COVENANT HEALTH CARE CENTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COVENANT HEALTH CARE CENTER INC (EIN 52-1115873)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-10
- IRS object ID
- 202312229349301781
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-10T15:31:04-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 S RIVERSIDE PLAZA 9TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521115873 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT HEALTH CARE CENTERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COVE | BusinessNameControlTxt |
| Phone | 8474807110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2155 PFINGSTEN ROAD | AddressLine1Txt |
| City | NORTHBROOK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60062 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEAN E JUSTIE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8474807110 | PhoneNum |
| Signature | 2023-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEAN | PersonFirstNm |
| Person Last | JUSTIE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 3122071040 | PhoneNum |
| Preparation | 2023-08-01 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TERRI S CUNLIFFE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O CLCS 5700 OLD ORCHARD RD | AddressLine1Txt |
| City | SKOKIE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60077 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $33,257,591 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 2650 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COVLIVING.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | CARE FOR SENIOR ADULTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 24 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,897,484 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,019,119 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,134,659 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $30,305,862 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,476,728 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,844,775 | CYInvestmentIncomeAmt |
| PY Other Revenue | $71,270 | PYOtherRevenueAmt |
| CY Other Revenue | $63,933 | CYOtherRevenueAmt |
| PY Total Revenue | $35,580,141 | PYTotalRevenueAmt |
| CY Total Revenue | $33,233,689 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,387,430 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,800,918 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $132,155 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,197,984 | PYOtherExpensesAmt |
| CY Other Expenses | $14,183,588 | CYOtherExpensesAmt |
| PY Total Expenses | $33,585,414 | PYTotalExpensesAmt |
| CY Total Expenses | $31,984,506 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,994,727 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,249,183 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $80,834,072 | TotalAssetsBOYAmt |
| Total Assets EOY | $81,702,246 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $38,359,868 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,011,079 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $42,474,204 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $43,691,167 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS A MINISTRY OF THE EVANGELICAL COVENANT CHURCH, COVENANT LIVING COMMUNITIES AND SERVICES CELEBRATES GOD'S GIFT OF LIFE IN CHRISTIAN COMMUNITY. WE FOLLOW THE GREAT COMMANDMENT TO LOVE AND SERVE GOD AND ONE ANOTHER AS TAUGHT BY JESUS CHRIST. (SEE SCHEDULE O) | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,770,328 | ExpenseAmt |
| Revenue | $9,888,520 | RevenueAmt |
| Desc | ASSISTED LIVING: THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED SEPTEMBER 30, 2022 WERE AS FOLLOWS:THERE WERE A TOTAL OF 91 ASSISTED LIVING RESIDENTS AT 09/30/2022. ASSISTED LIVING RESIDENCY FOR THE FISCAL YEAR TOTALED 32,627 RESIDENT DAYS.ASSISTED LIVING MEMORY SUPPORT:THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED SEPTEMBER 30, 2022 WERE AS FOLLOWS: THERE WERE A TOTAL OF 27 ASSISTED LIVING MEMORY SUPPORT RESIDENTS AT 09/30/2022. ASSISTED LIVING MEMORY SUPPORT RESIDENCY FOR THE FISCAL YEAR TOTALED 9,231 RESIDENT DAYS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,601,939 | ExpenseAmt |
| Revenue | $20,481,275 | RevenueAmt |
| Desc | SKILLED NURSING: THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED SEPTEMBER 30, 2022 WERE AS FOLLOWS:THERE WERE A TOTAL OF 143 SKILLED CARE RESIDENTS AT 09/30/2022.SKILLED CARE RESIDENCY FOR THE FISCAL YEAR TOTALED 50,229 RESIDENT DAYS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $26,372,267 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEAN E JUSTIE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7738782294 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O CLCS 5700 OLD ORCHARD RD | AddressLine1Txt |
| City | SKOKIE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60077 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| TERRI S CUNLIFFE | |||||||||
| DIRECTOR/CLCS PRESIDENT/CEO | 1.00 | 58.00 | Yes (X) | Yes (X) | $0 | $716,837 | $43,631 | ||
| TODD SLECHTA | |||||||||
| DIRECTOR/EX-OFFICIO | 0.10 | 41.90 | Yes (X) | $0 | $198,247 | $41,623 | |||
| JOHN WENRICH - END 9122 | |||||||||
| DIRECTOR/EX-OFFICIO | 0.10 | 41.90 | Yes (X) | $0 | $127,532 | $97,677 | |||
| MATTHEW MANLOVE | |||||||||
| DIRECTOR/CHAIR | 0.10 | 1.90 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JANET CREANEY | |||||||||
| DIRECTOR/VICE CHAIR | 0.10 | 1.90 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SARAH BENTLEY - END 42922 | |||||||||
| DIRECTOR/SECRETARY | 0.10 | 1.90 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LORENE FLEWELLEN | |||||||||
| DIRECTOR/SECRETARY | 0.10 | 1.90 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TAMMY SWANSON-DRAHEIM | |||||||||
| DIRECTOR/EX-OFFICIO | 0.10 | 41.90 | Yes (X) | $0 | $0 | $0 | |||
| KATHY BUETTNER | |||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| PAMELA CHRISTENSEN | |||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| JOHN FREDRICKSON | |||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| JANET GOELZ HOFFMAN | |||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| KURT KINCANON | |||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT MARTIN | |||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER MEANS | |||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| MARY PALMER | |||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| LOANN PETERSON | |||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN POSTON | |||||||||
| DIRECTOR/EX-OFFICIO | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| DIXIE REPPE | |||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW VANOVER | |||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | |||
| DAVID G ERICKSON | |||||||||
| SR VP & GEN COUNSEL/ASST SECRETARY | 1.00 | 58.00 | Yes (X) | $0 | $387,363 | $116,243 | |||
| JEAN E JUSTIE | |||||||||
| CFO/TREASURER/ASST SECRETARY | 1.00 | 58.00 | Yes (X) | $0 | $324,380 | $77,262 | |||
| AMY LACROIX | |||||||||
| SVP, COMMUNITY OPS/ASST SECRETARY | 1.00 | 58.00 | Yes (X) | $0 | $312,458 | $65,934 | |||
| WILLIAM RABE | |||||||||
| SR VP ENTERPRISE OPS/ASST SECRETARY | 1.00 | 58.00 | Yes (X) | $0 | $312,536 | $50,684 | |||
| EMILY WARNYGORA | |||||||||
| ASSISTANT SECRETARY | 1.00 | 58.00 | Yes (X) | $0 | $79,457 | $11,021 | |||
| ANDREW REESE-CLAUSON | |||||||||
| ASSOCIATE VICE PRESIDENT, OPERATIONS | 1.00 | 47.00 | $0 | $178,492 | $22,345 | Yes (X) | |||
| CORY STERN | |||||||||
| FORMER INTERIM FINANCE LEAD/TREAS. | 0.00 | 0.00 | $0 | $198,613 | $29,124 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,835,915 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $555,544 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $625,161 | GovernmentGrantsAmt |
| All Other Contributions | $393,958 | AllOtherContributionsAmt |
| Total Contributions | $1,019,119 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ROUTINE SERVICES | 623000 | $20,392,271 | $20,392,271 |
| MEDICARE/MEDICAID | 623000 | $5,285,802 | $5,285,802 |
| ANCILLARY SERVICES | 623000 | $4,582,677 | $4,582,677 |
| MEALS | 623000 | $45,112 | $45,112 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $30,305,862 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,667,251 | TotalRevenueColumnAmt |
| Exclusion | $1,667,251 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $201,426 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $23,902 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $201,426 | SecuritiesAmt |
| Other | -$23,902 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $177,524 | TotalRevenueColumnAmt |
| Exclusion | $177,524 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SERVICES TO RESIDENTS | 623000 | $57,570 | $57,570 |
| SUPPORT SERVICES | 623000 | $6,363 | $6,363 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $63,933 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,233,689 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,369,795 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,844,775 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,642,855 | TotalAmt |
| Program Services | $13,056,968 | ProgramServicesAmt |
| Management And General | $1,476,971 | ManagementAndGeneralAmt |
| Fundraising | $108,916 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,372 | TotalAmt |
| Program Services | $347,894 | ProgramServicesAmt |
| Management And General | $45,984 | ManagementAndGeneralAmt |
| Fundraising | $1,494 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,684,160 | TotalAmt |
| Program Services | $1,508,265 | ProgramServicesAmt |
| Management And General | $165,946 | ManagementAndGeneralAmt |
| Fundraising | $9,949 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,078,531 | TotalAmt |
| Program Services | $942,701 | ProgramServicesAmt |
| Management And General | $135,830 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,001 | TotalAmt |
| Program Services | $185,001 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,693 | TotalAmt |
| Management And General | $13,693 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,452,805 | TotalAmt |
| Program Services | $4,392,265 | ProgramServicesAmt |
| Management And General | $60,540 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,448 | TotalAmt |
| Management And General | $91,448 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,624,619 | TotalAmt |
| Program Services | $1,470,639 | ProgramServicesAmt |
| Management And General | $153,980 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,029 | TotalAmt |
| Management And General | $522,029 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,070 | TotalAmt |
| Program Services | $576,310 | ProgramServicesAmt |
| Management And General | $41,760 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,801 | TotalAmt |
| Program Services | $1,227 | ProgramServicesAmt |
| Management And General | $2,574 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,028 | TotalAmt |
| Program Services | $1,261 | ProgramServicesAmt |
| Management And General | $52,767 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,342,792 | TotalAmt |
| Program Services | $1,107,176 | ProgramServicesAmt |
| Management And General | $230,068 | ManagementAndGeneralAmt |
| Fundraising | $5,548 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,512,161 | TotalAmt |
| Program Services | $1,246,826 | ProgramServicesAmt |
| Management And General | $259,087 | ManagementAndGeneralAmt |
| Fundraising | $6,248 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,878 | TotalAmt |
| Program Services | $263,878 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RELATED PARTY ACTIVITY | $1,829,095 | $3,969 | $1,825,126 |
| DINING SERVICES | $971,233 | $971,233 | |
| BAD DEBT EXPENSE | $214,286 | $214,286 | |
| MAINT. FOR RESIDENTS | $161,038 | $161,038 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,611 | TotalAmt |
| Program Services | $135,616 | ProgramServicesAmt |
| Management And General | $187,995 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,984,506 | TotalAmt |
| Program Services | $26,372,267 | ProgramServicesAmt |
| Management And General | $5,480,084 | ManagementAndGeneralAmt |
| Fundraising | $132,155 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144 | BOYAmt |
| EOY | $150 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,391 | BOYAmt |
| EOY | $36,878 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,511,137 | BOYAmt |
| EOY | $1,734,260 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,823 | BOYAmt |
| EOY | $5,394 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $54,814,301 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,452,718 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,128,600 | BOYAmt |
| EOY | $17,361,583 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,063,611 | BOYAmt |
| EOY | $16,205,560 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,959,366 | BOYAmt |
| EOY | $46,358,421 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,834,072 | BOYAmt |
| EOY | $81,702,246 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,433 | BOYAmt |
| EOY | $341,102 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,735 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,355,270 | BOYAmt |
| EOY | $36,971,822 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,034 | BOYAmt |
| EOY | $39,705 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $741,396 | BOYAmt |
| EOY | $658,450 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,359,868 | BOYAmt |
| EOY | $38,011,079 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,474,204 | BOYAmt |
| EOY | $43,691,167 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,474,204 | BOYAmt |
| EOY | $43,691,167 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,834,072 | BOYAmt |
| EOY | $81,702,246 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,249,183 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$32,220 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $278,802 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $231,793 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $963,144 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,897,484 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,019,119 | CurrentTaxYearAmt |
| Total | $7,390,342 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,680,344 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,240,847 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,089,659 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,205,929 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,369,795 | CurrentTaxYearAmt |
| Total | $139,586,574 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,959,146 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,472,640 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,052,803 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,103,413 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,388,914 | CurrentTaxYearAmt |
| Total | $146,976,916 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $146,976,916 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,176,729 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $786,828 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,264,521 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,268,240 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,667,251 | CurrentTaxYearAmt |
| Total | $6,163,569 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,176,729 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $786,828 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,264,521 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,268,240 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,667,251 | CurrentTaxYearAmt |
| Total | $6,163,569 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30,135,875 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,259,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,317,324 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,371,653 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,056,165 | CurrentTaxYearAmt |
| Total | $153,140,485 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96250 | PublicSupportPY509Pct |
| Investment Income CY | 0.04020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.03750 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III | FormAndLineReferenceDesc |
| Explanation | BECAUSE OF THE SHORT YEAR-END FILING, THE COLUMNS IN SCHEDULE A PART III CORRESPOND TO THE FOLLOWING TAX YEARS: 2017 = FYE 1/31/19 2018 = SHORT YEAR-END 9/30/19 2019 = FYE 9/30/20 2020 = FYE 9/30/21 2021 = FYE 9/30/22 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $156,030 | OtherCostOrOtherBasisAmt |
| Book Value | $156,030 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,928,179 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,128,856 | DepreciationAmt |
| Book Value | $11,799,323 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,020,908 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,220,499 | DepreciationAmt |
| Book Value | $1,800,409 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,709,184 | OtherCostOrOtherBasisAmt |
| Depreciation | $103,363 | DepreciationAmt |
| Book Value | $3,605,821 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,361,583 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTER-COMPANY ADVANCE ACCOUNTS | Desc |
| Book Value | $46,358,421 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $46,358,421 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER LIABILITIES | Desc |
| Amt | $658,450 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $658,450 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 2B: | FormAndLineReferenceDesc |
| Explanation | RESIDENT TRUST FUND ACCOUNT: PER STATE REGULATIONS, AN ACCOUNT IS MADE AVAILABLE TO SKILLED NURSING FACILITY RESIDENTS WISHING TO DEPOSIT PERSONAL NEEDS FUNDS THAT THEY CAN ACCESS AS NEEDED. INTEREST IS PAID BASED ON THE INTEREST RECEIVED FROM THE BANK FOR THOSE DEPOSITED FUNDS AND ALLOCATED AMONG THE INDIVIDUAL TRUST FUND ACCOUNTS BASED ON AVERAGE BALANCES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TERRI S CUNLIFFE | ||||||||||||||
| DIRECTOR/CLCS PRESIDENT/CEO | $0 | $556,285 | $0 | $0 | $0 | $160,552 | $0 | $8,700 | $0 | $35,047 | $0 | $760,584 | $0 | $20,790 |
| DAVID G ERICKSON | ||||||||||||||
| SR VP & GEN COUNSEL/ASST SECRETARY | $0 | $309,874 | $0 | $0 | $0 | $77,489 | $0 | $83,565 | $0 | $38,614 | $0 | $509,542 | $0 | $0 |
| JEAN E JUSTIE | ||||||||||||||
| CFO/TREASURER/ASST SECRETARY | $0 | $263,821 | $0 | $0 | $0 | $60,559 | $0 | $45,344 | $0 | $38,938 | $0 | $408,662 | $0 | $0 |
| AMY LACROIX | ||||||||||||||
| SVP, COMMUNITY OPS/ASST SECRETARY | $0 | $276,919 | $0 | $0 | $0 | $35,539 | $0 | $42,510 | $0 | $24,085 | $0 | $379,053 | $0 | $0 |
| WILLIAM RABE | ||||||||||||||
| SR VP ENTERPRISE OPS/ASST SECRETARY | $0 | $260,946 | $0 | $0 | $0 | $51,590 | $0 | $39,116 | $0 | $17,228 | $0 | $368,880 | $0 | $0 |
| TODD SLECHTA | ||||||||||||||
| DIRECTOR/EX-OFFICIO | $0 | $130,651 | $0 | $38,725 | $0 | $28,871 | $0 | $19,346 | $0 | $22,563 | $0 | $240,156 | $0 | $0 |
| CORY STERN | ||||||||||||||
| FORMER INTERIM FINANCE LEAD/TREAS. | $0 | $143,143 | $0 | $0 | $0 | $55,470 | $0 | $20,557 | $0 | $8,861 | $0 | $228,031 | $0 | $0 |
| JOHN WENRICH - END 9122 | ||||||||||||||
| DIRECTOR/EX-OFFICIO | $0 | $127,532 | $0 | $0 | $0 | $0 | $0 | $26,249 | $0 | $71,428 | $0 | $225,209 | $0 | $0 |
| ANDREW REESE-CLAUSON | ||||||||||||||
| ASSOCIATE VICE PRESIDENT, OPERATIONS | $0 | $144,549 | $0 | $0 | $0 | $33,943 | $0 | $22,345 | $0 | $240 | $0 | $201,077 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | SEE SCHEDULE O EXPLANATION FOR FORM 990 PART VI SECTION B LINE 15 FOR THE METHODS USED TO DETERMINE CEO COMPENSATION. THE REVIEW AND APPROVAL PROCESS IS DESIGNED TO SATISFY AND QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958. |
| PART I, LINE 4B | EXECUTIVE BENEFIT PLAN COVENANT MINISTRIES OF BENEVOLENCE (CMB), A RELATED ORGANIZATION, PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO ITS OFFICERS AND KEY EMPLOYEES. THESE BENEFITS ARE PROVIDED THROUGH A NONQUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH A PORTION OF THE BENEFITS BEING EARNED ARE SUBJECT TO A "SUBSTANTIAL RISK OF FORFEITURE." THE SUPPLEMENTAL RETIREMENT BENEFITS ARE STRUCTURED TO PROVIDE A RETENTION INCENTIVE THAT HAS BEEN DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF CMB'S BOARD ("COMMITTEE") TO BE OF SUBSTANTIAL VALUE TO THE ORGANIZATION. THE COMMITTEE APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THESE AND OTHER EXECUTIVES, IN A MANNER INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF FEDERAL INCOME TAX LAW. THE FOLLOWING ARE PARTICIPANTS IN THE PLAN: TERRI CUNLIFFE DAVID ERICKSON WILLIAM RABE CORY STERN JEAN JUSTIE AMY LACROIX ANDREW REESE-CLAUSON TODD SLECHTA IN 2021, THESE INDIVIDUALS VESTED IN THE PLAN IN THE FOLLOWING AMOUNTS: TERRI CUNLIFFE - $65,665 DAVID ERICKSON - $23,147 CORY STERN - $12,367 WILLIAM RABE - $19,251 IN 2021, THESE INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE PLAN IN THE FOLLOWING AMOUNTS: DAVID ERICKSON - $29,992 TERRI CUNLIFFE - $39,525 |
| PART I, LINE 7 | THE FOLLOWING APPLIES TO CERTAIN INDIVIDUALS LISTED ON PART VII WHOSE COMPENSATION IS PAID FROM RELATED ORGANIZATIONS: THE EXECUTIVE COMPENSATION COMMITTEE (OF CMB'S BOARD) FOLLOWS A PRESCRIBED METHOD FOR CALCULATING INCENTIVE COMPENSATION AWARDS. THE CALCULATION IS BASED ON MEASURABLE TARGETS DETERMINED AT THE BEGINNING OF THE YEAR. THE COMMITTEE HAS THE ABILITY TO ADJUST THE DOLLAR VALUE OF THE CALCULATED AWARDS BY UP TO 10%. THE ADJUSTMENT CAN BE AN UPWARD OR DOWNWARD ADJUSTMENT BASED ON VARIOUS PERFORMANCE FACTORS OR ON FACTORS THAT WILL ASSURE THAT FINAL INCENTIVE COMPENSATION AWARDS ARE IN THE BEST INTEREST OF THE ORGANIZATION AND APPROPRIATELY REFLECT THE PERFORMANCE OF THE ORGANIZATION. REFER TO ADDITIONAL INFORMATION ON THE COMMITTEE INCLUDED IN SCHEDULE O. PART II, COLUMN B (II): BONUS AND INCENTIVE COMPENSATION - CERTAIN KEY PERSONS EMPLOYED BY COVENANT LIVING AND CMB ARE ELIGIBLE FOR INCENTIVE COMPENSATION AS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF EITHER THE COVENANT LIVING OR CMB'S BOARD BASED ON WHERE THESE INDIVIDUALS ARE EMPLOYED. INCENTIVES RELATED TO THE ACHIEVEMENT OF TARGETS FOR THE EIGHT-MONTHS ENDED 9/30/20 WERE NOT PAID OUT IN 2021 FOR CLCS AND RELATED ENTITIES, BUT INCENTIVES RELATED TO CMB'S ACHIEVEMENT OF TARGETS FOR THE TWELVE-MONTHS ENDED 9/30/21 WERE PAID OUT IN 2021. PART II, COLUMN D: NONTAXABLE BENEFITS INCLUDE HEALTH INSURANCE PREMIUMS PAID BY THE EMPLOYER AND EMPLOYEE. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1: | AS A MINISTRY OF THE EVANGELICAL COVENANT CHURCH, COVENANT LIVING COMMUNITIES AND SERVICES CELEBRATES GOD'S GIFT OF LIFE IN CHRISTIAN COMMUNITY. WE FOLLOW THE GREAT COMMANDMENT TO LOVE AND SERVE GOD AND ONE ANOTHER AS TAUGHT BY JESUS CHRIST. THAT COMPELS US TO AFFIRM THE DIGNITY OF EACH PERSON AND TO PURSUE EXCELLENCE AND FINANCIAL INTEGRITY IN ALL THAT WE DO. AS WE PROVIDE A BROAD RANGE OF RESOURCES, SERVICES AND PROGRAMS TO ENHANCE INDIVIDUAL AND COMMUNITY WELLNESS, WE COLLABORATE WITH RESIDENTS AND FAMILIES TO ACHIEVE THE BEST POSSIBLE RESULTS. WHILE SEEKING TO FOSTER INDEPENDENCE, WE RESPOND TO EACH INDIVIDUAL'S EVOLVING NEEDS IN ORDER TO PROVIDE THE SECURITY THAT ASSURES PEACE OF MIND. IN LIVING OUT THE MISSION, THE COMMUNITY PROVIDES A COMPLETE CONTINUUM OF CARE FROM RESIDENTIAL LIVING THROUGH SKILLED NURSING. SUCH SERVICES ARE GUIDED BY A SERIES OF VALUES AND GOALS ADDRESSING RESIDENT NEEDS, PRIVACY, SAFETY AND DIGNITY, INCLUDING APPROPRIATE ACCESS TO SERVICES. IN CARRYING OUT THE MISSION STATEMENT OF COVENANT LIVING, COVENANT HEALTH CARE CENTERS, INC. PROVIDED $887,687 FREE OR DISCOUNTED SERVICES TO THOSE RESIDENTS UNABLE TO PAY ALL OR A PORTION OF THEIR CHARGES, AND WHO MEET CERTAIN ELIGIBILITY REQUIREMENTS. |
| FORM 990, PART V, LINES 1A & 2A: | EMPLOYEES AND VENDORS COVENANT HEALTH CARE CENTERS, INC. (CHCC) IS A COMBINATION OF THE ASSISTED LIVING AND SKILLED NURSING FACILITIES OF TWO CONTINUING CARE RETIREMENT COMMUNITIES (CCRC), COVENANT HOME AND COVENANT LIVING AT THE HOLMSTAD. THE W2'S OF EMPLOYEES AND 1099-MISC FOR VENDORS THAT DO WORK FOR CHCC ARE REPORTED AND ISSUED UNDER THE FEIN OF EACH CAMPUS. NO WAGES OR 1099'S ARE ISSUED UNDER THE FEIN OF CHCC. THERE ARE ABOUT 834 EMPLOYEES WORKING IN THESE TWO CAMPUS LOCATIONS AND A COMBINED TOTAL OF 103 VENDORS WERE SENT 1099'S AS OF 9/30/22. |
| FORM 990, PART IV, LINE 24A: | TAX EXEMPT BONDS THE ORGANIZATION HAS TAX EXEMPT BONDS ISSUED AFTER DECEMBER 31, 2002 WITH AN OUTSTANDING PRINCIPAL OF MORE THAN $100,000. THE BONDS ARE REPORTED ON SCHEDULE K OF THE PARENT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 3 | COVENANT HEALTH CARE CENTERS, INC. DELEGATED CONTROL OVER MANAGEMENT DUTIES TO COVENANT LIVING COMMUNITIES AND SERVICES, ITS PARENT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER IS COVENANT LIVING COMMUNITIES AND SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 7B | S 2.4 OF BYLAWS INCLUDE RESERVED POWERS TO THE [INDIVIDUAL] MEMBERS SUCH AS APPOINTMENT OF PRESIDENT OF COVENANT LIVING COMMUNITIES AND SERVICES, CHANGES TO MISSION AND STRATEGIC PLAN, APPROVAL OF CERTAIN ACQUISITIONS, DISPOSITIONS AND FINANCINGS, CHANGES TO ARTICLES AND BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | MANAGEMENT REVIEW: THE DRAFT FORM 990 WAS REVIEWED BY MULTIPLE LEVELS OF MANAGEMENT INCLUDING THE CHIEF FINANCIAL OFFICER. BOARD REVIEW: PRIOR TO FILING, THE 990 PROCESS WAS REVIEWED WITH THE BOARD OF DIRECTORS AT THE BOARD MEETING AND THE FINAL FORM 990 WAS PROVIDED TO EACH BOARD MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 12C | COVENANT LIVING COMMUNITIES AND SERVICES HAS AN ADMINISTRATIVE POLICY ON CONFLICT OF INTEREST, IDENTIFYING THE PARAMETERS OF A CONFLICT OF INTEREST AND THE REQUIREMENT TO DISCLOSE ANY SUCH CONFLICT OF INTEREST. THE COVENANT LIVING POLICY IS DISTRIBUTED ANNUALLY TO COVENANT LIVING BOARD MEMBERS AND OFFICERS. THEY ARE ASKED TO SIGN ACKNOWLEDGING RECEIPT OF THE POLICY AND TO DISCLOSE IF THEY HAVE ANY CONFLICT OF INTERESTS. IF SOMEONE IS ABSENT FROM THE MEETING OR FAILS TO RETURN THE ACKNOWLEDGMENT, THERE IS A FOLLOW-UP WITH THE INDIVIDUAL UNTIL THE SIGNED ACKNOWLEDGMENT IS PROVIDED. IN ADDITION TO THE ABOVE, A SEPARATE AND MORE COMPREHENSIVE QUESTIONNAIRE IS SENT TO THE BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND OTHER INTERESTED PERSONS. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY COVENANT LIVING'S LEGAL COUNSEL TO DETERMINE IF ANY ACTUAL OR POTENTIAL CONFLICTS EXIST. IF A PERSON BECOMES AN INTERESTED PERSON, HE OR SHE MAY BE CONSIDERED IN DETERMINING WHETHER A QUORUM IS PRESENT. THE INTERESTED PERSON MAY MAKE A SHORT STATEMENT RELATING TO THE TRANSACTION OR ARRANGEMENT IN QUESTION, BUT SHALL NOT BE PRESENT DURING THE DISCUSSION AND SHALL NOT VOTE ON THE MOTION ADDRESSING THE ACTUAL OR POTENTIAL CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | COVENANT LIVING COMMUNITIES AND SERVICES' BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO COVENANT LIVING'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE COVENANT LIVING'S SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD, AND THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE RESOURCES UTILIZED BY THE COMPENSATION COMMITTEE INCLUDE: 1) INDEPENDENT COMPENSATION CONSULTANT; 2) COMPENSATION SURVEY OR STUDY; 3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST BY CONTACTING THE COVENANT LIVING COMMUNITIES AND SERVICES FINANCE DEPARTMENT AT 773-878-2294. |
| FORM 990, PART VI, LINE 9: | CONTACT INFO FOR DIRECTORS & OFFICERS ALL OF THE ORGANIZATION'S DIRECTORS AND OFFICERS CAN BE CONTACTED AT THIS ADDRESS: COVENANT LIVING COMMUNITIES AND SERVICES - 5700 OLD ORCHARD ROAD, SKOKIE, IL 60077. |
| FORM 990, PART IX, LINE 11G | THERAPY FEES: PROGRAM SERVICE EXPENSES 1,293,276. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,293,276. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 746,343. MANAGEMENT AND GENERAL EXPENSES 16,647. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 762,990. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,195,254. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,195,254. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 35,443. MANAGEMENT AND GENERAL EXPENSES 43,255. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,698. ENTERTAINMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 638. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 638. LAB AND X-RAY EXPENSE: PROGRAM SERVICE EXPENSES 121,949. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 121,949. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| EVANGELICAL COVENANT CHURCH | |||||||||||
| 8303 WEST HIGGINS ROAD | CHICAGO | IL | 60631 | 362167730 | CHURCH | IL | 501(C)(3) | LINE 1 | N/A | 0 | |
| COVENANT LIVING COMMUNITIES AND SERVICES | |||||||||||
| 5700 OLD ORCHARD RD | SKOKIE | IL | 60077 | 363478388 | MANAGEMENT/SUPPORT SERVICES | IL | 501(C)(3) | LINE 12B, II | 0 | EVANGELICAL COVENANT CHURCH | |
| COVENANT LIVING OF GOLDEN VALLEY | |||||||||||
| 5800 ST CROIX AVE | MINNEAPOLIS | MN | 55422 | 410841150 | CONTINUING CARE RETIREMENT COMMUNITY | MN | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT HOME | |||||||||||
| 2625 TECHNY ROAD | NORTHBROOK | IL | 60062 | 362643638 | CONTINUING CARE RETIREMENT COMMUNITY | IL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT LIVING OF CROMWELL INC | |||||||||||
| 52 MISSIONARY ROAD | CROMWELL | CT | 06416 | 131740015 | CONTINUING CARE RETIREMENT COMMUNITY | CT | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT HOME OF CHICAGO | |||||||||||
| 2720 W FOSTER AVE | CHICAGO | IL | 60625 | 363095932 | ASSISTED LIVING FACILITY | IL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT HOME SERVICES | |||||||||||
| 5700 OLD ORCHARD RD | SKOKIE | IL | 60077 | 260744025 | HOME HEALTH SERVICES | IL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING SERVICES INC | |
| COVENANT HOUSING CORPORATION | |||||||||||
| 5700 OLD ORCHARD RD | SKOKIE | IL | 60077 | 364484624 | MANAGEMENT/SUPPORT SERVICES | IL | 501(C)(3) | LINE 12B, II | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT MINISTRIES OF BENEVOLENCE | |||||||||||
| 5145 N CALIFORNIA AVE | CHICAGO | IL | 60625 | 363486813 | CHURCH AFFILIATE | IL | 501(C)(3) | LINE 12A, I | 0 | EVANGELICAL COVENANT CHURCH | |
| COVENANT LIVING OF BIXBY INC | |||||||||||
| 5700 OLD ORCHARD RD | SKOKIE | IL | 60077 | 320419173 | CONTINUING CARE RETIREMENT COMMUNITY | IL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING SERVICES INC | |
| COVENANT LIVING OF THE GREAT LAKES | |||||||||||
| 2520 LAKE MICHIGAN DRIVE NW | GRAND RAPIDS | MI | 49504 | 383244636 | CONTINUING CARE RETIREMENT COMMUNITY | MI | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT LIVING WEST | |||||||||||
| 2550 TREASURE DRIVE | SANTA BARBARA | CA | 93105 | 953472345 | CONTINUING CARE RETIREMENT COMMUNITY | CA | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT LIVING SERVICES | |||||||||||
| 5700 OLD ORCHARD RD | SKOKIE | IL | 60077 | 272480652 | MANAGEMENT/SUPPORT SERVICES | IL | 501(C)(3) | LINE 12B, II | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT LIVING OF COLORADO | |||||||||||
| 9153 YARROW STREET | WESTMINSTER | CO | 80021 | 841084331 | CONTINUING CARE RETIREMENT COMMUNITY | CO | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT LIVING OF FLORIDA INC | |||||||||||
| 9215 W BROWARD BLVD | PLANTATION | FL | 33324 | 521115870 | CONTINUING CARE RETIREMENT COMMUNITY | FL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT LIVING AT THE HOLMSTAD | |||||||||||
| 700 W FABYAN PARKWAY | BATAVIA | IL | 60510 | 362835154 | CONTINUING CARE RETIREMENT COMMUNITY | IL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT LIVING AT WINDSOR PARK | |||||||||||
| 124 WINDSOR PARK DRIVE | CAROL STREAM | IL | 60188 | 363385581 | CONTINUING CARE RETIREMENT COMMUNITY | IL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT LIVING OF GENEVA | |||||||||||
| 5700 OLD ORCHARD RD | SKOKIE | IL | 60077 | 843227613 | RENTAL SENIOR HOUSING | IL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING SERVICES INC | |
| TULSA HILLS COMMUNITY INC | |||||||||||
| 5700 OLD ORCHARD RD | SKOKIE | IL | 60077 | 842854729 | CONTINUING CARE RETIREMENT COMMUNITY | IL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING SERVICES INC | |
| EMC HEALTH INC | |||||||||||
| 2881 GEER ROAD SUITE A | TURLOCK | CA | 95382 | 942281314 | MANAGEMENT/SUPPORT SERVICES | CA | 501(C)(3) | LINE 12B, II | 0 | COVENANT MINISTRIES OF BENEVOLENCE | |
| COVENANT INITIATIVES FOR CARE INC | |||||||||||
| 4055 W PETERSON AVE SUITE 106 | CHICAGO | IL | 60646 | 271841721 | MANAGEMENT/SUPPORT SERVICES | IL | 501(C)(3) | LINE 12B, II | 0 | COVENANT MINISTRIES OF BENEVOLENCE | |
| COVENANT CARE CENTER | |||||||||||
| 9201 WEST BROWARD BLVD | PLANTATION | FL | 33324 | 591948940 | CONTINUING CARE RETIREMENT COMMUNITY | FL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT PALMS OF MIAMI | |||||||||||
| 9201 WEST BROWARD BLVD | PLANTATION | FL | 33324 | 590653300 | CONTINUING CARE RETIREMENT COMMUNITY | FL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| COVENANT RETIREMENT COMMUNITIES OF MINNESOTA INC | |||||||||||
| 5825 SAINT CROIX AVENUE | MINNEAPOLIS | MN | 55422 | 411506900 | CONTINUING CARE RETIREMENT COMMUNITY | MN | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| CRC FOUNDATION | |||||||||||
| 5700 OLD ORCHARD RD STE 100 | SKOKIE | IL | 60077 | 300763748 | FUNDRAISING | IL | 501(C)(3) | LINE 7 | 0 | COVENANT LIVING COMMUNITIES AND SERVICES | |
| THREE CROWNS FOUNDATION | |||||||||||
| 2323 MCDANIEL AVENUE | EVANSTON | IL | 60201 | 201060468 | FOUNDATION | IL | 501(C)(3) | LINE 12B, II | 0 | COVENANT LIVING SERVICES INC | |
| THREE CROWNS PARK | |||||||||||
| 2323 MCDANIEL AVENUE | EVANSTON | IL | 60201 | 362030089 | CONTINUING CARE RETIREMENT COMMUNITY | IL | 501(C)(3) | LINE 10 | 0 | THREE CROWNS FOUNDATION | |
| COVENANT LIVING KEENE | |||||||||||
| 5700 OLD ORCHARD RD | SKOKIE | IL | 60077 | 873525712 | CONTINUING CARE RETIREMENT COMMUNITY | IL | 501(C)(3) | LINE 10 | 0 | COVENANT LIVING SERVICES INC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT INTERNATIONAL INSURANCE COMPANY LTD | |||||||||||||
| INNOVATION HOUSE 3RD FLOOR 46 REI | HAMILTON | BD | INSURANCE | BD | N/A | C | 0 | ||||||
| COVENANT TRUST COMPANY | |||||||||||||
| FINANCIAL SERVICES | N/A | C | 0 | 141 W JACKSON BLVD SUITE 1850A | CHICAGO | IL | 60604 | 363583163 | IL | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COVENANT LIVING COMMUNITIES AND SERVICES | ||
| Q | $2,665,117 | ALLOCATION OF ACTUAL COST |
| COVENANT LIVING COMMUNITIES AND SERVICES | ||
| A | $1,266,061 | ALLOCATION OF ACTUAL COST |
Comments