2016-11-18T13:56:07-06:00 2016-03-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2015-04-01 362167832 WESTMINSTER PLACE WEST 8474924859 3200 GRANT STREET EVANSTON IL 60201 TODD F SWORTZEL CHIEF EXECUTIVE OFFICER 8474924859 2016-11-15 1 GREGORY S ADAMS P00095597 6305738600 2015 2017-02-10 21:41:12Z TODD F SWORTZEL 3200 GRANT STREET EVANSTON IL 60201 114277166 0 X WWW.PRESBYTERIANHOMES.ORG X 1904 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. X 15 15 1478 472 0 0 9147804 7809514 101381160 85090478 2722721 12577115 1267080 245009 114518765 105722116 0 0 0 0 52346336 43144221 0 0 0 57113220 46053192 109459556 89197413 5059209 16524703 568106172 99602581 383767794 95212990 184338378 4389591 X WESTMINSTER PLACE, 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 40087253 45817397 WESTMINSTER PLACE IS A NOT-FOR PROFIT INDEPENDENT LIVING, CONTINUING CARE RETIREMENT COMMUNITY, FORMERLY KNOWN AS PRESBYTERIAN HOMES. ON DECEMBER 1, 2015, THE ENTITY FORMERLY KNOWN AS PRESBYTERIAN HOMES WAS RENAMED WESTMINSTER PLACE AS PART OF A SIGNIFICANT CORPORATE REORGANIZATION. WESTMINSTER PLACE CURRENTLY SERVES 277 INDEPENDENT LIVING RESIDENTS AND 81 ASSISTED LIVING RESIDENTS. THE HIGHLANDS AT KING HOME ("KING HOME"), OWNED BY WESTMINSTER PLACE, PROVIDES ASSISTED LIVING TO OLDER ADULTS WHO NEED ASSISTANCE WITH PERSONAL CARE AND DAILY ACTIVITIES. KING HOME CURRENTLY SERVES 42 ASSISTED LIVING RESIDENTS. 32756288 37912112 WESTMINSTER PLACE 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. THE HEALTH CARE CENTERS ARE CURRENTLY SERVING A TOTAL OF 148 RESIDENTS. 786220 411611 NEIGHBORHOOD HOMES PROGRAM SERVICE AT-RISK OLDER ADULTS ON LIMITED INCOME ON THE NORTH AND NORTHWEST SIDES OF CHICAGO. MULVEY PLACE, CROWDER PLACE AND DEVON PLACE OFFER AN AFFORDABLE ALTERNATIVE TO LIVING IN PUBLIC HOUSING PROJECTS. THE PROGRAM SERVED 106 RESIDENTS BEFORE IT WAS SOLD DURING THE YEAR ENDED MARCH 31, 2016. 949358 REVENUE IS RELATED TO INCOME FROM PARKING/GARAGE/TRANSPORTATION, GUEST ROOM RENTAL AND OTHER INCOME. 949358 73629761 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 150 0 1478 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X MARK HAVRILKA 8474924859 3200 GRANT STREET EVANSTON IL 60201 X SARAH BUTTER DIRECTOR 1.00 2.00 X 0 0 0 CHARLES DENISON DIRECTOR 1.00 2.00 X 0 0 0 GEORGE DROST DIRECTOR 1.00 2.00 X 0 0 0 GREG HUMMEL DIRECTOR 1.00 2.00 X 0 0 0 LEE HUTCHINSON CHAIR 1.00 2.00 X X 0 0 0 DENNIS MARX DIRECTOR 1.00 2.00 X 0 0 0 DENNIS MURPHY DIRECTOR 1.00 2.00 X 0 0 0 MARSHALL PECK TREASURER 1.00 2.00 X X 0 0 0 HARLAN STANLEY DIRECTOR 1.00 2.00 X 0 0 0 NEELE STEARNS SECRETARY 1.00 2.00 X X 0 0 0 MARK TOLEDO DIRECTOR 1.00 2.00 X 0 0 0 BETSY NICHOLS DIRECTOR 1.00 2.00 X 0 0 0 JANE WESTERN DIRECTOR 1.00 2.00 X 0 0 0 MONICA HEENAN DIRECTOR 1.00 2.00 X 0 0 0 PAULA NOBLE DIRECTOR 1.00 2.00 X 0 0 0 TODD F SWORTZEL CEO 22.50 15.00 X 613191 0 25209 JOHN BURNS COO THROUGH 8/29/15 37.50 X 274577 0 24057 MARK HAVRILKA CFO 35.20 2.30 X 287732 0 28355 DR PETER L JAGGARD MEDICAL DIRECTOR 37.50 X 222887 0 13346 KEITH STOHLGREN VP/EXEC DIR. WESTMINSTER 37.50 X 294287 0 27023 RICHARD B BERLIN EXEC DIR. LFP 37.50 X 198396 0 21659 DAVID L BENNI VP/EXEC DIR. THE MOORINGS 37.50 X 226304 0 11837 ROBERT A WERDAN VP MARKETING 37.50 X 203587 0 25272 NADIM M ABI-ANTOUN VP INFORMATION SYSTEMS 37.50 X 224251 0 18153 NANCY TOLAN VP FACILITIES MANAGEMENT 37.50 X 164203 0 22481 ANDREW T WISSEL VP HUMAN RESOURCES 37.50 X 177305 0 17217 JOHN DENKERT DIRECTOR OF HEALTH CARE-TH 37.50 X 134213 0 14743 MICHAEL DEBARI DIRECTOR OF PHARMACY 37.50 X 177719 0 13489 LINDA L DOTSON DIRECTOR OF HEALTH CARE-WE 37.50 X 155980 0 15644 DAVID DIER MANAGER OF FINANCIAL REPORTING 37.50 X 133255 0 16406 MARY ANN ANICHINI VP QUALITY IMPROVEMENT 37.50 X 135705 0 7733 3623592 0 302624 42 0 1 0 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 30368 DINING AND FOOD SERVICE 5940855 EXECUTIVE CONSTRUCTION INC 235 FENCL LANE HILLSIDE IL 60162 CONSTRUCTION 4877983 GREENLEAF CABINETS AND CONSTRUCTION 1100 FLORENCE EVANSTON IL 60202 CONSTRUCTION 1726650 RLPS ARCHITECTS 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECTS AND INTERIOR DESIGNING 1257609 INTERIOR DESIGN ASSOCIATES INC 618 CHURCH STREET SUITE 400 NASHVILLE TN 37219 INTERIOR DESIGNING 1203903 50 7809514 7809514 HEALTH CARE FEES 621990 37912112 37912112 INDEPENDENT LIVING FEES 623990 23534680 23534680 ASSISTED LIVING FEES 623990 11767398 11767398 DEFERRED ENTRANCE FEE INCOME 900099 10926930 10926930 OTHER 900099 590512 590512 358846 358846 85090478 1551745 1551745 93103 0 93103 93103 93103 19003801 7978431 11025370 11025370 11025370 603525 576619 26906 26906 MANAGEMENT FEES 561000 125000 125000 125000 105722116 85090478 0 12822124 2080242 227720 1852522 32368690 28721905 3646785 1498678 1155957 342721 4741194 4224093 517101 2455417 2132237 323180 8418654 7296625 1122029 893310 893310 50831 50831 4975752 3955160 1020592 1239487 5350 1234137 165668 66270 99398 450616 5299 445317 20868 1656 19212 2448743 2448743 14497731 14470792 26939 770808 213892 556916 UTILITIES AND TELEPHONE 3396229 3157781 238448 DRUGS & MED SUPPLIES 2767996 2764466 3530 ENVIRONMENTAL SERVICES 1945923 1942663 3260 EXTRAORDINARY ITEM-DB P 1041761 0 1041761 2968815 839152 2129663 89197413 73629761 15567652 0 10694283 1571816 1825011 1212218 0 0 3795604 1577079 0 0 0 0 0 0 0 0 1115387 461930 185380477 102979566 270385851 82400911 123540163 10951439 0 0 0 0 0 0 156749873 1427188 568106172 99602581 13445774 5057613 0 0 104650019 30436303 108350000 14000000 0 0 0 0 0 0 0 0 157322001 45719074 383767794 95212990 X 91928496 4389591 46462382 0 45947500 0 184338378 4389591 568106172 99602581 X 16524703 -1466936 -195006554 X X 0 1 X 1 0 X 346217 8709052 8843345 9147804 7809514 34855932 93650233 92549268 95930040 101381160 85090478 468601179 941290 1082326 992157 757251 3773024 94937740 102340646 105765542 111286215 92899992 507230135 8703310 8843345 9147804 7809514 34503973 0 8703310 8843345 9147804 7809514 34503973 472726162 2153280 1123705 1938299 2444044 1644848 9304176 2153280 1123705 1938299 2444044 1644848 9304176 138076 138013 155307 195448 125000 751844 97229096 103602364 107859148 113925707 94669840 517286155 0.91390 0.92740 0.01800 0.01930 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: 2011 AMOUNT: $ 138,076. 2012 AMOUNT: $ 138,013. 2013 AMOUNT: $ 155,307. 2014 AMOUNT: $ 195,448. MANAGEMENT FEE - 2015 AMOUNT: $ 125,000. SCHEDULE A, PART III, LINE 12 PARKING/GARAGES INCOME AND MANAGEMENT FEES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45947529 1273513 42237227 4983815 45923852 261344 237667 45947529 44319155 13650 4281429 2690382 45923852 43304016 28779 1418540 432180 44319155 41742578 1688713 1316155 1443430 43304016 1.00000 0 1 1 7269878 7269878 154649567 89455168 65194399 20057568 13524398 6533170 3403464 3403464 82400911 SAFEKEEPING ACCOUNTS 768349 REFUNDABLE ENTRANCE FEES 38362444 PENSION LIABILITY 4225978 REFUNDABLE DEPOSITS 543081 DUE TO AFFILIATE 1317740 OTHER LONG-TERM LIABILITY 501482 45719074 X PART V, LINE 4: THE GENEVA FOUNDATION'S PERMANENTLY RESTRICTED FUNDS ARE PRIMARILY FOR THE FUNDING OF THE CHARITABLE SUPPORT FOR PRESBYTERIAN HOMES AND WESTMINSTER PLACE. GENEVA FOUNDATION'S FELLOWSHIP FUND ENSURES THAT NO RESIDENT WILL BE ASKED TO LEAVE THE COMMUNITY DUE TO INABILITY TO PAY. IT EXTENDS MEDICAL AND SUPPORTIVE SERVICES TO MAINTAIN THE RESIDENTS SECURITY, HEALTH, DIGNITY, AND SELF-ESTEEM. THE PERMANENTLY RESTRICTED FELLOWSHIP FUND IS INTENDED TO PROVIDE FOR THE CARE OF RESIDENTS OF PRESBYTERIAN HOMES AND WESTMINSTER PLACE. SEE PART VI, SECTION A, LINE 4 FOR DISCLOSURE REGARDING CORPORATE REORGANIZATION WHICH OCCURRED DURING THE YEAR. AS A RESULT OF THIS REORGANIZATION, ONLY THOSE ENDOWMENT FUNDS WHICH ARE SPECIFICALLY ASSOCIATED WITH WESTMINSTER PLACE WILL BE SHOWN AS ENDOWMENT FUNDS GOING FORWARD. PART X, LINE 2: WESTMINSTER PLACE IS A NONPROFIT CORPORATION EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). WESTMINSTER PLACE FOLLOWS THE ACCOUNTING STANDARDS FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. WESTMINSTER PLACE FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION. THE INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 TODD F SWORTZEL CEO 433080 0 153789 0 26322 0 15900 0 9309 0 638400 0 0 0 JOHN BURNS COO THROUGH 8/29/15 200033 0 35652 0 38892 0 15664 0 8393 0 298634 0 0 0 MARK HAVRILKA CFO 254204 0 32299 0 1229 0 15900 0 12455 0 316087 0 0 0 DR PETER L JAGGARD MEDICAL DIRECTOR 222887 0 0 0 0 0 13346 0 0 0 236233 0 0 0 KEITH STOHLGREN VP/EXEC DIR. WESTMINSTER 258001 0 33964 0 2322 0 14838 0 12185 0 321310 0 0 0 RICHARD B BERLIN EXEC DIR. LFP 169252 0 28333 0 811 0 9294 0 12365 0 220055 0 0 0 DAVID L BENNI VP/EXEC DIR. THE MOORINGS 192189 0 12701 0 21414 0 11837 0 0 0 238141 0 0 0 ROBERT A WERDAN VP MARKETING 177354 0 24598 0 1635 0 12817 0 12455 0 228859 0 0 0 NADIM M ABI-ANTOUN VP INFORMATION SYSTEMS 201283 0 22608 0 360 0 11755 0 6398 0 242404 0 0 0 NANCY TOLAN VP FACILITIES MANAGEMENT 148259 0 15471 0 473 0 10296 0 12185 0 186684 0 0 0 ANDREW T WISSEL VP HUMAN RESOURCES 155809 0 20769 0 727 0 10819 0 6398 0 194522 0 0 0 MICHAEL DEBARI DIRECTOR OF PHARMACY 176115 0 250 0 1354 0 10325 0 3164 0 191208 0 0 0 LINDA L DOTSON DIRECTOR OF HEALTH CARE-WE 135784 0 18248 0 1948 0 9383 0 6261 0 171624 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, KEITH STOHLGREN, RICHARD BERLIN AND DAVID BENNI. DURING THE YEAR DAVID BENNI RECEIVED PAYMENTS OF $19,052 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN INTEREST IN NET ASSETS OF GENEVA FOUNDATION OF PREBYTERIAN HOMES 2015-12-01 140821848 BOOK VALUE 471545753 PRESBYTERIAN HOMES 3200 GRANT STREET EVANSTON IL 60201 501(C)(3) NET ASSETS OF THE MOORINGS OF ARLINGTON HEIGHTS, LLC UPON CORPORATE REORGANIZATION 2015-12-01 21000000 BOOK VALUE 472235160 THE MOORINGS OF ARLINGTON HEIGHT LLC 3200 GRANT STREET EVANSTON IL 60201 LLC NET ASSETS OF PRESBYTERIAN HOMES MANAGER, LLC UPON CORPORATE REORGANIZATION 2015-12-01 7424124 BOOK VALUE 472195328 PRESBYTERIAN HOMES MANAGER LLC 3200 GRANT STREET EVANSTON IL 60201 LLC NET ASSETS OF PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY, LLC UPON CORPORATE REORGANIZATION 2015-12-01 25000 BOOK VALUE 611748512 PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY LLC 3200 GRANT STREET EVANSTON IL 60201 LLC CASH 2016-03-02 15774000 CASH PROVIDED 472195328 PRESBYTERIAN HOMES MANAGER LLC 3200 GRANT STREET EVANSTON IL 60201 LLC CASH 2016-03-31 2400000 CASH PROVIDED 710945228 GENEVA FOUNDATION OF PRESBYTERIAN HOMES 3200 GRANT STREET EVANSTON IL 60201 501(C)(3) 1 1 0 0 PART II, LINE 2E: EXPLANATION OF INVOLVEMENT: FOLLOWING THE CORPORATE REORGANIZATION WHICH OCCURED ON DECEMBER 1, 2015, ALL DIRECTORS AND OFFICERS OF WESTMINSTER PLACE (EIN 36-2167832) ARE ALSO DIRECTORS AND OFFICERS OF PRESBYTERIAN HOMES (EIN 47-1545753) AND GENEVA FOUNDATION OF PRESBYTERIAN HOMES (EIN 71-0945228). FOLLOWING THE REORGANIZATION, TODD SWORTZEL, CEO, AND MARK HAVRILKA, CFO, BECAME OFFICERS OF PRESBYTERIAN HOMES. FORM 990, SCHEDULE N ON DECEMBER 1, 2015, THE ENTITY FORMERLY KNOWN AS PRESBYTERIAN HOMES (EIN 36-2167832), AN ILLINOIS 501(C)(3) NOT-FOR-PROFIT CORPORATION, WAS RENAMED WESTMINSTER PLACE AS PART OF A SIGNIFICANT CORPORATE REORGANIZATION. IN THE REORGANIZATION, PRESBYTERIAN HOMES (EIN 47-1545753), A NEWLY FORMED ILLINOIS 501(C)(3) NOT-FOR-PROFIT CORPORATION, FORMERLY NAMED PH TRANSITION NFP, BECAME THE MEMBER OF OR OBTAINED RESERVE CORPORATE POWERS OVER SIX SUBSIDIARIES WHICH TOGETHER PROVIDE RESIDENTIAL AND HEALTH CARE PROGRAMS FOR OLDER ADULTS IN ILLINOIS. THESE SUBSIDIARIES INCLUDED; PRESBYTERIAN HOMES MANAGER, LLC, PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY, LLC, LAKE FOREST PLACE, LLC, THE MOORINGS OF ARLINGTON HEIGHTS, LLC, TEN TWENTY GROVE, LLC AND WESTMINSTER PLACE. PRESBYTERIAN HOMES (EIN 47-1545753) IS THE SOLE MEMBER OF BOTH WESTMINSTER PLACE AND GENEVA FOUNDATION OF PRESBYTERIAN HOMES. 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 A, LINE 4 ON DECEMBER 1, 2015, THE ENTITY FORMERLY KNOWN AS PRESBYTERIAN HOMES (EIN 36-2167832), AN ILLINOIS 501(C)(3) NOT-FOR-PROFIT CORPORATION, WAS RENAMED WESTMINSTER PLACE AS PART OF A SIGNIFICANT CORPORATE REORGANIZATION. IN THE REORGANIZATION, PRESBYTERIAN HOMES (EIN 47-1545753), A NEWLY FORMED ILLINOIS 501(C)(3) NOT-FOR-PROFIT CORPORATION, FORMERLY NAMED PH TRANSITION NFP, BECAME THE MEMBER OF OR OBTAINED RESERVE CORPORATE POWERS OVER SIX SUBSIDIARIES WHICH TOGETHER PROVIDE RESIDENTIAL AND HEALTH CARE PROGRAMS FOR OLDER ADULTS IN ILLINOIS. THESE SUBSIDIARIES INCLUDED; PRESBYTERIAN HOMES MANAGER, LLC, PRESBYTERIAN HOMES OUTPATIENT REHABILITATION AGENCY, LLC, LAKE FOREST PLACE, LLC, THE MOORINGS OF ARLINGTON HEIGHTS, LLC, TEN TWENTY GROVE, LLC AND WESTMINSTER PLACE. PRESBYTERIAN HOMES (EIN 47-1545753) IS NOW THE SOLE MEMBER OF BOTH WESTMINSTER PLACE AND GENEVA FOUNDATION OF PRESBYTERIAN HOMES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF WESTMINSTER PLACE IS PRESBYTERIAN HOMES (EIN 47-1545753) FORM 990, PART VI, SECTION A, LINE 7A ARTICLE I, SECTION 4 OF THE BYLAWS INDICATES THAT THE MEMBER (PRESBYTERIAN HOMES) SHALL BE ENTILED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBER. ARTICLE III, SECTION 1 OF THE BYLAWS INDICATES THAT THE NUMBER OF DIRECTORS MAY BE DECREASED TO NOT FEWER THAN THREE (3) OR INCREASED TO ANY NUMBER FROM TIME TO TIME BY THE MEMBER (PRESBYTERIAN HOMES), IN A WRITING SIGNED BY THE MEMBER (PRESBYTERIAN HOMES). FORM 990, PART VI, SECTION B, LINE 11 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 BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C WESTMINSTER PLACE 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 WESTMINSTER PLACE'S 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, WESTMINSTER PLACE ADMINISTERS THE IRS RELATIONSHIP SURVEY TO ALL DIRECTORS AND KEY EMPLOYEES ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNANCE COMMITTEE OF WESTMINSTER PLACE IS RESPONSIBLE FOR ALL COMPENSATION AND BENEFIT MATTERS FOR SENIOR MANAGEMENT AND KEY EMPLOYEES. WESTMINSTER PLACE ANNUALLY PARTICIPATES IN AN INDUSTRY SPECIFIC EXECUTIVE COMPENSATION SURVEY. THE RESULTS OF THIS SURVEY IS 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 ORGANIZATIIN'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, 3200 GRANT STREET, EVANSTON, IL 60201. THE FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ILLINOIS ATTORNEY GENERAL'S OFFICE. FORM 990, PART VII MR. TODD F. SWORTZEL, CHIEF EXCECUTIVE OFFICER ASSIGNS 60 PERCENT OF HIS TIME TO WESTMINSTER PLACE AND PRESBYTERIAN HOMES, AND 40 PERCENT OF HIS TIME TO THE GENEVA FOUNDATION. THE CFO ASSIGNS 6.2 PERCENT OF HIS TIME TO THE GENEVA FOUNDATION OF PRESBYTERIAN HOMES. FORM 990, PART XI, LINE 9: CHANGE IN MARKET VALUE OF INTEREST RATE SWAPS 342,958. NET ASSETS TRANSFERRED TO AFFILIATES UPON CORPORATE REORGANIZATION -28,449,124. NET ASSETS TRANSFERRED TO AFFILIATES -18,174,000. CHANGE IN PENSION LIABILITY 1,297,502. CHANGES IN NET ASSETS OF THE GENEVA FOUNDATION OF PRESBYTERIAN HOMES -9,202,042. INTEREST IN NET ASSETS OF GENEVA FOUNDATION TRANSFERED UPON REORGANIZATION -140,821,848. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE TO THE PROCESS FROM THE CURRENT YEAR. ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT REVIEW AND SELECTION OF THE INDEPENDENT ACCOUNTING ENGAGEMENT TEAM. GENEVA FOUNDATION OF PRESBYTERIAN HOMES 3200 GRANT STREET EVANSTON IL 60201 710945228 SUPPORTING ORGANIZATION IL 501(C)(3) LINE 11A, I PRESBYTERIAN HOMES 1 PRESBYTERIAN HOMES 3200 GRANT STREET EVANSTON IL 60201 471545753 CONTINUING CARE RETIREMENT COMMUNITY IL 501(C)(3) LINE 9 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 GENEVA FOUNDATION C 4705951 CASH RECEIVED GENEVA FOUNDATION O 253889 CASH RECEIVED GENEVA FOUNDATION N 133848 CASH RECEIVED FORM 990, SCHEDULE R, PART II THE GENEVA FOUNDATION OF PRESBYTERIAN HOMES WAS CONSIDERED TO BE A CONTROLLED ENTITY OF WESTMINSTER PLACE UP UNTIL DECEMBER 1, 2015 WHEN A CORPORATE REORGANIZATION OCCURED. AS OF DECEMBER 1, 2015 GENEVA FOUNDATION OF PRESBYTERIAN HOMES IS A CONTROLLED ENTITY OF PRESBYTERIAN HOMES.