2013-12-11T13:58:25-06:00 2013-01-31 990 2012-02-01 953472345 Covenant Retirement Communities West COVE 8056870701 2550 Treasure Drive Santa Barbara CA 931054892 Elizabeth Buikema 7738782294 2013-12-11 2012 2015-11-30 17:44:51Z Elizabeth Buikema 5700 Old Orchard Rd Skokie IL 60077 79528955 0 2650 X www.covenantretirement.org X 1975 CA Care for Senior Adults 20 16 909 184 0 0 1355050 1625354 68782939 71252501 4037656 5219430 1525072 1328412 75700717 79425697 52538 61891 0 0 28301187 30186366 0 0 778019 40025637 41648160 68379362 71896417 7321355 7529280 260622710 268258025 172278448 172294351 88344262 95963674 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 24296750 34831568 Residential Living:The number of persons who benefited from the services we provided for the year ended January 31, 2013 were as follows:There were 1,056 residents occupying 763 apartments as of 1/31/13 The residency for the fiscal year totaled 390,433 resident days. 8533114 10471352 Assisted Living & Assisted Dementia:The number of persons who benefited from the services we provided for the year ended January 31, 2013 were as follows:There were a total of 181 assisted living residents at 01/31/13 Assisted living residency for the fiscal year totaled 65,747 patient days. 21671482 61891 27269583 Skilled Nursing:The number of persons who benefited from the services we provided for the year ended January 31, 2013 were as follows:There were a total of 216 skilled care patients at 01/31/13.Skilled care residency for the fiscal year totaled 80,246 patient days. The organization was involved in various community benefits projects which include the followingThe Samarkand: - Staff members volunteered a total of 285 hours of their time to various activities/events in the community including the Empty Bowls Fundraiser for a local food bank and others (equivalent to $24,988)- Residents volunteered a total of 7,349 hours to various activities/events in the community including the Empty Bowls Fundraiser for a local food bank, Operation Christmas Child project and others. - Hosted monthly student internship programs and training for nursing students from the Santa Barbara City College (equivalent to $7,025)- Provided space usage for meetings & events for small (under 35) to large groups (75+ people) including the Gideon's International dinner meetings, Montecito Covenant Church, Samarkand Neighborhood Association, Los Padres Chapter Aging Services of California, PEO, Santa Barbara Clergy Association, Community Covenant Church Luncheon, Christ the King Episcopal Church, First Presbyterian Church, Prime Time Band and others (equivalent to $54,391)- Participated in the Recycling project and conversion to Reclaimed Water Irrigation project (equivalent to $80,200)- Monetary Donations to Alaska Christian College, American Bible Society, Bridges of Hope, Casa Esperanza, Covenant Radio for Russia, Covenant Women's Project, Compassion Mercy and Justice, Covenant Hispanic Seminary, Covenant World Mission, Covenant World Relief, Domestic Violence Solutions, Habitat for Humanity, International Bible Society, KICY Radio Alaska, Life Network, Mission Aviation Fellowship, North Park Covenant Seminary, Paul Carlson Partnership, Santa Barbara Community Development Center, Santa Barbara Community Kitchen (Casa Esperanza), Santa Barbara Rescue Mission, Santa Barbara Youth Football, The Gideon's International, The Jesus Film Project, Salvation Army of Santa Barbara, Transition House, Villa Majella and Wycliffe Bible Translators ($10,950 in Total)-In-Kind Donations to Alzheimer's Association, Purple Hearth organization, Su Casa Restaurant, low income housing (New Faulding Hotel), Empty Bowls Fundraiser and other. ($6,580 in estimated value)Covenant Village of Turlock:- Staff members volunteered a total of 2 hours of their time to the Pregnancy Run (equivalent to $253)- Residents volunteered a total of 2,347 hours in the community which includes local churches, Emanuel Hospital, Blood Bank, knitting and sewing projects for World Vision and other organization, feeding the homeless, tutoring and others.- Provided space usage for meetings/events for small (under 35) to large groups (75+ people) including different support group meetings (Alzheimer's, Loss of Spouse, Parkinson's, Peripheral Neuropathy), AARP Drivers Class, Turlock Historical Society, Barbershop rehearsals and dinner, Toastmaster meeting, Gideon's International and various bible studies, Voting place, Forum for City Election, CSU Health Fair, Mayor's Prayer Breakfast and others (equivalent to $128,000)- In kind Donations to the local churches, Goodwill, Habitat for Humanity, Joni and Friends, Off Center Thrift Store, Salvation Army, United Samaritans, and others ($5,226 estimated value)Mt. Miguel Covenant Village:- Staff members volunteered a total of 558 hours of their time in various areas of the community such as the Backpack drive, Camp Hope, Autism Walk, City on a Hill Homeless Outreach, Cultural Fair, Health Fair, Medical and Homeless outreach, San Diego Rescue Mission, Seasons of Love food drive and others (equivalent to $40,150)- Residents volunteered a total of 7,116 hours to the different areas of the community such as in local schools, local churches, knitting and sewing for various projects, bandages for Congo project, food and clothing distributions to different groups and individuals, tutoring, and others. They also donated to various groups/organizations such as the Rady Hospital, SD Rescue Mission, Polinsky Children's Center, Disabled American Veterans, Living Well Medical Clinic, SD Military Outreach Ministries, Shadow Mountain Church and others (9,468 in total)- Monetary Donations to Cultural Fair, Susan G. Komen Race for the Cure and Backpack Drive ($3,434 in total).- In-Kind Donations to Camp Hope, Grace Covenant Church, Rady Children's Hospital, and SD Military Outreach Ministries ($9,634 in estimated value)-Hosted student internship program for seven schools (equivalent to $36,300)-Participated in various environmental projects such as irrigation upgrades and using energy efficient roofing (equivalent to $91,319)- Provided space usage for meetings and community events for small (under 35) to large groups (75+ people) including Aqua Fitness/Water Aerobics program, Health Literacy Physical Fitness, Cultural Fair, Health Fair, Recycling Fair, Christmas Boutique, National Applique Society, AARP Driving Class, Accordion Lovers Society International, various music events, Flag Raising ceremony, Breakfast Club, Polling place, and others (equivalent to $791,750)Covenant Shores:- Staff members volunteered a total of 287 hours in different areas in the community including Having Conversation events at local churches, NWU and Seattle University nursing student training, Senior Wellness Fair and others (equivalent to $17,250)- Residents volunteered a total of 13,080 hours to various areas in the community including the various knitting and sewing projects such as Stitches from the Heart, local schools, churches, hospitals and nursing homes, Rotary International Salvation Army, Museum of Flight and others. They also raised $125 from Silent Auction and In-Kind Donations to Asian Counseling and Referral Services (equivalent to $230)- Provided space usage for nursing training for NWU and Seattle University, Dementia class, Leading Age activity forum, M.I. Covenant Church and First Covenant Church picnics, Senior Wellness, Solemates Walking Group lunch and others (equivalent to $73,000)-Provided scholarships to individuals ($250.00 in total)- Monetary Donation to World Concern ($192 in total)- In-kind Donations to Operation Nitewatch, Bridge Ministries, Kennedy, National Senior Citizen's Day and Covenant World Mission ($4,033 in estimated value) 54501346 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 1 235 0 1 909 1 0 0 0 0 0 1 1 0 0 0 0 X 20 16 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 1.00 1.00 X 0 0 0 Curtis B Anderson 1.00 1.00 X 0 0 0 Rev Richard B Berry 1.00 1.00 X 0 0 0 Pamela Christensen 1.00 1.00 X 0 0 0 Wendell Danielson 1.00 1.00 X 0 0 0 Rev Harvey Drake 1.00 1.00 X 0 0 0 Mark C Eastburg 1.00 1.00 X 0 0 0 James Elving 1.00 1.00 X 0 0 0 Marc E Espinosa 1.00 1.00 X 0 0 0 Carol A Findling 1.00 1.00 X 0 0 0 Lorene G Flewellen 1.00 1.00 X 0 0 0 Rhoda Friesen 1.00 1.00 X 0 0 0 Thomas F Heywood 1.00 1.00 X 0 0 0 Donald Hodgkinson 1.00 1.00 X 0 0 0 Jody Holt 1.00 1.00 X 0 0 0 Cletus J Moll 1.00 1.00 X 0 0 0 Joyce Peterson 1.00 1.00 X 0 0 0 Walter Schiller 1.00 1.00 X 0 0 0 Marlene Stante 1.00 1.00 X 0 0 0 Anne Vining 1.00 1.00 X 0 0 0 David A Dwight 1.00 40.00 X 0 581280 129403 Rick K Fisk 1.00 40.00 X X 0 594265 61092 Scott MacDonald 1.00 1.00 X 0 0 0 Gary Walter 1.00 40.00 X 0 157472 117568 Steven P Anderson 1.00 40.00 X 0 29325 12327 Elizabeth B Buikema 1.00 40.00 X 0 276556 62425 Moraine M Byrne 1.00 40.00 X 0 73352 47422 Terri S Cunliffe 1.00 40.00 X 0 266398 87577 John R Harriff 1.00 40.00 X 0 236007 10277 David G Erickson 1.00 40.00 X 0 210313 44208 Kathleen Jenkins 1.00 40.00 X 0 132856 55436 Thad D Rothrock 40.00 0.00 X 183893 0 45244 Anne Arakaki-Lock 40.00 0.00 X 139208 0 35846 Dwayne D Gabrielson 40.00 0.00 X 128656 0 54362 Paul D Peterson 40.00 0.00 X 144528 0 47088 Jay S Caddell 40.00 0.00 X 120107 0 13533 Urbano B Lopez 40.00 0.00 X 100697 0 2145 817089 2557824 825953 6 0 1 0 Sodexo Inc & Affiliates Dept 43283 Los Angeles CA 900883283 Dining Services 2332832 Aegis Therapies PO Box 8103 Fort Smith AR 72902 Therapy Services 835221 Pannel Construction Company 9623 Kenora Lane Spring Valley CA 91977 Maintenance/Construction Services 726345 Hallmark Rehabilitation 27442 Portola Parkway Suite 200 Foothill Ranch CA 92610 Therapy Services 131499 Isan Najera 18325 52nd Ave W 169 Lynnwood WA 98037 Painting Services 119198 5 124277 1501077 1625354 Routine Services 623000 43574539 43574539 Entrance Fees 623000 11918498 11918498 Medicare/Medicaid 623000 9170190 9170190 Ancillary Services 623000 6106772 6106772 Meals 623000 482502 482502 71252501 3762598 3762598 84827 76417 8410 8410 8410 1456832 0 1456832 1456832 1456832 26841 124277 26841 0 Support Services 623000 896636 896636 Services to Residents 623000 139925 139925 283441 283441 1320002 79425697 72572503 0 5227840 61891 61891 213276 213276 23289605 19644183 3521711 123711 911819 745350 160387 6082 3915099 3336874 576936 1289 1856567 1453687 393393 9487 416076 416076 142966 142966 8809 8809 5414748 4615767 797623 1358 848433 1025 843966 3442 3203490 2633940 553156 16394 747793 2785 744573 435 4015126 4015126 106504 33416 73088 145957 15165 130792 4647552 3522450 1068937 56165 8517161 6456238 1958947 101976 913804 913804 Related Party Activity 5129728 980 4679707 449041 Dining Services 3036317 3036317 Resident Care 1998130 1998130 Admin & General 1892945 1353029 539916 462621 245113 208869 8639 71896417 54501346 16617052 778019 210504 63838 107126 96917 1577110 1788041 3099883 2710017 420377 256971 423177 399904 220507335 96186735 120649844 124320600 43994909 40325466 19271083 23625857 70868697 74670414 260622710 268258025 2364792 2449503 59917398 59475936 70252741 69032334 749118 657182 38994399 40679396 172278448 172294351 X 85689426 93218707 2611943 2700452 42893 44515 88344262 95963674 260622710 268258025 X 7529280 90132 X 0 1 X 1 0 X 969650 770727 1090543 1355050 1625354 5811324 60030554 65618602 66153466 68782939 71252501 331838062 61000204 66389329 67244009 70137989 72877855 337649386 0 0 0 337649386 3476399 6049754 3529628 4037656 5219430 22312867 3476399 6049754 3529628 4037656 5219430 22312867 64476603 72439083 70773637 74175645 78097285 359962253 0.93800 0.93900 0.06200 0.06100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 42893 0 -1622 41271 42980 -87 42893 0 0 4884038 4884038 178702714 79230572 99472142 28207406 14613741 13593665 8713177 2342422 6370755 124320600 Mortgages 2258357 F Domestic Equity 3134602 F International Equity 4981990 F Hedge Funds & Derivatives 8241858 F Private Equity 3703232 F International Real Estate 1305818 F 23625857 Unamortized Debt & Related Expenses 847990 Other Investments 2483075 Unamortized Original Issue Discount 240393 Intercompany Advance Accounts 71098956 74670414 Deferred Revenue Subject to Refund 23258362 Refundable Contract Liabilities 16123481 Accrued Taxes & Employee Benefits 185207 Other Liabilities 1112346 40679396 X Part IV, Line 2b: 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 Account: Prospective residents pay an application fee deposit which is carried in an escrow account. At move in, the deposit is applied against the total entrance fee amount and the remainder of the money is collected and put in this account. At the end of the month the resident has moved in, all money is transferred out of the escrow account. Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: 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, 2013, 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 2010." CS Benefit Dinner 40660 32893 7767 1746 2685 600 2736 MMCV Benefit Dinner 67710 60663 7047 7047 2 42748 30721 12027 5111 750 6166 151118 124277 26841 1746 7796 1350 15949 26841 0 1 Good Neighbor Fund 8 61891 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, 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 X 1 1 1 1 0 0 0 0 0 1 0 David A Dwight 0 503155 0 0 0 78125 0 102125 0 27278 0 710683 0 0 Rick K Fisk 0 412768 0 91770 0 89727 0 38852 0 22240 0 655357 0 0 Gary Walter 0 157472 0 0 0 0 0 28402 0 89166 0 275040 0 0 Elizabeth B Buikema 0 212825 0 31980 0 31751 0 35157 0 30947 0 342660 0 0 Terri S Cunliffe 0 198566 0 32000 0 35832 0 72711 0 17477 0 356586 0 0 John R Harriff 0 47175 0 16064 0 172768 0 632 0 12256 0 248895 0 24946 David G Erickson 0 155845 0 29129 0 25339 0 23153 0 26818 0 260284 0 0 Kathleen Jenkins 0 82597 0 7500 0 42759 0 37065 0 21041 0 190962 0 11185 Thad D Rothrock 158872 0 13813 0 11208 0 23282 0 24234 0 231409 0 0 0 Anne Arakaki-Lock 117766 0 10269 0 11173 0 33346 0 6696 0 179250 0 0 0 Dwayne D Gabrielson 114438 0 0 0 14218 0 34736 0 26847 0 190239 0 4878 0 Paul D Peterson 132983 0 8711 0 2834 0 23602 0 27213 0 195343 0 0 0 Part I, Line 1a Part I, Line 1a: The following are available benefits and are treated as taxable compensation: - Health club dues paid for two (2) senior-level employees. - Housing allowance provided for one (1) senior-level employee. Part I, Line 3 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. Part I, Lines 4a-b Part I, Line 4a: John R. Harriff, an officer and Senior Vice President of Covenant Retirement Communities, Inc. (CRC) until February 2012 received $132,525 severance payment from CRC. 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 Compensation Committee of CMB's Board 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 following listed individuals participated in the Executive Benefit Plan: David Dwight - $78,482.61 Rick Fisk - $61,269.96 Elizabeth Buikema - $24,608.58 Steven P. Anderson - $19,987.26 John R. Harriff - $11,783.44 Terri Cunliffe - $21,899.90 David Erickson - $21,270.98 Kathleen Jenkins - $10,789.45 Moraine Byrne - $18,560.00 Thad D. Rothrock - $15,805.00 Dwayne D. Gabrielson - $17,011.48 Anne A. Arakaki-Lock - $14,729.35 Paul D. Peterson - $15,883.00 Part I, Line 7 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 (the "Committee") follows a prescribed method for calculating bonuses. 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. Refer to additional information on the Committee included in Schedule O. Supplemental Information Part III Part II, Column B (i): Base compensation for certain individuals may include payments from deferred compensation plans. Part II, Column B (ii): Bonus and incentive compensation - Certain key persons employed by CRC are eligible for incentive compensation as determined by the CRC Board Compensation Committee. Incentives paid in 2012 relate to the achievement of targets for the fiscal year ended 1/31/2012. Part II, Column C: Deferred compensation includes and estimate of the contribution made to an employer sponsored defined benefit pension plan. Part II, Column D: Nontaxable benefits include health insurance premiums paid by the employer and employee. Mission Statement: Form 990 - Part III - Line 1 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 $1,506,347 of free or discounted services to those residents unable to pay all or a portion of their charges, and who meet certain eligibility requirements. Tax-Exempt Bonds: Form 990 - Part IV - Line 24a 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 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 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. Contact Information for Directors and Officers: Form 990 - Part VI - Line 9 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. Related Organization: Form 990 - Part VII - Section A Column B 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Change in Temporarily Restricted Net Assets not included on Income Stmnt 88,510. Change in Permanently Restricted Net Assets not included on Income Stmnt 1,622. The Samarkand 2550 Treasure Drive Santa Barbara CA 93105 953472345 Continuing Care Retirement Community CA 23417795 87537591 N/A Covenant Village of Turlock 2125 North Olive Ave Turlock CA 95380 953472345 Continuing Care Retirement Community CA 14350107 62992183 N/A Mount Miguel Covenant Village 325 Kempton Street Spring Valley CA 91977 953472345 Continuing Care Retirement Community CA 21613985 64140593 N/A Covenant Shores 9150 Fortuna Drive Mercer Island WA 98040 953472345 Continuing Care Retirement Community WA 20043812 53587657 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 Coast Asset Management LLC 2450 Colorado Ave Suite 100 E Tower Santa Monica CA 90404 954763400 Hedge Fund Investment CA N/A N/A 0 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 5215 Old Orchard Rd Suite 725 Skokie IL 60077 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Covenant Retirement Communities Inc A 1372772 Covenant Retirement Communities Inc P 3508465 Covenant Trust Company P 446821