2025-11-06T14:54:22-06:00 2024-12-31 331498605 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT STE 300 AUBURN HILLS MI 48326 990 2024-01-01 311480580 OHIO EASTERN STAR HEALTH CARE CENTER INC OHIO 7403971706 1451 GAMBIER ROAD MOUNT VERNON OH 43050 DARCY BUSSARD CONTROLLER 7403971706 2025-11-06 1 1 AMY CIMINELLO P00796388 2483757100 2025-11-03 2024 2025-03-06 01:10:19Z MICHELE ENGELBACH 1451 GAMBIER ROAD MOUNT VERNON OH 43050 7931114 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. 2 2 0 4 0 0 0 0 6491014 7888509 16 0 35221 42605 6526251 7931114 0 0 0 0 5930077 6771094 0 0 0 3034304 3371667 8964381 10142761 -2438130 -2211647 880102 817278 3058265 5207088 -2178163 -4389810 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 8126734 0 7931114 OPERATES AN 86-BED SKILLED NURSING FACILITY PROVIDING CARE TO THE ELDERLY RESIDENTS. 8126734 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 2 2 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 X RON HARDESTY BUILDING COMMITTEE CHAIR 1.00 3.00 X X 0 0 0 DAVID MERKLE SECRETARY 2.00 2.00 X X 0 0 0 BECKY THATCHER TERMED 924 CHAIRPERSON - PART YEAR 2.00 4.00 X X 0 0 0 BARBARA STUART TERMED 924 QA/HR COMMITTEE CHAIR - PART YEAR 2.00 2.00 X 0 0 0 MICHELE ENGELBACH CEO 18.00 22.00 X 0 150362 7291 KATIE WILSON CONTROLLER - PART YEAR 15.00 25.00 X 0 26527 0 DARCY BUSSARD CONTROLLER 15.00 25.00 X 0 97712 0 0 274601 7291 1 0 1 0 EQUITY CONSTRUCTION SOLUTIONS LLC 4653 TRUEMAN BOULEVARD SUITE 2000 HILLIARD OH 43026 CONSTRUCTION 9663329 CARDMEMBER SERVICES PO BOX 790408 ST LOUIS MO 63179 CREDIT CARD SUPPORT 597769 WSB REHABILITATION SERVICES INC PO BOX 75563 CHICAGO IL 60675 THERAPY SERVICES 527037 GORDON FOOD SERVICE INC PO BOX 88029 CHICAGO IL 60680 FOOD SERVICES 408045 MCB PAVING 1145 CLEVELAND AVENUE ASHLAND OH 44805 CONSTRUCTION 264118 10 RESIDENT SERVICES 623000 4310066 4310066 MEDICARE/MEDICAID PMT 623000 3578443 3578443 7888509 42605 0 42605 42605 42605 7931114 7931114 0 0 X 340909 340909 5515153 4986695 528458 459591 363423 96168 455441 397104 58337 25655 25655 27844 27844 50240 50240 769315 764888 4427 40112 40112 1121435 1006601 114834 70091 70091 374925 374925 7988 1550 6438 379 379 358151 202461 155690 FRANCHISE PERMIT FEE 496445 496445 BAD DEBT WRITE-OFF 22341 22341 COVID-19 EXPENSES 6746 6746 10142761 8126734 2016027 0 282830 0 558557 775532 38715 41746 880102 817278 381879 489501 2676386 4717587 3058265 5207088 X -2178163 -4389810 -2178163 -4389810 880102 817278 -2211647 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 4717587 4717587 0 0 0 0 0 0 0 0 0 MICHELE ENGELBACH CEO 0 150362 0 0 0 0 0 0 0 7291 0 157653 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. PART VII, SECTION B OHIO EASTERN STAR PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY, OHIO EASTERN STAR HEALTH. THE INDEPENDENT CONTRACTORS OVER $100,000 WILL BE LISTED ON THE 990 FILED FOR OHIO EASTERN STAR HEALTH. FEIN 31-1480580. FORM 990, PART IX, LINE 11G PHYSICAL THERAPIST CONTRACT: PROGRAM SERVICE EXPENSES 264,882. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 264,882. OCCUPATIONAL THERAPIST CONTRACT: PROGRAM SERVICE EXPENSES 279,075. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 279,075. SPEECH THERAPIST CONTRACT: PROGRAM SERVICE EXPENSES 23,772. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,772. EMPLOYEE SCREENING SERVICES: PROGRAM SERVICE EXPENSES 135,678. MANAGEMENT AND GENERAL EXPENSES 4,427. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 140,105. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 61,481. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,481. PART IX, LINE 5 OHIO EASTERN STAR PROCESSES ALL ACCOUNTS PAYABLE THROUGH ONE PAY COMPANY, OHIO EASTERN STAR HOME. ALL W-2 FORMS FOR OHIO EASTERN STAR HEALTH ARE FILED UNDER OHIO EASTERN STAR HOME. FEIN 31-4405826. 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