2023-10-20T10:04:10-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2022-01-01 362169165 PLYMOUTH PLACE INC PLYM 7083540340 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 JAMES BIERE CHIEF EXECUTIVE OFFICER 7083540340 2023-10-19 1 JAMES BIERE 999009999 0 CHRIS MANDERFIELD P01238973 6305738600 2023-10-19 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JAMES BIERE 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 38273854 0 X WWW.PLYMOUTHPLACE.ORG X 1938 IL RETIREMENT HOME FOR SENIOR CITIZENS 6 6 440 15 0 0 840829 647992 30405120 32069992 1099558 1779061 0 0 32345507 34497045 109628 163518 0 0 14674029 14901353 0 0 0 18537463 20435343 33321120 35500214 -975613 -1003169 140283826 247070493 186428607 292948343 -46144781 -45877850 PLYMOUTH PLACE IS DEDICATED TO PROVIDING A WELCOMING ENVIRONMENT FOR OLDER ADULTS. WITH A FOCUS ON THE DIGNITY AND WORTH OF EACH INDIVIDUAL, WE HONOR EVERY RESIDENT'S RIGHT TO EXPERIENCE LIFE TO THE FULLEST. 0 0 29083995 163518 32293183 PLYMOUTH PLACE IS A NONPROFIT CORPORATION WHICH PROVIDES HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO THE RESIDENTS OF THE LANDING AT PLYMOUTH PLACE, A RETIREMENT COMMUNITY IN LAGRANGE PARK, ILLINOIS. THE LANDING, A REDEVELOPMENT OF THE ORGANIZATION'S FORMER RETIREMENT COMMUNITY, CONSISTS OF 182 INDEPENDENT LIVING APARTMENTS, 52 ASSISTED LIVING, 26 MEMORY SUPPORT UNITS AND 86 SKILLED NURSING UNITS. 29083995 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 159 0 440 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X JAMES BIERE 7084826842 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 MIKE THIESSEN DIRECTOR 1.00 X 0 0 0 NICHOLAS LYNN BOARD CHAIR 1.00 X X 0 0 0 JOHN BARRETT DIRECTOR 1.00 X 0 0 0 JAMES BIERE CEO 45.00 X X 300513 0 12026 BEVERLY CARINO TREASURER/CONTROLLER 45.00 X X 132457 0 4320 MICHELLE SIEGFRIED SECRETARY 1.00 X X 0 0 0 REBECCA MATHIS CFO (THROUGH MARCH 2022) 45.00 X 43150 0 21 CHERI BOUBLIS SENIOR DIRECTOR OF HOSPITALITY 45.00 X 169384 0 6293 MARY FREESE SENIOR DIRECTOR OF SUPPORT SERVICES 45.00 X 192932 0 7730 NITSA FOUNDOS SENIOR DIRECTOR OF SALES 45.00 X 198505 0 4737 MICHELLE HART-CARLSON SR. DIRECTOR OF CLINICAL SERVICES 45.00 X 131182 0 6499 1168123 0 41626 12 0 1 0 SILVER AGE HOMES LLC 109 OGDEN AVENUE CLARENDON HILLS IL 60514 APARTMENT TURNOVER REFURBISHMENTS 1498759 SHERYL ALLEN INTERIORS 922 LINDEN COURT WESTERN SPRINGS IL 60558 INTERIOR DESIGN 718998 INFINITY LONG TERM CARE CONSULTING LLC 2977 HIGHWAY K SUITE 107 OFALLON MO 63366 CONSULTING 109825 3 647992 647992 SENIOR HOUSING 623000 32069992 32069992 32069992 1555870 1555870 4000000 3776809 223191 223191 223191 34497045 32293183 0 1555870 163518 163518 343663 275494 68169 11584948 9286966 2297982 150000 112323 37677 1921108 1438566 482542 901634 675162 226472 615386 280715 334671 223076 223076 250378 1616 248762 1914657 1353984 560673 344276 35558 308718 1773139 1742697 30442 2776409 2223638 552771 4499233 3734364 764869 448972 359176 89796 DIETARY AND DINING 2360806 2360806 NURSING AGENCY 2147537 2147537 NURSING - THERAPY 1429084 1429084 MEDICAL SUPPLIES AND PH 1204529 1204529 447861 258262 189599 35500214 29083995 6416219 0 5111748 10257880 3829446 2536657 480355 562056 163071541 52086377 89873629 110985164 32072433 107972925 8916215 14755811 140283826 247070493 3296147 7714746 11948427 10474183 82932211 179335157 88251822 95424257 186428607 292948343 X -54408535 -52529663 8263754 6651813 -46144781 -45877850 140283826 247070493 X -1003169 -4060005 5330105 X X 0 1 X 1 0 X 248941 304933 3869506 840829 647017 5911226 29727101 30754454 29861722 30405120 32069992 152818389 29976042 31059387 33731228 31245949 32717009 158729615 0 0 0 158729615 999707 1088914 5066828 920466 1555870 9631785 999707 1088914 5066828 920466 1555870 9631785 30975749 32148301 38798056 32166415 34272879 168361400 0.94280 0.94510 0.05720 0.05490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 85418 85418 125673022 50460647 75212375 5945302 1335424 4609878 31367799 290306 31077493 110985164 DEFERRED MARKETING COSTS 232905 BENEFICIAL INTEREST IN PERPETUAL TRUST 6609299 DUE FROM AFFILIATES 380566 FAIR VALUE OF INTEREST RATE SWAP 7533041 14755811 REFUNDABLE ENTRANCE FEES 90956987 RESIDENT DEPOSITS 99943 WAITING LIST DEPOSITS 4367327 95424257 X 34497045 0 34497045 0 34497045 35500214 0 35500214 0 35500214 PART X, LINE 2: THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS FOR INCOME TAXES IN EVALUATING UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. 1 EMPLOYEE SCHOLARSHIPS 27 163518 PART I, LINE 2: THE ORGANIZATION PROVIDES SCHOLARSHIPS TO CURRENT EMPLOYEES IN ORDER TO ALLOW THEM TO ENHANCE AND ADVANCE THEIR PROFESSIONAL CAREERS. ALL SCHOLARSHIPS ARE EITHER PAID TO CURRENT EMPLOYEES ON A REIMBURSEMENT BASIS, AFTER PROVIDING APPROPRIATE SUPPORTING DOCUMENTATION, OR PAID DIRECTLY TO THE EDUCATIONAL INSTITUTION. X X 0 1 0 0 0 0 0 0 0 JAMES BIERE CEO 273863 0 26650 0 0 0 9150 0 2876 0 312539 0 0 0 NITSA FOUNDOS SENIOR DIRECTOR OF SALES 129805 0 68700 0 0 0 3717 0 1020 0 203242 0 0 0 MARY FREESE SENIOR DIRECTOR OF SUPPORT SERVICES 187932 0 5000 0 0 0 5986 0 1744 0 200662 0 0 0 CHERI BOUBLIS SENIOR DIRECTOR OF HOSPITALITY 164384 0 5000 0 0 0 5253 0 1040 0 175677 0 0 0 PART I, LINE 4B PLYMOUTH PLACE SPONSORS A 457(B) PLAN WITH ELIGIBLE EMPLOYEES LIMITED TO A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. UNDER THE TERMS OF THIS PLAN, EMPLOYEES MAY CONTRIBUTE A PORTION OF THEIR SALARY ON A PRE-TAX BASIS, UP TO THE ANNUAL LIMITS ESTABLISHED BY THE INTERNAL REVENUE SERVICE. THE PLAN ALLOWS FOR DISCRETIONARY EMPLOYER MATCHING CONTRIBUTIONS EQUAL TO A UNIFORM PERCENTAGE OR DOLLAR AMOUNT. THE FOLLOWING EMPLOYEES PARTICIPATED IN THE 457(B) PLAN AND RECEIVED DISCRETIONARY EMPLOYER CONTRIBUTIONS FOR THE AMOUNTS SHOWN: JAY BIERE: $9,150 BEVERLY CARINO: $3,963 MARY FREESE: $5,986 CHERI BOUBLIS: $5,253 NITSA FOUNDOS: 43,717 MICHELLE HART-CARLSON: $5,857 A ILLINOIS FINANCE AUTHORITY 861091967 45204FHV0 2021-04-22 26928001 REFINANCING OF SERIES 2013 BONDS 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45204FSQ9 2022-11-09 100040950 CONSTRUCTION OF 59 VILLAS AND CENTER FOR HEALTHY LIVING 0 0 0 A 26928001 1750500 527700 24649801 2021 1 0 1 1 B 100040950 6784900 8501543 2000818 15800860 2464949 64487880 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 6 PLYMOUTH PLACE, INC. HAS ONE CORPORATE MEMBER, WHICH IS PLYMOUTH PLACE HOLDINGS, INC., AN ILLINOIS NOT-FOR-PROFIT CORPROATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE BOARD SHALL BE APPOINTED BY THE SOLE CORPORATE MEMBER, PLYMOUTH PLACE HOLDINGS, INC. FOR A ONE-YEAR TERM OF OFFICE BY A RESOLUTION OF THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER OR A UNANIMOUS WRITTEN CONSENT SIGNED BY ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS SHALL REQUIRE THE APPROVAL OF THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER, PLYMOUTH PLACE HOLDINGS, INC., THROUGH A RESOLUTION OF THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER OR A UNANIMOUS WRITTEN CONSENT SIGNED BY ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER: 1. ADOPT AND AMEND STATEMENTS OF MISSION, PHILOSOPHY OR PURPOSE; 2. ADOPT, AMEND AND REPEAL THE ARTICLES OF INCORPORATION, THE BYLAWS AND ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION; 3. THE ANNUAL BUDGET OF PLYMOUTH PLACE; 4. ANY SALE, LEASE OR MORTGAGE OF PLYMOUTH PLACE'S REAL PROPERTY, EXCEPT AS SUCH ACTIONS RELATE TO REAL PROPERTY TRANSFERRED FROM RESIDENTS OR DONORS, INCLUDING WITHOUT LIMITATION, RESIDENTIAL REAL ESTATE; 5. ANY SALE, LEASE OR MORTGAGE OF SUBSTANTIALLY ALL OF PLYMOUTH PLACE'S PERSONAL PROPERTY; 6. ANY FORMAL AFFILIATION WITH ANOTHER ENTITY; 7. ANY BORROWING OF MONEY; 8. ANY MAJOR CHANGE IN PROGRAMS AND SERVICES, INCLUDING ANY CREATION OF MAJOR NEW PROGRAMS OR THE DISCONTINUATION OF MAJOR EXISTING PROGRAMS; OR 9. THE ACCEPTANCE OF ANY CHARITABLE CONTRIBUTION WHICH IMPOSES A MATERIAL OBLIGATION. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE 990 IS PROVIDED DIRECTLY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS REVIEW AND UPDATE THEIR ANNUAL DISCLOSURE OF INTERESTS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD ANNUALLY RECEIVES AND REVIEWS THE COMPENSATION SURVEYS OF AAHSA & LEADINGAGE ILLINOIS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE FACILITY OFFICE. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF SWAP 7,097,736. CHANGE IN VALUE OF PERPETUAL TRUST -1,636,941. LOSS ON DISPOSAL OF ASSETS -130,690. FORM 990, PART XII, LINE 2C PLYMOUTH PLACE, INC.'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS CHARGED WITH ALL DUTIES AND RESPONSIBILITIES OF THE BOARD AND IS AUTHORIZED AND EMPOWERED TO ACT ON BEHALF OF THE BOARD, BETWEEN ITS REGULAR OR SPECIAL MEETINGS, EXCEPT FOR BUYING, SELLING, MORTGAGING, ENCUMBERING, LEASING, COVEYING, AND TRASFERRING OF REAL ESTATE THAT IS OWNED OR OPERATED BY PLYMOUTH PLACE. THE CHAIR, OR VICE-CHAIR, SHALL REPORT ALL EXECUTIVE COMMITTEE ACTIONS TAKEN ON BEHALF OF THE BOARD, PROMPTLY AND IN FULL, AT THE NEXT REGULARLY, SCHEDULED BOARD OF DIRECTORS MEETING. THE CHAIR SHALL HAVE THE AUTHORITY TO CALL A SPECIAL MEETING OF THE BOARD IF, IN THE CHAIR'S OPINION, EXECUTIVE COMMITTEE ACTIONS WARANT AN IMMEDIATE REPORT TO THE FULL BOARD. PLYMOUTH PLACE HOLDINGS INC 315 N LAGRANGE ROAD LAGRANGE PARK IL 60523 854041493 PROVIDE STRATEGIC DIRECTION AND OVERSIGHT TO PLYMOUTH PLACE, INC. IL 501(C)(3) LINE 12C, III-FI N/A 0 PLYMOUTH PLACE MANAGEMENT SERVICES INC 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 833496599 OWNER OF PROGRAM RELATED INVESTMENTS DE PLYMOUTH PLACE INC C 87735 505594 1.00000 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PLYMOUTH PLACE MANAGEMENT SERVIECS D 380566 CASH TRANSFERRED