2024-04-30T09:40:29-07:00 2023-06-30 990 2022-07-01 382775795 HERITAGE COMMUNITY OF KALAMAZOO FOUNDATION INC HERI 2693821255 2400 Portage Street KALAMAZOO MI 49001 Rachel Olmsted Chief Financial Officer 2692764043 2024-04-30 Rachel Olmsted 999009999 1 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z RACHEL OLMSTED 2400 PORTAGE STREET KALAMAZOO MI 49001 768768 0 X WWW.HERITAGECOMMUNITY.COM X 1945 MI TO FOSTER AN INTEREST IN ASSISTANCE FOR THE AGED AND TO SUPPORT A CONTINUUM OF CARE FOR SENIORS 19 19 0 0 0 0 225364 593354 0 0 463909 175414 -16308 -22791 672965 745977 0 0 0 0 0 0 1260 0 155875 289210 421377 290470 421377 382495 324600 5596831 6258775 -595 -77413 5597426 6336188 WE WILL BE THE PREMIER SENIOR LIVING PROVIDER THAT CELEBRATES THE WHOLE PERSON WHILE EMBRACING FAMILIES AND PARTNERING WITH THE COMMUNITY 0 0 99412 215000 0 TO FOSTER AN INTEREST IN ASSISTANCE FOR THE AGED AND TO SUPPORT A CONTINUUM OF CARE FOR SENIORS. A TOTAL OF SIX GRANTS ARE FOR A MEMORY CARE LEARNING CENTER, EDUCATION AND LEARNING, AND BENEVOLENT CARE FUNDING. $215,000 IN GRANTS WERE AWARDED AND $115,000 WAS SPENT IN FISCAL YEAR 06/30/2023. 0 0 0 99412 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 MI X X RACHEL OLMSTED 2693821255 2400 Portage Street KALAMAZOO MI 49001 JAY PRINCE CEO 1 39 X 0 324773 4276 RACHEL OLMSTED CHIEF FINANCIAL OFFICER 1 39 X 0 200822 4276 PAUL BARBER VICE PRESIDENT OF OPERATIONS 1 39 X 0 159990 11717 LINDSAY MORSE DIRECTOR OF HEALTH SERVICES 0 40 X 0 141874 10544 MATTHEW SHANKLE VICE PRESIDENT OF MARKETING & SALES 0 40 X 0 126502 11717 BELINDA JANSON CNA 0 84 X 0 129199 5000 ROXANNE FLETCHER DIRECTOR OF IT 1 39 X 0 109510 16221 DAWN NICKRENT DIRECTOR OF NURSING 0 40 X 0 109278 11465 AMY BARNES CONTROLLER 1 39 X 0 104677 11717 DENISE EBERTH VICE PRESIDENT HUMAN RESOURCES 1 39 X 0 101800 0 REX BELL BOARD PRESIDENT 1 0 X X 0 0 0 BOB MILLER VICE CHAIR 1 0 X X 0 0 0 WILLIAM MILLARD BOARD TREASURER 1 0 X X 0 0 0 SIDNEY ELLIS DIRECTOR 1 0 X 0 0 0 JAMES ESCAMILLA DIRECTOR 1 0 X 0 0 0 LAURA ELLER DIRECTOR 1 0 X 0 0 0 DAVID HERBEL EX OFFICIO 1 0 X 0 0 0 CHERYL KNAPP DIRECTOR 1 0 X 0 0 0 RICHARD NAGLE DIRECTOR 1 0 X 0 0 0 RON CISLER DIRECTOR 1 0 X 0 0 0 DAN RINZEMA DIRECTOR 1 0 X 0 0 0 LISA MOORE FOUNDATION BOARD CHAIR 1 0 X X 0 0 0 JAMES ESCAMILLA FOUNDATION VICE CHAIR 1 0 X X 0 0 0 GREGORY ST ARNAULD FOUNDATION BOARD MEMBER 1 0 X 0 0 0 DR TOM OWEN FOUNDATION BOARD MEMBER 1 0 X 0 0 0 HELEN BOGATSCHOW FOUNDATION BOARD MEMBER 1 0 X 0 0 0 TROY CUVELIER FOUNDATION BOARD MEMBER 1 0 X 0 0 0 JAMES STEPHANAK FOUNDATION BOARD MEMBER 1 0 X 0 0 0 SCOTT SYLVESTER FOUNDATION BOARD MEMBER 1 0 X 0 0 0 0 1508425 86933 11 0 1 0 0 0 0 106243 0 0 487111 0 593354 0 171139 171139 0 0 0 0 0 0 0 0 0 0 0 0 4275 0 0 0 4275 0 4275 0 0 4275 0 0 22791 -22791 0 -22791 0 745977 171139 0 -18516 166090 166090 15944 15944 1577 1577 71 71 166 166 99412 99412 7363 7363 SUPPLIES 1211 0 0 1211 OTHER FUNDRAISING EXPENSE 2757 0 0 2757 RELEASED FROM RESTRICTIONS 124585 0 0 124585 DUES & SUBSCRIPTIONS 2201 0 0 2201 421377 99412 166090 155875 354146 474622 44633 65320 3817504 4282458 1380548 1436375 5596831 6258775 -595 -77413 -595 -77413 X 4862531 4961219 734895 1374969 5597426 6336188 5596831 6258775 324600 414162 0 0 0 0 X 0 1 X 1 0 X X 7 HERITAGE COMMUNITY OF KALAMAZOO 382758582 10 1 0 118279 DIRECTORS HALL 264576739 10 1 0 3108 HAROLD & GRACE UPJOHN COMMUNITY CARE CENTER 381493964 10 1 0 0 WYNDHAM 382872875 10 1 0 48212 AMBER WAY WYNDHAM WEST 383470397 10 1 0 54196 HERITAGE AT HOME 823718019 10 1 0 0 REVEL CREEK 843276264 10 1 0 0 7 0 223795 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Schedule A, Part I, Line 12g(i) THE OTHER SUPPORT PROVIDED TO SUPPORTED ORGANIZATIONS ARE MUSIC THERAPY, BENEVOLENT CARE, LIFE ENRICHMENT ACTIVITIES AND THE OPERATING EXPENSES OF A MEMORY CARE LEARNING CENTER AVAILABLE TO RESIDENTS, THEIR FAMILIES AND THE COMMUNITY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1876229 0 234800 0 6622 0 2104407 2168925 35511 -280425 0 47782 0 1876229 1711896 21419 495464 0 59854 0 2168925 1663252 73060 32615 0 57031 0 1711896 1518118 109310 89015 0 53191 0 1663252 0.839 0.161 0 0 1 1 RESTRICTED CASH 682588 SPLIT INTEREST AGREEMENT RECEIVABLE 374657 DUE TO/FROM RELATED PARTIES 379130 1436375 219755 0 0 0 22791 22791 196964 0 549013 549013 745977 50925 0 0 0 22791 22791 28134 0 393243 393243 421377 Schedule D, Part V, Line 4 ENDOWMENT FUNDS ARE TO BE USED TO SUPPORT THE FOUNDATION AS INDICATED BY THE DONOR Schedule D, Part XI, Line 2d SPECIAL EVENT EXPENSE NETTED WITH REVENUE Schedule D, Part XI, Line 4b MANAGEMENT FEES, TRUST INCOME, RESTRICTED CONTRIBUTIONS AND NET ASSETS RELEASED FROM RESTRICTIONS LISTED SEPARATELY ON AUDITED F/S. Schedule D, Part XII, Line 2d SPECIAL EVENT EXPENSE NETTED WITH REVENUE Schedule D, Part XII, Line 4b MANAGEMENT FEES AND TRANSFER TO AFFILIATE GALA - SIGNATURE EVENT 70605 0 70605 0 0 0 2220 4850 3300 MOORS GOLF OUTING 35638 0 35638 0 1100 7040 2972 0 1309 0 106243 0 106243 0 1100 7040 5192 4850 4609 22791 83452 X X 0 0 0 0 0 0 0 1 0 JAY PRINCE CEO 0 294991 0 29782 0 0 0 0 0 4276 0 329049 0 0 RACHEL OLMSTED CHIEF FINANCIAL OFFICER 0 180011 0 20812 0 0 0 0 0 4276 0 205099 0 0 PAUL BARBER VICE PRESIDENT OF OPERATIONS 0 144877 0 15113 0 0 0 0 0 11717 0 171707 0 0 LINDSAY MORSE DIRECTOR OF HEALTH SERVICES 0 131197 0 10677 0 0 0 0 0 10544 0 152418 0 0 Schedule J, Part I, Line 3 A FORMAL REVIEW PROCESS AND COMPARABILITY DATA PROVIDED BY HUMAN RESOURCES Schedule J, Part I, Line 7 BONUSES BASED ON OPERATIONAL GOALS AND AT THE DISCRETION OF THE BOARD OF DIRECTORS Form 990, Part VI, Section A, Line 6 THEIR SOLE MEMBER IS HERITAGE COMMUNITY OF KALAMAZOO Form 990, Part VI, Section A, Line 7a MEMBERS OF THE BOARD OF DIRECTORS ELECT/APPOINT NEW MEMBERS FOR A THREE YEAR TERM AT THE ANNUAL MEETING Form 990, Part VI, Section B, Line 11b A COPY OF THE 990 WAS REVIEWED BY THE CFO PRIOR TO FILING THE RETURN Form 990, Part VI, Section B, Line 12c THE BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST FORM EACH YEAR ACKNOWLEDGING RECEIPT OF THE CONFLICT OF INTEREST POLICY AND DISCLOSURE OF ANY POTENTIAL CONFLICTS. BOARD MEMBERS HAVING A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN MAKING A BUSINESS DECISION TO COMMIT THE ORGANIZATION'S RESOURCES. ANY BOARD MEMBER HAVING A CONFLICT MUST ALSO ABSTAIN FROM VOTING ON RELEVANT SUBJECTS WHICH IS REFLECTED IN THE BOARD MINUTES. THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY. Form 990, Part VI, Section B, Line 15 A FORMAL REVIEW PROCESS AND COMPARABILITY DATA PROVIDED BY HUMAN RESOURCES Form 990, Part VI, Section C, Line 19 THE INFORMATION IS PROVIDED TO THE PUBLIC UPON REQUEST HERITAGE COMMUNITY OF KALAMAZOO 2400 Portage Street KALAMAZOO MI 49001 382758582 CORPORATE OFFICE MI 501(C)3 LINE 12B, II N/A 0 DIRECTORS HALL 2400 Portage Street KALAMAZOO MI 49001 264576739 ASSISTED LIVING MI 501(C)3 LINE 10 HERITAGE COMMUNITY OF KALAMAZOO 0 HAROLD & GRACE UPJOHN COMMUNITY CARE CENTER 2400 Portage Street KALAMAZOO MI 49001 381493964 SKILLED CARE MI 501(C)3 LINE 10 HERITAGE COMMUNITY OF KALAMAZOO 0 WYNDHAM 2400 Portage Street KALAMAZOO MI 49001 382872875 INDEPENDENT LIVING MI 501(C)3 LINE 10 HERITAGE COMMUNITY OF KALAMAZOO 0 AMBER WAY-WYNDHAM WEST 2400 Portage Street KALAMAZOO MI 49001 383470397 ASSISTED LIVING MI 501(C)3 LINE 10 HERITAGE COMMUNITY OF KALAMAZOO 0 HERITAGE AT HOME 2400 PORTAGE STREET KALAMAZOO MI 49001 823718019 AT HOME PERSONAL CARE MI 501(C)(3) LINE 10 HERITAGE COMMUNITY OF KALAMAZOO 0 RIDGE CREEK 2400 PORTAGE STREET KALAMAZOO MI 49001 843276264 INDEPENDENT LIVING MI 501(C)(3) LINE 10 HERITAGE COMMUNITY OF KALAMAZOO 0 Connected LLC 2400 Portage Street Kalamazoo MI 49001 364840673 Healthcare Technology MI Heritage Connected Inc Related 50 50 0 1 0.5 Heritage Connected Inc 2400 Portage Street Kalamazoo MI 49001 812989859 Healthcare Technology MI Heritage Community C 100 100 1 0 HERITAGE MEMORY CARE LEARNING CENTER LLC 2400 PORTAGE STREET KALAMAZOO MI 49001 883210095 EDUCATION AND SUPPORT FOR ALZHEIMER'S AND DEMENTIA CARETAKERS MI HERITAGE COMMUNITY OF KALAMAZOO C 100 100 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 HERITAGE COMMUNITY OF KALAMAZOO l 175750 MANAGEMENT FEES ARE BASED ON THE COST OF PROVIDING MANAGEMENT SERVICES. INDEPENDENT AUDITED STATEMENTS WERE NOT COMPLETED UNTIL NOVEMBER 30TH. A TIMELY EXTENSION WAS FILED. WE ARE WITHIN THE EXTENSION DEADLINE.