2013-08-01T15:10:29-05:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2012-01-01 371032262 EDEN RETIREMENT CENTER INC EDEN 6182885014 400 SOUTH STATION ROAD GLEN CARBON IL 62034 BETH BREIHAN 6182885014 2013-08-01 1 JEFFREY PARKER CPA P00970069 3149254300 2012 2016-02-24 21:20:13Z BETH BREIHAN 400 SOUTH STATION ROAD GLEN CARBON IL 62034 11222345 0 X N/A X 1979 IL CARE FOR THE ELDERLY OF THE COMMUNITY 12 12 354 0 0 0 4885 6220 10214152 11177857 17787 25195 4521 6888 10241345 11216160 0 0 0 0 4784032 5100374 0 0 0 5650778 6081161 10434810 11181535 -193465 34625 25685219 25332547 25080186 24686721 605033 645826 X OUR MISSION IS TO SUSTAIN A CULTURE THAT PROMOTES DIGNITY, INDIVIDUALITY AND CARE FOR THOSE WHO LIVE AND WORK AT EDEN VILLAGE. 0 1 3498536 4135807 EDEN 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. 2931206 3465136 EDEN 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. 3025761 3576914 EDEN 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. 9455503 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 17 0 354 1 0 0 0 0 0 1 1 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X BETH BREIHAN 6182885014 400 S STATION ROAD GLEN CARBON IL 62034 LEN HALEEN 2.00 X X 0 0 0 TED EILERMAN 1.00 X X 0 0 0 JANET FOEHRKOLB 1.00 X X 0 0 0 JOHN DORSEY 1.00 X 0 0 0 DR MAX EAKIN 2.00 X 16800 0 0 PAM HEEPKE 1.00 X 0 0 0 CHARLOTTE FRISBIE 1.00 X 0 0 0 DAN HIGHLANDER 1.00 X 0 0 0 JOHN ROBERTS 1.00 X 0 0 0 DAVID OATES 1.00 X 0 0 0 DON SULLIVAN 1.00 X 0 0 0 KIMBERLY DURR 1.00 X X 0 0 0 RON HASSLER 45.00 X 75427 0 0 ELIZABETH BREIHAN 50.00 X 87019 0 0 179246 0 0 0 0 0 0 ALLIANCE REHAB INC 1520 KENSINGTON ROAD OAK BROOK IL 62052 THERAPY SERVICES 578738 US FOOD SERVICE PO BOX 504854 ST LOUIS MO 63150 FOOD & DIETARY SUPPLIES 496325 UVANTA PHARMACY 7846 AVIATION DRIVE MARION IL 62959 PHARMACEUTICALS 253546 TRI-STATE FIRE PROTECTION INC PO BOX 70 NEWBURGH IN 47629 CONSTRUCTION 150000 MMS - A MEDICAL SUPPLY CO PO BOX 955588 ST LOUIS MO 63195 MEDICAL SUPPLIES 113575 5 6220 6220 PATIENT INCOME 623000 9524181 9524181 RENTAL INCOME 623990 1555425 1555425 AMORTIZATION OF ENTRANCE FEES 623990 98251 98251 11177857 25195 25195 13073 6185 6888 6888 11216160 11177857 0 32083 179246 16800 162446 4051105 3876767 174338 554619 510465 44154 315404 290294 25110 4168 4168 31042 31042 58820 58820 1299300 1216950 82350 790441 648029 142412 4851 4465 386 1252700 995607 257093 970091 795312 174779 163094 133710 29384 OUTSIDE SERVICES 936647 862079 74568 NURSING HOME PROVIDER T 182623 182623 REPAIRS & MAINTENANCE 106648 88225 18423 MISCELLANEOUS 94714 94714 186022 16800 169222 11181535 9455503 1726032 0 42863 71266 1072315 1430460 19344 23169 63784 60992 34826654 13538729 22008996 21287925 2477917 2458735 25685219 25332547 2454418 2536049 21250000 20830000 1375768 1320672 25080186 24686721 X 598653 639446 6380 6380 605033 645826 25685219 25332547 X 34625 9090 -2922 X X 0 1 X 1 0 X 80815 6109 4886 4885 6220 102915 8656411 9620402 8780508 8387743 9524181 44969245 8737226 9626511 8785394 8392628 9530401 45072160 0 0 0 45072160 75878 40172 18743 17787 25195 177775 75878 40172 18743 17787 25195 177775 8813104 9666683 8804137 8410415 9555596 45249935 0.99610 0.99500 0.00390 0.00500 X 0 0 292891 292891 31208672 10698917 20509755 3325091 2839812 485279 21287925 BOND FUNDS 1789792 DEFERRED FINANCING COSTS 668943 2458735 PATIENT TRUST FUNDS 3057 PRELEASE DEPOSITS 277800 UNAMORTIZED ENTRANCE FEES 700744 ASSET RETIREMENT OBLIGATION 333221 CHARITABLE GIFT ANNUITY 5850 1320672 X 11228513 9090 3263 12353 11216160 0 11216160 11187720 6185 6185 11181535 0 11181535 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. A SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY 371234684 845529AE6 2006-09-14 22341000 FINANCE NEW BUILDING PROJECTS 0 0 0 A 1560000 22341000 1624000 770788 446820 19130215 2008 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 1 A 1 SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/28/2011 FORM 990, SCHEDULE K, PART II, LINE 14 BONDS 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. CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 CONVERTED 30 SLB UNITS TO ALB FORM 990, PART VI, SECTION A, LINE 1 EXECUTIVE 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 11 THE 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 12C ANNUAL 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 15 EXECUTIVE 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 19 GOVERNING 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 2C NO CHANGES WERE MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE FISCAL YEAR.