2016-02-07T14:14:27-06:00 2015-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2014-07-01 010729134 CLARE OAKS CLAR 6303721983 827 CARILLON DRIVE BARTLETT IL 60103 BETH WELCH CHIEF EXCUTIVE OFFICER 6303721983 2016-02-07 1 GREGORY S ADAMS P00095597 6305738600 2014 2016-04-25 22:37:26Z BETH WELCH 825 CARILLON DRIVE BARTLETT IL 60103 19494184 0 X WWW.CLAREOAKS.COM X 2002 IL CLARE OAKS IS AN ENDURING SENIOR LIVING COMMUNITY THAT SUPPORTS A FULLER AND FREER LIFE. 8 8 402 720 0 0 0 70353 18785020 19422928 870 903 437442 0 19223332 19494184 0 0 0 0 9170068 8941422 0 0 0 14703193 14199433 23873261 23140855 -4649929 -3646671 42250053 40292054 130337042 131543948 -88086989 -91251894 CLARE OAKS, A CONTINUING CARE RETIREMENT COMMUNITY, EXISTS TO NOURISH, CELEBRATE AND ENHANCE THE MIND, BODY AND SPIRIT. 0 0 19090021 19422928 CLARE OAKS IS A CONTINUING RETIREMENT COMMUNITY (CCRC) PROVIDING LIVING ARRANGEMENTS AND SERVICES TO PERSONS 62 YEARS OF AGE AND OLDER. CAMPUS WIDE SERVICES INCLUDE DINING, ACTIVITIES, MAINTENANCE, HOUSEKEEPING, WELLNESS PROGRAMS, SUPPORTIVE SERVICES AND 24 HOUR SECURITY. THE INDEPENDENT LIVING AREA (164 RESIDENCES) OFFERS A VARIETY OF PRIVATE LIVING ARRANGEMENTS, A FITNESS CENTER, LIBRARY, MINI MART, COMPUTER ROOM AND TRANSPORTATION. THE ASSISI HEALTH CARE CENTER OFFERS LONG TERM SKILLED CARE AND SHORT TERM REHABILITATION SERVICES. LICENSED STAFF IN THE ASSISTED LIVING (17 SUITES), MEMORY SUPPORT (16 SUITES) AND SKILLED NURSING NEIGHBORHOODS (120 ROOMS) PROVIDE COURTEOUS SERVICE, HOSPITALITY, DIGNITY AND RESPECT TO ALL IN OUR CARE. 19090021 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 50 50 402 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X GIGI WALKER 6303721983 825 CARILLON DRIVE BARTLETT IL 60103 MICHAEL D HOVDE JR PRESIDENT OF THE BOARD 1.00 X X 0 0 0 TOM BROD MEMBER OF THE BOARD 1.00 X 0 0 0 MAUREEN TAUS MEMBER OF THE BOARD 1.00 X 0 0 0 JOSEPH L BENSON MEMBER OF THE BOARD 1.00 X 0 0 0 PAUL CLEMENS TREASURER OF THE BOARD 1.00 X X 0 0 0 RICHARD SCHUTT MEMBER OF THE BOARD 1.00 X 0 0 0 THERESE M MALM VP/SECRETARY OF THE BOARD 1.00 X X 0 0 0 GERRIANNE HARTMAN MEMBER OF THE BOARD 1.00 X 0 0 0 JEANNENE GIGI WALKER CHIEF FINANCIAL OFFICER 40.00 X 142901 0 12610 BETH WELCH CHIEF EXECUTIVE OFFICER 40.00 X 88767 0 4706 231668 0 17316 1 0 1 0 REHAB CARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY PROVIDER 1562898 SYSCO FOOD SERVICES PO BOX 5037 DES PLAINES IL 60017 FOOD PROVIDER 721243 PHARMERICA INC PO BOX 409251 ATLANTA GA 30384 PHARMACY PROVIDER 702400 LIFE CARE SERVICES LLC 400 LOCUST SUITE 820 DES MOINES IA 50309 MANAGMENT COMPANY 451386 GENERAL MECHANICAL SERVICES 18 CONGRESS CIRCLE WEST ROSELLE IL 60172 REPAIRS & MAINTENANCE 274346 7 70353 70353 RESIDENT SERVICES 623000 18882576 18882576 ENTRANCE FEE AMORTIZATION 623000 540352 540352 19422928 903 903 19494184 19422928 0 903 352526 352526 7885143 6803262 1081881 75391 75391 628362 546792 81570 270000 270000 76897 76897 839066 563583 275483 132472 132472 222463 128144 94319 144251 144251 1025974 1025974 18610 9880 8730 28249 20896 7353 3021301 3021301 1951318 1951318 1449889 330475 1119414 THERAPY 1525526 1525526 PHARMACY 807650 807650 FOOD 770604 770604 OTHER 718510 387963 330547 1196653 1196653 23140855 19090021 4050834 0 2632132 2051008 143717 82550 2066187 1645280 119940 148187 36689 36313 1632900 1634520 34554520 14116194 21224148 20438326 8551085 8264826 5843255 5991044 42250053 40292054 1999494 1926839 89619190 88050068 38718358 41567041 130337042 131543948 X -88086989 -91251894 -88086989 -91251894 42250053 40292054 -3646671 481766 0 X X 0 1 X 1 0 X 460 70353 70813 19190735 18134777 18439420 18785020 18882576 93432528 19191195 18134777 18439420 18785020 18952929 93503341 0 0 0 93503341 175005 51544 503 870 903 228825 175005 51544 503 870 903 228825 506178 1037126 708133 437442 540352 3229231 19872378 19223447 19148056 19223332 19494184 96961397 0.96430 0.96210 0.00240 0.00550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 330724 330724 34190162 14116194 20073968 33634 33634 20438326 DEFERRED MARKETING/SELLING COSTS 2320275 DEFERRED FINANCING COSTS 3034172 ENTRANCE FEE RECEIVABLE 636597 5991044 CURRENT DEFERRED ENTRANCE FEES 2833071 RESERVATION DEPOSITS 488550 REFUNDABLE ENTRANCE FEES 36459040 ACCRETED INTEREST ON 2012 SERIES C BONDS 1786380 41567041 X 19494184 0 19494184 0 19494184 23140855 0 23140855 0 23140855 PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE IRC. THE ORGANIZATION IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE IRC AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFIES AS CHARITABLE TAX DEDUCTIONS FOR THE CONTRIBUTOR. THE ENTITY FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE (IRS). 0 0 0 0 0 0 0 0 0 JEANNENE GIGI WALKER CHIEF FINANCIAL OFFICER 132901 0 10000 0 0 0 0 0 12610 0 155511 0 0 0 A ILLINOIS FINANCE AUTHORITY 861091967 45203HNR9 2012-12-31 5001282 REFINANCE OF SERIES 2006 BONDS 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45203HNK4 2012-12-31 8000000 REFINANCE OF SERIES 2006 BONDS 0 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45203HNL2 2012-12-31 4000000 REFINANCE OF SERIES 2006 BONDS 0 0 0 D ILLINOIS FINANCE AUTHORITY 861091967 45203HNM0 2012-12-31 2000000 REFINANCE OF SERIES 2006 BONDS 0 0 0 A 5001282 5001282 1 0 1 1 B 635000 8000000 2147786 100422 5751792 1 0 1 1 C 315000 4000000 1470098 1579901 950000 1 0 1 1 D 2000000 2000000 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A ILLINOIS FINANCE AUTHORITY 861091967 45203HNN8 2012-12-31 39991094 REFINANCE OF SERIES 2006 BONDS 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45203HNP3 2012-12-31 25006410 REFINANCE OF SERIES 2006 BONDS 0 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45203HNQ1 2012-12-31 5001282 REFINANCE OF SERIES 2006 BONDS 0 0 0 A 39991094 39991094 1 0 1 1 B 25006410 25006410 1 0 1 1 C 5001282 5001282 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION SHALL BE THOSE PROFESSED MEMBERS OF THE SISTERS OF ST. JOSEPH OF THE THIRD ORDER OF ST. FRANCIS, INC. (THE "CONGREGATION") WHO FROM TIME TO TIME ARE ELECTED AND SERVING AS THE MEMBERS OF THE CENTRAL BOARD OF THE CONGREGATION PURSUANT TO THE CONSTITUTIONS OF THE CONGREGATION. AT ALL TIMES THE PERSONS WHO ARE THE MEMBERS OF THE CORPORATION SHALL BE THE SAME AS THE PERSONS WHO THEN CONSTITUTE THE CENTRAL BOARD OF THE CONGREGATION. FORM 990, PART VI, SECTION A, LINE 7A THE CLASS A DIRECTORS SHALL BE ELECTED BY THE MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B NONE OF THE FOLLOWING ACTIONS SHALL BE TAKEN BY THE CORPORATION UNLESS APPROVED BY VOTE OR WRITTEN CONSENT OF THE MEMBERS: 1) AMENDMENT OF THE ARTICLES OF INCORPORATION, 2) AMENDMENT OF THE BYLAWS OF THE CORPORATION, 3) A CHANGE IN THE MISSION, PHILOSOPHY, VALUES, OR NAME OF THE CORPORATION, 4) ELECTION AND REMOVAL OF THE CLASS A DIRECTORS OR 5) THE SALE LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION; THE DISSOLUTION, LIQUIDATION, MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN WILL BE DISTRIBUTED TO THE VOLUNTEER BOARD OF DIRECTORS BY THE EXECUTIVE DIRECTOR FOR REVIEW AND COMMENTS. ANY QUESTIONS WILL BE DIRECTED TO THE CHIEF FINANCIAL OFFICER AND WILL BE ADDRESSED WITH THE PREPARER. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE INCLUDES A STATEMENT THAT THE INDIVIDUAL WILL IMMEDIATELY REPORT ANY KNOWN PERSONAL OR BUSINESS RELATIONSHIP THAT EXISTS WITH AN ORGANIZATION/INDIVIDUAL DOING BUSINESS WITH CLARE OAKS, TO THE CHIEF EXECUTIVE OFFICER AND THE PRESIDENT OF THE VOLUNTEER BOARD OF DIRECTORS. ALL CONTRACTS AND AGREEMENTS ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE TO ASCERTAIN IF ANY RELATIONSHIP EXISTS BETWEEN THE CONTRACTOR AND ANY OFFICERS, DIRECTORS, OR KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 CLARE OAKS HAS A PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER AND OTHER KEY EMPLOYEES THAT INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. FORM 990, PART VI, SECTION C, LINE 18 CLARE OAKS MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION ON ANOTHER'S WEBSITE (I.E. GUIDESTAR) WITH FORM 1023 BEING MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 CLARE OAKS MAKES ITS GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S VOLUNTEER BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.