2015-12-11T12:14:21-06:00 2015-01-31 990 2014-02-01 953472345 Covenant Retirement Communities West COVE 8056870701 2550 Treasure Drive Santa Barbara CA 931054892 Elizabeth Buikema VP of Finance/CFO 7738782294 2015-12-11 2014 2016-04-25 22:37:26Z Elizabeth Buikema 5700 Old Orchard Rd Skokie IL 60077 91679746 0 2650 X www.covenantretirement.org X 1975 CA Care for Senior Adults 21 18 1251 190 0 0 2156631 1607737 72906463 83959676 4728694 4444981 1449434 1581432 81241222 91593826 56945 48931 0 0 31714416 35238601 0 0 961628 41842484 47988367 73613845 83275899 7627377 8317927 303600974 319650730 199804278 207606896 103796696 112043834 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 25915213 48931 38430725 Residential Living:The number of persons who benefited from the services we provided for the year ended January 31, 2015 were as follows:There were 1,109 residents occupying 821 apartments as of 1/31/15. The residency for the fiscal year totaled 394,639 resident days. 8586936 12312455 Assisted Living & Assisted Dementia:The number of persons who benefited from the services we provided for the year ended January 31, 2015 were as follows:There were a total of 213 assisted living residents at 01/31/15. Assisted living residency for the fiscal year totaled 72,482 patient days. 27177844 34818009 Skilled Nursing:The number of persons who benefited from the services we provided for the year ended January 31, 2015 were as follows:There were a total of 358 skilled care patients at 01/31/15.Skilled care residency for the fiscal year totaled 104,257 patient days. The organization was involved in various community benefits projects which include the followingThe Samarkand: - Staff members volunteered a total of 271 hours of their time to various activities/events in the community (equivalent to $26,825)- Residents volunteered a total of 5,225 hours to various activities/events in the community. Residents also raised in-kind donations to Samaritan's Purse Operation Christmas Child ($1,423 in estimated value)- Hosted monthly student internship programs and training for CNA, Home Health Aide, LVN and other students from the Santa Barbara City College (equivalent to $4,150)- 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 Activity Directors Association, PEO, Prime Time Band, Westmont College and various seminars/presentations (equivalent to $174,268)- Participated in the Recycling project and drought-tolerant landscaping project (equivalent to $60,245)- 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, KICY Radio - Alaska, Life Network, Mission Aviation Fellowship, North Park Covenant Seminary, Paul Carlson Partnership, Santa Barbara Salvation Army, Santa Barbara Rescue Mission, Junior League of Santa Barbara, Gideon's International, Habitat for Humanity, Transition House, Villa Majella, Leadership Resources Group Inc., Bread for the World and Wycliffe Bible Translators ($14,750 in total)Covenant Village of Turlock:- Staff members volunteered a total of 271 hours of their time to various activities/events in the community including the Alzheimer's Association, Rotary Club, thrift store, food bank and feeding the homeless, mentoring program, San Francisco City Impact, and Turlock Pregnancy Center (equivalent to $26,775)- Residents volunteered a total of 4,017 hours to various activities/events in the community at the local churches, senior center, local hospital, schools and others. The residents also raised in-kind donations to Goodwill, Nearly New Thrift, Off Center Thrift, Salvation Army, Samaritans Foundation and Turlock Gospel Mission ($3,519 in estimated value)- Provided space usage for meetings & events for small (under 35) to large groups (75+ people) including the AARP, Alzheimer's Support Group, Circle of Comfort Support Group, Loss of Spouse Support Group, Parkinson's Support Group, Neuropathy Support Group, Gideons, Lions Club, Community Barbershop, Young at Heart Community Exercise, community recitals, Rotary Club, Toastmasters, Turlock Historical Society, Turlock Pregnancy Center, Veteran Services local churches, local schools, as a Polling Place and others (equivalent to $292,204)- Monetary Donation to the Turlock Rotary Club, Alzheimer's Association, Salvation Army, Teen Challenge and Turlock Pregnancy Center ($1,750 in total)-In-Kind Donations to Habitat for Humanity, Hilmar Covenant Church, Joni and Friends, Off Center Thrift, Salvation Army, Turlock Gospel Mission, Turlock Police, Turlock School and Wheels for the World ($9,548 in estimated)-Hosted community events such as the Balance Lecture, City Fire Training and various Community lectures (equivalent to $564,000)Mt. Miguel Covenant Village:- Staff members volunteered a total of 665 hours of their time in various areas of the community such as the Camp Hope, Helen Woodward Animal Center, Santa Fe Christian School, Boy Scouts, at local churches and others (equivalent to $43,913)- Residents volunteered a total of 10,970 hours to the different areas of the community such as in local schools, local churches, local libraries, quilting, knitting and sewing for various projects, bandages for Congo project, California Association of Teachers of English, Driver 4 Neighbors program, San Diego Humane Society, San Diego Zoo, San Diego Sheriff Department, Repeat Boutique, and others. Residents also raised in-kind donations to the homeless ministry at Ladle, San Diego First Presbyterian Ministries, Salvation Army, Goodwill and San Diego Humane Society ($4,140 in estimated value). Additionally, they gave monetary donations for school supplies for San Diego area children, scholarship at Alaska Christian College and Alpine Conference Center to send inner-city kids to camp ($2,050 in total)- In-Kind Donations to Grace Covenant Church and Salvation Army ($9,060 in estimated value)- Hosted student internship program for Pt. Loma Nazarene University (equivalent to $1,100)- Provided space usage for meetings and community events for small (under 35) to large groups (75+ people) including Aqua Fitness/Water Aerobics program, UCSD Study on Aging, Health Literacy Physical Fitness, AARP Driver Safety Refresher Course, Accordion Lovers Society International, Arts and Craft Festival, Pieceful Stitches Applique Group, Pointe Lakeview HOA Board, various music and food events, various presentations of different topics, as a Polling Place and others (equivalent to $892,500)Covenant Shores:- Staff members volunteered a total of 171 hours in different areas in the community including local churches, ACRS Asian Foodbank, Senior Foundation of Mercer Island, homeless breakfast and dinner and others (equivalent to $7,025)- Residents volunteered a total of 17,222 hours to various areas in the community including the various knitting and sewing projects, local schools, library, churches, hospitals and nursing homes, food bank, Rotary Club, Salvation Army and others. - Hosted student internship program For NW University and Seattle University nursing students (equivalent to $33,700)- Hosted Diversity Breakfast Club (15 staff hours and equivalent to $750) - Provided space usage for meeting and community events for small (under 35) to large groups (75+ people) including Argosy Christmas Ship event, Snoqualmie Falls Theater Group, Boeing Luncheon, Westminster Chapel, Evergreen Covenant Church, Probus Luncheon, Pastor's Appreciation Lunch, Seattle First Covenant Church and Mercer Island Solemates Luncheon and Tour (equivalent to $50,500)- Monetary Donations to Alaska Christian College, Boeing Lunch, Bridge Covenant Church, CRC's Thailand Mission Trip, Covenant World Relief, Mercer Island Police Department, Mercer Island Parks and Recreation, Mercer Island Youth Theater, Hopelink, KICY Radio, Mary's Place, Medical Teams International, Mercer Island High School, New Horizon's Ministry, Nicolas Fund for Education, Operation Night Watch, Free Wheelchair Mission, Pastor Appreciation Luncheon, Paul Carlson Partners, Radiant Church, Salvation Army, Speak Up, ACRS Asian Food Bank and World Concern ($21,615 in total)- In-kind Donations to Mercer Island Solemates Luncheon and Tour and ACRS Asian Foodbank ($3,650 in estimated value). 61679993 1 1 0 0 0 0 0 0 1 1 1 1 0 1 1 1 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 1 208 0 1 1251 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 657813 38110 Rick K Fisk Ex-Officio/President 1.00 40.00 X X 0 657938 18152 Jennifer Larson Ex-Officio 1.00 1.00 X 0 0 0 Gary Walter Ex-Officio 1.00 40.00 X 0 151200 113208 Terri S Cunliffe EVP of Oper/Asst Sec 1.00 40.00 X 0 347364 50249 Elizabeth B Buikema Senior VP/CFO/Treasurer 1.00 40.00 X 0 314625 54640 David G Erickson VP/Asst Secretary 1.00 40.00 X 0 252953 49036 Kathleen Jenkins Dir Admin Srvcs/Asst Secretary 1.00 40.00 X 0 153721 21333 Nadia Geigler Dir Admin Srvcs/Asst Secretary 1.00 40.00 X 0 95157 5170 Thad D Rothrock Executive Director 40.00 0.00 X 201879 0 39304 Bruce Erickson Executive Director 40.00 0.00 X 158537 0 29372 Robert Howell Executive Director 40.00 0.00 X 163149 0 24240 Dwayne D Gabrielson Admin-Healthcare 40.00 0.00 X 162572 0 32697 Ruth E Grande Executive Director 40.00 0.00 X 107598 0 9680 Jay S Caddell Admin-Healthcare 40.00 0.00 X 125592 0 0 Lynn M Murphy Director of Nursing 40.00 0.00 X 105412 0 9128 Darla C Lorenzen Admin-Healthcare 40.00 0.00 X 109530 0 12849 1134269 2630771 507168 12 0 1 0 Sodexo Inc & Affiliates 4880 Paysphere Circle Chicago IL 60674 Dining Services 3395688 Pannel Construction Company 9623 Kenora Lane Spring Valley CA 91977 Maintenance/Repair Services 1020350 James Johnson 3905 State Street Suite 7-311 Santa Barbara CA 93105 Construction Services 692017 Healthcare Environments Lifestyle Produc PO Box 9290 Hickory NC 28603 Upholstery Services 273263 H Todd Kilbourn 1661 East Olive Way Suite 200 Seattle WA 98102 Architectural Services 127483 6 153620 1454117 1607737 Routine Services 623000 49697620 49697620 Medicare/Medicaid 623000 13230476 13230476 Entrance Fees 623000 12455390 12455390 Ancillary Services 623000 8054105 8054105 Meals 623000 522085 522085 83959676 3293466 3293466 42258 62339 -20081 -20081 -20081 1151515 0 1151515 1151515 1151515 23581 153620 23581 0 Support Services 623000 956452 956452 Services to Residents 623000 112402 112402 532659 532659 1601513 91593826 85561189 0 4424900 48931 48931 598471 598471 28038532 24261824 3743735 32973 736135 589518 144058 2559 3703627 3079388 623112 1127 2161836 1776068 382942 2826 445625 445625 151524 151524 47028 47028 7325055 5624614 1700081 360 1034510 1072 1029939 3499 4026695 3239536 777060 10099 900000 9431 890368 201 4583360 4583360 198738 59330 139408 150512 16653 133859 4360611 3216985 1090153 53473 9968552 7355255 2492138 121159 928985 928985 Related Party Activity 6343999 0 5618700 725299 Dining Services 3659696 3659696 Resident Care 2453577 2453577 Admin & General 832865 37278 795587 577035 292867 276115 8053 83275899 61679993 20634278 961628 1231923 303830 422917 386041 2501360 1707749 3496655 10232736 257271 1 272625 277089 247735698 110697931 130783446 137037767 63682972 62064915 16824565 19252141 84127240 88388461 303600974 319650730 3551109 4037806 59648484 61571917 87456816 85274415 578440 487097 48569429 56235661 199804278 207606896 X 100846084 109164012 2906022 2834414 44590 45408 103796696 112043834 303600974 319650730 X 8317927 -70789 X 0 1 X 1 0 X 1090543 1355050 1625354 2156631 1607737 7835315 66153466 68782939 71252501 72906463 83959676 363055045 67244009 70137989 72877855 75063094 85567413 370890360 0 0 0 370890360 3529628 4037656 5219430 4728694 4444981 21960389 3529628 4037656 5219430 4728694 4444981 21960389 70773637 74175645 78097285 79791788 90012394 392850749 0.94410 0.93720 0.05590 0.06280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 44590 818 45408 44515 75 44590 42893 1622 44515 42980 -87 42893 1.00000 0 1 1 4608401 4608401 189136092 88884407 100251685 41254161 19080126 22174035 12737044 2733398 10003646 137037767 Mortgages 950269 F Domestic Equity 4869588 F International Equity 4187017 F Hedge Funds & Derivatives 5549469 F Private Equity 2478190 F Strategic Income 1217608 F 19252141 Unamortized Debt & Related Expenses 1134389 Other Investments 2874423 Unamortized Original Issue Discount 397654 Intercompany Advance Accounts 83981995 88388461 Deferred Revenue Subject to Refund 34467824 Refundable Contract Liabilities 20422294 Accrued Taxes & Employee Benefits 176025 Other Liabilities 1169518 56235661 X 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. Part X, Line 2: A FIN 48 footnote was included in the consolidated audited financial statements of Covenant Retirement Communities, Inc. and affiliates which states: "Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Retirement Communities and recognize a tax liability if the Retirement Communities have taken an uncertain position that more likely than not would not be sustained upon examination by the IRS or other applicable taxing authorities. Management has analyzed the tax positions taken by the Retirement Communities and has concluded that as of January 31, 2015, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the consolidated financial statements. The Retirement communities are subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Retirement Communities believe they are no longer subject to U.S. federal, state, and local, or non-U.S. income tax examinations by tax authorities for years before 2012." CS Benefit Dinner 55649 47329 8320 2265 425 5630 MMCV Benefit Dinner 63070 56134 6936 3994 2025 917 2 58482 50157 8325 4196 750 3379 177201 153620 23581 10455 3200 9926 23581 0 1 Good Neighbor Fund 8 48931 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 499292 0 0 0 158521 0 7800 0 30956 0 696569 0 27119 Rick K Fisk Ex-Officio/President 0 454993 0 94523 0 108422 0 7800 0 17807 0 683545 0 3765 Gary Walter Ex-Officio 0 151200 0 0 0 0 0 27400 0 85808 0 264408 0 0 Terri S Cunliffe EVP of Oper/Asst Sec 0 256496 0 36281 0 54587 0 32670 0 19595 0 399629 0 0 Elizabeth B Buikema Senior VP/CFO/Treasurer 0 239521 0 42250 0 32854 0 29887 0 28521 0 373033 0 0 David G Erickson VP/Asst Secretary 0 184311 0 35100 0 33542 0 23997 0 30340 0 307290 0 0 Kathleen Jenkins Dir Admin Srvcs/Asst Secretary 0 77642 0 8500 0 67579 0 3604 0 20016 0 177341 0 19926 Thad D Rothrock Executive Director 168838 0 13363 0 19678 0 14487 0 26574 0 242940 0 0 0 Bruce Erickson Executive Director 107744 0 25344 0 25449 0 15457 0 14513 0 188507 0 0 0 Robert Howell Executive Director 121580 0 15960 0 25609 0 4761 0 20066 0 187976 0 0 0 Dwayne D Gabrielson Admin-Healthcare 109404 0 10391 0 42777 0 14213 0 24062 0 200847 0 20745 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 three (3) 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 - $25,464 Terri Cunliffe - $28,063 David Dwight - $64,365 David Erickson - $23,665 Rick Fisk - $53,279 Nadia Geigler - $2,400 Kathleen Jenkins - $10,948 Thad D. Rothrock - $16,840 Bruce Erickson - $10,956 Dwayne D. Gabrielson - $16,830 Ruth Grande - $3,000 Robert Howell - $7,308 Additionally, the following listed individuals received distributions from the deferred compensation plan. These amounts are taxable and are included in Column B(iii). David Dwight - $27,119 Rick Fisk - $3,765 Kathleen Jenkins - $19,926 Dwayne Gabrielson - $20,745 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 2014 relate to the achievement of targets for the fiscal year ended 1/31/2014. 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 $1,200,218 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 President of CRC, the Vice President of Finance/CFO and the Vice President of Legal Affairs. Board Review: Prior to filing, key provisions of the Form were discussed 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 XI, line 9: Change in Temporarily Restricted Net Assets not included on Income Stmnt -71,607. Change in Permanently Restricted Net Assets not included on Income Stmnt 818. The Samarkand 2550 Treasure Drive Santa Barbara CA 93105 953472345 Continuing Care Retirement Community CA 25733018 102545488 N/A Covenant Village of Turlock 2125 North Olive Ave Turlock CA 95380 953472345 Continuing Care Retirement Community CA 16469530 62421742 N/A Mount Miguel Covenant Village 325 Kempton Street Spring Valley CA 91977 953472345 Continuing Care Retirement Community CA 22541003 93232747 N/A Covenant Shores 9150 Fortuna Drive Mercer Island WA 98040 953472345 Continuing Care Retirement Community WA 20560053 61634154 N/A Brandel Manor 1801 North Olive Avenue Turlock CA 95380 953472345 Continuing Care Retirement Community CA 6290222 -183401 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 Supporting Organization of SCH 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 Swedish Covenant Surgery LLC 5215 N California Avenue Chicago IL 60625 272485300 Outpatient Medical Services IL N/A N/A 0 0 Covenant International Insurance Company Ltd Crawford House 50 Cedar Ave Hamilton BD Insurance BD N/A 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 1623405 Covenant Retirement Communities Inc P 3528160 Covenant Trust Company P 698471