2019-08-07T08:25:20-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2018-01-01 421068850 LIFESPACE COMMUNITIES INC LIFE 5152885805 4201 CORPORATE DRIVE WEST DES MOINES IA 50266 LARRY M SMITH INTERIM PRESIDENT AND CEO, AND CFO 5152885805 2019-08-01 1 JED CHENEY P01587750 6123764500 67.137.57.251 2019-08-01 11:02:04 CD P 00BE1F513142CA66DA2C367DB88293381486700F 6E90C7C5DAB7B6CE43E299C98BE0892EC7C4F8B9 2018 2019-02-21 02:37:17Z LARRY M SMITH 4201 CORPORATE DRIVE WEST DES MOINES IA 50266 441175567 0 X WWW.LIFESPACECOMMUNITIES.COM X 1976 IA CREATE COMMUNITIES CELEBRATING THE LIVES OF SENIORS. 10 9 3628 3058 0 0 258784 485813 235414554 241568049 6286631 10891137 1504476 1534885 243464445 254479884 1260482 2749598 0 0 107547344 111615479 0 0 0 128365746 140886578 237173572 255251655 6290873 -771771 798068965 974196700 842267843 1036335220 -44198878 -62138520 X CREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. LIFESPACE RECOGNIZES THAT ITS MISSION CAN ONLY BE FULFILLED THROUGH THE DEDICATED EFFORTS OF ITS EMPLOYEES, THEREFORE INCLUDED IN OUR MISSION IS THE ABILITY TO PROVIDE DISASTER RELIEF FUNDS TO EMPLOYEES WHO ENCOUNTER CIRCUMSTANCES RECOGNIZED BY FEDERAL AND STATE AGENCIES AS QUALIFYING FOR EMERGENCY DISASTER RELIEF. 0 0 218078530 2749598 241568049 LIFESPACE COMMUNITIES, INC. OWNS ELEVEN DIFFERENT COMMUNITIES (5 IN FL, 2 IN IL, 1 IN MN, KS, PA AND NE) WHICH PROVIDE APARTMENTS AND HEALTH CARE FOR RETIRED PERSONS. RESIDENTS PAY AN INITIAL ENTRANCE FEE AND MONTHLY FEES THEREAFTER WHICH ENTITLE THEM TO THE USE OF THE COMMUNITY FOR LIFE AND UNLIMITED USE OF THE HEALTH CENTER. RESIDENTS DO NOT ACQUIRE TITLE OF THE PROPERTY. 218078530 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 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 639 0 3628 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL IL KS MN PA X TIM NEVINS 5152885805 4201 CORPORATE DRIVE WEST DES MOINES IA 50266 E LAVERNE EPP DIRECTOR & CHAIR 6.00 6.50 X X 45000 0 0 PAULA J SHIVES DIRECTOR & VICE CHAIR 2.00 2.50 X X 36000 0 0 DONALD W BOURNE DIRECTOR 2.00 2.50 X 30000 0 0 ANA DUTRA DIRECTOR 2.00 2.50 X 30000 0 0 VENITA FIELDS DIRECTOR 2.00 2.50 X 30000 0 0 JOYCE DARKEY-HRINYA DIRECTOR 2.00 2.50 X 30000 0 0 JOHN J KADUCE DIRECTOR (THROUGH APRIL 2018) 2.00 2.50 X 10000 0 0 ROBERT C KEHM DIRECTOR 2.00 2.50 X 36000 0 0 PATRICK SPANGLER DIRECTOR 2.00 2.50 X 36000 0 0 NEAL YANOFSKY DIRECTOR 2.00 2.50 X 36000 0 0 M SLOAN BENTLEY PRESIDENT, CEO & DIRECTOR 40.00 2.00 X X 705899 0 23556 LARRY SMITH SVP, CFO & TREASURER 40.00 2.00 X 377273 0 31993 JODI HIRSCH SENIOR VP GENERAL COUNSEL & SECRETARY 40.00 2.00 X 294151 0 7531 ANN WALSH SENIOR VICE PRESIDENT - OP 40.00 2.00 X 336979 0 15144 JOE CHAMBERS VICE PRESIDENT - MARKETING 40.00 2.00 X 260439 0 14891 SARA E HAMM SENIOR VICE PRESIDENT - HEALTH SERVICES 40.00 2.00 X 246780 0 19036 JODI BLEIER VP - FINANCIAL OPERATIONS 40.00 2.00 X 223223 0 6969 THOMAS BROD SVP OF BUSINESS DEVELOPMEN 40.00 2.00 X 299514 0 12929 JOHN COUTURE VICE PRESIDENT - IT 40.00 2.00 X 240670 0 27329 HEIDI LEAVENGOOD VICE PRESIDENT OF ACCOUNTING 40.00 2.00 X 165547 0 33397 AMY E LACROIX REGIONAL OPERATIONS DIRECT 40.00 2.00 X 225680 0 13125 DAVID MILLER EXECUTIVE DIRECTOR FRIENDS 40.00 0.00 X 204101 0 25754 KEVIN KNOPF REGIONAL OPERATIONS DIRECT 40.00 0.00 X 223803 0 24388 BLAIRE GOLDSTEIN EXECUTIVE DIRECTOR OAK TRA 40.00 0.00 X 206499 0 20219 RHONDA DEMENO DIR. CLINICAL REIMBURSEMENT 40.00 0.00 X 195284 0 17557 4524842 0 293818 67 0 1 0 PEPPER CONSTRUCTION 411 LAKE ZURICH ROAD BARRINGTON IL 60010 CONTRACTOR 39729722 THOMAS MANAGEMENT LLC 700 E FRANKLIN ROAD MERIDIAN ID 83642 CULINARY SERVICES 22494458 LECESSE CONSTRUCTION SERVICES LLC 75 THRUWAY PARK DRIVE WEST HENRIETTA NY 14586 CONTRACTOR 18623802 REHABCARE GROUP EAST INC PO BOX 503534 ST LOUIS MO 631503534 HEALTH CENTER 7679414 GLYNN DEVINS ADVERTISING 11230 COLLEGE BLVD OVERLAND PARK KS 33210 MARKETING 5126571 131 485813 485813 APARTMENT FEES 531110 118797217 118797217 SKILLED NURSING 623000 73534566 73534566 ENTRANCE FEES 531110 36361184 36361184 HOME HEALTH 621610 6932918 6932918 ASSISTED LIVING 623000 5942164 5942164 241568049 5302031 5302031 192284789 185752876 942807 6531913 -942807 5589106 5589106 82341 0 82341 82341 MANAGEMENT FEES 623000 1268490 1268490 EMPLOYEE MEALS 623990 184054 184054 1452544 254479884 241568049 0 12426022 X 1646562 1646562 1103036 1103036 3662250 732450 2929800 86185663 68948530 17237133 1146333 917066 229267 14930224 11944179 2986045 5691009 4552807 1138202 1505641 1505641 283505 283505 143887 143887 28169823 26761332 1408491 7852086 6281669 1570417 2150894 1720715 430179 4360559 3488447 872112 16861868 16861868 2030169 1624135 406034 5711775 5711775 39863651 37870468 1993183 1624164 1591681 32483 OTHER ANCILLARY EXPENSE 9838727 7870982 1967745 PLANT OPERATIONS 5867916 5867916 0 MISCELLANEOUS EXPENSES 4802780 3842210 960570 MEDICAL SUPPLIES/DRUGS 3631495 3631495 0 6187638 5109207 1078431 255251655 218078530 37173125 0 21275472 15830816 12700079 10301979 14543926 14830973 1286741 1094964 3663102 3810701 969846854 428395246 454852103 541451608 106907299 101077051 856332 956332 55577758 55577758 126406153 229264518 798068965 974196700 31383885 53066117 5592425 8267017 213882832 377805796 4582366 4381022 2675317 2675317 584151018 590139951 842267843 1036335220 X -44198878 -62138520 -44198878 -62138520 798068965 974196700 X -771771 -16322593 -845278 X X 0 1 X 1 0 X 578009 131002 87325 258784 485813 1540933 219904385 235884554 243366546 235414554 241524884 1176094923 1504476 1534885 3039361 220482394 236015556 243453871 237177814 243545582 1180675217 576257 131002 87325 258784 485813 1539181 0 576257 131002 87325 258784 485813 1539181 1179136036 2844106 3348921 3854601 4589785 5302031 19939444 2844106 3348921 3854601 4589785 5302031 19939444 223326500 239364477 247308472 241767599 248847613 1200614661 0.98210 0.98340 0.01660 0.01540 X 33777498 33777498 866726277 384866983 481859294 23966 23966 0 69319113 43504297 25814816 541451608 ASSETS WHOSE USE IS LIMITED: OPERATING RESERVE FUND 19032225 ASSETS WHOSE USE IS LIMITED: DEBT SERVICE RESERVE FUND 34018447 ASSETS WHOSE USE IS LIMITED: PRINCIPAL & INTEREST FUND 121053735 ASSETS WHOSE USE IS LIMITED: WAIT LIST RESERVE FUND 4145197 ASSETS WHOSE USE IS LIMITED: ENTRANCE FEE DEPOSITS 7872941 ASSETS WHOSE USE IS LIMITED: ASSET REPLACEMENT FUND 10796571 DEFERRED EXPENSES 602678 DUE FROM RELATED PARTY 31742724 229264518 DEFERRED ENTRANCE FEES, REFUNDABLE ENTRANCE & MEMBERSHIP FEES 590139951 590139951 X PART X, LINE 2: LIFESPACE COMMUNITIES, DEERFIELD, AND THE LIFESPACE FOUNDATION HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAVE BEEN DESIGNATED AS PUBLICLY SUPPORTED ORGANIZATIONS (RATHER THAN PRIVATE FOUNDATIONS). IN 2018, LIFESPACE DG, LLC WAS MERGED INTO ITS PARENT COMPANY LIFESPACE COMMUNITIES, INC. LIFESPACE COMMUNITIES, INC. IS THE SURVIVING ENTITY AS A RESULT OF THE MERGER. WHILE IN EXISTENCE, LIFESPACE DG, LLC, D/B/A OAK TRACE SHARED THE SAME EXEMPTIONS AS LIFESPACE BY VIRTUE OF LIFESPACE BEING THE SOLE MEMBER OF OAK TRACE. LIFESPACE EVALUATES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING ITS TAX RETURNS TO DETERMINE WHETHER IT IS "MORE LIKELY THAN NOT" THAT EACH TAX POSITION WOULD BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITION. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD WOULD BE RECORDED AS TAX BENEFIT OR EXPENSE IN THE CURRENT YEAR. AS OF OR DURING THE YEARS ENDED DECEMBER 31, 2018 AND 2017, LIFESPACE HAS NOT RECORDED ANY SUCH TAX BENEFIT OR EXPENSE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. NO EXAMINATIONS ARE IN PROGRESS OR ANTICIPATED AT THIS TIME. LIFESPACE'S FEDERAL INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR THE YEARS ENDED DECEMBER 31, 2015 THROUGH DECEMBER 31, 2017. 1 THE LIFESPACE FOUNDATION 4201 CORPORATE DRIVE WEST DES MOINES IA 50266 421370848 501(C)(3) 147968 TO SUPPORT GENERAL OPERATIONS DEERFIELD RETIREMENT COMMUNITY 4201 CORPORATE DRIVE WEST DES MOINES IA 50266 421508960 501(C)(3) 1487000 TO SUPPORT GENERAL OPERATIONS 2 0 HARDSHIP ASSISTANCE - REDUCTION OF FEES 39 1103036 FAIR MARKET VALUE OF REDUCTION FEES RESIDENTS DO FROM TIME TO TIME SEEK FINANCIAL ASSISTANCE BY REQUESTING ASSISTANCE WITH THE MONTHLY FEE. SINCE THESE RESIDENTS HAVE SIGNED A LIFE CARE CONTRACT, THE ORGANIZATION IS OBLIGATED TO LET THEM CONTINUE TO LIVE IN THE COMMUNITY. MANAGEMENT SHALL REVIEW BOARD APPROVED CRITERIA TO DETERMINE WHETHER THE RESIDENT IS A CANDIDIATE TO RECEIVE A HARDSHIP DISCOUNT. IF THE RESIDENT QUALIFIES FOR A HARDSHIP DISCOUNT, THE DISCOUNT WILL BEGIN TO BE DEDUCTED FROM THE MONTHLY FEES. PART I, LINE 2: THE ORGANIZATION CAN EASILY MONITOR THE USE OF THE GRANTS TO INDIVIDUALS BECAUSE THE GRANTS ARE SIMPLY REDUCTIONS OF THE MONTHLY FEES AND ENTRANCE FEES THAT THE RESIDENTS WOULD OWE IF THE HARDSHIP ASSISTANCE WAS NOT GRANTED. THE GRANT TO THE LIFESPACE FOUNDATION IS A TRANSFER TO A RELATED AFFILIATE. THE USE OF FUNDS ARE MONITORED DURING THE FINANCIAL REPORTING PROCESS AS BOTH AFFILIATES SHARE A COMMON BOARD OF DIRECTORS AND MANAGEMENT TEAM. X 1 1 X X X X X 1 0 0 0 0 0 0 0 0 M SLOAN BENTLEY PRESIDENT, CEO & DIRECTOR 510055 0 155773 0 40071 0 8250 0 15306 0 729455 0 0 0 LARRY SMITH SVP, CFO & TREASURER 330725 0 22048 0 24500 0 8250 0 23743 0 409266 0 0 0 JODI HIRSCH SENIOR VP GENERAL COUNSEL & SECRETARY 259259 0 20136 0 14756 0 7531 0 0 0 301682 0 0 0 ANN WALSH SENIOR VICE PRESIDENT - OP 300784 0 28447 0 7748 0 5652 0 9492 0 352123 0 0 0 JOE CHAMBERS VICE PRESIDENT - MARKETING 134175 0 3345 0 122919 0 0 0 14891 0 275330 0 0 0 SARA E HAMM SENIOR VICE PRESIDENT - HEALTH SERVI 215200 0 16072 0 15508 0 3600 0 15436 0 265816 0 0 0 JODI BLEIER VP - FINANCIAL OPERATIONS 195615 0 9341 0 18267 0 6872 0 97 0 230192 0 0 0 THOMAS BROD SVP OF BUSINESS DEVELOPMEN 272420 0 19462 0 7632 0 3098 0 9831 0 312443 0 0 0 JOHN COUTURE VICE PRESIDENT - IT 193190 0 29123 0 18357 0 5564 0 21765 0 267999 0 0 0 HEIDI LEAVENGOOD VICE PRESIDENT OF ACCOUNTING 149772 0 9272 0 6503 0 4833 0 28564 0 198944 0 0 0 AMY E LACROIX REGIONAL OPERATIONS DIRECT 196412 0 11032 0 18236 0 5634 0 7491 0 238805 0 0 0 DAVID MILLER EXECUTIVE DIRECTOR FRIENDS 170472 0 23765 0 9864 0 2828 0 22926 0 229855 0 0 0 KEVIN KNOPF REGIONAL OPERATIONS DIRECT 204000 0 14692 0 5111 0 2280 0 22108 0 248191 0 0 0 BLAIRE GOLDSTEIN EXECUTIVE DIRECTOR OAK TRA 179857 0 13666 0 12976 0 5915 0 14304 0 226718 0 0 0 RHONDA DEMENO DIR. CLINICAL REIMBURSEMENT 166705 0 19500 0 9079 0 2251 0 15306 0 212841 0 0 0 PART I, LINE 1B COUNTRY CLUB MEMBERSHIP DUES FOR M. SLOAN BENTLEY (OFFICER & DIRECTOR) ARE REIMBURSED BY LIFESPACE COMMUNITIES, INC. AND ARE INCLUDED IN HER W-2 AS TAXABLE WAGES. A KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 485429BX1 2010-11-18 25526524 CONSTRUCTION OF FACILITY AND REFUND A TAXABLE LOAN (7/1/2009) 0 0 0 B KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 2014-08-13 5485000 REFUND PRIOR ISSUE (8/23/13) 0 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45203HT28 2015-03-25 38167219 CONSTRUCTION OF FACILITY & REFUND PRIOR ISSUES (5/19/99 10/23/03 & 2/20/13) 0 0 0 D PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 696507UA8 2015-03-25 47992621 REFUND PRIOR ISSUES (11/28/07 & 2/20/13) 0 0 0 A 25924195 2648960 431072 19922450 2921714 2012 1 0 1 1 B 2918028 5485000 5485000 2003 1 0 1 1 C 4900000 38325647 2499078 687038 18737148 16830399 2016 1 0 1 1 D 4385000 48814979 3564174 70475 858282 46624107 2017 1 1 1 1 A 0 1 0 0 0.00300 0.00300 0 0 1 B 0 1 0 0 0.00300 0.00300 0 0 1 C 0 1 0 0 0.00300 0.00300 0 0 1 D 0 1 0 0 0.00300 0.00300 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 0 1 1 1 0 0 0 1 C 0 1 1 0 0 0 0 0 1 D 0 1 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: KANSAS DEVELOPMENT FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/31/2015 ISSUER NAME: KANSAS DEVELOPMENT FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/03/2014 ISSUER NAME: PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/24/2014 ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/21/2015 ISSUER NAME: HOSPITAL AUTH NO. 1 OF LANCASTER CO, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 03/05/2005 ISSUER NAME: HOSPITAL AUTH NO. 1 OF LANCASTER CO, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 12/05/2008 ENTITY 1, SCHEDULE K, PART II, COLUMN A, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 1, SCHEDULE K, PART 1, ROW C, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATION. ENTITY 1, SCHEDULE K, PART IV, COLUMN B, LINE 2, REBATE COMPUTATION NOTE REGARDING THE REBATE COMPUTATION 9/30/14: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. ENTITY 1, SCHEDULE K, PART II, COLUMN C, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE ENTITY 1, SCHEDULE K, PART 1 ROW D, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATION. ENTITY 1, SCHEDULE K, PART II, COLUMN C, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ENTITY 1, SCHEDULE K, PART II, COLUMN D, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 1, SCHEDULE K, PART I, ROW A, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 1, SCHEDULE K, PART II, COLUMN D, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ENTITY 2, SCHEDULE K, PART II, COLUMN A, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 2, SCHEDULE K, PART I, ROW A, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATION. ENTITY 2, SCHEDULE K, PART II, COLUMN B, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 2, SCHEDULE K, PART I, ROW B, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATION. ENTITY 2, SCHEDULE K, PART II, COLUMN C, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 2, SCHEDULE K, PART I, ROW B, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 2, SCHEDULE K, PART II, COLUMN D, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS OF ISSUE DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ENTITY 3, SCHEDULE K, PART II, COLUMN A, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 3, SCHEDULE K, PART I, ROW A, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 3, SCHEDULE K, PART IV, COLUMN A, LINE 2, REBATE COMPUTATION NOTE REGARDING THE 03/05/2005 REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS. NO FURTHER REBATE CALCULATIONS ARE NECESSARY. ENTITY 3, SCHEDULE K, PART II, COLUMN B, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 3, SCHEDULE K, PART I, ROW B, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATION. ENTITY 3, SCHEDULE K, PART IV, COLUMN B, LINE 2, REBATE COMPUTATION NOTE REGARDING THE 12/05/2008 REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS NO FUTHER REBATE CALCULATIONS WERE NECESSARY. A IOWA FINANCE AUTHORITY 521699886 46246K3P5 2016-11-22 52715703 RENOVATE FACILITIES 0 0 0 B PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 696507UD2 2016-11-22 24609426 RENOVATE FACILITIES 0 0 0 C PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297505 696507RV6 2004-12-22 5465000 ACQUISITION, CONSTRUCTION AND EQUIPPING FACILITY 0 0 0 D ILLINOIS FINANCE AUTHORITY 861091967 45200BMX3 2005-04-21 12165166 REFUND BONDS (4/29/1997) 0 0 0 A 53441499 4321319 4584461 1052101 43482972 646 0 0 0 1 B 25197706 2021380 2133867 490963 15994268 4557228 0 0 0 1 C 1505000 5476203 364745 109300 7211 4994947 2005 0 0 1 1 D 8395000 12165166 1037201 241856 279578 11643732 2005 1 0 1 1 A 0 1 0 0 0.00300 0.00300 0 0 1 B 0 1 0 0 0.00300 0.00300 0 0 1 C 0 1 0 0 0.00300 0.00300 0 0 1 D 0 1 0 0 0.00300 0.00300 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 1 1 1 0 0 0 1 D 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 D 1 A HOSPITAL AUTH NO 1 OF LANCASTER CO NE 470721900 2003-03-05 9700000 CONSTRUCTION OF FACILITY 0 0 0 B HOSPITAL AUTH NO 1 OF LANCASTER CO NE 470721900 2005-12-05 13050000 CONSTRUCTION OF FACILITY 0 0 0 C IOWA FINANCE AUTHORITY 521699886 46246K4T6 2018-08-28 141806310 RENOVATE FACILITIES 0 0 0 D PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 696507UN0 2018-08-28 32281188 RENOVATE FACILITIES 0 0 0 A 3622693 9777788 9777788 2004 0 0 1 1 B 3209400 13603719 200000 13403719 2007 0 0 1 1 C 142217436 12960110 1428258 2662656 40746355 84420057 0 0 0 1 D 32376127 3043598 321993 645624 5954 28358959 0 0 0 1 A 0 1 0 0 0.00100 0.00100 0 0 1 B 0 1 0 0 0.00100 0.00100 0 0 1 C 0 1 0 0 0.00300 0.00300 0 0 1 D 0 1 0 0 0.00300 0.00300 0 0 1 A 0 0 1 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR OF THE BOARD, THE VICE CHAIR OF THE BOARD, THE IMMEDIATE PAST CHAIR OF THE BOARD, THE CHAIR OF THE GOVERNANCE AND NOMINATING COMMITTEE AND, AS AN EX-OFFICIO MEMBER, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. EXCEPT AS LIMITED HEREIN, AND EXCEPT FOR RESPONSIBILITIES DELEGATED TO ANOTHER COMMITTEE, THE EXECUTIVE COMMITTEE SHALL POSSESS AND MAY EXERCISE ALL OF THE POWERS OF THE BOARD OF DIRECTORS IN THE OVERSIGHT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, EXCEPT AS HEREIN PROVIDED. THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWERS OF THE BOARD OF DIRECTORS WITH RESPECT TO AUTHORIZING DISTRIBUTIONS; APPROVING DISSOLUTION, MERGER, OR THE SALE, PLEDGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; ELECTING, APPOINTING, OR REMOVING DIRECTORS OR FILLING VACANCIES ON THE BOARD OF DIRECTORS OR ON ANY OF ITS COMMITTEES; OR ADOPTING, AMENDING, REPEALING THE ARTICLES OF INCORPORATION OR THE BYLAWS, OR THE APPOINTMENT OR REMOVAL OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE PRIMARY PURPOSE OF THE COMMITTEE IS TO ENABLE THE BOARD OF DIRECTORS TO ACT WHERE AN ASSEMBLY OF A QUORUM OF THE BOARD WOULD BE IMPRACTICABLE OR IMPOSSIBLE. THE COMMITTEE ALSO SHALL SERVE AS AN ADVISOR TO THE PRESIDENT AND CEO, PROVIDING CONSULTATION, SUPPORT AND GUIDANCE ON AN INFORMAL BASIS AS REQUESTED FROM TIME TO TIME, AND REVIEW AND APPROVE BOARD MEETING AGENDAS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION SHALL BE LIFESPACE, INC. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT PERFORMS A THOROUGH REVIEW OF THE FORM 990. THE RISK MANAGEMENT & AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING. ANY CONCERNS OR SUGGESTIONS IDENTIFIED BY THE RISK MANAGEMENT & AUDIT COMMITTEE ARE RPEORTED TO THE FULL BOARD OF DIRECTORS. A COPY OF THE FORM 990 WILL BE DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. MEMBERS OF THE BOARD OF DIRECTORS DIRECT ANY QUESTIONS OR CONCERNS TO THE CHIEF FINANCIAL OFFICER TO BE RESOLVED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS OF LIFESPACE COMMUNITIES, INC. AND ALL RELATED ORGANIZATIONS MUST CONDUCT THEIR PERSONAL AFFAIRS IN SUCH A MANNER AS TO AVOID ANY POSSIBLE CONFLICTS OF INTEREST WITH DUTIES AND RESPONSIBILITIES AS OFFICERS AND MEMBERS OF THE BOARD OR DIRECTORS. ALL NEW BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THIS IS REVIEWED BY THE GOVERNANCE & NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THESE STATEMENTS ARE REVIEWED BY THE GOVERNANCE & NOMINATING COMMITTEE TO DETERMINE IF ANY CONFLICTS OF INTEREST EXIST PRIOR TO REAPPOINTMENT TO THE BOARD AND OFFICER POSITIONS. ANY DIRECTOR HAVING A CONFLICT OF INTEREST SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR DIRECTORS (INCLUDING THE OFFICER-DIRECTOR POSITIONS OF CHAIR AND VICE-CHAIR) IS REVIEWED ANNUALLY BY THE GOVERNANCE AND NOMINATING COMMITTEE. GENERALLY, AN OUTSIDE CONSULTANT IS RETAINED EVERY YEAR TO DETERMINE THE REASONABLENESS OF DIRECTOR COMPENSATION. A REPORT IS PROVIDED TO THE BOARD OF DIRECTORS BY THE CONSULTANT. THE BOARD OF DIRECTORS APPROVES THE ANNUAL COMPENSATION BASED ON THESE REVIEWS. COMPENSATION FOR EMPLOYEES WHO ARE DISQUALIFIED PERSONS UNDER INTERMEDIATE SANCTIONS REGULATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE DISQUALIFIED PERSONS INCLUDE THE CEO, THE CFO, THE SVP OF OPERATIONS, AND THE SVP OF SUCCESSFUL AGING AND HEALTH SERVICES. THE COMPENSATION COMMITTEE USES AN OUTSIDE, INDEPENDENT COMPENSATION CONSULTANT AT LEAST EVERY OTHER YEAR TO DETERMINE THE REASONABLENESS OF THE DISQUALIFIED PERSONS' COMPENSATION. THE COMPENSATION CONSULTANT PROVIDES A REPORT TO THE COMPENSATION COMMITTEE OF ITS MARKET COMPETITIVENESS REVIEW, FINDINGS, AND RECOMMENDATIONS, AND A LETTER STATING ITS ASSESSMENT OF THE REASONABLENESS OF COMPENSATION. IN YEARS WHEN THE COMPENSATION COMMITTEE DOES NOT USE AN OUTSIDE CONSULTANT, IT REVIEWS SURVEY INFORMATION TO DETERMINE THE REASONABLENESS OF COMPENSATION. THE COMPENSATION COMMITTEE RECOMMENDS TO THE BOARDS, AND THE BOARD OF DIRECTORS APPROVES THE ANNUAL COMPENSATION CHANGES BASED ON THE RECOMMENDATION OF THE COMPENSATION COMMITTEE. THE SALARIES AND BENEFITS LISTED CONTAIN THE TOTAL SALARIES AND BENEFITS PAID TO EACH INDIVIDUAL THROUGH LIFESPACE COMMUNITIES, INC. AND ALL RELATED ENTITIES. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FROM THIRD PARTIES FOR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE REFERRED TO THE CHIEF FINANCIAL OFFICER. ANNUAL RETURNS AND THE APPLICATION FOR EXEMPTION ARE MADE AVAILABLE FOR PUBLIC INSPECTION AND ARE PROVIDED TO INDIVIDUALS WHO REQUEST THEM. COPIES ARE PROVIDED WITHIN 30 DAYS OF A WRITTEN REQUEST OR THE SAME DAY IF REQUESTED IN PERSON. FORM 990, PART IX, LINE 11G CONSULTANT SERVICES: PROGRAM SERVICE EXPENSES 23,731,273. MANAGEMENT AND GENERAL EXPENSES 1,249,014. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,980,287. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,610,196. MANAGEMENT AND GENERAL EXPENSES 137,379. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,747,575. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 317,595. MANAGEMENT AND GENERAL EXPENSES 16,716. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 334,311. PASTORAL CARE/CHAPLAIN SERVICES: PROGRAM SERVICE EXPENSES 41,645. MANAGEMENT AND GENERAL EXPENSES 2,192. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,837. LAUNDRY SERVICE PURCHASED: PROGRAM SERVICE EXPENSES 59,039. MANAGEMENT AND GENERAL EXPENSES 3,107. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,146. NURSING CARE PURCHASED: PROGRAM SERVICE EXPENSES 1,584. MANAGEMENT AND GENERAL EXPENSES 83. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,667. FORM 990, PART XI, LINE 9: EQUITY ADJUSTMENT -833,000. FINANCIAL STATEMENT ROUNDING ADJUSTMENT -669. EXTRAORDINARY LOSS -11,609. FORM 990, PART XII, LINE 2C: THE PROCESS OF OVERSEEING THE AUDIT AND SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. 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