2020-12-23T15:57:16-06:00 2020-03-31 381357951 PLANTE MORAN 10 S RIVERSIDE PLAZA CHICAGO IL 60606 990 2019-04-01 471545753 PRESBYTERIAN HOMES PRES 8479793902 8707 SKOKIE BOULEVARD NO 400 SKOKIE IL 60077 TODD F SWORTZEL CHIEF EXECUTIVE OFFICER 8479793902 2020-12-11 1 DAVID LOWENTHAL P00378651 3122071040 2020-12-11 2019 2022-09-23 18:48:47Z TODD F SWORTZEL 8707 SKOKIE BOULEVARD NO 400 SKOKIE IL 60077 200730268 0 X WWW.PRESBYTERIANHOMES.ORG X 2014 IL PRESBYTERIAN HOMES, A FAITH BASED NOT FOR PROFIT, CREATES VIBRANT COMMUNITIES FOR OLDER ADULTS THAT INSPIRE WELLNESS, INDEPENDENCE, JOY, AND SECURITY - ENRICHING THE LIVES OF RESIDENTS AND THEIR FAMILIES. 14 14 925 320 0 0 1992062 2170057 69110341 73199933 6133988 9068605 3536481 3672909 80772872 88111504 0 0 0 0 34763235 36676883 0 0 0 42524402 46277716 77287637 82954599 3485235 5156905 455838690 435486176 368547357 363453136 87291333 72033040 X PRESBYTERIAN HOMES, A FAITH BASED NOT FOR PROFIT, CREATES VIBRANT COMMUNITIES FOR OLDER ADULTS THAT INSPIRE WELLNESS, INDEPENDENCE, JOY, AND SECURITY - ENRICHING THE LIVES OF RESIDENTS AND THEIR FAMILIES. 0 0 32813226 0 38484258 LAKE FOREST PLACE AND THE MOORINGS OF ARLINGTON HEIGHTS ("THE MOORINGS") ARE NOT-FOR-PROFIT INDEPENDENT LIVING, LIFE PLAN COMMUNITIES (FORMERLY KNOWN AS CONTINUING CARE RETIREMENT COMMUNITIES). INDEPENDENT LIVING FACILITIES AT LAKE FOREST PLACE AND THE MOORINGS CONSIST A TOTAL OF 550 APARTMENTS, VILLAS AND COTTAGES. AVAILABLE RESIDENTIAL SERVICES INCLUDE FLEXIBLE DINING OPTIONS, HOUSEKEEPING AND COMPLETE MAINTENANCE SERVICES, TRANSPORTATION AS WELL AS PLANNED SOCIAL AND EDUCATIONAL ACTIVITIES AND PROGRAMS. TEN TWENTY GROVE IS AN INDEPENDENT LIVING FACILITY CONSISTING OF 47 APARTMENTS. DURING THE FILING YEAR, THE THREE INDEPENDENT LIVING FACILITIES SERVED A TOTAL OF 751 INDEPENDENT LIVING RESIDENTS DURING THE FILING YEAR. 13813154 0 13030838 ASSISTED FACILITIES AT LAKE FOREST PLACE AND THE MOORINGS CONSIST OF 144 UNITS. THE PROGRAM PROVIDES CARE TO OLDER ADULTS WHO NEED ASSISTANCE WITH PERSONAL CARE AND DAILY ACTIVITIES. BOTH FACILITIES SERVED A TOTAL OF 192 ASSISTED LIVING RESIDENTS DURING THE FILING YEAR. 23205483 0 21664129 LAKE FOREST PLACE AND THE MOORINGS HEALTH CARE CENTERS PROVIDE INTERMEDIATE AND SKILLED NURSING FOR BOTH SHORT AND LONG TERM STAYS. RESPITE, REHABILITATION, AND PROGRAMS TO CARE FOR THOSE WITH ALZHEIMER'S DISEASE AND OTHER COGNITIVE IMPAIRMENTS ARE ALSO AVAILABLE. LAKE FOREST PLACE HEALTH CARE CENTER CONSISTS OF 50 SKILLED, MEDICARE-CERTIFIED NURSING BEDS. THE MOORINGS HEALTH CARE CENTER CONSISTS OF 57 SKILLED, MEDICARE-CERTIFIED NURSING BEDS AND 39 INTERMEDIATE AND MEMORY CARE BEDS. THE TWO HEALTH CARE CENTERS SERVED A TOTAL OF 652 RESIDENTS DURING THE FILING YEAR. 0 0 20708 REVENUE IS RELATED TO INCOME FROM EMPLOYEE MEALS, PAYMENT LATE FEES, AND OTHER PROGRAM ACTIVITIES. 0 0 20708 69831863 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 87 0 1 925 1 0 0 0 0 0 0 0 0 0 0 1 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X MARK HAVRILKA 8479793904 8707 SKOKIE BOULEVARD SUITE 400 SKOKIE IL 60077 TODD F SWORTZEL CHIEF EXECUTIVE OFFICER 15.00 22.50 X 1051460 0 198734 NADIM M ABI-ANTOUN CHIEF OPERATING OFFICER 21.50 16.00 X 513384 0 95086 MARK HAVRILKA CHIEF FINANCIAL OFFICER 24.50 13.00 X 460412 0 91729 ROBERT A WERDAN VP, MARKETING & PUBLIC RELATIONS 25.50 12.00 X 259154 0 57539 GLENN B BRICHACEK EXEC. DIR. LAKE FOREST PLACE 37.50 0.00 X 244486 0 50899 NANCY TOLAN VP, FACILITY MANAGEMENT 28.50 9.00 X 227008 0 57354 LISA J VANDERMARK EXEC. DIR. THE MOORINGS 37.50 0.00 X 225422 0 48463 DANIEL M WEINBERGER VP, INFORMATION TECHNOLOGY 25.50 12.00 X 182641 0 48798 ANDREW T WISSEL VP, HUMAN RESOURCES (THRU 4/19) 20.50 17.00 X 167929 0 33421 JONATHAN KASPAR ADMINISTRATOR, H/C THE MOORINGS 37.50 0.00 X 153298 0 33854 PAISLEY VALENTINCIC DIR. SALES & MKT., LFP (THRU 11/19) 37.50 0.00 X 176933 0 9390 LINDSEY M AUMICK DIRECTOR OF FINANCE 24.50 13.00 X 157284 0 9362 PAULA NOBLE BOARD CHAIR 1.00 2.00 X X 0 0 0 MICHAEL KIRBY SECRETARY 1.00 2.00 X X 0 0 0 NEELE STEARNS TREASURER 1.00 2.00 X X 0 0 0 TERRI BRADY DIRECTOR 1.00 2.00 X 0 0 0 CHARLIE DENISON DIRECTOR 1.00 2.00 X 0 0 0 DAVID DONNERSBERGER DIRECTOR 1.00 2.00 X 0 0 0 MONICA HEENAN DIRECTOR 1.00 2.00 X 0 0 0 ELINOR HITE DIRECTOR 1.00 2.00 X 0 0 0 LEE HUTCHINSON DIRECTOR 1.00 2.00 X 0 0 0 VINCE KELLY DIRECTOR 1.00 2.00 X 0 0 0 DENNIS MARX DIRECTOR 1.00 2.00 X 0 0 0 THOMAS MCAFEE DIRECTOR 1.00 2.00 X 0 0 0 MARSHALL PECK DIRECTOR 1.00 2.00 X 0 0 0 MARK TOLEDO DIRECTOR 1.00 2.00 X 0 0 0 3819411 0 734629 36 0 1 0 UNIDINE CORPORATION 1000 WASHINGTON STREET SUITE 510 BOSTON MA 02118 DINING/FOOD SERVICES 4572494 POWER CONSTRUCTION COMPANY 8750 W BRYN MAWR AVENUE SUITE 500 CHICAGO IL 60631 CONSTRUCTION 4555675 GREENLEAF CABINETS INC 37 SHERWOOD TERRACE SUITE 108 LAKE BLUFF IL 60044 CABINET CONTRACTORS 3267142 HEALTHPRO HERITAGE 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY MGMT AND CONSULTING SERVICES 1940086 S&S CUSTOM CABINETRY 6733 N LINCOLN AVE LINCOLNWOOD IL 60712 CABINET CONTRACTORS 1040895 35 2170057 2170057 INDEPENDENT LIVING FEES 623311 25417672 25417672 HEALTH CARE FEES 623311 21664129 21664129 DEFERRED ENTRANCE FEE INCOME 623311 13066586 13066586 ASSISTED LIVING FEES 623311 13030838 13030838 20708 20708 73199933 3846187 3846187 34700 0 34700 34700 34700 117292000 123144 112109204 83522 5182796 39622 5222418 5222418 471368 426038 45330 45330 MANAGEMENT FEES 561000 3592879 3592879 3592879 88111504 73199933 0 12741514 2951608 2951608 25697997 21846014 3851983 1050713 896128 154585 5149876 4605377 544499 1826689 1561578 265111 436645 436645 247740 247740 7312117 6638985 673132 1427760 1427760 275646 149085 126561 744213 490630 253583 363146 49864 313282 12220 1139 11081 4397653 4144175 253478 19276551 19001034 275517 726099 670402 55697 BUILDING SERVICES AND U 3780466 3721766 58700 FOOD COSTS AND DINING S 2611348 2611348 REAL ESTATE AND PROVIDE 2289540 2289540 IT ALLOCATION 0 -755100 755100 2376572 1909898 466674 82954599 69831863 13122736 0 30445135 21782936 2312654 12516455 2302152 3817037 1126464 1168926 447563948 162279830 290107857 285284118 122614833 103417044 6929595 7499660 455838690 435486176 17948544 16631212 88234181 87541590 154846062 151210976 107518570 108069358 368547357 363453136 X 87291333 72033040 87291333 72033040 455838690 435486176 X 5156905 -15944479 -4470719 X 0 1 X 1 0 X 343158 6657868 2063672 1992062 2170057 13226817 19606749 62730926 64507905 69110341 73199933 289155854 194281 444606 483720 499392 471368 2093367 20144188 69833400 67055297 71601795 75841358 304476038 343158 6657868 2063672 1992062 2170057 13226817 0 343158 6657868 2063672 1992062 2170057 13226817 291249221 894048 2476445 3498853 4561268 3880887 15311501 894048 2476445 3498853 4561268 3880887 15311501 1184529 3409496 3249501 3432140 3592879 14868545 22222765 75719341 73803651 79595203 83315124 334656084 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MANAGEMENT FEE - 2015 AMOUNT: $ 1,184,529. 2016 AMOUNT: $ 3,409,496. 2017 AMOUNT: $ 3,249,501. 2018 AMOUNT: $ 3,432,140. 2019 AMOUNT: $ 3,592,879. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19642758 19642758 383099484 139251337 243848147 620451 109493 510958 43551206 22919000 20632206 650049 650049 285284118 SAFEKEEPING 652057 DEPOSITS - ENTRANCE FEES 1601640 REFUNDABLE ENTRANCE FEES 99296656 OTHER LIABILITIES 2676993 INTEREST RATE SWAP 3208389 DEFERRED COMPENSATION 633623 108069358 X PART X, LINE 2: THE PARENT, WESTMINSTER PLACE, AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). LAKE FOREST PLACE, THE MOORINGS, TEN TWENTY GROVE, PH MANAGER, AND PH OUTPATIENT REHABILITATION ARE SINGLE-MEMBER LIMITED LIABILITY COMPANIES AND, THEREFORE, ARE CONSIDERED TO BE DISREGARDED ENTITIES FOR TAX PURPOSES. ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE PARENT, WESTMINSTER PLACE, AND THE FOUNDATION FOLLOW THE ACCOUNTING STANDARDS FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE PARENT, WESTMINSTER PLACE, AND THE FOUNDATION FILE INFORMATIONAL RETURNS AS TAX-EXEMPT ORGANIZATIONS. THE INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 TODD F SWORTZEL CHIEF EXECUTIVE OFFICER 502382 0 159233 0 389845 0 175826 0 22908 0 1250194 0 362281 0 NADIM M ABI-ANTOUN CHIEF OPERATING OFFICER 359636 0 114108 0 39640 0 74791 0 20295 0 608470 0 16956 0 MARK HAVRILKA CHIEF FINANCIAL OFFICER 312640 0 100008 0 47764 0 68355 0 23374 0 552141 0 24234 0 ROBERT A WERDAN VP, MARKETING & PUBLIC RELATIONS 198877 0 35249 0 25028 0 34940 0 22599 0 316693 0 18449 0 GLENN B BRICHACEK EXEC. DIR. LAKE FOREST PLACE 185915 0 19465 0 39106 0 26512 0 24387 0 295385 0 36400 0 NANCY TOLAN VP, FACILITY MANAGEMENT 167490 0 36179 0 23339 0 31517 0 25837 0 284362 0 15471 0 LISA J VANDERMARK EXEC. DIR. THE MOORINGS 186757 0 32725 0 5940 0 30106 0 18357 0 273885 0 0 0 DANIEL M WEINBERGER VP, INFORMATION TECHNOLOGY 155045 0 27263 0 333 0 28229 0 20569 0 231439 0 0 0 ANDREW T WISSEL VP, HUMAN RESOURCES (THRU 4/19) 127884 0 12350 0 27695 0 9172 0 24249 0 201350 0 15147 0 JONATHAN KASPAR ADMINISTRATOR, H/C THE MOORINGS 121710 0 26009 0 5579 0 9419 0 24435 0 187152 0 0 0 PAISLEY VALENTINCIC DIR. SALES & MKT., LFP (THRU 11/19) 72904 0 84230 0 19799 0 9390 0 0 0 186323 0 0 0 LINDSEY M AUMICK DIRECTOR OF FINANCE 156033 0 1000 0 251 0 9362 0 0 0 166646 0 0 0 PART I, LINE 1A TODD F. SWORTZEL, CEO, RECEIVES A $24,000 TAXABLE HOUSING ALLOWANCE WHICH IS INCLUDED IN W-2 WAGES. PART I, LINE 4B DURING THE YEAR THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN: TODD SWORTZEL, MARK HAVRILKA, NADIM ABI-ANTOUN, NANCY TOLAN, ROBERT WERDAN, ANDREW WISSEL, GLEN BRICHACEK, LISA VANDERMARK AND DANNY WEINBERGER. DURING THE YEAR TODD SWORTZEL RECEIVED PAYMENTS TOTALING $362,281 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR NADIM ABI-ANTOUN RECEIVED PAYMENTS TOTALING $16,956 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR MARK HAVRILKA RECEIVED PAYMENTS TOTALING $24,234 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR NANCY TOLAN RECEIVED PAYMENTS TOTALING $15,471 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR ANDREW WISSEL RECEIVED PAYMENTS TOTALING $15,147 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR ROBERT WERDAN RECEIVED PAYMENTS TOTALING $18,449 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR GLEN BRICHACEK RECEIVED PAYMENTS TOTALING $36,400 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. PART I, LINE 7 AS INDICATED IN SCHEDULE J, PART II, THE OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION RECEIVED A BONUS BASED ON PERFORMANCE, QUALITY AND CENSUS METRICS AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THIS BONUS WAS APPROVED BY BOARD OF DIRECTORS UPON THE RECOMMENDATION OF THE GOVERNANCE COMMITTEE. A ILLINOIS FINANCE AUTHORITY 861091967 45204EBD9 2016-04-27 114484316 TO REFUND THE SERIES 1996A, 2001, 2006 AND 2007 BONDS 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 2016-09-30 69615000 TO FUND CAMPUS EXPANSION AT THE MOORINGS OF ARLINGTON HEIGHTS 0 0 0 A 11060091 100253916 1586771 8252145 90415000 2016 1 0 1 1 B 1549670 69615000 400000 69215000 2018 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 1 THE HUNTINGTON NATIONAL BANK 7.400000000000 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART I AND II, LINE 3, BOND A: THE 2016 BOND WAS ISSUED FOR THE BENEFIT OF PRESBYTERIAN HOMES AND WESTMINSTER PLACE. TOTAL PROCEEDS FOR THE BOND IS $114,484,316. $100,253,916 OF THE TOTAL PROCEEDS IS ALLOCABLE TO PRESBYTERIAN HOMES. THE REMAINING PROCEEDS OF $14,230,400 ARE REPORTED ON THE FORM 990, SCHEDULE K OF WESTMINSTER PLACE. SCHEDULE K, PART II, LINE 7, BOND A: TOTAL ISSUANCE COST FOR THE BOND IS $1,817,171. $1,586,771 OF THE TOTAL COST IS ALLOCABLE TO PRESBYTERIAN HOMES. THE REMAINING COST OF $230,400 IS REPORTED ON THE FORM 990, SCHEDULE K OF WESTMINSTER PLACE. FORM 990, PART VI, SECTION A, LINE 1: THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR, THE VICE CHAIR, THE SECRETARY, THE TREASURER, AND SUCH ADDITIONAL MEMBERS OF THE BOARD AS FROM TIME TO TIME MAY BE DETERMINED BY THE BOARD OF DIRECTORS. THE PRESIDENT/CEO SHALL BE A NON-VOTING ATTENDEE AT ALL MEETINGS OF THE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS IN EMERGENCIES WHEN CONVENING THE FULL BOARD IS NOT PRACTICABLE AND SHALL REPORT ITS ACTIONS TO THE BOARD AT THE EARLIEST OPPORTUNITY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND IS THEN PRESENTED TO THE AUDIT COMMITTEE, WHICH ACTS AS A REPRESENTATIVE OF THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THIS IS ACCOMPLISHED PRIOR TO THE FILING OF THE FORM 990. THE AUDIT COMMITTEE FORWARDS ITS RECOMMENDATION FOR ACCEPTANCE OF THE FORM 990 TO THE BOARD OF DIRECTORS. COPIES OF THE FORM 990 ARE ALSO FORWARDED TO THE ENTIRE BOARD FOR THEIR REVIEW AND COMMENT PERIOD. THE BOARD THEN ACTS ON THE RECOMMENDATION OF THE AUDIT COMMITTEE PRIOR TO THE 990'S BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PRESBYTERIAN HOMES EMPLOY MULTIPLE PRACTICES TO ENSURE SENIOR STAFF AND MEMBERS OF THE BOARD OF DIRECTORS FOLLOW BEST GOVERNANCE PRACTICES. AN EXTENSIVE CONFLICTS OF INTEREST POLICY WAS ADOPTED IN APRIL 2001, REVISED IN APRIL 2004 AND FURTHER REVISED IN 2011. ALL DIRECTORS AND SENIOR STAFF ARE REQUIRED TO FILE AN ANNUAL STATEMENT RELATED TO CONFLICTS OF INTEREST. IN ACCORDANCE WITH PRESBYTERIAN HOMES' ACCREDITATION BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES-CONTINUING CARE ACCREDITATION COMMISSION (CARF-CCAC), A CODE OF ETHICS WAS ADOPTED IN APRIL 2007 AND ALL DIRECTORS ARE REQUIRED TO FILE AN ANNUAL STATEMENT CONFIRMING THEIR ACCEPTANCE OF THE CODE. FINALLY, PRESBYTERIAN HOMES ADMINISTERS THE IRS RELATIONSHIP SURVEY TO ALL DIRECTORS AND KEY EMPLOYEES ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNANCE COMMITTEE OF PRESBYTERIAN HOMES IS RESPONSIBLE FOR ALL COMPENSATION AND BENEFIT MATTERS FOR SENIOR MANAGEMENT AND KEY EMPLOYEES. PRESBYTERIAN HOMES ANNUALLY PARTICIPATES IN AN INDUSTRY SPECIFIC EXECUTIVE COMPENSATION SURVEY. THE RESULTS OF THIS SURVEY ARE REVIEWED BY MANAGEMENT AND SHARED WITH THE COMMITTEE AS NECESSARY. IN ADDITION THE COMMITTEE REGULARLY ENGAGES AN EXTERNAL COMPENSATION CONSULTING FIRM TO ASSIST IN ITS REVIEW OF THE LEVEL OF COMPENSATION, INCENTIVES AND BENEFITS FOR SENIOR EXECUTIVES AND KEY EMPLOYEES EVERY THREE YEARS. THE COMPENSATION CONSULTANTS ACCUMULATE AND PRESENT TO THE GOVERNANCE COMMITTEE MARKET INFORMATION FOR EACH SENIOR EXECUTIVE POSITION, SUMMARIZE INDIVIDUAL EXECUTIVE COMPENSATION, INCENTIVE AND BENEFITS PACKAGES AND BENCHMARK THAT INFORMATION TO THE INDUSTRY DATA THEY HAVE ACCUMULATED. ANNUALLY, THE ORGANIZATION'S STAFF AND/OR THE BOARD OF DIRECTORS PREPARES PERFORMANCE REVIEWS FOR ALL SENIOR MANAGERS AND KEY EMPLOYEES AND MAKES A RECOMMENDATION TO THE GOVERNANCE COMMITTEE REGARDING COMPENSATION, INCENTIVES AND BENEFITS ADJUSTMENTS. THE GOVERNANCE COMMITTEE CONSIDERS THE PERFORMANCE RECOMMENDATION, COMPARISONS OF TOTAL COMPENSATION BY EXECUTIVE TO MARKET COMPENSATION PERCENTILE FOR INDUSTRY EXECUTIVES WITH SIMILAR JOB TITLES AND/OR SKILL SETS, AND ORGANIZATIONAL NEEDS IN TERMS OF MEETING THE CHALLENGES OF THE UNIQUE BUSINESS OF PROVIDING SENIOR CARE SERVICES. THE GOVERNANCE COMMITTEE MAKES A RECOMMENDATION REGARDING COMPENSATION AND BENEFITS CHANGES FOR SENIOR MANAGEMENT, WHICH IS APPROVED ANNUALLY BY THE FULL BOARD OF DIRECTORS WITHIN THE BUDGET PROCESS. THE GOVERNANCE COMMITTEE PROCEEDINGS ARE CONTEMPORANEOUSLY DOCUMENTED AND MINUTES ARE MAINTAINED AND ON FILE AT THE CORPORATE OFFICE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO THE PUBLIC. CONTACT FOR THE INFORMATION IS THE CHIEF FINANCIAL OFFICER, MARK HAVRILKA AT PRESBYTERIAN HOMES, 8707 SKOKIE BOULEVARD, SUITE 400, SKOKIE, IL 60077. THE FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ILLINOIS ATTORNEY GENERAL'S OFFICE. FORM 990, PART XI, LINE 9: CHANGE IN MARKET VALUE OF SWAP -4,470,719. LAKE FOREST PLACE LLC 1100 PEMBRIDGE DRIVE LAKE FOREST IL 60045 472210722 LIFE PLAN COMMUNITY (FKA CONTINUING CARE RETIREMENT COMMUNITY) IL 42738363 231757103 PRESBYTERIAN HOMES TEN TWENTY GROVE 1020 GROVE STREET EVANSTON IL 60201 472216648 INDEPENDENT LIVING IL 1102219 5741991 PRESBYTERIAN HOMES THE MOORINGS OF ARLINGTON HEIGHTS LLC 811 E CENTRAL ROAD ARLINGTON HEIGHTS IL 60005 472235160 LIFE PLAN COMMUNITY (FKA CONTINUING CARE RETIREMENT COMMUNITY) IL 38668143 158208607 PRESBYTERIAN HOMES PRESBYTERIAN HOMES MANAGER LLC 8707 SKOKIE BOULEVARD SUITE 400 SKOKIE IL 60077 472195328 MANAGEMENT SERVICES IL 5069438 45335265 PRESBYTERIAN HOMES PRESBYTERIAN HOMES OUTPATIENT REHAB AGENCY LLC 3200 GRANT STREET EVANSTON IL 60201 611748512 OUTPATIENT REHABILITATION IL 533341 308314 PRESBYTERIAN HOMES MANAGER LLC GENEVA FOUNDATION 8707 SKOKIE BOULEVARD SUITE 400 SKOKIE IL 60077 710945228 SUPPORTING ORGANIZATION IL 501(C) (3) LINE 12A, I PRESBYTERIAN HOMES 1 WESTMINSTER PLACE 3200 GRANT STREET EVANSTON IL 60201 362167832 LIFE PLAN COMMUNITY (F/K/A CONTINUING CARE RETIREMENT COMMUNITY ) IL 501(C) (3) LINE 10 PRESBYTERIAN HOMES 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 GENEVA FOUNDATION OF PRESBYTERIAN HOMES C 2170057 CASH RECEIVED GENEVA FOUNDATION OF PRESBYTERIAN HOMES O 383336 CASH RECEIVED GENEVA FOUNDATION OF PRESBYTERIAN HOMES O 150942 CASH RECEIVED WESTMINSTER PLACE O 3441907 CASH RECEIVED WESTMINSTER PLACE D 1444237 CASH RECEIVED WESTMINSTER PLACE O 60000 CASH PROVIDED