2015-12-22T10:41:54-06:00 2015-06-30 420714325 RSM US LLP PO BOX 5946 MADISON WI 537050946 990 2014-07-01 363186415 WOODSTOCK CHRISTIAN LIFE SERVICES INC WOOD 8153346200 920 N SEMINARY AVENUE WOODSTOCK IL 600982996 TERRENCE EGAN PRESIDENT/CEO 8153346200 2015-12-15 1 JAMES G GRAHAM P00006111 6088332612 2014 2016-04-25 22:37:26Z HEARTHSTONE COMMUNITIES TERRENCE EGAN 920 N SEMINARY AVENUE WOODSTOCK IL 60098 11881727 0 X WWW.HEARTHSTONEWOODSTOCK.ORG X 1888 IL TO PROVIDE HEALTHCARE SERVICES IN A NURSING HOME FACILITY, HOUSING FOR THE ELDERLY, AND DAYCARE SERVICES FOR CHILDREN. 13 13 302 54 0 0 517503 138458 10468128 11648496 -46193 691 38369 39731 10977807 11827376 0 9335 0 0 6320246 6585784 0 0 87036 5051155 5059805 11371401 11654924 -393594 172452 10009461 10001140 11572525 11286705 -1563064 -1285565 X TO PROVIDE HEALTHCARE SERVICES IN A NURSING HOME FACILITY, HOUSING FOR THE ELDERLY, AND DAYCARE SERVICES FOR CHILDREN. 0 0 5949159 9335 8194984 HEARTHSTONE MANOR REHABILITATIVE AND NURSING CARE HAS LICENSED SHELTERED CARE/ASSISTED LIVING, REHABILITATION, A DEDICATED ALZHEIMER'S DISEASE AND DEMENTIA PROGRAM, AND INTERMEDIATE AND SKILLED NURSING CARE WITH MEDICARE CERTIFICATION. HEARTHSTONE MANOR SERVES APPROXIMATELY 200 SENIORS ANNUALLY. 1533384 2065457 HEARTHSTONE VILLAGE IS AN INDEPENDENT AND ASSISTED LIVING APARTMENT COMMUNITY FOR INDEPENDENT SENIORS. THOSE WITH MILD MEMORY LOSS ARE ALSO SERVED HERE. HEARTHSTONE VILLAGE SERVES APPROXIMATELY 100 SENIORS ANNUALLY. 653782 913038 HEARTHSTONE EARLY LEARNING CENTER IS AN EARLY LEARNING CENTER WITH SCHOOL-AGE AND PRE-SCHOOL PROGRAMS WHOSE MISSION IS TO PROVIDE CHILDREN IN THE 6 MONTH OLD - 12 YEAR OLD AGE GROUP WITH DAY TIME CARE, ENRICHING EXPERIENCES AND DEVELOPMENTAL OPPORTUNITIES SPECIFICALLY DESIGNED TO MEET THEIR UNIQUE NEEDS, BEFORE AND AFTER SCHOOL AND ON 'NO-SCHOOL' DAYS. LAST YEAR WE SERVED 200 CHILDREN. OUR AVERAGE ENROLLMENT IS 90 WITH A CAPACITY OF 163. 321393 487006 HEARTHSTONE COURT - PROVIDES DUPLEXES, TRIPLEXES, AND ONE QUADPLEX FOR A TOTAL OF 32 UNITS, 3 SINGLE-FAMILY HOMES, AND A PRAIRIE HOMES DUPLEX FOR INDEPENDENT LIVING. 321393 487006 8457718 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 40 0 1 302 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X MARY GESKE 8153214056 920 N SEMINARY WOODSTOCK IL 600982996 DR BRENT RICHARDSON CHAIRMAN/DIRECTOR 1.00 X X 0 0 0 DAN PARRILLI TREASURER/DIRECTOR 1.00 X X 0 0 0 MELISSA COONEY VICE CHAIRMAN/DIRECTOR 1.00 X X 0 0 0 DOUGLAS W ANDREWS SECRETARY/DIRECTOR 1.00 X X 0 0 0 TOM LUTTER DIRECTOR 1.00 X 0 0 0 DAN NEELY DIRECTOR 1.00 X 0 0 0 JANET SMITH DIRECTOR 1.00 X 0 0 0 LINDA LIDDELL DIRECTOR 1.00 X 0 0 0 FRANCIS SELF DIRECTOR 1.00 X 0 0 0 SHAUN STRANGE DIRECTOR 1.00 X 0 0 0 DR MARK ADAMS DIRECTOR 1.00 X 0 0 0 ROBERT LOWEN DIRECTOR 1.00 X 0 0 0 PAUL KILLINGER DIRECTOR 1.00 X 0 0 0 TERRENCE EGAN PRESIDENT/CEO 40.00 X 122077 0 24400 RICHARD HATTAN MANOR ADMINISTRATOR 40.00 X 124693 0 24938 JOHN DELAVAN INTERIM CFO 15.50 0.50 X 67449 0 0 314219 0 49338 2 0 0 0 ALLIANCE REHAB INC 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 PHYSICAL THERAPISTS 595148 A'VIANDS LLC PO BOX 1450 MINNEAPOLIS MN 55485 DINING SERVICES 388578 OMNICARE PO BOX 78000 DETROIT MI 48278 PHARMACY SERVICES 191623 RYAN COMPANIES 111 SHUMAN BLVD SUITE 400 NAPERVILLE IL 60563 CONSTRUCTION 153442 4 47380 91078 860 138458 PRIVATE PAY 623000 5314378 5314378 FEES AND CONTRACTS FROM GOVERNMEN 623000 2177297 2177297 MEDICARE/MEDICAID PAYMENTS 623000 1963666 1963666 ALZHEIMERS SERVICES 623000 1713582 1713582 RESIDENT SERVICES 623000 307132 307132 172441 172441 11648496 10773 10773 9624 0 9624 9624 9624 10082 -10082 -10082 -10082 72011 47380 44269 27742 27742 OTHER 623000 1365 1365 APPLICATION FEES 623000 1000 1000 2365 11827376 11660485 0 28433 9335 9335 321152 250424 70728 5034727 3983813 1050914 843892 474085 366573 3234 386013 287802 95327 2884 22361 22361 57625 57625 78294 78294 54298 28136 15972 10190 34315 34315 71687 71687 598546 531760 66786 22164 22164 670 670 498568 154 498414 776315 722550 53765 153304 124945 28359 CONTRACTED SERVICES 1375169 1307486 67683 SUPPLIES 912761 912361 400 BAD DEBT 150900 150900 MISCELLANEOUS 99772 10978 88794 153056 64313 88743 11654924 8457718 3110170 87036 473398 891562 6877 5816 18150 8000 623812 562260 206665 252812 21425572 13515586 8287954 7909986 166773 150407 197986 189793 27846 30504 10009461 10001140 1382920 1023044 23900 15049 7547328 7649443 2618377 2599169 11572525 11286705 X -1773506 -1580616 52965 144644 157477 150407 -1563064 -1285565 10009461 10001140 X 172452 -7070 112117 X X 0 1 X 1 0 X 409636 169953 287380 517503 138458 1522930 10772431 10816503 10539306 10477976 11650861 54257077 11182067 10986456 10826686 10995479 11789319 55780007 0 0 0 55780007 34597 27227 53122 22734 20397 158077 34597 27227 53122 22734 20397 158077 56629 3941 -10277 16384 66677 11273293 11017624 10869531 11034597 11809716 56004761 0.99600 0.99480 0.00280 0.00310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 166773 -2592 13774 150407 197100 28646 58973 166773 181842 34508 19250 197100 191476 8165 17799 181842 163274 40944 12742 191476 0.00000 1.00000 0 0 663920 663920 20622920 13515586 7107334 138732 138732 7909986 DEPOSITS 168351 ENTRANCE FEES 2430818 2599169 X PART V, LINE 4: TO ASSIST IN FUNDING CAPITAL PROJECTS AND TO ASSIST POOR CAMPUS RESIDENTS WHO CURRENTLY ARE BEHIND IN THEIR BILLS ON AN AS NEEDED BASIS. PART X, LINE 2: THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. WOODSTOCK CHRISTIAN LIFE SERVICES, HEARTHSTONE MANAGEMENT SERVICES INC., AND HEARTHSTONE AT SERENITY CREEK, INC. FILE SEPARATE FORMS 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF ILLINOIS. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO A RETIREMENT CENTER INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX-EXEMPT STATUS OF EACH OF THE COMPANIES AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. FORM 990 FILED BY THE ORGANIZATION IS SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. GALA 2014 106591 34580 72011 8778 25802 HEARTHSTONE SENIOR FAIR 12800 12800 8035 1654 2 119391 47380 72011 8035 8778 27456 44269 27742 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S COMPLIANCE OFFICER HOLDS REGULAR MEETINGS TO DISCUSS COMPLIANCE ACROSS CAMPUS. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE SETS THE PAY FOR THE CEO. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE UPON REQUEST AND ALSO AVAILABLE FROM THE STATE OF ILLINOIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: LIQUIDATION OF HEARTHSTONE MANAGEMENT SERVICES, INC. 112,117. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HEARTHSTONE MANAGEMENT SERVICES INC 920 N SEMINARY AVENUE WOODSTOCK IL 60098 461596810 SHORT TERM HEALTHCARE SERVICES IN NURSING HOME FACILITY IL 501(C)(3) 9 WOODSTOCK CHRISTIAN LIFE SERVICES INC 1 HEARTHSTONE AT SERENITY CREEK 920 N SEMINARY AVENUE WOODSTOCK IL 60098 463825098 ACQUIRE AND OPERATE INDEPENDENT LIVING FACILITIES IL 501(C)(3) 9 WOODSTOCK CHRISTIAN LIFE SERVICES INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 HEARTHSTONE MANAGEMENT SERVICES INC Q 17500 ACTUAL EXPENSE AMOUNT HEARTHSTONE AT SERENITY CREEK INC Q 26393 ACTUAL EXPENSE AMOUNT