2019-08-28T15:38:33-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2018-01-01 362169165 PLYMOUTH PLACE INC PLYM 7083540340 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 JAMES BIERE CHIEF EXECUTIVE OFFICER 7083540340 2019-08-21 1 CHRIS MANDERFIELD P01238973 6305738600 2019-08-20 67.137.57.251 2019-08-21 13:42:22 CD P 4352940A9571D7C5DDA6B43C112B0F5A28A64F72 15FC16222CA11D74FA98B06BEF52F7231FC6830F 2018 2020-03-31 21:24:44Z JAMES BIERE 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 38348539 0 X WWW.PLYMOUTHPLACE.ORG X 1938 IL RETIREMENT HOME FOR SENIOR CITIZENS 14 14 547 45 0 0 445544 248941 27841220 29727101 2997204 1657888 0 85743 31283968 31719673 0 0 0 0 13236717 14817139 0 0 0 18457125 18250741 31693842 33067880 -409874 -1348207 137360084 133272574 175241326 175546701 -37881242 -42274127 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 28950023 29727101 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, 86 HEALTH CARE BEDS, AND 5 RENOVATED COTTAGES. 28950023 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 0 1 0 0 0 1 54 0 1 547 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 1 0 IL X JAMES BIERE 7084826842 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 JANET MCDERMED DIRECTOR 1.00 X 0 0 0 MARK CLOGHESSY DIRECTOR 1.00 X 0 0 0 DORIS BRYANT CHAIR 1.00 X X 0 0 0 MIKE THIESSEN DIRECTOR 1.00 X 0 0 0 DR LARRY LAPALIO DIRECTOR 1.00 X 0 0 0 REV CARLY STUCKLEN SATHER DIRECTOR 3.50 X 0 0 0 HARRIET VERGOWE DIRECTOR 2.50 X 0 0 0 LAURA WEYRAUCH DIRECTOR 1.00 X 0 0 0 DR KENT ARMBRUSTER DIRECTOR 1.00 X 0 0 0 MARVIN BALDWIN 1ST VICE CHAIR 1.00 X X 0 0 0 ELIZABETH ASPERGER 2ND VICE CHAIR 1.00 X X 0 0 0 THOM SERAFIN DIRECTOR 1.00 X 0 0 0 SALLY HADLEY DIRECTOR 1.00 X 0 0 0 JOHN BARRETT DIRECTOR 1.00 X 0 0 0 JAMES BIERE CEO 45.00 X 226154 0 5673 RAYMOND FELSON EXECUTIVE DIRECTOR 45.00 X 138008 0 10750 MARGARET GILBERT DIRECTOR OF MARKETING 45.00 X 145976 0 16336 LAURA NICKELS CHIEF NURSING OFFICER 45.00 X 113177 0 20834 DENEEN A DAVIS REGISTERED NURSE 45.00 X 107006 0 9513 730321 0 63106 13 0 1 0 SODEXO INC & AFFILIATES 9801 WASHINGTON BOULEVARD GAITHERSBURG MD 20878 FOOD SERVICES AND FACILITIES MANAGEMENT 2750157 HEALTHPRO REHABILITATION 536 OLD HOWELL ROAD GREENVILLE SC 29615 NURSING THERAPY 1424623 PROVIDENCE LIFE SERVICES 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 MANAGEMENT AND IT 636008 ABBEY PAVING CO INC 1949 COUNTY LINE RD AURORA IL 60502 PAVING AND COATING 352333 OMNICARE INC 2313 S MT PROSPECT RD DES PLAINES IL 60018 PHARMACY 317669 5 248941 248941 SENIOR HOUSING, ASSISTANCE 623000 29727101 29727101 29727101 999707 999707 7287047 6628866 658181 658181 658181 SETTLEMENT INCOME 900099 85743 85743 85743 31719673 29727101 0 1743631 259440 259440 11198013 9870058 1327955 99295 87761 11534 2419321 1950636 468685 841070 727140 113930 774233 682709 91524 208508 208508 102621 102621 407961 407961 149015 59773 89242 217793 217793 711235 666783 44452 4240915 3975858 265057 3971052 3724799 246253 257970 241847 16123 DIETARY AND DINING 2022880 2022880 NURSING - THERAPY 1417107 1417107 MEDICAL SUPPLIES AND PH 1077131 1077131 NURSING - AGENCY 188331 188331 2503989 2257210 246779 33067880 28950023 4117857 0 6128713 6123569 2975021 1829628 160339 226959 136142753 45052192 92910585 91090561 28158225 27872654 7027201 6129203 137360084 133272574 3025642 3194427 10533892 10060442 77860354 77214503 83821438 85077329 175241326 175546701 X -44906657 -48427345 158567 106308 6866848 6046910 -37881242 -42274127 137360084 133272574 X -1348207 -2224740 -819938 X X 0 1 X 1 0 X 256138 890766 1593246 445544 248941 3434635 27290957 27078516 27836642 27841220 29727101 139774436 27547095 27969282 29429888 28286764 29976042 143209071 0 0 0 143209071 1168375 690724 981231 880201 999707 4720238 1168375 690724 981231 880201 999707 4720238 28715470 28660006 30411119 29166965 30975749 147929309 0.96810 0.97040 0.03190 0.02960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 85418 85418 127995166 40966456 87028710 1459270 297538 1161732 6264166 3660911 2603255 338733 127287 211446 91090561 REFUNDABLE ENTRANCE FEES 84785259 RESIDENT DEPOSITS 142428 WAITING LIST DEPOSITS 149642 85077329 X 28674995 -2224740 -819938 -3044678 31719673 0 31719673 33067880 0 33067880 0 33067880 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST -819,938. X X 0 0 0 0 0 0 0 0 0 JAMES BIERE CEO 221154 0 5000 0 0 0 0 0 5673 0 231827 0 0 0 MARGARET GILBERT DIRECTOR OF MARKETING 59426 0 86550 0 0 0 730 0 15606 0 162312 0 0 0 A ILLINOIS FINANCE AUTHORITY 861091967 45203HQP0 2013-05-15 24765000 REFINANCING OF SERIES 2005 BONDS 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45203H6A5 2015-10-21 56547882 REFINANCING OF SERIES 2005 BONDS 0 0 0 A 24765000 495300 24269700 0 1 1 1 B 1875000 56547882 1125200 2334371 53088311 0 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 3 PLYMOUTH PLACE HAS CONTRACTED WITH PROVIDENCE MANAGEMENT TO PROVIDE CFO AND RELATED ACCOUNTING SERVICES, IT SERVICES, AND NURSING CENTER ADMINISTRATION. 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 VALUE OF PERPETUAL TRUST -819,938. 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 MANAGEMENT SERVICES INC 251 LITTLE FALLS DRIVE WILMINGTON DE 19808 OWNER OF PROGRAM RELATED INVESTMENTS DE PLYMOUTH PLACE INC C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0