 43468 223966179 START UP ENTITY WILL PROVIDE ELDERLY OR HANDICAPPED RENTAL HOUSING OH 501(C)(3) LINE 7 N/A 0 MERCY OUTREACH MINISTRIES VI INC 5810 N MAIN ST PO BOX 187 WILLISTON OH 43468 223966180 START UP ENTITY WILL PROVIDE ELDERLY OR HANDICAPPED RENTAL HOUSING OH 501(C)(3) LINE 7 N/A 0 LHM PROPERTIES INC 5810 N MAIN ST PO BOX 187 WILLISTON OH 43468 161758565 START UP ENTITY WILL PROVIDE ELDERLY OR HANDICAPPED RENTAL HOUSING OH 501(C)(3) LINE 7 N/A 0 LUTHERAN SOCIAL SERVICES OF NORTHWESTERN OHIO 2149 COLLINGWOOD BLVD TOLEDO OH 43620 344428225 SOCIAL SERVICES PROVIDER OH 501(C)(3) LINE 7 N/A 0 LUTHERAN SOCIAL SERVICES OF NORTHWESTERN OHIO FOUNDATION 2149 COLLINGWOOD BLVD TOLEDO OH 43620 341743473 SUPPORT LUTHERAN SOCIAL SERVICES OF NORTHWESTERN OHIO OH 501(C)(3) LINE 12B, II N/A 0 LUTHERAN MINISTRIES OF MERCY INC 5810 N MAIN ST PO BOX 187 WILLISTON OH 43468 461893000 ASSIST RELATED ORGANIZATIONS OH 501(C)(3) LINE 10 N/A 0 MERCY OUTREACH MINISTRIES VII INC 5810 N MAIN ST PO BOX 187 WILLISTON OH 43468 474241337 START UP ENTITY WILL PROVIDE ELDERLY OR HANDICAPPED RENTAL HOUSING OH 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0