2017-05-11T08:06:38-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2016-01-01 371017284 CLARK-LINDSEY VILLAGE INC CLAR 2173442144 101 WEST WINDSOR ROAD URBANA IL 61802 DEBRA S REARDANZ CEO 2173442144 2017-05-10 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2017-05-10 11:04:15 CD P 624C7CFF9B5FF17B83B2A577876402BA2093F9BA A9A0EAFF0212B6139E678F851E8CE171469640BE 2016 2021-01-29 14:40:06Z DEBRA REARDANZ 101 WEST WINDSOR ROAD URBANA IL 61802 21732023 0 X WWW.CLARK-LINDSEY.COM X 1970 IL TO PROVIDE HOUSING AND HEALTHCARE FACILITIES/SERVICES FOR ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN. 13 13 380 575 0 0 311955 450517 15165427 15173741 243570 200647 345265 333301 16066217 16158206 0 60653 0 0 7784893 7828391 0 0 0 7086204 7476451 14871097 15365495 1195120 792711 39434846 48514651 21081953 29119000 18352893 19395651 X TO PROVIDE HOUSING AND HEALTHCARE FACILITIES/SERVICES FOR ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN. 0 0 13701270 60653 15173741 CLARK-LINDSEY VILLAGE'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE HOUSING, SERVICES, AND HEALTHCARE TO THE ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN. IN 2016, CLARK- LINDSEY VILLAGE PROVIDED HOUSING AND SERVICES TO APPROXIMATELY 490 ELDERLY PEOPLE, RESULTING IN 86,784 DAYS OF CARE. IN ADDITION, CLARK-LINDSEY PROVIDED 171,080 HOURS OF NURSING CARE, 40,260 SESSIONS OF THERAPY, AND MORE THAN 400 SENIOR PROGRAMS DESIGNED TO PROMOTE CONTINUED LEARNING AND SUCCESSFUL AGING.THE MISSION OF CLARK-LINDSEY IS TO OFFER SENIOR ADULTS EXCEPTIONAL SERVICES AND LIVING ENVIRONMENTS DESIGNED TO ENGAGE THE MIND, SPIRIT, AND BODY IN WELLNESS AND COMMUNITY. THE MISSION IS FURTHERED AND SUSTAINED THROUGH YEARS OF CHARITABLE GIVING. GENEROUS DONORS HAVE PROVIDED FOR A FRIENDSHIP FUND TO ASSIST COMMUNITY MEMBERS WHO NO LONGER HAVE THE FINANCIAL RESOURCES TO PROVIDE FOR THEIR HOME AND HEALTH CARE COSTS. CLARK-LINDSEY PROVIDES CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA UNDER ITS FRIENDSHIP FUND POLICY WITHOUT CHARGE OR AT REDUCED RATES. KEY ELEMENTS USED TO DETERMINE ELIGIBILITY INCLUDE A RESIDENT'S DEMONSTRATED INABILITY TO PAY.CLARK-LINDSEY MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS FRIENDSHIP FUND POLICY, THE ESTIMATED COST OF THOSE SERVICES AND SUPPLIES, AND EQUIVALENT SERVICE STATISTICS. DURING THE YEARS ENDED DECEMBER 31, 2016 AND 2015, ONE RESIDENT RECEIVED FINANCIAL ASSISTANCE FROM THE FRIENDSHIP FUND. THE ESTIMATED COST OF SERVICES AND SUPPLIES PROVIDED TO THIS RESIDENT UNDER THE FRIENDSHIP FUND POLICY IS APPROXIMATELY $69,000 AND $8,000 DURING THE YEARS ENDED DECEMBER 31, 2016 AND 2015, RESPECTIVELY. CLARK-LINDSEY UTILIZES EARNINGS FROM CERTAIN INVESTMENTS AND CONTRIBUTIONS RECEIVED DESIGNATED FOR THE FRIENDSHIP FUND TO SUBSIDIZE THE COSTS OF PROVIDING CHARITY CARE. TOTAL EARNINGS AND CONTRIBUTIONS RECEIVED FOR FRIENDSHIP FUND ASSISTANCE WERE APPROXIMATELY $1,000 AND $2,000 FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015, RESPECTIVELY. 13701270 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 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 0 0 0 0 1 41 0 380 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X DEBRA REARDANZ CEO 2173442144 101 WEST WINDSOR ROAD URBANA IL 61802 THOMAS B BERNS CHAIRMAN 2.00 X X 0 0 0 DAVID W HOOD VICE-CHAIRMAN 2.00 X X 0 0 0 MICHAEL W LYON TREASURER & ASSISTANT SECRETARY 2.00 X X 0 0 0 ROLAND WHITE SECRETARY & ASSISTANT TREASURER 2.00 X X 0 0 0 TANYA GALLAGHER BOARD MEMBER 2.00 X 0 0 0 GENE GRANDONE BOARD MEMBER 2.00 X 0 0 0 JAMES D GREEN BOARD MEMBER 2.00 X 0 0 0 WADE HAMPTON BOARD MEMBER 2.00 X 0 0 0 CAMILLE S HARMON BOARD MEMBER 2.00 X 0 0 0 KATHLEEN HOLDEN BOARD MEMBER 2.00 X 0 0 0 DAVE LINE BOARD MEMBER 2.00 X 0 0 0 MICHAEL B PROVENZANO BOARD MEMBER 2.00 X 0 0 0 ELIZABETH H TYLER BOARD MEMBER 2.00 X 0 0 0 DEBRA S REARDANZ PRESIDENT / CEO 40.00 X 234513 0 31691 TIMOTHY P MAST VICE PRESIDENT OF FINANCE / CFO 40.00 X 114373 0 23539 RIKKI BRADY VICE PRESIDENT OF HEALTH SERVICES 40.00 X 102011 0 15023 FRED LUX CONSTRUCTION PROJECT MANAGER 40.00 X 101971 0 9193 552868 0 79446 4 0 1 0 ENGLISH BROTHERS COMPANY 807 N NEIL CHAMPAIGN IL 61820 CONSTRUCTION SERVICES 8446857 REHABCARE GROUP INC 7733 FORSYTH BLVD SUITE 2300 ST LOUIS MO 63150 THERAPY SERVICES 707595 PERKINS EASTMAN ARCHITECTS PC 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECT SERVICES 398316 SODEXO INC & AFFILIATES 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 ENVIRONMENTAL SERVICES 257759 MTK TECHNOLOGIES INC 701 DEVONSHIRE DR C-14 CHAMPAIGN IL 61820 TECHNOLOGY SERVICES 144109 6 450517 450517 RESIDENT SERVICES 623000 13622267 13622267 AMORTIZATION OF DEFERRED REVENUE 623000 1551474 1551474 15173741 245612 245612 5528852 5573817 -44965 -44965 -44965 MEAL REVENUE 900099 122001 122001 HAIR SALON SERVICES 900099 57230 57230 GUEST SUITE 900099 52753 52753 101317 101317 333301 16158206 15173741 0 533948 60653 60653 404116 404116 6278606 5716063 562543 181215 158988 22227 481755 424258 57497 482699 424146 58553 32115 32115 47556 47556 73638 73638 735365 721715 13650 106443 106443 15602 15602 204547 175484 29063 1163832 1151230 12602 67128 36516 30612 24767 5737 19030 89624 89624 1730750 1712011 18739 254609 251853 2756 DIETARY 929775 929775 MAINTENANCE AND GROUNDS 780019 771573 8446 NURSING SUPPLIES & PHAR 499587 499587 ALL OTHER EXPENSES 218778 218778 502316 337677 164639 15365495 13701270 1664225 0 1077782 1327638 1206812 1160812 918786 776915 25510 33506 100285 154423 41621006 23827522 18875559 17793484 14484225 14118407 2745887 13149466 39434846 48514651 1902158 3392454 15579335 16078140 3350297 9392104 30766 26540 126500 126500 92897 103262 21081953 29119000 X 17404195 18365999 926612 1007146 22086 22506 18352893 19395651 39434846 48514651 792711 250047 0 X X 0 1 X 1 0 X 42312 49313 346245 311955 450517 1200342 14121884 14509060 14423044 15165427 15173741 73393156 14164196 14558373 14769289 15477382 15624258 74593498 0 0 0 74593498 224200 195724 206985 224769 245612 1097290 224200 195724 206985 224769 245612 1097290 240414 376517 349500 345265 333301 1644997 14628810 15130614 15325774 16047416 16203171 77335785 0.96450 0.96470 0.01420 0.01490 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2012 AMOUNT: $ 240,414. 2013 AMOUNT: $ 38,840. 2014 AMOUNT: $ 2,580. 2015 AMOUNT: $ 7,889. 2016 AMOUNT: $ 3,019. MEAL REVENUE - 2013 AMOUNT: $ 121,413. 2014 AMOUNT: $ 117,044. 2015 AMOUNT: $ 105,622. 2016 AMOUNT: $ 122,001. SALON SERVICES - 2013 AMOUNT: $ 54,420. 2014 AMOUNT: $ 60,949. 2015 AMOUNT: $ 58,149. 2016 AMOUNT: $ 57,230. GARAGE FEES - 2013 AMOUNT: $ 38,520. 2014 AMOUNT: $ 37,770. 2015 AMOUNT: $ 37,320. 2016 AMOUNT: $ 35,640. LAUNDRY INCOME - 2013 AMOUNT: $ 19,629. 2014 AMOUNT: $ 17,409. 2015 AMOUNT: $ 18,149. 2016 AMOUNT: $ 17,118. PERSONAL SERVICE ATTENDANT - 2013 AMOUNT: $ 1,738. 2014 AMOUNT: $ 4,184. 2015 AMOUNT: $ 3,385. 2016 AMOUNT: $ 3,436. GROCERY STORE - 2013 AMOUNT: $ 36,864. 2014 AMOUNT: $ 39,893. 2015 AMOUNT: $ 45,227. 2016 AMOUNT: $ 42,104. GUEST SUITE INCOME - 2013 AMOUNT: $ 65,093. 2014 AMOUNT: $ 69,671. 2015 AMOUNT: $ 69,524. 2016 AMOUNT: $ 52,753. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 2311535 21420 93413 20947 13287 2392134 2334249 33000 -12519 30206 12989 2311535 2255595 30000 64434 2514 13266 2334249 2060926 20000 204278 15992 13617 2255595 1895464 15000 184989 20816 13711 2060926 0.85800 0.00940 0.13260 0 0 225000 225000 31660219 16681329 14978890 2023908 1204479 819429 7711879 5941714 1770165 17793484 CONSTRUCTION IN PROGRESS 13149466 13149466 DEFERRED COMPENSATION 103262 103262 X 16334611 250043 250043 16084568 73638 73638 16158206 15291857 0 15291857 73638 73638 15365495 PART IV, LINE 2B: THE RECORDS OF THREE COMMITTEES, INCLUDING THE MEADOWBROOK AUXILIARY FUND, THE RESIDENT COUNCIL FUND, AND THE LIBRARY FUND, ARE MAINTAINED BY CLARK-LINDSEY, BUT THE MONEY IS NOT CLARK-LINDSEY'S TO SPEND. IN ADDITION, MONEY IS MAINTAINED FOR HEALTH CENTER RESIDENTS IN A SEPARATE ACCOUNT, BUT THE MONEY IS NOT CLARK-LINDSEY'S TO SPEND. THESE FUNDS ARE INCLUDED IN CASH AND IN A LIABILITY CAPTIONED "FUNDS HELD FOR OTHERS". PART V, LINE 4: THE ARMSEY BEAUTIFICATION FUND IS A TERM ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT FOR CLARK-LINDSEY RESIDENT GROUNDS AND GARDENS. THE THOMPSON LIBRARY FUND IS A TERM ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF THE CLARK-LINDSEY RESIDENT LIBRARY. THE WEBBER EDUCATIONAL FUND IS A PERMANENT ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF CONTINUING EDUCATION FOR HEALTH CENTER STAFF. THE STEWART LIBRARY FUND IS A PERMANENT ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF THE CLARK-LINDSEY RESIDENT LIBRARY. THE KAULFERS FUND IS A BOARD DESIGNATED, QUASI ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT FOR QUALITY OF LIFE IMPROVEMENTS INCLUDING PROGRAMS AND FACILITIES ESPECIALLY DEVELOPED FOR SENIOR CITIZENS. PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: MANAGEMENT FEES INCLUDED IN REVENUE 73,638. PART XII, LINE 4B - OTHER ADJUSTMENTS: MANAGEMENT FEES NET AGAINST REVENUE 73,638. 1 CHARITY CARE - FINANCIAL ASSISTANCE FOR HOME AND HEALTH CARE COSTS. 1 60653 PART I, LINE 2: CLARK-LINDSEY MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS FRIENDSHIP FUND POLICY, THE ESTIMATED COST OF THOSE SERVICES AND SUPPLIES, AND EQUIVALENT SERVICE STATISTICS X X X X X 0 1 1 0 0 0 0 1 0 DEBRA S REARDANZ PRESIDENT / CEO 220563 0 13950 0 0 0 14644 0 17047 0 266204 0 0 0 PART I, LINES 4B-C DEBRA S. REARDANZ RECEIVED AN EMPLOYEE MATCH PAYMENT OF $1,250 TO HER 457 PLAN IN 2016. PART I, LINE 7 BONUSES ARE PROVIDED BASED UPON THE ORGANIZATION'S FINANCIAL OUTCOME. A CITY OF URBANA CHAMPAIGN COUNTY ILLINOIS 376000524 NONEAVAIL 2004-05-20 5000000 IMPROVEMENTS TO HEALTHCARE FACILITY 0 0 0 B CITY OF URBANA CHAMPAIGN COUNTY ILLINOIS 376000524 NONEAVAIL 2015-12-30 10000000 IMPROVEMENTS AND ADDITIONS TO HEALTHCARE FACILITY 0 0 0 A 1905135 5000000 97185 4902815 2005 0 0 1 1 B 10000000 135458 6299942 3564600 2017 0 0 0 1 A 0 1 0 0 0.00080 0.00000 0.00080 0 0 1 B 0 1 0 0 0.00080 0.00000 0.00080 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF URBANA, CHAMPAIGN COUNTY, ILLINOIS DATE THE REBATE COMPUTATION WAS PERFORMED: 06/13/2013 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S PREVIOUS BYLAWS DID NOT PROVIDE FOR TERM LIMITS FOR DIRECTORS. EFFECTIVE JANUARY 16, 2016, THE ORGANIZATION'S NEW AMENDED BYLAWS INCLUDE A SPECIFIED TERM LIMIT OF FOUR CONSECUTIVE THREE-YEAR TERMS FOR EACH DIRECTOR, AS WELL AS A LIMIT OF TWO ONE-YEAR TERMS FOR OFFICERS. IN ADDITION, THE AMENDED BY-LAWS CREATE THE NEW OFFICE OF PAST-CHAIRPERSON OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD DIRECTS THAT AT LEAST ONE BOARD MEMBER, WHO SERVES ON THE FINANCE COMMITTEE, CONDUCT THE ANNUAL REVIEW OF THE FORM 990 AND PRESENT IT TO THE FULL BOARD PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD DIRECTS THAT OFFICERS, DIRECTOR, AND KEY EMPLOYEES ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR PREPARING QUARTERLY REPORTS TO THE BOARD FINANCE COMMITTEE THAT DISCLOSES ACTUAL, POTENTIAL OR PERCEIVED CONFLICTS OF INTEREST. IN THE EVENT THAT A CONFLICT EXISTS, THE PERSON IS REQUIRED TO RECUSE HIMSELF OR HERSELF FROM PARTICIPATING IN THE DECISION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD DIRECTS THAT THE PERSONNEL & POLICY COMMITTEE (P&PC) CONDUCT THE PRESIDENT'S ANNUAL PERFORMANCE REVIEW AND DEVELOP SALARY AND COMPENSATION RECOMMENDATIONS FOR FULL BOARD APPROVAL. A COMPARATIVE ANALYSIS OF THE PRESIDENT'S ANNUAL COMPENSATION IS REVIEWED BY THE P&PC USING SOURCES SUCH AS INDEPENDENT SALARY SURVEYS, REVIEW OF FORM 990S AND OTHER INFORMATION AS IT IS AVAILABLE. TO ENSURE THE INDEPENDENCE AND OBJECTIVITY OF THE COMPARATIVE REVIEW, THE DATA AND ANALYSIS IS PREPARED BY SOMEONE OTHER THAN THE PRESIDENT. IN REGARDS TO OTHER OFFICERS AND KEY EMPLOYEES, THE PRESIDENT PERFORMS A SIMILAR PROCESS USING INDEPENDENT SALARY SURVEY DATA TO DETERMINE COMPENSATION. THESE PROCESSES WERE LAST UNDERTAKEN IN 2016. FORM 990, PART VI, SECTION C, LINE 19 CLARK-LINDSEY VILLAGE, INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. FORM 990, PART XII, LINE 2C THE PROCESS FOR REVIEW AND OVERSIGHT OF THE AUDIT PROCESS IS CONSISTENT WITH PRIOR YEARS.