2018-02-10T11:32:59-06:00 2017-04-30 381357951 PLANTE & MORAN PLLC 750 Trade Centre Way Ste 300 Portage MI 49002 990 2016-05-01 381366932 Clark Retirement Community Inc CLAR 6164521568 1551 Franklin SE Grand Rapids MI 495063331 BRIAN PANGLE PRESIDENT/CEO 6164521568 2018-02-05 1 Carol LaLonde CPA P00181637 2695674500 2018-02-05 67.59.56.32 2018-02-05 08:40:30 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 58F74DC53CB874483B207ADF23CD6921384352E9 2016 2021-01-29 14:40:06Z BRIAN PANGLE 1551 Franklin SE Grand Rapids MI 495063331 27667254 0 X clarkretirement.org X 1906 MI to provide retirement housing, healthcare, and related services to residents and clients. 20 19 641 559 0 0 2189699 1748266 25690787 25069265 -2428 -60476 541920 601983 28419978 27359038 0 0 0 0 16805869 13877844 0 0 280817 11860603 14897391 28666472 28775235 -246494 -1416197 50043259 47677863 33889315 32947337 16153944 14730526 X To create a community of dignity, compassion and respect centered on the lives of older adults and those who care for them. 0 1 21583316 25069265 CLARK RETIREMENT COMMUNITY IS THE FIRST ORGANIZATION IN THE UNITED STATES TO RECEIVE ACCREDITATION FOR DEMENTIA SERVICES BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES - CONTINUING CARE ACCREDITATION COMMITTEE (CARF-CCAC).IN FISCAL YEAR 2017, CLARK PROVIDED OVER $1,426,616 IN BENEVOLENT CARE GRANTS TO RESIDENTS WHO HAVE OUTLIVED THEIR PERSONAL FINANCIAL RESOURCES.DURING FISCAL YEAR 2017, CLARK RECEIVED SEVERAL NOTABLE AWARDS AND RECOGNITION FOR ITS PROGRAM SERVICES. CLARK WAS VOTED AS ONE OF THE 101 MOST SUSTAINABLE COMPANIES IN WEST MICHIGAN. 21583316 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 22 0 1 641 1 0 0 0 0 0 0 0 0 0 0 X 20 19 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 MI X CRAIG COURTS 6164521568 1551 franklin st sE GRAND RAPIDS MI 49506 CYNTHIA MCCURREN PRESIDENT 1.00 1.00 X X 0 0 0 STEVE FINNEY VICE PRESIDENT 1.00 0.00 X X 0 0 0 ANA RAMIREZ-SAENZ SECRETARY 1.00 0.00 X X 0 0 0 DAN LAMORE TREASURER 1.00 0.00 X X 0 0 0 SUZEANNE BENET BOARD MEMBER 1.00 0.00 X 0 0 0 SPENCER BROWN BOARD MEMBER 1.00 0.00 X 0 0 0 MARK ERBES BOARD MEMBER 1.00 0.00 X 0 0 0 BOB GILLETTE BOARD MEMBER 1.00 0.00 X 0 0 0 DALE GROGAN BOARD MEMBER 1.00 0.00 X 0 0 0 MARCIA HAAS BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM HAGGARD BOARD MEMBER 1.00 0.00 X 0 0 0 BETH KELLY BOARD MEMBER 1.00 0.00 X 0 0 0 TOM WERKMAN BOARD MEMBER 1.00 0.00 X 0 0 0 DICK YOUELLS BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN BERGSTROM BOARD MEMBER 1.00 1.00 X 0 0 0 DAVE GOMBERT BOARD MEMBER 1.00 0.00 X 0 0 0 DICK SELLECK BOARD MEMBER 1.00 0.00 X 0 0 0 JAYNE COURTS BOARD MEMBER 1.00 0.00 X 0 0 0 KATHY HOLT BOARD MEMBER 1.00 0.00 X 0 0 0 GREGG RICHARDSON BOARD MEMBER 1.00 0.00 X 0 0 0 JUDY WHITWER BOARD MEMBER - PART YEAR 1.00 0.00 X 0 0 0 SIMIN BEG BOARD MEMBER - PART YEAR 1.00 0.00 X 0 0 0 BRIAN PANGLE CEO 40.00 1.00 X 289773 0 30875 CRAIG COURTS CFO 40.00 0.00 X 180832 0 24309 TIM HOCK COO 40.00 0.00 X 191539 0 5481 KIM HEALY VP OF HR - PART YEAR 40.00 0.00 X 125793 0 12854 CASEY MONTGOMERY VP OF SALES & MARKETING-PART YEAR 40.00 0.00 X 100538 0 3039 KIMBERLY WOZNIAK NURSING HOME ADMINISTRATOR 40.00 0.00 X 129564 0 0 1018039 0 76558 6 0 1 0 UNIDINE 1000 WASHINGTON ST STE 510 BOSTON MA 02118 DINING SERVICES 2068834 REHAB CARE 7733 FORSYTH BLVD STE 1700 ST LOUIS MO 63105 REHAB STAFFING 547070 QCI HEALTHCARE 2805 COIT NE GRAND RAPIDS MI 49505 CLINICAL STAFFING 428223 MAXIM STAFFING SOLUTIONS 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CLINICAL STAFFING 185540 CLINICAL RESOURCES LLC 3338 PEACHTREE ROAD NE STE 102 ATLANTA GA 30326 CLINICAL STAFFING 156073 5 1670766 77500 1748266 RESIDENT SERVICES 623000 23834885 23834885 HOME HEALTH SERVICES 621610 705114 705114 HOME PERSONAL SERVICES 621610 529266 529266 25069265 7967 7967 19702 0 19702 19702 19702 239773 238546 69670 1227 -69670 -68443 -68443 PROPERTY TAX REVENUE 900099 156468 156468 BARBER SHOP REVENUE 900099 118895 118895 GUEST MEALS 900099 73999 73999 232919 232919 582281 27359038 25069265 0 541507 X 775922 775922 10774137 7984720 2544705 244712 297431 273306 24125 1248442 1157355 91087 781912 781912 187735 187735 54825 54825 1213 1213 37799 37799 5415104 4578587 836517 205287 126494 78793 101734 101734 739833 737683 2150 59804 59804 75298 3583 71715 985989 985989 2237996 2219831 18165 208575 208575 nursing home supplies 2153173 2153173 MEDICAID TAXES 693409 693409 Minor Equipment 631793 216276 415517 BAD DEBTS 542869 542869 564955 598952 -70102 36105 28775235 21583316 6911102 280817 68950 -9363 1315521 875536 306577 94960 276966 529805 64010913 30128046 35306349 33882867 10421258 10171870 757209 96765 1590429 2035423 50043259 47677863 2876976 3255855 11383642 11374158 11518356 11469772 6595879 5576168 1514462 1271384 33889315 32947337 X 16153944 14730526 16153944 14730526 50043259 47677863 X -1416197 87559 -94780 X X 0 1 X 1 0 X 493231 2123325 5609788 2189699 1748266 12164309 23692237 25099602 25405528 25690787 25069265 124957419 24185468 27222927 31015316 27880486 26817531 137121728 0 0 0 137121728 42137 17368 104251 49980 27669 241405 42137 17368 104251 49980 27669 241405 421801 302575 535083 524874 582281 2366614 24649406 27542870 31654650 28455340 27427481 139729747 0.98130 0.98230 0.00170 0.00230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1213 1213 0 Part II-B, Line 1: A PORTION OF THE DUES PAID TO LEADING AGE MICHIGAN AND LEADING AGE NATIONAL ARE ALLOCATED TO LOBBYING ACTIVITIES. 4714933 4714933 54867824 26929424 27938400 4364293 3198622 1165671 63863 63863 33882867 BENEFICIAL INTEREST IN NET ASSETS OF CLARK RETIREMENT COMMUNITY FOUNDATION 10171870 F 10171870 Bank Line of Credit 1271384 1271384 X X X X 1 0 0 0 0 0 0 0 0 BRIAN PANGLE CEO 271173 0 18600 0 0 0 14292 0 16583 0 320648 0 0 0 CRAIG COURTS CFO 170832 0 10000 0 0 0 9450 0 14859 0 205141 0 0 0 TIM HOCK COO 181539 0 10000 0 0 0 5481 0 0 0 197020 0 0 0 Part I, Line 4a KIM HEALY - $33,654 CASEY MONTGOMERY - $34,692 A Michigan Strategic Fund 521417332 594698AQ5 2006-06-09 11539859 SEE PART VI 0 0 0 A 11539853 1161000 13793 230797 5104 2008 1 1 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 0 A 0 Date Rebate Computation Performed Issuer Name: Michigan Strategic Fund Date the Rebate Computation was Performed: 06/09/2011 PART I, LINE A, COLUMN F ADVANCE REFUND PORTION OF 1998 BONDS (ISSUED 9/10/1998) AND CURRENTLY REFUND ALL OF 2001 BONDS (ISSUED 6/28/2001). JAYNE COURTS BOARD MEMBER 205141 COMPENSATION OF FAMILY MEMBER - CRAIG COURTS, CFO 0 Form 990, Part III, line 3 DURING FY 2017, CLARK RETIREMENT COMMUNITY, INC. BEGAN THE PROCESS OF WINDING DOWN THE OPERATIONS OF DISREGARDED ENTITIES, CLARK AT HOME HEALTH SERVICES AND CLARK AT HOME PERSONAL SERVICES. ON APRIL 1, 2017, CLARK RETIREMENT COMMUNITY, INC. INVESTED IN ATRIO HOME CARE, A JOINT VENTURE ARRANGEMENT WITH TWO OTHER WEST MICHIGAN NONPROFIT SENIOR CARE ORGANIZATIONS, HOLLAND HOME AND RESTHAVEN, TO PROVIDE SKILLED AND PRIVATE DUTY HOMECARE SERVICES. EFFECTIVE NOVEMBER 1, 2016, THE NET ASSETS OF THE RETHINKING DEMENTIA: ACCELERATING CHANGE PROGRAM WERE TRANSFERRED TO AN UNRELATED THIRD-PARTY ORGANIZATION TO CARRY ON THE MISSION OF THE PROGRAM. IT IS NOW A SEPARATE 501(C)3 ORGANIZATION, EFFECTIVE DECEMBER 7, 2016. Form 990, Part VI, Section A, line 2 JAYNE COURTS, BOARD MEMBER, HAS A FAMILY RELATIONSHIP WITH CRAIG COURTS, CFO OF CLARK RETIREMENT COMMUNITY, INC. Form 990, Part VI, Section B, line 11b A COPY OF THE 990 IS REVIEWED BY THE FINANCE COMMITTEE PRIOR TO FILING THE RETURN. ONCE THE FINANCE COMMITTEE APPROVES THE RETURN, THE BOARD WILL RECEIVE A COPY OF THE RETURN FOR REVIEW BEFORE FILING. THE OFFICERS OF THE ORGANIZATION ALSO REVIEW THE 990 PRIOR TO FILING. A COPY OF THE 990 WILL BE MADE AVAILABLE UPON REQUEST. Form 990, Part VI, Section B, line 12c ON AN ANNUAL BASIS, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DOCUMENT. THESE DOCUMENTS ARE REVIEWED ANNUALLY TO ENSURE COMPLIANCE. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST WITH CLARK RETIREMENT COMMUNITY CANNOT INFLUENCE IN ANY WAY AND MUST ABSTAIN FROM VOTING ON ANY OUTCOME RELATED TO THE CONFLICT OF INTEREST. Form 990, Part VI, Section B, line 15 AN ANNUAL REVIEW IS CONDUCTED BY THE EMPLOYERS ASSOCIATION ALONG WITH HR GENERATING COMPARISONS TO LOCAL, REGIONAL AND NATIONAL INDUSTRY DATA. A COPY OF THE REVIEW IS PROVIDED TO THE BOARD FOR APPROVAL. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN IN WAS IN FISCAL YEAR 2017. Form 990, Part VI, Section C, line 19 Governing documents, conflict of interest policy and financial statements are available to the public upon request. Additionally, portions of the financial statements are included in the annual disclosure statement. Form 990, Part IX, line 11g PROFESSIONAL SERVICES: Program service expenses 4,578,587. Management and general expenses 836,517. Fundraising expenses 0. Total expenses 5,415,104. Form 990, Part XI, line 9: UNREALIZED GAIN ON INVESTMENT IN RELATED ORG -317,429. LOSS ON INTEREST RATE SWAP AGREEMENT 214,029. ADJUSTED UNREALIZED LOSS ON INVESTMENTS 68,041. transfer of net assets to rethinking dementia: accelerating change -59,421. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM THE PRIOR YEAR. CLARK AT HOME HEALTH SERVICES LLC 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 381366932 HOME CARE SERVICES MI 705117 55974 CLARK RETIREMENT COMMUNITY INC CLARK AT HOME PERSONAL SERVICES LLC 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 381366932 HOME CARE SERVICES MI 529270 449009 CLARK RETIREMENT COMMUNITY INC CLARK RETIREMENT COMMUNITY FOUNDATION 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 383236052 SUPPORTING ORGANIZATION MI 501(C)(3) Line 12a, I CLARK RETIREMENT COMMUNITY INC 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Clark Retirement Community Foundation C 1670766 CASH CLARK Retirement Community Foundation A 6000 ACTUAL RENT