EDEN RETIREMENT CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
EDEN RETIREMENT CENTER INC (EIN 37-1032262)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-01
IRS object ID
201312139349301011
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)
Timestamp2013-08-01T15:10:29-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

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 Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN371032262EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EDEN RETIREMENT CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEDENNameControl
Phone6182885014Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 SOUTH STATION ROADAddressLine1
CityGLEN CARBONCity
StateILState
ZIP Code62034ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBETH BREIHANName
TitleEXECUTIVE DIRECTORTitle
Phone6182885014Phone
Date Signed2013-08-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY PARKER CPAName
PTINP00970069PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBETH BREIHANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1400 SOUTH STATION ROADAddressLine1
CityGLEN CARBONCity
StateILState
ZIP Code62034ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11222345GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionCARE FOR THE ELDERLY OF THE COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees354TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4885ContributionsGrantsPriorYear
Contributions Grants Current Year6220ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10214152ProgramServiceRevenuePriorYear
Program Service Revenue CY11177857ProgramServiceRevenueCY
Investment Income Prior Year17787InvestmentIncomePriorYear
Investment Income Current Year25195InvestmentIncomeCurrentYear
Other Revenue Prior Year4521OtherRevenuePriorYear
Other Revenue Current Year6888OtherRevenueCurrentYear
Total Revenue Prior Year10241345TotalRevenuePriorYear
Total Revenue Current Year11216160TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4784032SalariesEtcPriorYear
Salaries Etc Current Year5100374SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5650778OtherExpensePriorYear
Other Expenses Current Year6081161OtherExpensesCurrentYear
Total Expenses Prior Year10434810TotalExpensesPriorYear
Total Expenses Current Year11181535TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-193465RevenuesLessExpensesPriorYear
Revenues Less Expenses CY34625RevenuesLessExpensesCY
Total Assets BOY25685219TotalAssetsBOY
Total Assets EOY25332547TotalAssetsEOY
Total Liabilities BOY25080186TotalLiabilitiesBOY
Total Liabilities EOY24686721TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY605033NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY645826NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR MISSION IS TO SUSTAIN A CULTURE THAT PROMOTES DIGNITY, INDIVIDUALITY AND CARE FOR THOSE WHO LIVE AND WORK AT EDEN VILLAGE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense3498536Expense
Revenue4135807Revenue
DescriptionEDEN RETIREMENT CENTER OPERATES A 128 BED SKILLED NURSING FACILITY (CARE CENTER) AS A NOT-FOR-PROFIT ENTITY FOR THE PRIMARY BENEFIT OF THE EDWARDSVILLE/GLEN CARBON COMMUNITIES AS WELL AS SURROUNDING AREAS. ALL BEDS ARE LICENSED AND CERTIFIED FOR MEDICARE WITH 110 OF THESE BEDS ALSO CERTIFIED FOR MEDICAID ELIGIBLE RESIDENTS. DURING THE YEAR 2012, THE CARE CENTER ENABLED 403 ELDERS TO OBTAIN THE COMPREHENSIVE, QUALITY SKILLED CARE THEY NEEDED. THIS INCLUDED ATTRACTIVE ACCOMODATIONS, EXTENSIVE REHABILITATIVE PROGRAMS PROVIDED BY COMPASSIONATE STAFF, AND INTERACTIVE ACTIVITIES WITH RESIDENTS OF SIMILAR AGE AND ABILITIES. 30% OF OUR SERVICES WERE PROVIDED TO INDIGANT MEDICAID BENEFICIARIES, 16% TO MEDICARE RECIPIENTS AND THE REMAINING 54% TO VARIOUS OTHER SENIORS WITHOUT REGARD TO THEIR ABILITY TO PAY. THE FACILITY OPERATED VERY CLOSE TO BREAK-EVEN IN 2012 AS REVENUES STRUGGLED TO KEEP PACE WITH THE GROWING COST OF PROVIDING QUALITY CARE TO OUR RESIDENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2931206Expense
Revenue3465136Revenue
DescriptionEDEN RETIREMENT CENTER OPERATES A 104 UNIT ASSISTED LIVING APARTMENT COMPLEX AS PART OF ITS CONTINUING CARE RETIREMENT COMMUNITY. THESE ACCOMODATIONS AND SERVICES ARE SPECIFICALLY DESIGNED TO MEET THE NEEDS OF SENIORS IN THE EDWARDSVILLE/GLEN CARBON COMMUNITIES AS WELL AS SURROUNDING AREAS. DURING 2012, 127 SENIORS ENJOYED THE COMRADERY AND PEACE OF MIND OF OUR ASSISTED LIVING COMMUNITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3025761Expense
Revenue3576914Revenue
DescriptionEDEN RETIREMENT CENTER OPERATES AN 52 UNIT SENIOR LIVING APARTMENT COMPLEX AND 20 SENIOR LIVING DUPLEXES AS A PART OF ITS CONTINUING CARE RETIREMENT COMMUNITY. THESE ACCOMODATIONS ARE SPECIFICALLY DESIGNED TO MEET THE NEEDS OF SENIORS IN THE EDWARDSVILLE/GLEN CARBON COMMUNITIES AS WELL AS SURROUNDING AREAS. DURING 2012, 93 SENIORS ENJOYED THE COMRADERY OF OUR SENIOR COMMUNITY. OVER HALF OF OUR RESIDENTS PAY SUBSTANTANTIALLY LESS THAN THE CURRENT MARKET RATE FOR SIMILAR ACCOMODATIONS AS A RESULT OF EDEN'S MISSION AND COMMITMENT TO QUALITY SENIOR LIVING IN OUR COMMUNITY.Description
FieldValueIRS element (for citing)
Total Program Service Expense9455503TotalProgramServiceExpense
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 Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees354NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 Line1BETH BREIHANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6182885014TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 S STATION ROADAddressLine1
CityGLEN CARBONCity
StateILState
ZIP Code62034ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LEN HALEEN
PRESIDENT2.00XX000
TED EILERMAN
VICE-PRESIDENT1.00XX000
JANET FOEHRKOLB
SECRETARY1.00XX000
JOHN DORSEY
MEMBER1.00X000
DR MAX EAKIN
MEMBER/MEDICAL DIR2.00X1680000
PAM HEEPKE
MEMBER1.00X000
CHARLOTTE FRISBIE
MEMBER1.00X000
DAN HIGHLANDER
MEMBER1.00X000
JOHN ROBERTS
MEMBER1.00X000
DAVID OATES
MEMBER1.00X000
DON SULLIVAN
MEMBER1.00X000
KIMBERLY DURR
TREASURER1.00XX000
RON HASSLER
DIRECTOR OF FINANCE45.00X7542700
ELIZABETH BREIHAN
EXECUTIVE DIRECTOR50.00X8701900
FieldValueIRS element (for citing)
Total Reportable Comp From Org179246TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALLIANCE REHAB INC
1520 KENSINGTON ROADOAK BROOKIL62052THERAPY SERVICES578738
US FOOD SERVICE
PO BOX 504854ST LOUISMO63150FOOD & DIETARY SUPPLIES496325
UVANTA PHARMACY
7846 AVIATION DRIVEMARIONIL62959PHARMACEUTICALS253546
TRI-STATE FIRE PROTECTION INC
PO BOX 70NEWBURGHIN47629CONSTRUCTION150000
MMS - A MEDICAL SUPPLY CO
PO BOX 955588ST LOUISMO63195MEDICAL SUPPLIES113575
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions6220AllOtherContributions
Total Contributions6220TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT INCOME62300095241819524181
RENTAL INCOME62399015554251555425
AMORTIZATION OF ENTRANCE FEES6239909825198251
FieldValueIRS element (for citing)
Total Program Service Revenue11177857TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column25195TotalRevenueColumn
Exclusion$25,195ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events13073GrossIncomeFundraisingEvents
Fundraising Direct Expenses6185FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column6888TotalRevenueColumn
Exclusion$6,888ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11216160TotalRevenueColumn
Related Or Exempt Function Income11177857RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$32,083ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total179246Total
Program Services16800ProgramServices
Management And General162446ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4051105Total
Program Services3876767ProgramServices
Management And General174338ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total554619Total
Program Services510465ProgramServices
Management And General44154ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total315404Total
Program Services290294ProgramServices
Management And General25110ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4168Total
Management And General4168ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31042Total
Management And General31042ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total58820Total
Management And General58820ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1299300Total
Program Services1216950ProgramServices
Management And General82350ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total790441Total
Program Services648029ProgramServices
Management And General142412ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4851Total
Program Services4465ProgramServices
Management And General386ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1252700Total
Program Services995607ProgramServices
Management And General257093ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total970091Total
Program Services795312ProgramServices
Management And General174779ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total163094Total
Program Services133710ProgramServices
Management And General29384ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OUTSIDE SERVICES93664786207974568
NURSING HOME PROVIDER T182623182623
REPAIRS & MAINTENANCE1066488822518423
MISCELLANEOUS9471494714

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total186022Total
Program Services16800ProgramServices
Management And General169222ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11181535Total
Program Services9455503ProgramServices
Management And General1726032ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY42863BOY
EOY71266EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1072315BOY
EOY1430460EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY19344BOY
EOY23169EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY63784BOY
EOY60992EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34826654LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13538729LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22008996BOY
EOY21287925EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2477917BOY
EOY2458735EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25685219BOY
EOY25332547EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2454418BOY
EOY2536049EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY21250000BOY
EOY20830000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1375768BOY
EOY1320672EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25080186BOY
EOY24686721EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY598653BOY
EOY639446EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6380BOY
EOY6380EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY605033BOY
EOY645826EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25685219BOY
EOY25332547EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses34625ReconcilationRevenueExpenses
Reconciliation Unrealized Invest9090ReconciliationUnrealizedInvest
Reconcilation Other Changes-2922ReconcilationOtherChanges
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 SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years80815CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6109CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4886CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4885CurrentTaxYearMinus1Year
Current Tax Year6220CurrentTaxYear
Total102915Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8656411CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9620402CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8780508CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8387743CurrentTaxYearMinus1Year
Current Tax Year9524181CurrentTaxYear
Total44969245Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8737226CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9626511CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8785394CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8392628CurrentTaxYearMinus1Year
Current Tax Year9530401CurrentTaxYear
Total45072160Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50945072160PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75878CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40172CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18743CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17787CurrentTaxYearMinus1Year
Current Tax Year25195CurrentTaxYear
Total177775Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75878CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40172CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18743CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17787CurrentTaxYearMinus1Year
Current Tax Year25195CurrentTaxYear
Total177775Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8813104CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9666683CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8804137CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8410415CurrentTaxYearMinus1Year
Current Tax Year9555596CurrentTaxYear
Total45249935Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99610PublicSupportPercentage509
Prior Year Support Percentage0.99500PriorYearSupportPercentage
Investment Income Percentage0.00390InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00500PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS0IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis292891OtherCostOrOtherBasis
Book Value292891BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31208672OtherCostOrOtherBasis
Depreciation10698917Depreciation
Book Value20509755BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3325091OtherCostOrOtherBasis
Depreciation2839812Depreciation
Book Value485279BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings21287925TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BOND FUNDS1789792
DEFERRED FINANCING COSTS668943
FieldValueIRS element (for citing)
Total Book Value Other Assets2458735TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PATIENT TRUST FUNDS$3,057
PRELEASE DEPOSITS$277,800
UNAMORTIZED ENTRANCE FEES$700,744
ASSET RETIREMENT OBLIGATION$333,221
CHARITABLE GIFT ANNUITY$5,850
FieldValueIRS element (for citing)
Total Of Amounts1320672TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt11228513TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments9090NetUnrealizedGainsInvestments
Other Revenues3263OtherRevenues
Revenue Not Rptd F99012353RevenueNotRptdF990
Revenue Subtotal11216160RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011216160TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11187720TotExpensesEtcAuditedFinclStmt
Other Expenses Included6185OtherExpensesIncluded
Expenses Not Rptd F9906185ExpensesNotRptdF990
Expenses Subtotal11181535ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011181535TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATION IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE ORGANIZATION IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE CODE AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS FOR THE CONTRIBUTOR. THE ENTITY FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE ORGANIZATIONS 2009 THROUGH 2012 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF GIFT ANNUITY -2,922. SPECIAL EVENT EXPENSES NETTED AGAINST REVENUES 6,185.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES NETTED AGAINST REVENUES 6,185.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN371234684IssuerEIN
CUSIP Number845529AE6CUSIPNumber
Date Issued2006-09-14DateIssued
Issue Price22341000IssuePrice
Description Of PurposeFINANCE NEW BUILDING PROJECTSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired1560000AmountRetired
Total Proceeds22341000TotalProceeds
Amount In Reserve Fund1624000AmountInReserveFund
Capitalized Interest770788CapitalizedInterest
Issuance Costs From Proceeds446820IssuanceCostsFromProceeds
Capital Expenditures19130215CapitalExpenditures
Year Of Subst Completion2008YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due1NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2CDATE REBATE COMPUTATION PERFORMEDISSUER NAME: SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/28/2011
FORM 990, SCHEDULE K, PART II, LINE 14BONDS ISSUED AS PART OF A CURRENT REFUNDING$1,140,000 OF THE PROCEEDS OF THE 2008 BONDS WERE USED TO REFUND THE DECEMBER 13, 1996 ISSUANCE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3CONVERTED 30 SLB UNITS TO ALB
FORM 990, PART VI, SECTION A, LINE 1EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD OFFICERS (PRES/VP, SECR. & TREAS). ALL ARE ON GOVERNING BODY. THEIR AUTHORITY IS TO ACT IN A TIMELY MANNER ON MATTERS NEEDING BOARD APPROVAL WHEN THE BOARD IS NOT ABLE TO MEET.
FORM 990, PART VI, SECTION B, LINE 11THE ENTIRE BOARD WILL BE PROVIDED A COPY OF THE 990 AND THE EXECUTIVE & FINANCE COMMITTEES WILL REVIEW THE 990 PREPARED BY OUR ACCOUNTANTS BEFORE ACTUAL FILING OF THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL DISCLOSURE FORMS ARE REQUIRED FROM ALL BOARD MEMBERS AND KEY EMPLOYEES. RESTRICTIONS ON PERSONS WITH CONFLICTS REQUIRE THEIR ABSTINENCE FROM VOTING ON ANY MATTERS RELATING TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED AND DETERMINED BY THE BOARD OF DIRECTORS. ALL OTHER KEY MANAGEMENT SALARIES ARE APPROVED BY THE EXECUTIVE DIRECTOR WHO USES INDUSTRY SURVEYS TO DETERMINE ACCURATE RANGES FOR EACH POSITION.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF GIFT ANNUITY -2,922.
FORM 990, PAGE 12, PART XII, LINE 2CNO CHANGES WERE MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE FISCAL YEAR.

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