2015-05-07T07:59:02-05:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2014-01-01 371017284 CLARK-LINDSEY VILLAGE INC CLAR 2173442144 101 WEST WINDSOR ROAD URBANA IL 61802 THOMAS B BERNS CEO 2173442144 2015-05-06 1 JEFF PARKER P00970069 3149254300 2014 2016-02-25 16:41:14Z DEBRA REARDANZ 101 WEST WINDSOR ROAD URBANA IL 61802 20757246 0 X WWW.CLARK-LINDSEY.COM X 1970 IL TO PROVIDE HOUSING AND HEALTHCARE FACILITIES/SERVICES FOR ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN. 12 12 340 500 0 0 49313 346245 14509060 14423044 351501 495366 376517 355255 15286391 15619910 0 0 0 0 7028835 7343215 0 0 8056 6893572 6787026 13922407 14130241 1363984 1489669 31196411 38561592 15094515 21173312 16101896 17388280 TO PROVIDE HOUSING AND HEALTHCARE FACILITIES/SERVICES FOR ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN. 0 0 12651818 14423044 CLARK-LINDSEY VILLAGE'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE HOUSING, SERVICES, AND HEALTHCARE TO THE ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN. IN 2014, CLARK- LINDSEY VILLAGE PROVIDED HOUSING AND SERVICES TO 442 ELDERLY PEOPLE, RESULTING IN 84,650 DAYS OF CARE. IN ADDITION, CLARK-LINDSEY PROVIDED 164,400 HOURS OF NURSING CARE, 46,570 SESSIONS OF THERAPY, AND MORE THAN 400 SENIOR PROGRAMS DESIGNED TO PROMOTE CONTINUED LEARNING AND SUCCESSFUL AGING. 12651818 1 1 0 0 0 0 0 0 0 1 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 1 0 0 0 0 0 0 0 0 1 43 0 340 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X DEBRA REARDANZ CEO 2173442144 101 WEST WINDSOR ROAD URBANA IL 61802 THOMAS B BERNS CHAIRMAN 2.00 X X 0 0 0 GLEN C PAINE VICE-CHAIRMAN 2.00 X X 433 0 0 DAVID W HOOD TREASURER 2.00 X X 0 0 0 MICHAEL W LYON SECRETARY 2.00 X X 546 0 0 CATHERINE A MURPHY BOARD MEMBER 2.00 X 0 0 0 CHRISTOPHER MOYER BOARD MEMBER 2.00 X 123 0 0 CAMILLE S HARMON BOARD MEMBER 2.00 X 0 0 0 MICHAEL B PROVENZANO BOARD MEMBER 2.00 X 0 0 0 ROLAND WHITE BOARD MEMBER 2.00 X 0 0 0 ELIZABETH H TYLER BOARD MEMBER 2.00 X 0 0 0 JAMES D GREEN BOARD MEMBER 2.00 X 0 0 0 KATHLEEN HOLDEN BOARD MEMBER 2.00 X 0 0 0 DEBRA S REARDANZ PRESIDENT / CEO 40.00 X 213793 0 30060 TIMOTHY P MAST VICE PRESIDENT OF FINANCE 40.00 X 104506 0 21562 319401 0 51622 2 0 1 0 REHABCARE GROUP INC 7733 FORSYTH BLVD SUITE 2300 ST LOUIS MO 63150 THERAPY SERVICES 966017 MJE CONSTRUCTION COMPANY PO BOX 1527 BLOOMINGTON IL 61702 CONSTRUCTION SERVICES 641990 TAG RESIDENTIAL COMPANY 2805 BOULDER ROAD URBANA IL 68102 CONSTRUCTION SERVICES 608890 PERKINS EASTMAN ARCHITECTS PC 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECT SERVICES 519300 DILLMAN BROTHERS 3509 CUNNINGHAM AVE URBANA IL 68102 CONSTRUCTION SERVICES 420235 13 346245 249976 346245 RESIDENT SERVICES 623000 13160612 13160612 AMORTIZATION OF DEFERRED REVENUE 623000 1262432 1262432 14423044 201230 201230 5755 0 5755 5755 5755 5431472 5137336 294136 294136 294136 MEAL REVENUE 900099 117044 117044 GUEST SUITE 900099 69671 69671 HAIR SALON SERVICES 900099 60949 60949 101836 101836 349500 15619910 14423044 0 850621 369921 369921 5880250 5386451 493799 167449 154461 12988 452081 410709 41372 473514 419745 53769 72526 72526 44955 44955 38375 38375 13350 13350 63620 63620 14069 14069 198055 172182 25873 974140 963593 10547 52115 17215 34900 23118 9700 13418 92805 92805 1469809 1453895 15914 245513 242855 2658 THERAPY, NURSING SUPPLI 1376630 1376630 DIETARY 914381 914381 MAINTENANCE AND GROUNDS 428840 424197 4643 TAXES & LICENSES 171723 171723 593002 427207 157739 8056 14130241 12651818 1470367 8056 559024 1858292 1409003 724592 1082714 679447 24198 25771 140515 138763 32586062 20879498 12622850 11706564 13778912 16089186 18021 11748 1561174 7327229 31196411 38561592 1769008 1847769 9034772 13442379 3709339 3509530 469500 2255500 111896 118134 15094515 21173312 X 15679107 16623201 403703 745993 19086 19086 16101896 17388280 31196411 38561592 1489669 -203285 0 X X 0 1 X 1 0 X 21069 51720 42312 49313 346245 510659 12860979 13530880 14121884 14509060 14423044 69445847 12882048 13582600 14164196 14558373 14769289 69956506 0 0 0 69956506 206025 271682 224200 195724 206985 1104616 206025 271682 224200 195724 206985 1104616 195321 222242 240414 376517 349500 1383994 13283394 14076524 14628810 15130614 15325774 72445116 0.96560 0.98520 0.01520 0.01480 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2010 AMOUNT: $ 195,321. 2011 AMOUNT: $ 222,242. 2012 AMOUNT: $ 240,414. 2013 AMOUNT: $ 38,840. 2014 AMOUNT: $ 2,580. MEAL REVENUE - 2013 AMOUNT: $ 121,413. 2014 AMOUNT: $ 117,044. SALON SERVICES - 2013 AMOUNT: $ 54,420. 2014 AMOUNT: $ 60,949. GARAGE FEES - 2013 AMOUNT: $ 38,520. 2014 AMOUNT: $ 37,770. LAUNDRY INCOME - 2013 AMOUNT: $ 19,629. 2014 AMOUNT: $ 17,409. PERSONAL SERVICE ATTENDANT - 2013 AMOUNT: $ 1,738. 2014 AMOUNT: $ 4,184. GROCERY STORE - 2013 AMOUNT: $ 36,864. 2014 AMOUNT: $ 39,893. GUEST SUITE INCOME - 2013 AMOUNT: $ 65,093. 2014 AMOUNT: $ 69,671. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2255595 30000 64434 2514 13266 2334249 2060926 20000 204278 15992 13617 2255595 1895464 15000 184989 20816 13711 2060926 1975526 10000 -36476 41076 12510 1895464 1912590 10100 143851 77947 13068 1975526 0.87960 0.00820 0.11220 0 0 225000 225000 24876567 15432361 9444206 7484495 5447137 2037358 11706564 CONSTRUCTION IN PROGRESS 7327229 7327229 FUNDS HELD FOR OTHERS 26945 DEFERRED COMPENSATION 91189 118134 X 15344099 -203285 -203285 15547384 72526 72526 15619910 14057715 0 14057715 72526 72526 14130241 PART V, LINE 4: THE ARMSEY BEAUTIFICATION FUND IS A TERM ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT FOR CLARK-LINDSEY RESIDENT GROUNDS AND GARDENS. THE THOMPSON LIBRARY FUND IS A TERM ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF THE CLARK-LINDSEY RESIDENT LIBRARY. THE WEBBER EDUCATIONAL FUND IS A PERMANENT ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF CONTINUING EDUCATION FOR HEALTH CENTER STAFF. THE STEWART LIBRARY FUND IS A PERMANENT ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF THE CLARK-LINDSEY RESIDENT LIBRARY. THE KAULFERS FUND IS A BOARD DESIGNATED, QUASI ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT FOR QUALITY OF LIFE IMPROVEMENTS INDCLUDING PROGRAMS AND FACILITIES ESPECIALLY DEVELOPED FOR SENIOR CITIZENS. PART X, LINE 2: THE VILLAGE QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE VILLAGE IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE VILLAGE IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE CODE AND CONTRIBUTIONS TO THE VILLAGE QUALIFY AS A CHARITABLE TAX DEDUCTION FOR THE CONTRIBUTOR. THE VILLAGE'S 2011-2013 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. PART XI, LINE 4B - OTHER ADJUSTMENTS: MANAGEMENT FEES INCLUDED IN REVENUE 72,526. PART XII, LINE 4B - OTHER ADJUSTMENTS: MANAGEMENT FEES NET AGAINST REVENUE 72,526. X 1 1 X X X X X 0 1 1 0 0 0 0 0 0 DEBRA S REARDANZ PRESIDENT / CEO 203793 0 10000 0 0 0 13155 0 16905 0 243853 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDED REIMBURSEMENT FOR COMPANION TRAVEL TO ITS BOARD MEMBERS. THE SPECIFIC INDIVIDUALS AND AMOUNTS ARE INCLUDED ON FEDERAL FORM 990, PART VII, SECTION A. PART I, LINES 4B-C THE CEO HAS A BALANCE IN A 457 PLAN, BUT THERE WERE NO PAYMENTS TO THE PLAN IN 2014. A CITY OF URBANA CHAMPAIGN COUNTY ILLINOIS 376000524 NONEAVAIL 2004-05-20 5000000 IMPROVEMENTS TO HEALTHCARE FACILITY 0 0 0 A 1490470 5000000 100000 4900000 2005 0 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF URBANA, CHAMPAIGN COUNTY, ILLINOIS DATE THE REBATE COMPUTATION WAS PERFORMED: 06/13/2013 X 1 249976 NYSE CLOSING PRICE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD DIRECTS THAT AT LEAST ONE BOARD MEMBER, WHO SERVES ON THE FINANCE COMMITTEE, CONDUCT THE ANNUAL REVIEW OF THE FORM 990 AND PRESENT IT TO THE FULL BOARD PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD DIRECTS THAT OFFICERS, DIRECTOR, AND KEY EMPLOYEES ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR PREPARING QUARTERLY REPORTS TO THE BOARD FINANCE COMMITTEE THAT DISCLOSES ACTUAL, POTENTIAL OR PERCEIVED CONFLICTS OF INTEREST. IN THE EVENT THAT A CONFLICT EXISTS, THE PERSON IS REQUIRED TO RECUSE HIMSELF OR HERSELF FROM PARTICIPATING IN THE DECISION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD DIRECTS THAT THE PERSONNEL & POLICY COMMITTEE (P&PC) CONDUCT THE PRESIDENT'S ANNUAL PERFORMANCE REVIEW AND DEVELOP SALARY AND COMPENSATION RECOMMENDATIONS FOR FULL BOARD APPROVAL. A COMPARATIVE ANALYSIS OF THE PRESIDENT'S ANNUAL COMPENSATION IS REVIEWED BY THE P&PC USING SOURCES SUCH AS INDEPENDENT SALARY SURVEYS, REVIEW OF FORM 990S AND OTHER INFORMATION AS IT IS AVAILABLE. TO ENSURE THE INDEPENDENCE AND OBJECTIVITY OF THE COMPARATIVE REVIEW, THE DATA AND ANALYSIS IS PREPARED BY SOMEONE OTHER THAN THE PRESIDENT. IN REGARDS TO OTHER OFFICERS AND KEY EMPLOYEES, THE PRESIDENT PERFORMS A SIMILAR PROCESS USING INDEPENDENT SALARY SURVEY DATA TO DETERMINE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 CLARK-LINDSEY VILLAGE, INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. FORM 990, PART XII, LINE 2C THE PROCESS FOR REVIEW AND OVERSIGHT OF THE AUDIT PROCESS IS CONSISTENT WITH PRIOR YEARS.