2015-12-03T13:06:54-06:00 2015-03-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2014-04-01 362167832 PRESBYTERIAN HOMES PRES 8474924859 3200 GRANT STREET EVANSTON IL 60201 TODD F SWORTZEL CHIEF EXECUTIVE OFFICER 8474924859 2015-12-02 1 GREGORY S ADAMS P00095597 6305738600 2014 2016-03-07 17:11:31Z TODD F SWORTZEL 3200 GRANT STREET EVANSTON IL 60201 115281225 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. 16 16 1458 457 0 0 8843345 9147804 95930040 101381160 2204488 2722721 1276212 1267080 108254085 114518765 0 0 0 0 53511138 52346336 0 0 0 47509086 57113220 101020224 109459556 7233861 5059209 549412258 568106172 371040006 383767794 178372252 184338378 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. 0 0 48718180 0 54735924 WESTMINSTER PLACE, LAKE FOREST PLACE, THE MOORINGS, TEN TWENTY GROVE AND KING HOME ARE NOT-FOR PROFIT INDEPENDENT LIVING, CONTINUING CARE RETIREMENT COMMUNITIES CURRENTLY SERVING 970 INDEPENDENT LIVING RESIDENTS AND 184 ASSISTED LIVING RESIDENTS. 37269791 0 46102297 PRESBYTERIAN HOMES 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 317 RESIDENTS. 1224562 0 542939 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. CURRENTLY THE PROGRAM SERVES 124 RESIDENTS. 87212533 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 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 1 1 1 0 0 1 157 0 1458 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 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 REV SARAH SARCHET BUTTER DIRECTOR 1.00 1.00 X 0 0 0 CHARLIE DENISON DIRECTOR 1.00 1.00 X 0 0 0 THOMAS A DONAHOE DIRECTOR 1.00 1.00 X 0 0 0 GEORGE F DROST DIRECTOR 1.00 1.00 X 0 0 0 STEWART K HUDNUT DIRECTOR 1.00 1.00 X 0 0 0 GREGORY W HUMMEL DIRECTOR 1.00 1.00 X 0 0 0 LELAND E HUTCHINSON VICE CHAIR & SECRETARY 1.00 1.00 X X 0 0 0 EDWARD R JAMES DIRECTOR 1.00 1.00 X 0 0 0 DENNIS MARX DIRECTOR 1.00 1.00 X 0 0 0 DR DENNIS MURPHY DIRECTOR 1.00 1.00 X 0 0 0 J MARSHALL PECK TREASURER 1.00 1.00 X X 0 0 0 HARLAN STANLEY DIRECTOR 1.00 1.00 X 0 0 0 NEELE E STEARNS JR CHAIR 1.00 1.00 X X 0 0 0 MARK F TOLEDO DIRECTOR 1.00 1.00 X 0 0 0 BETSY NICHOLS DIRECTOR 1.00 1.00 X 0 0 0 JANE WESTERN DIRECTOR 1.00 1.00 X 0 0 0 TODD F SWORTZEL CEO 22.50 15.00 X 628081 0 39390 JOHN BURNS COO 37.50 0.00 X 305078 0 38514 MARK HAVRILKA CFO 35.20 2.30 X 260695 0 45578 DR PETER L JAGGARD VP MEDICAL AFFAIRS 37.50 0.00 X 227097 0 15539 KEITH STOHLGREN VP/EXEC DIR. WESTMINSTER 37.50 0.00 X 288496 0 37545 RICHARD B BERLIN EXEC DIR. LFP 37.50 0.00 X 203211 0 35574 DAVID L BENNI VP/EXEC DIR. THE MOORINGS 37.50 0.00 X 286564 0 13301 ROBERT A WERDAN VP MARKETING 37.50 0.00 X 193607 0 40914 NADIM M ABI-ANTOUN VP INFORMATION SYSTEMS 37.50 0.00 X 190752 0 21623 NANCY TOLAN VP FACILITIES MANAGEMENT 37.50 0.00 X 177508 0 31483 ANDREW T WISSEL VP HUMAN RESOURCES 37.50 0.00 X 171282 0 26115 MICHAEL DEBARI PHARMACIST 37.50 0.00 X 193376 0 24961 VINCE CONNOLLY DIRECTOR OF ENVIRONMENTAL SERVICES 37.50 0.00 X 140332 0 7711 JOHN DENKERT DIRECTOR OF HEALTH CARE-THE MOORINGS 37.50 0.00 X 130948 0 20467 LINDA L DOTSON DIRECTOR OF HEALTH CARE-WESTMINSTER 37.50 0.00 X 159151 0 18338 DAVID DIER DIRECTOR OF FINANCE 37.50 0.00 X 136216 0 24653 PAISLEY VALENTINCIC DIRECTOR OF SALES AND MARKETING 37.50 0.00 X 133061 0 15800 3825455 0 457506 47 0 1 0 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 303682289 DINING/FOOD SERVICE 6824534 EXECUTIVE CONSTRUCTION INC 235 FENCL LANE HILLSIDE IL 60162 CONSTRUCTION 4965029 GREENLEAF CABINETS AND CONSTRUCTION 1100 FLORENCE EVANSTON IL 60202 CONSTRUCTION 2225858 ILLINOIS CONSTRUCTION SERVICES INC 7340 W 15TH STREET FOREST PARK IL 60130 CONSTRUCTION 1372249 W L KERCHER CO 28915 N HERKY DR LAKE BLUFF IL 600441466 CONSTRUCTION 1336655 45 9147804 9147804 HEALTH CARE FEES 621990 46102297 46102297 INDEPENDENT LIVING FEES 623990 29160974 29160974 DEFERRED ENTRANCE FEE INCOME 900099 14249860 14249860 ASSISTED LIVING FEES 623990 11868029 11868029 101381160 2188087 2188087 91247 0 91247 91247 91247 534634 0 534634 534634 534634 840238 762460 77778 77778 PARKING/GARAGES/TRANSPORTATION 900099 195448 195448 GUEST ROOMS-RENTAL 900099 144161 144161 RESIDENT EVENTS 900099 108470 108470 649976 649976 1098055 114518765 101381160 0 3989801 3244068 811020 2433048 39065817 34473326 4592491 1467453 1108321 359132 5574801 5038210 536591 2994197 2582369 411828 2761951 2761951 421747 6025 415722 76798 76798 6250699 5120131 1130568 1410810 11611 1399199 235145 92019 143126 746640 746640 291882 140063 151819 24415 1225 23190 3241199 3241199 16637224 16608942 28282 872031 243479 628552 SETTLEMENT ON DEFINED B 7603705 7603705 FOOD & DIETARY EXPENSES 4485513 4485513 UTILITIES & TELEPHONE 4398768 4131285 267483 DRUGS & MED SUPPLIES 3245240 3245240 4409453 3110604 1298849 109459556 87212533 22247023 0 2928992 10694283 1916289 1825011 2396742 3795604 1229250 1115387 480401632 210015781 263355575 270385851 120907687 123540163 156677723 156749873 549412258 568106172 14026505 13445774 101509746 104650019 112110000 108350000 143393755 157322001 371040006 383767794 X 87081637 91928496 45366763 46462382 45923852 45947500 178372252 184338378 549412258 568106172 X 5059209 1267120 -360203 X 0 1 X 1 0 X 637498 346217 8709052 8843345 9147804 27683916 89526965 93650233 92549268 95930040 101381160 473037666 654734 941290 1082326 992157 757251 4427758 90819197 94937740 102340646 105765542 111286215 505149340 8703310 8843345 9147804 26694459 0 8703310 8843345 9147804 26694459 478454881 2297144 2153280 1123705 1938299 2444044 9956472 2297144 2153280 1123705 1938299 2444044 9956472 152965 138076 138013 155307 195448 779809 93269306 97229096 103602364 107859148 113925707 515885621 0.92740 0.94310 0.01930 0.01990 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: PARKING /GARAGES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45923852 261344 237667 45947529 44319155 13650 4281429 2690382 45923852 43304016 28779 1418540 432180 44319155 41742578 1688713 1316155 1443430 43304016 38897675 462376 3233538 851011 41742578 1.00000 0 1 1 32467293 32467293 395508414 173733017 221775397 51358096 36282764 15075332 1067829 1067829 270385851 INTEREST IN NET ASSETS OF GENEVA FOUNDATION 150023888 DEFERRED FINANCING FEES 768269 ENTRANCE FEES RECEIVABLE 2519133 DUE FROM GENEVA FOUNDATION OF PREBYTERIAN HOMES 1353505 ASSETS LIMITED AS TO USE 2084460 OTHER 618 156749873 SAFEKEEPING ACCOUNTS 907739 REFUNDABLE ENTRANCE FEES 133567224 ENTRY FEE BENEFIT 1068261 PENSION LIABILITY 10145847 REFUNDABLE DEPOSITS 2383564 INTEREST RATE SWAP LIABILITY 9249366 157322001 X PART V, LINE 4: THE GENEVA FOUNDATION'S PERMANENTLY RESTRICTED FUNDS ARE PRIMARILY FOR THE FUNDING OF THE CHARITABLE SUPPORT FOR PRESBYTERIAN HOMES. THE ORGANIZATION'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. PART X, LINE 2: THE HOMES AND FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE HOMES AND FOUNDATION FOLLOW THE ACCOUNTING STANDARDS FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE HOMES AND FOUNDATION FILE INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION. THE INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE INFORMATIONAL RETURNS FOR THE FISCAL YEARS 2012, 2013, AND 2014 ARE OPEN TO 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 411328 0 40342 0 176411 0 22234 0 17156 0 667471 0 0 0 JOHN BURNS COO 277498 0 26739 0 841 0 16972 0 21542 0 343592 0 0 0 MARK HAVRILKA CFO 235228 0 24224 0 1243 0 16547 0 29031 0 306273 0 0 0 DR PETER L JAGGARD VP MEDICAL AFFAIRS 226275 0 0 0 822 0 13554 0 1985 0 242636 0 0 0 KEITH STOHLGREN VP/EXEC DIR. WESTMINSTER 260612 0 25473 0 2411 0 16503 0 21042 0 326041 0 0 0 RICHARD B BERLIN EXEC DIR. LFP 162711 0 39667 0 833 0 9043 0 26531 0 238785 0 0 0 DAVID L BENNI VP/EXEC DIR. THE MOORINGS 202481 0 25059 0 59024 0 13301 0 0 0 299865 0 0 0 ROBERT A WERDAN VP MARKETING 180200 0 12299 0 1108 0 11883 0 29031 0 234521 0 0 0 NADIM M ABI-ANTOUN VP INFORMATION SYSTEMS 173474 0 16956 0 322 0 10703 0 10920 0 212375 0 0 0 NANCY TOLAN VP FACILITIES MANAGEMENT 156399 0 20628 0 481 0 11096 0 20387 0 208991 0 0 0 ANDREW T WISSEL VP HUMAN RESOURCES 155719 0 14850 0 713 0 10450 0 15665 0 197397 0 0 0 MICHAEL DEBARI PHARMACIST 191281 0 0 0 2095 0 10832 0 14129 0 218337 0 0 0 JOHN DENKERT DIRECTOR OF HEALTH CARE-THE MOORINGS 115059 0 15261 0 628 0 8047 0 12420 0 151415 0 0 0 LINDA L DOTSON DIRECTOR OF HEALTH CARE-WESTMINSTER 143085 0 13686 0 2380 0 9550 0 8788 0 177489 0 0 0 DAVID DIER DIRECTOR OF FINANCE 132385 0 2649 0 1182 0 3219 0 21434 0 160869 0 0 0 PART I, LINE 4B DURING THE YEAR TODD SWORTZEL AND DAVID BENNI RECEIVED PAYMENTS OF $150,000 AND $56,297, RESPECTIVELY, FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. A ILLINOIS FINANCE AUTHORITY 861091967 45200BF94 2006-08-17 27135000 REFUND THE FY 1996 B BONDS ISSUED 10/3/96 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45200B6V5 2007-07-25 28000000 REFUND THE FY 1996 B BONDS ISSUED 6/24/99 0 0 0 A 9915000 27135000 459000 26676000 1 0 1 1 B 770000 28000000 225155 1718155 26056690 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 1 1 COUNTER PARTY CO LLC 17.000000000000 0 0 0 0 1 B 0 0 1 0 1 1 COUNTER PARTY CO LLC 24.000000000000 0 0 0 0 1 A 0 B 0 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 B, LINE 11 PRESBYTERIAN HOMES 990 WAS 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'S BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PRESBYTERIAN HOMES AND GENEVA FOUNDATION 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 PRESBYTERIAN HOMES' 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, PRESBYTERIAN HOMES ADMINISTERS THE IRS RELATIONSHIP SURVEY TO ALL DIRECTORS AND KEY EMPLOYEES ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNANCE COMMITTEE OF PRESBYTERIAN HOMES IS RESPONSIBLE FOR ALL COMPENSATION AND BENEFIT MATTERS FOR SENIOR MANAGEMENT AND KEY EMPLOYEES. PRESBYTERIAN HOMES 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 ORGANIZATION '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 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. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF GENEVA FOUNDATION 2,034,979. CHANGE IN MARKET VALUE OF INTEREST RATE SWAPS -2,828,361. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 430,898. OTHER 2,281. GENEVA FOUNDATION OF PRESBYTERIAN HOMES 3200 GRANT STREET EVANSTON IL 60201 710945228 FOUNDATION IL 501(C)(3) LINE 11A, I PRESBYTERIAN HOMES 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 GENEVA FOUNDATION OF PRESBYTERIAN HOMES C 9147804 CASH PROVIDED GENEVA FOUNDATION OF PRESBYTERIAN HOMES O 312052 CASH PROVIDED GENEVA FOUNDATION OF PRESBYTERIAN HOMES D 1353505 CASH PROVIDED GENEVA FOUNDATION OF PRESBYTERIAN HOMES N 120000 CASH PROVIDED