WASHINGTON AND JANE SMITH HOME: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WASHINGTON AND JANE SMITH HOME (EIN 36-4335178)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-14
IRS object ID
201430459349302308
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-14T14:25:33-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11301 W 22ND ST STE 1100AddressLine1
CityOAK BROOKCity
StateILState
ZIP Code60523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN364335178EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON AND JANE SMITH HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWASHNameControl
Phone7734747300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACE NO 1335AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60643ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRAY MARNERISName
TitleCFOTitle
Phone7734747350Phone
Date Signed2014-02-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREGORY S ADAMSName
PTINP00095597PTIN
Phone6305738600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SMITH SENIOR LIVINGBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEVIN MCGEENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACE NO 1335AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60643ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10491562GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SMITHSENIORLIVING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF SMITH VILLAGE IS TO ENRICH THE LIVES OF SENIOR ADULTS. (SEE SCHEDULE O) THROUGH THE OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY OFFERING THE HIGHEST QUALITY OF SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees98TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4984300ProgramServiceRevenuePriorYear
Program Service Revenue CY6197492ProgramServiceRevenueCY
Investment Income Prior Year1814708InvestmentIncomePriorYear
Investment Income Current Year1576415InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year17OtherRevenueCurrentYear
Total Revenue Prior Year6799008TotalRevenuePriorYear
Total Revenue Current Year7773924TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year434403GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY462252GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4233556SalariesEtcPriorYear
Salaries Etc Current Year5459470SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year932527OtherExpensePriorYear
Other Expenses Current Year1005754OtherExpensesCurrentYear
Total Expenses Prior Year5600486TotalExpensesPriorYear
Total Expenses Current Year6927476TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1198522RevenuesLessExpensesPriorYear
Revenues Less Expenses CY846448RevenuesLessExpensesCY
Total Assets BOY41848098TotalAssetsBOY
Total Assets EOY41171890TotalAssetsEOY
Total Liabilities BOY4183759TotalLiabilitiesBOY
Total Liabilities EOY1928303TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37664339NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY39243587NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF SMITH SENIOR LIVING IS TO ENRICH THE LIVES OF SENIOR ADULTS THROUGH THE HIGHEST QUALITY OF SERVICES. THE ORGANIZATION'S CHARITABLE PURPOSE IS TO PROVIDE MANAGEMENT, PLANNING, FINANCIAL AND ADMINISTRATIVE SERVICES (SEE SCHEDULE O) EXCLUSIVELY TO ITS RELATED CCRC ORGANIZATIONAL AFFILIATES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2528187Expense
Revenue2802227Revenue
DescriptionSMITH SENIOR LIVING PROVIDES MANAGEMENT, PLANNING, FINANCIAL AND ADMINISTRATIVE SERVICES EXCLUSIVELY TO ITS RELATED CONTINUING CARE RETIREMENT COMMUNITY ORGANIZATIONAL AFFILIATES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3385795Expense
Revenue3395265Revenue
DescriptionSMITH SENIOR LIVING IS THE SOLE MEMBER OF SMITH CARES, LLC, A STAFFING HOLDING COMPANY. SMITH CARES PROVIDES PROFESSIONAL STAFF TO THE AFFILIATED COMPANIES OF SMITH CROSSING AND SMITH VILLAGE WHEN THE INDIVIDUALS ARE SHARED BETWEEN THE TWO AFFILIATE ORGANIZATIONS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense462252Expense
Grants462252Grants
DescriptionMONIES PROVIDED BY DONATION TO THE ORGANIZATION ARE A SHARING OF EARNINGS ON THE ORIGINAL ENDOWMENT CREATED BY EMILIE SMITH. THE BOARD HAS DESIGNATED THAT 4% OF THE VALUE OF THE ENDOWMENT BE CONTRIBUTED EACH YEAR TO SMITH VILLAGE FOR CHARITABLE CARE.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Revenue17Revenue
FieldValueIRS element (for citing)
Total Of Other Program Service Rev17TotalOfOtherProgramServiceRev
Total Program Service Expense6376234TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees98NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RAY MARNERISBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7734747350TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60643ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT A BERGHOFF
BOARD CHAIR3.001.00X000
GEORGE A PETRAITIS
BOARD VICE CHAIR3.001.00X000
ALLEN K FLAGLER
TRUSTEE1.001.00X000
THOMAS L HOGAN
TRUSTEE1.001.00X000
WILLIAM H HUNDING
TRUSTEE3.003.00X000
STEVEN J MURPHY
TRUSTEE2.002.00X000
KARYN PETTIGREW
TRUSTEE1.001.00X000
KAY E THURN
TRUSTEE2.001.00X000
ANDREW J ANELLO
TRUSTEE3.003.00X000
THOMAS E CHOMICZ
TRUSTEE3.002.00X000
HUGH J AHERN
TRUSTEE2.001.00X000
JUDITH K LEWIS
TRUSTEE1.001.00X000
ANNE Z SCHAIBLE
TRUSTEE1.001.00X000
MICHAEL A FLYNN
PREVIOUS CEO37.50182910021272X
RAYMOND J MARNERIS
TREASURER/CFO37.5024.00132618027668X
KEVIN MCGEE
PRESIDENT/CEO37.5024.00621387760930269X
ROBERT A BOEHM
DIRECTOR OF MARKETING37.50139645013337X
FieldValueIRS element (for citing)
Total Reportable Comp From Org517311TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs77609TotalReportableCompFrmRltdOrgs
Total Other Compensation92546TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HUB INTERNATIONAL MIDWEST
15174 COLLECTIONS CENTER DRIVECHICAGOIL60693INSURANCE BROKER326085
SHEILA KING
PO BOX 10425CHICAGOIL60610PUBLIC RELATIONS SERVICES119687
WORLDWIDE SUPPLY
ONE PARK DRIVEFRANKLINNJ07416COMPUTER EQUIPMENT113995
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
AGENCY FEE62300033952653395265
MANAGEMENT FEE54161028022272802227
FieldValueIRS element (for citing)
Total Program Service Revenue6197492TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column786212TotalRevenueColumn
Exclusion$786,212ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3507841Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2717638Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities790203Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column790203TotalRevenueColumn
Exclusion$790,203ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code623990BusinessCode
Total Revenue Column17TotalRevenueColumn
Related Or Exempt Function Income17RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue17TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7773924TotalRevenueColumn
Related Or Exempt Function Income6197509RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,576,415ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total462252Total
Program Services462252ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total497861Total
Program Services497861ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4082569Total
Program Services4082569ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total107744Total
Program Services107744ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total369029Total
Program Services369029ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total402267Total
Program Services402267ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14316Total
Program Services14316ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total119742Total
Management And General119742ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total53309Total
Management And General53309ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total117964Total
Program Services105807ProgramServices
Management And General12157ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total132228Total
Program Services18063ProgramServices
Management And General114165ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total144752Total
Program Services44204ProgramServices
Management And General100548ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total93787Total
Management And General93787ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total103015Total
Program Services103015ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total33593Total
Program Services12326ProgramServices
Management And General21267ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total45838Total
Program Services45838ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total103537Total
Program Services103537ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total42784Total
Program Services6517ProgramServices
Management And General36267ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionTAXES AND FEESDescription
Total889Total
Program Services889ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6927476Total
Program Services6376234ProgramServices
Management And General551242ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY459379BOY
EOY255321EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY315EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY5065330BOY
EOY2745470EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY126128BOY
EOY184925EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis962162LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec641900LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY421764BOY
EOY320262EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY27447305BOY
EOY28130657EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1258738BOY
EOY1231301EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7069454BOY
EOY8303639EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY41848098BOY
EOY41171890EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY476641BOY
EOY587005EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3707118BOY
EOY1341298EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4183759BOY
EOY1928303EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY26158901BOY
EOY27163413EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10638771BOY
EOY11213507EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY866667BOY
EOY866667EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37664339BOY
EOY39243587EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41848098BOY
EOY41171890EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses846448ReconcilationRevenueExpenses
Reconciliation Unrealized Invest732800ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
WJS - SMITH VILLAGE
3621679489111$462,252
WJS - SMITH CROSSING
3643334239111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts462252SumOfAmounts

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance11505438BeginningOfYearBalance
Investment Earnings Or Losses1104546InvestmentEarningsOrLosses
Grants Or Scholarships462252GrantsOrScholarships
Other Expenditures67558OtherExpenditures
End Of Year Balance12080174EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance11903799BeginningOfYearBalance
Investment Earnings Or Losses-85920InvestmentEarningsOrLosses
Grants Or Scholarships434403GrantsOrScholarships
Other Expenditures121962OtherExpenditures
End Of Year Balance11505438EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10274728BeginningOfYearBalance
Investment Earnings Or Losses2092619InvestmentEarningsOrLosses
Grants Or Scholarships463548GrantsOrScholarships
End Of Year Balance11903799EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance9837732BeginningOfYearBalance
Investment Earnings Or Losses870994InvestmentEarningsOrLosses
Grants Or Scholarships418398GrantsOrScholarships
Administrative Expenses15600AdministrativeExpenses
End Of Year Balance10274728EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10661483BeginningOfYearBalance
Investment Earnings Or Losses-418068InvestmentEarningsOrLosses
Grants Or Scholarships405683GrantsOrScholarships
End Of Year Balance9837732EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.07000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.93000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis462924OtherCostOrOtherBasis
Depreciation231462Depreciation
Book Value231462BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis499238OtherCostOrOtherBasis
Depreciation410438Depreciation
Book Value88800BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings320262TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES7500011
DEPOSITS803628
FieldValueIRS element (for citing)
Total Book Value Other Assets8303639TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE EARNINGS ON THE ASSETS OF THE ENDOWMENT FUND HAVE BEEN DESIGNATED TO SUPPORT THE CHARITABLE CARE ACTIVITIES OF SMITH VILLAGE
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATIONS THAT MAKE UP SMITH SENIOR LIVING QUALIFY AS TAX-EXEMPT CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE (IRS). THE FEDERAL AND STATE TAX RETURNS OF THE ORGANIZATIONS 2010, 2011, AND 2012 FISCAL YEARS ARE SUBJECT TO EXAMINATION BY THE IRS AND STATE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THE DATE THEY WERE FILED.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON AND JANE SMITH COMMUNITY-BEVERLYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60643ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient362167948EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant462252AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantCHARITABLE CARE ACTIVITIESPurposeOfGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE GRANTED FUNDS ARE NOT RESTRICTED AS TO USE AND ARE FOR CHARITABLE CARE OPERATIONS. THE GRANT WAS MADE TO A RELATED TAX-EXEMPT ORGANIZATION AND MANAGEMENT ENSURES THE FUNDS ARE USED TO SUPPORT THE ORGANIZATION'S EXEMPT PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL A FLYNN
PREVIOUS CEO14063700042273047630165090204182000
RAYMOND J MARNERIS
TREASURER/CFO11917600013442056580220100160286000
KEVIN MCGEE
PRESIDENT/CEO5600868601006130900824522978774217097723329768400
ROBERT A BOEHM
DIRECTOR OF MARKETING1251990001444605128082090152982000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATIONS INTERNAL MANAGEMENT AND THE FINANCE COMMITTEE REVIEWS THE RETURN WITH ITS PAID TAX PREPARER. AFTER REVIEW, COPIES OF THE FULL FORM 990 ARE PRESENTED TO ALL TRUSTEES AND REVIEWED AT A BOARD MEETING PRIOR TO FILING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY ALL TRUSTEES AND KEY PERSONNEL ARE REQUIRED TO COMPLETE A DISCLOSURE FOR CONFLICTS OF INTEREST. THE DISCLOSURES ARE SUMMARIZED BY THE CFO AND REVIEWED BY THE GOVERNANCE COMMITTEE WHO DETERMINES IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS THE TRUSTEE IS REQUIRED TO RECUSE THEMSELVES FROM ANY VOTING, DELIBERATION, OR DECISION ON THE TRANSACTION AT THE BOARD LEVEL. FURTHERMORE, ALL VENDOR PAYMENT ACTIVITY IS REVIEWED BY THE CFO FOR VENDORS THAT MAY BE RELATED TO THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION COMMITTEE OF SSL EVALUATES AND ESTABLISHES COMPENSATION AND REVIEWS PROTOCOL FOR THE ORGANIZATION'S CEO AND CFO. ANNUAL COMPENSATION COMPARISONS TO INDUSTRY PROFESSIONALS ARE GATHERED AND REVIEWED ON AN ANNUAL BASIS. DECISIONS ARE DOCUMENTED IN THE COMPENSATION COMMITTEE MEETING MINUTES. THE LAST COMPENSATION REVIEW WAS COMPLETED IN 2012. THE CEO OF SSL DETERMINES THE ANNUAL COMPENSATION OF ALL OTHER OFFICERS, WITH THE EXCEPTION OF THE CFO, BY COMPARING THE COMPENSATION OF EACH OFFICER AND KEY EMPLOYEES TO PROFESSIONALS PERFORMING SIMILAR SERVICES IN SIMILAR INDUSTRIES ON AN ANNUAL BASIS. THE LAST COMPENSATION REVIEW WAS COMPLETED IN 2012.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PAGE 12, PART XII, LINE 2CTHIS PROCESS IS CONSISTENT WITH THE PRIOR YEAR.AUDIT COMMITTEE & FINANCIAL STATEMENT OVERSIGHT

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SMITH CARES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60643ZIPCode
FieldValueIRS element (for citing)
EIN262018889EIN
Primary ActivitiesSTAFFINGPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income102TotalIncome
EOY Assets1475764EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SMITH SENIOR LIVINGBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
WJS - SMITH VILLAGE
2320 WEST 113TH PLACECHICAGOIL60643362167948CCRCIL501(C)(3)LINE 9SMITH SENIOR LIVING1
WJS - SMITH CROSSING
10501 EMILIE LANEORLAND PARKIL60467364333423CCRCIL501(C)(3)LINE 9SMITH SENIOR LIVING1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY
B462252COST
WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY
D2065330COST
WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK
D680140COST
WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY
D4485918COST
WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY
L3866001COST
WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK
L2332650COST
WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY
D421311COST
WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK
D2592782COST

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