2016-10-07T08:16:08-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2015-01-01 362169165 PLYMOUTH PLACE INC PLYM 7083540340 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 DALE LILBURN CHIEF EXECUTIVE OFFICER 7083540340 2016-10-04 1 GREGORY S ADAMS P00095597 6305738600 2015 2017-02-10 21:41:12Z DALE LILBURN 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 28660006 0 X WWW.PLYMOUTHPLACE.ORG X 1938 IL RETIREMENT HOME FOR SENIOR CITIZENS 12 12 433 45 0 0 256138 890766 27290957 27078516 1168375 690724 0 0 28715470 28660006 0 0 0 0 10332756 11015469 0 0 0 17996241 18737620 28328997 29753089 386473 -1093083 142352690 139718992 177686456 177084512 -35333766 -37365520 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 26596852 27078516 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 11 OCCUPIED OR FUNCTIONAL COTTAGES. 26596852 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 0 0 0 0 1 26 0 1 433 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X DALE LILBURN 7083540340 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 DEAN CONLIN DIRECTOR 1.00 X 0 0 0 MARK CLOGHESSY DIRECTOR 1.00 X 0 0 0 DORIS BRYANT DIRECTOR 1.00 X 0 0 0 BILL COATES DIRECTOR 1.00 X 0 0 0 DR LOREN HORTEN DIRECTOR 1.00 X 0 0 0 DAVID ONION DIRECTOR 1.00 X 0 0 0 REV CARLY STUCKLEN SATHER DIRECTOR 3.50 X 0 0 0 HARRIET VERGOWE DIRECTOR 2.30 X 0 0 0 BOB WESTRICK DIRECTOR 1.80 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 DIRECTOR 1.00 X 0 0 0 DALE LILBURN CEO 45.00 X 214782 0 3759 SHARON SLEEZER DIRECTO OF SALES 45.00 X 101667 0 1779 BARBARA ERLENBUSH DIRECTOR OF NURSING 45.00 X 102512 0 513 LISA STANTON SENIOR LIVING COUNSELOR 45.00 X 118690 0 2077 DANIEL WEILER DIRECTOR OF FACILITIES AND OPERATIONS 45.00 X 124673 0 0 RAYMOND FELSON EXECUTIVE DIRECTOR 45.00 X 132312 0 662 794636 0 8790 6 0 1 0 SODEXO INC PO BOX 70060 CHICAGO IL 60673 DIETARY SERVICE 2274140 HEALTHPRO REHABILITATION 3703 WEST LAKE AVENUE SUITE 200 GLENVIEW IL 60025 NURSING THERAPY 1438999 PROVIDENCE MANAGEMENT 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 MANAGEMENT AND IT 881115 OMNICARE INC 2313 S MT PROSPECT RD DES PLAINES IL 60018 LONG TERM CARE PHARMACY 494117 NOVASTAFF HEALTHCARE SERVICES 2021 MIDWEST RD 200 OAK BROOK IL 60523 HEALTHCARE SERVICES 457863 11 890766 890766 SENIOR HOUSING, ASSISTANCE 623000 27078516 27078516 27078516 690724 690724 28660006 27078516 0 690724 207038 207038 8460808 7351832 1108976 73916 65331 8585 1643541 1307879 335662 630166 539872 90294 1294285 1116845 177440 22065 22065 93914 93914 438938 438938 68990 50491 18499 152129 152129 1511674 1511674 4604040 4604040 3768155 3686306 81849 214022 214022 DIETARY ANDD DINING 1923679 1923679 NURSING - THERAPY 1432803 1432803 MEDICAL SUPPLIES AND PH 1098793 1098793 OTHER 1097959 950212 147747 1016174 957095 59079 29753089 26596852 3156237 0 6119511 14789510 2078738 4277040 189432 119457 132254041 33901622 101050141 98352419 24178874 15734395 8735994 6446171 142352690 139718992 2196146 2429163 13597536 12697829 78615000 78834210 83277774 83123310 177686456 177084512 X -42120883 -43697291 211462 202097 6575655 6129674 -35333766 -37365520 142352690 139718992 X -1093083 -504616 -434055 X 0 1 X 1 0 X 3573526 2366140 2214687 256138 890766 9301257 22878195 24405170 27768454 27290957 27078516 129421292 26451721 26771310 29983141 27547095 27969282 138722549 0 0 0 138722549 279552 527393 643930 1168375 690724 3309974 279552 527393 643930 1168375 690724 3309974 26731273 27298703 30627071 28715470 28660006 142032523 0.97670 0.97910 0.02330 0.02090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 85418 85418 126736815 31069123 95667692 439648 180112 259536 4887602 2652387 2235215 104558 104558 98352419 REFUNDABLE ENTRANCE FEES 82827034 RESIDENT DEPOSITS 134598 WAITING LIST DEPOSITS 161678 83123310 X 27721335 -504616 -434055 -938671 28660006 0 28660006 29753089 0 29753089 0 29753089 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. THE FEDERAL AND STATE RETURNS FOR THE ORGANIZATION FOR THE FISCAL YEARS ENDED DECEMBER 31, 2012-2014 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THE DATE OF FILING. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST -445,981. LOSS ON REFINANCE -2,810,329. CHANGE IN VALUE OF FUTURE SERVICE OBLIGATION 2,822,255. X 0 0 0 0 0 0 0 0 0 DALE LILBURN CEO 194782 0 20000 0 0 0 3759 0 0 0 218541 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 56547882 1125200 2334371 53088311 0 1 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 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 11 A DRAFT OF THE 990 IS PROVIDED DIRECTLY TO THE AUDIT COMMITTEE WHO IS RESPONSIBLE FOR REVIEWING AND APPROVING IT. 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 -445,981. LOSS ON REFINANCE -2,810,329. CHNAGE IN VALUE OF FUTURE SERVICE OBLIGATION 2,822,255.