2016-12-14T17:23:13-06:00 2016-01-31 990 2015-02-01 953472345 Covenant Retirement Communities West COVE 8056870701 2550 Treasure Drive Santa Barbara CA 931054892 Elizabeth Buikema VP of Finance/CFO 7738782294 2016-12-14 2015 2017-02-10 21:41:12Z Elizabeth Buikema 5700 Old Orchard Rd Skokie IL 60077 105404633 0 2650 X www.covenantretirement.org X 1975 CA Care for Senior Adults 21 18 1403 187 0 0 1607737 2334574 83959676 97214521 4444981 3447255 1581432 1945850 91593826 104942200 48931 43249 0 0 35238601 39709961 0 0 586642 47988367 57009521 83275899 96762731 8317927 8179469 319650730 333950514 207606896 214169628 112043834 119780886 X As a ministry of the Evangelical Covenant Church, Covenant Retirement Communities celebrates God's gift of life in Christian community. We follow the Great Commandment to love and serve God and one another as taught by Jesus Christ. (SEE SCHEDULE O) 0 0 28685192 43250 41901953 Residential Living:The number of persons who benefited from the services we provided for the year ended January 31, 2016 were as follows:There were 1,125 residents occupying 841 apartments as of 1/31/16. The residency for the fiscal year totaled 403,673 resident days. 9247173 13859237 Assisted Living & Assisted Dementia:The number of persons who benefited from the services we provided for the year ended January 31, 2016 were as follows:There were a total of 213 assisted living residents at 01/31/16. Assisted living residency for the fiscal year totaled 78,960 patient days. 32256381 43408661 Skilled Nursing:The number of persons who benefited from the services we provided for the year ended January 31, 2016 were as follows:There were a total of 346 skilled care patients at 01/31/16.Skilled care residency for the fiscal year totaled 129,218 patient days. The organization was involved in various community benefits projects which include the followingThe Samarkand: - Staff members volunteered a total of 98 hours of their time to various activities/events in the community (equivalent to $9,788)- Residents volunteered a total of 7,833 hours to various activities/events in the community.- Hosted monthly student internship programs and training for students from the Santa Barbara City College (equivalent to $4,950)- Provided space usage for meetings & events for small (under 35) to large groups (75+ people) including local churches, Gideon's International, Samarkand Neighborhood Association, Santa Barbara Clergy Association, Santa Barbara Human Resources Association, Occupational Therapy Association of America, Prime Time Band, and various seminars/presentations (equivalent to $82,408)- Participated in the Recycling project (equivalent to $27,000)- Monetary Donations to Alaska Christian College, Bridges of Hope, Covenant Radio for Russia, Direct Relief, Covenant Hispanic Seminary, Covenant Kids for Congo, Covenant Women's Project, Covenant Pacific Southwest Conference, Covenant World Mission, Covenant World Relief, Covenant Women's Project, KICY Radio - Alaska, Girls Inc, Life Network, Mission Aviation Fellowship, North Park Covenant Seminary, Paul Carlson Partnership, Santa Barbara Salvation Army, Santa Barbara Rescue Mission, Gideon's International, Habitat for Humanity, Transition House, Villa Majella, Leadership Resources Group Inc., Bread for the World and Wycliffe Bible Translators ($14,175 in total)Covenant Village of Turlock:- Staff members volunteered a total of 147 hours of their time to various activities/events in the community including a local church, Rotary Club, and others (equivalent to $25,725)- Residents volunteered a total of 4,729 hours to various activities/events in the community at the local churches, police department, World Vision, Election Office, Lions Club, Turlock Pregnancy Center and others. - Provided space usage for meetings & events for small (under 35) to large groups (75+ people) including the local churches, local schools, fire department, AARP, Alzheimer's Aid Support, Loss of Spouse Support Group, Parkinson's Support Group, Hospice Support Group, American Cancer Survivors Group, Toastmasters, Turlock Historical Society, Turlock Pregnancy Center, Turlock Unified District Nurses, Young at Heart, as a Polling Place and others (equivalent to $1,667,000)Mt. Miguel Covenant Village:- Staff members volunteered a total of 186 hours of their time in various areas of the community such as the Camp Hope, Youth Venture Outreach, at local churches and others (equivalent to $18,225)- Residents volunteered a total of 12,442 hours to the different areas of the community such as in local schools, local churches, local libraries, local shelters and food bank, quilting, knitting and sewing for various projects, bandages for Congo project, Camp Hope, San Diego Blood Bank, San Diego Rescue Mission, Habitat for Humanity, Driver 4 Neighbors program, San Diego Sheriff Department, Repeat Boutique, Salvation Army and others. Residents also raised in-kind donations to the homeless ministry at the San Diego First Presbyterian Ministries and Salvation Army ($3,220 in estimated value). Additionally, they gave monetary donations for school supplies for Grossmont Hospital Auxiliary for Hospice and a Solar Panel Project ($750 in total)- In-Kind Donations to the homeless ministry at the San Diego First Presbyterian Ministries and Salvation Army ($1,500 in estimated value)- Monetary Donations to Alaska Christian College, Alpine Campus and Conference Center, San Diego Rescue Mission, Sunshine Haven, and Pt. Loma Nazarene University ($2,500 in total)- Hosted student internship program for Kaplan College nursing students (equivalent to $20,400)- Provided space usage for meetings and community events for small (under 35) to large groups (75+ people) including Exercise Class by Grossmont Adult School, Aqua Fitness/Water Aerobics program, Accordion Lovers Society International, Camp Hope, Arts and Craft Festival, Pointe Lakeview HOA Board, various music and food events, various presentations of different topics and others (equivalent to $204,000)- Sponsored a 9-day trip to Mt. Rushmore and the Black Hills with 18 residents and 26 non-residents (equivalent to $116,000)Covenant Shores:- Staff members volunteered a total of 251 hours in different areas in the community including local churches, Breast Cancer Walk, fundraising with the American Cancer Society Senior Foundation of Mercer Island, JAM session (sack lunches for the homeless), homeless breakfast, Pastors Appreciation Lunch and others (equivalent to $31,888)- Residents volunteered a total of 20,026 hours to various areas in the community including the various knitting and sewing projects, local schools, library, churches, hospitals and nursing homes, food bank and various feeding programs, Rotary Club, Salvation Army Antique Kids dance group, and others. - Hosted student internship program For NW University and Seattle University nursing students (equivalent to $25,875)- Provided space usage for meeting and community events for small (under 35) to large groups (75+ people) Snoqualmie Falls Theater Group, Evergreen Covenant Church, Probus Luncheon, Emerald City Bible Church, Pastor's Appreciation Lunch, Mercer Island, Presbyterian Church, First Covenant Church, Mercer Island Clergy Luncheon, and Solemates Group Breakfast, Congregation for the Homeless and the Breast Cancer Walk (equivalent to $104,500)- Monetary Donations to Alaska Christian College, Befriender Ministry, Breast Cancer Walk, Emerald City Bible Church, Free Wheelchair Mission, Hopelink, JAM Session (sack lunches for homeless), KICY Radio Mercer Island Clergy Luncheon, Mercer Island Farmers Market, KICY Radio, Mary's Place, Operation Night Watch, Our Daily Bread Ministry, Pastor Appreciation Luncheon, Salvation Army, Samaritan's Purse, Senior Foundation of Mercer Island, Solemates, Youth and Family Services, and Youth Theatre NW ($29,929 in total) 70188746 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 284 0 1 1403 1 0 0 0 0 0 1 1 0 0 0 0 X 21 18 0 1 0 0 1 0 1 1 1 1 0 1 1 1 1 1 1 0 1 0 CA X Elizabeth Buikema 7738782294 C/O CRC 5700 Old Orchard Rd Skokie IL 60077 X Jon P Aagaard MD Director 1.00 1.00 X 0 0 0 Pamela Christensen Director 1.00 1.00 X 0 0 0 Kara E Davis MD Director 1.00 1.00 X 0 0 0 Rev Harvey Drake Director 1.00 1.00 X 0 0 0 Mark C Eastburg Director 1.00 1.00 X 0 0 0 James Elving Director 1.00 1.00 X 0 0 0 Marc E Espinosa Director 1.00 1.00 X 0 0 0 Carol A Findling Director 1.00 1.00 X 0 0 0 Lorene G Flewellen Director 1.00 1.00 X 0 0 0 Rhoda Friesen Director 1.00 1.00 X 0 0 0 Thomas F Heywood Director 1.00 1.00 X 0 0 0 Donald Hodgkinson Director 1.00 1.00 X 0 0 0 Kathy Holmgren Director 1.00 1.00 X 0 0 0 Jody Holt Director 1.00 1.00 X 0 0 0 Scott Macdonald Director 1.00 1.00 X 0 0 0 Marlene Stante Director 1.00 1.00 X 0 0 0 Anne Vining Director 1.00 1.00 X 0 0 0 David A Dwight Ex-Officio 1.00 40.00 X 0 1846302 29812 Rick K Fisk Ex-Officio/President 1.00 40.00 X X 0 1037707 19210 Jennifer Larson Ex-Officio 1.00 1.00 X 0 0 0 Gary Walter Ex-Officio 1.00 40.00 X 0 151696 109618 Terri S Cunliffe Ex-Officio/President 1.00 40.00 X X 0 482038 73683 Elizabeth B Buikema Senior VP/CFO/Treasurer 1.00 40.00 X 0 356598 57905 David G Erickson VP/Asst Secretary 1.00 40.00 X 0 285049 52820 Nadia Geigler Dir Admin Srvcs/Asst Secretary 1.00 40.00 X 0 100457 10051 Bruce Erickson Executive Director 40.00 0.00 X 165742 0 32325 Ruth E Grande Executive Director 40.00 0.00 X 177418 0 25715 Robert Howell Executive Director 40.00 0.00 X 182327 0 25528 Thad D Rothrock Exec Dir/Regional Dir of Oper 40.00 40.00 X 135649 92772 42136 Dwayne D Gabrielson Stewardship Officer 40.00 0.00 X 148110 0 26812 Jay S Caddell Admin-Healthcare 40.00 0.00 X 136306 0 1199 Theresa Vera Clinical Coordinator 40.00 0.00 X 113099 0 4863 Darla C Lorenzen Admin-Healthcare 40.00 0.00 X 118625 0 13195 1177276 4352619 524872 8 0 1 0 Bycor General Contractor 6490 Marindustry Pl Suite A San Diego CA 92121 Construction Services 5122781 Sodexo Inc & Affiliates 4880 Paysphere Circle Chicago IL 60674 Dining Services 4071902 Consonus Rehab 4560 SE International Way Suite 10 Milwaukee OR 97222 Therapy Services 1013451 Solid Roack Construction 687 Circle Drive Santa Barbara CA 93108 Construction Services 981608 Pannel Construction Company 9623 Kenora Lane Spring Valley CA 91977 Maintenance/Repair Services 742631 5 168582 2165992 2334574 Routine Services 623000 54319641 54319641 Medicare/Medicaid 623000 19491630 19491630 Entrance Fees 623000 13054325 13054325 Ancillary Services 623000 9757240 9757240 Meals 623000 591685 591685 97214521 2721550 2721550 55394 64874 -9480 -9480 -9480 1094014 0 368309 1094014 -368309 725705 725705 29250 168582 29250 0 Support Services 623000 988300 988300 Services to Residents 623000 122965 122965 844065 844065 1955330 104942200 99169851 0 3437775 X 43249 43249 611469 611469 31449591 27113521 4211558 124512 739906 591948 143282 4676 4410487 3659060 743024 8403 2498508 2078498 412084 7926 443748 443748 213215 213215 43072 43072 9921477 8154269 1765297 1911 1585847 2916 1580175 2756 4619624 3794584 812731 12309 2385979 8481 2377498 4810605 4810605 208043 59079 146805 2159 180252 22974 156445 833 3989056 2862350 1077045 49661 11092598 7960834 2995001 136763 961144 961144 Related Party Activity 7203457 6972972 230485 Dining Services 4196685 4196685 Admin & General 2243450 1002148 1241302 Resident Care 2059674 2059674 851595 362979 484368 4248 96762731 70188746 25987343 586642 303830 224253 386041 390541 1707749 1623041 10232736 10036358 1 1 277089 311272 267477484 118798585 137037767 148678899 62064915 58063046 19252141 15970841 88388461 98652262 319650730 333950514 4037806 5551809 61571917 65291892 85274415 80030664 487097 458738 56235661 62836525 207606896 214169628 X 109164012 117343481 2834414 2397260 45408 40145 112043834 119780886 319650730 333950514 X 8179469 -442417 X 0 1 X 1 0 X 1355050 1625354 2156631 1607737 2334574 9079346 68782939 71252501 72906463 83959676 97214521 394116100 70137989 72877855 75063094 85567413 99549095 403195446 0 0 0 403195446 4037656 5219430 4728694 4444981 3447255 21878016 4037656 5219430 4728694 4444981 3447255 21878016 74175645 78097285 79791788 90012394 102996350 425073462 0.94850 0.94410 0.05150 0.05590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 45408 -5263 40145 44590 818 45408 44515 75 44590 42893 1622 44515 42980 -87 42893 1.00000 0 1 1 4608401 4608401 191036177 94128931 96907246 49791909 22264495 27527414 22040997 2405159 19635838 148678899 Unamortized Debt & Related Expenses 1221135 Other Investments 3482989 Unamortized Original Issue Discount 315316 Intercompany Advance Accounts 93632822 98652262 Deferred Revenue Subject to Refund 37167007 Refundable Contract Liabilities 23804658 Accrued Taxes & Employee Benefits 141718 Other Liabilities 1723142 62836525 Part IV, Line 2b: Resident Trust Fund Account: Per state regulations, an account is made available to Skilled Nursing Facility residents wishing to deposit personal needs funds that they can access as needed. Interest is paid based on the interest received from the bank for those deposited funds and allocated among the individual trust fund accounts based on average balances. Resident Entrance Fee Refund Account: The Samarkand is required by State regulations to maintain an entrance fee refund account to fund certain entrance fee refund. CS Benefit Dinner 62375 55255 7120 1785 450 4885 MMCV Benefit Dinner 58305 52938 5367 3852 360 1155 2 77152 60389 16763 3546 6500 6717 197832 168582 29250 9183 7310 12757 29250 0 1 Good Neighbor Fund 4 43249 Part I, Line 2: When a resident's financial need becomes known, consideration is given by the executive director of the facility to determine if the resident qualifies for assistance based on the guidelines established for the fund. Each expenditure from the fund is approved by the executive director. In addition, each year the executive director authorizes an amount from the fund to be released for purposes of hiring an additional social worker to tend to residents daily needs in the skilled nursing facility. This staffing is unique to skilled nursing facilites and is beyond statutory requirements for activities or social work at licensed skilled nursing facilities. X 1 1 0 1 0 0 0 0 0 1 0 David A Dwight Ex-Officio 0 497736 0 0 0 1348566 0 7950 0 31135 0 1885387 0 0 Rick K Fisk Ex-Officio/President 0 461683 0 222540 0 353484 0 7950 0 18993 0 1064650 0 0 Gary Walter Ex-Officio 0 151696 0 0 0 0 0 22754 0 86864 0 261314 0 0 Terri S Cunliffe Ex-Officio/President 0 341165 0 77220 0 63653 0 54291 0 22034 0 558363 0 0 Elizabeth B Buikema Senior VP/CFO/Treasurer 0 240768 0 75396 0 40434 0 30133 0 31216 0 417947 0 0 David G Erickson VP/Asst Secretary 0 193687 0 41895 0 49467 0 25505 0 31019 0 341573 0 0 Bruce Erickson Executive Director 111102 0 28485 0 26155 0 16329 0 16614 0 198685 0 0 0 Ruth E Grande Executive Director 136227 0 18450 0 22741 0 17502 0 8885 0 203805 0 0 0 Robert Howell Executive Director 126603 0 30858 0 24866 0 4253 0 21926 0 208506 0 0 0 Thad D Rothrock Exec Dir/Regional Dir of Oper 85666 87546 23903 0 26080 5226 7461 7461 14509 14514 157619 114747 0 0 Dwayne D Gabrielson Stewardship Officer 109217 0 9593 0 29300 0 9121 0 22651 0 179882 0 0 0 Part I, Line 1a The following modest benefits were treated as taxable compensation and were determined by the Executive Compensation Committee (of CRC's Board) to be reasonable: - Health club dues paid for four (4) senior-level employees. Part I, Line 3 See Schedule O explanation for Form 990 Part VI Section B Line 15 for the methods used to determine CEO compensation. The review and approval process is designed to satisfy and qualify for the rebuttable presumption of reasonableness under the Internal Revenue Code Section 4958. Part I, Line 4b Executive Benefit Plan Covenant Ministries of Benevolence (CMB) provides certain supplemental retirement benefits to its officers and key employees. These benefits are provided through a nonqualified deferred compensation plan, under which a portion of the benefits being earned are subject to a "substantial risk of forfeiture." The supplemental retirement benefits are structured to provide a retention incentive that has been determined by the Executive Compensation Committee of CMB's Board ("Committee") to be of substantial value to the organization. The Committee approves all retirement benefits, together with all other forms of compensation and benefits for these and other executives, in a manner intended to qualify for the rebuttable presumption of reasonableness under the intermediate sanctions rules of federal income tax law. The Committee has determined that total compensation for each such executive is reasonable. Contributions were made to the deferred compensation plan for the following participants: Elizabeth Buikema - $26,913 Terri Cunliffe - $45,986 David Dwight - $65,253 David Erickson - $24,737 Rick Fisk - $56,068 Nadia Geigler - $7,308 Thad D. Rothrock - $17,274 Bruce Erickson - $11,285 Dwayne D. Gabrielson - $10,820 Ruth Grande - $12,360 Robert Howell - $7,610 The compensation amounts reported for certain individuals in Part II, columns (B)(i) through (iii), include amounts earned over many years of employment under a supplemental nonqualified retirement plan. These amounts were at risk, and would have been forfeited if the reported individual had not satisfied a substantial service requirement. These amounts would be paid out over an individual's years of retirement, like a traditional pension plan benefit, but special laws for tax-exempt organizations require that the entire value be reported, taxed and paid out at one time. The individuals who earned these amounts over many years of service, and the amounts that were paid out in the reported year, are as follows: Rick Fisk: $248,729 David Dwight: $1,215,769 Part I, Line 7 The following applies to certain individuals listed on Part VII whose compensation is paid from related organizations: The Executive Compensation Committee (of CMB's board) follows a prescribed method for calculating incentive compensation awards. The calculation is based on measurable targets determined at the beginning of the year. The Committee has the ability to adjust the dollar value of the calculated awards by up to 10%. The adjustment can be an upward or downward adjustment based on various performance factors or on factors that will assure that final incentive compensation awards are in the best interest of the organization and appropriately reflect the performance of the organization. Refer to additional information on the Committee included in Schedule O. Part II, Column B (ii): Bonus and incentive compensation - Certain key persons employed by CRC and CMB are eligible for incentive compensation as determined by the Executive Compensation Committee of either the CRC or CMB's Board based on where these individuals are employed. Incentives paid in 2015 relate to the achievement of targets for the fiscal year ended 1/31/2015. Part II, Column D: Nontaxable benefits include health insurance premiums paid by the employer and employee. Form 990 - Part III - Line 1 Mission Statement As a ministry of the Evangelical Covenant Church, Covenant Retirement Communities celebrate God's gift of life in Christian community. We follow the Great Commandment to love and serve God and one another as taught by Jesus Christ. That compels us to affirm the dignity of each person and to pursue excellence and financial integrity in all that we do. As we provide a broad range of resources, services and programs to enhance individual and community wellness, we collaborate with residents and families to achieve the best possible results. While seeking to foster independence, we respond to each individual's evolving needs in order to provide the security that assures peace of mind. In living out the mission, the community provides a complete continuum of care from residential living through skilled nursing. Such services are guided by a series of values and goals addressing resident needs, privacy, safety and dignity, including appropriate access to services. In carrying out the mission statement of Covenant Retirement Communities, Covenant Retirement Communties West provided $1,432,374 of free or discounted services to those residents unable to pay all or a portion of their charges, and who meet certain eligibility requirements. Form 990 - Part IV - Line 24a Tax-Exempt Bonds The organization has tax-exempt bonds issued after December 31, 2002 with an outstanding principal of more than $100,000. The bonds are reported on Schedule K of the parent organization. Form 990, Part VI, Section A, line 3 Covenant Retirement Communities West delegated control over management duties to Covenant Retirement Communities, Inc. (CRC), its parent organization. Form 990, Part VI, Section A, line 6 The sole member of Covenant Retirement Communities West (CRC-West) is Covenant Retirement Communities, Inc. (CRC). Form 990, Part VI, Section A, line 7b S 2.4 of Bylaws include reserved powers to the [individual] members such as appointment of president of CRC, changes to mission and strategic plan, approval of certain acquisitions, dispositions and financings, changes to articles and bylaws. Form 990, Part VI, Section B, line 11 Management Review: The draft Form 990 was reviewed by multiple levels of management including the Vice President of Finance/CFO and the Vice President of Legal Affairs. Board Review: Prior to filing, the 990 process was reviewed with the Board of Directors at the Board meeting and the final Form 990 was provided to each Board member. Form 990, Part VI, Section B, line 12c Covenant Retirement Communities, Inc. (CRC) has an Administrative Policy on conflict of interest, identifying the parameters of a conflict of interest and the requirement to disclose any such conflict of interest. Each January, the CRC policy is distributed to CRC board members and officers. They are asked to sign acknowledging receipt of the policy and to disclose if they have any conflicts of interest. If someone is absent from the meeting or fails to return the acknowledgment, there is a follow-up with the individual until the signed acknowledgment is provided. In addition to the above, a separate and more comprehensive questionnaire is sent to the board members, officers, key employees and other interested persons. The completed questionnaires are reviewed by CRC's legal counsel to determine if any actual or potential conflicts exist. If a person becomes an interested person, he or she may be considered in determining whether a quorum is present. The interested person may make a short statement relating to the transaction or arrangement in question, but shall not be present during the discussion and shall not vote on the motion addressing the actual or potential conflict. Form 990, Part VI, Section B, line 15b Covenant Retirement Communities' (CRC) Board of Directors has duly appointed an Executive Compensation Committee (the "Committee"), which is responsible for the review and approval of all compensation and benefits provided to CRC's executive management. The Committee has adopted a written Executive Compensation Philosophy Statement and an Executive Compensation Committee Charter governing the work and review process of the Committee. The Committee follows the procedures described in the Philosophy Statement and the Charter when it reviews and approves the compensation and employee benefits provided to the CRC's senior management. The Committee's review analyzes every element of compensation, including current and deferred compensation, and benefits, including qualified and non-qualified benefits. The Committee conducts its review and approval process at least annually, and approves compensation and benefits only to the extent that the Committee has concluded that the compensation and benefits constitute no more than reasonable compensation for each executive. The Committee consists entirely of disinterested members of the Board, and the Committee works with an independent compensation consultant to prepare and review in advance comprehensive data showing the compensation provided by similarly situated organizations for functionally similar positions. The Committee also prepares a timely and thorough written record of its deliberations and conclusions. As a result, the Committee's review process is designed to satisfy the procedural criteria necessary to qualify for the rebuttable presumption of reasonableness under the federal income tax law intermediate sanctions rules. The resources utilized by the compensation Committee include: 1) independent compensation consultant; 2) written employment contract; 3) compensation survey or study; 4) approval by the board or compensation committee. Form 990, Part VI, Section C, line 18 A copy of the organization's Form 990 is available upon request by contacting the CRC accounting department at 773-878-5744. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements are available upon request by contacting the CRC accounting department at 773-878-5744. Form 990 - Part VI - Line 9 Contact Information for Directors and Officers All of the organization's directors and officers can be contacted at this address: Covenant Retirement Communities, Inc. - 5700 Old Orchard Road, Skokie, IL 60077. Form 990 - Part VII - Section A Column B Related Organization Officers and Directors devote approximately 1 hour per week to related organizations except for those individuals that are employees of these related organizations; those individuals devote approximately 40 hours to the organizations at which they are employed. Form 990, Part IX, line 11g Contracted Healthcare Services: Program service expenses 2,106,832. Management and general expenses 471,443. Fundraising expenses 0. Total expenses 2,578,275. Consultant Services: Program service expenses 5,828,628. Management and general expenses 1,273,557. Fundraising expenses 1,489. Total expenses 7,103,674. Payroll Services: Program service expenses 218,809. Management and general expenses 20,297. Fundraising expenses 422. Total expenses 239,528. Form 990, Part XI, line 9: Change in Temporarily Restricted Net Assets not included on Income Stmnt -437,154. Change in Permanently Restricted Net Assets not included on Income Stmnt -5,263. The Samarkand 2550 Treasure Drive Santa Barbara CA 93105 953472345 Continuing Care Retirement Community CA 28546897 108376476 N/A Covenant Village of Turlock 2125 North Olive Ave Turlock CA 95380 953472345 Continuing Care Retirement Community CA 17398240 61835664 N/A Mount Miguel Covenant Village 325 Kempton Street Spring Valley CA 91977 953472345 Continuing Care Retirement Community CA 23116461 96084266 N/A Covenant Shores 9150 Fortuna Drive Mercer Island WA 98040 953472345 Continuing Care Retirement Community WA 20578866 65868436 N/A Brandel Manor 1801 North Olive Avenue Turlock CA 95380 953472345 Continuing Care Retirement Community CA 15301736 1785672 N/A Evangelical Covenant Church 8303 West Higgins Road Chicago IL 60631 362167730 Church IL 501(c)(3) Line 1 N/A 0 Swedish Covenant Faculty Group (SCFG) 5145 North California Avenue Chicago IL 60625 363686216 Patient Treatment/Education IL 501(c)(3) Line 11a, I Swedish Covenant Hospital 0 Swedish Covenant Hospital 5145 North California Avenue Chicago IL 60625 362179813 Hospital IL 501(c)(3) Line 3 Covenant Ministries of Benevolence 0 Swedish Covenant Hospital Foundation (SCHF) 5145 North California Avenue Chicago IL 60625 205055155 Support of Swedish Covenant Hospital IL 501(c)(3) Line 7 Swedish Covenant Hospital 0 SC Insurance Company 6970 E Chauncey Lane Suite 100 Phoenix AZ 85054 273312053 Insurance AZ 501(c)(3) Line 11a, I Swedish Covenant Hospital 0 Covenant Village of Portland LP 420 NE Mason St Portland OR 97211 364356838 Assisted Living Community OR N/A N/A 0 0 Covenant International Insurance Company Ltd Crawford House 50 Cedar Ave Hamilton BD Insurance BD N/A C 0 Covenant Trust Company 8303 West Higgins Road 6th Floor Chicago IL 60631 363583163 Financial Services IL N/A C 0 Swedish Covenant Management Services Inc (SCMS) 5145 N California Avenue Chicago IL 60625 364073303 Physician Practice Management IL N/A C 0 Swedish Covenant Managed Care Alliance (SCMCA) 2740 W Foster Suite 409 Chicago IL 60625 364118659 Physician - Hospital Organization IL N/A C 0 St Francis Health Care Ltd 2740 W Foster Suite 002 Chicago IL 60625 363208131 Independent Group of Physicians IL N/A C 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Covenant Retirement Communities Inc A 1766745 Covenant Retirement Communities Inc P 8091407 Covenant Trust Company P 207325