PLYMOUTH PLACE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PLYMOUTH PLACE INC (EIN 36-2169165)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201333199349310708
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule K
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T16:53:49-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	362169165	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PLYMOUTH PLACE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PLYM	NameControl
Phone	7083540340	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	315 N LAGRANGE ROAD	AddressLine1
City	LAGRANGE PARK	City
State	IL	State
ZIP Code	60526	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DALE LILBURN	Name
Title	CEO	Title
Phone	7083540340	Phone
Date Signed	2013-11-12	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Date Prepared	2013-11-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DALE LILBURN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	315 N LAGRANGE ROAD	AddressLine1
City	LAGRANGE PARK	City
State	IL	State
ZIP Code	60526	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	26771310	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PLYMOUTHPLACE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1938	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	RETIREMENT HOME FOR SENIOR CITIZENS	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	382	TotalNbrEmployees
Total Nbr Volunteers	24	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	3573526	ContributionsGrantsPriorYear
Contributions Grants Current Year	2366140	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	22586286	ProgramServiceRevenuePriorYear
Program Service Revenue CY	23877777	ProgramServiceRevenueCY
Investment Income Prior Year	279552	InvestmentIncomePriorYear
Investment Income Current Year	527393	InvestmentIncomeCurrentYear
Other Revenue Prior Year	12357	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	26451721	TotalRevenuePriorYear
Total Revenue Current Year	26771310	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	8884146	SalariesEtcPriorYear
Salaries Etc Current Year	9591694	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	17147043	OtherExpensePriorYear
Other Expenses Current Year	18115419	OtherExpensesCurrentYear
Total Expenses Prior Year	26031189	TotalExpensesPriorYear
Total Expenses Current Year	27707113	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	420532	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-935803	RevenuesLessExpensesCY
Total Assets BOY	139675900	TotalAssetsBOY
Total Assets EOY	142116481	TotalAssetsEOY
Total Liabilities BOY	168605124	TotalLiabilitiesBOY
Total Liabilities EOY	165671275	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-28929224	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-23554794	NetAssetsOrFundBalancesEOY
Mission Description	RETIREMENT HOME FOR SENIOR CITIZENS	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	23480882	Expense
Revenue	24405170	Revenue
Description	PLYMOUTH PLACE INC. IS A RETIREMENT HOME FOR SENIOR CITIZENS, PROVIDING MEDICAL CARE, HOUSING, MEALS AND OTHER ITEMS NECESSARY FOR THE MAINTENANCE AND HEALTH OF ITS RESIDENTS. AT YEAR END THE FACILITY HAD 317 OF 402 UNITS OCCUPIED.	Description
Total Program Service Expense	23480882	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	23	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	382	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DALE LILBURN	NamePerson
Telephone Number	7083540340	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	315 N LAGRANGE ROAD	AddressLine1
City	LAGRANGE PARK	City
State	IL	State
ZIP Code	60526	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	TitleTitle	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
ARMBRUSTER DR KENT
1.00	X	0	0	0
CONLIN R DEAN
1.00	X	0	0	0
GAGE JAMES
1.00	X	0	0	0
BALDWIN MARVIN
1.00	X	0	0	0
BRYANT DORIS
1.00	X	0	0	0
FELSON RAY
1.00	X	0	0	0
HORTON DR LOREN
1.00	X	0	0	0
HAMBURGER DIANE
1.00	X	0	0	0
BUSSE DR WALTER
1.00	X	0	0	0
COATES WILLIAM
1.00	X	0	0	0
SUTHERLAND NANCY
1.00	X	0	0	0	CHAIRPERSON
ONION DAVID
1.00	X	0	0	0
RITTER-JENKINS LESLIE
1.00	X	0	0	0
LILBURN DALE
50.00		189275	0	37855	CEO	X
SLEEZER SHARON
40.00		104750	0	20950	DIRECTOR OF		X
WEILER DANIEL
40.00		100536	0	20107	DIRECTOR OF		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	394561	TotalReportableCompFromOrg
Total Other Compensation	78912	TotalOtherCompensation
Number Individuals GT100 K	3	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation	Address Line2AddressOfContractor/AddressUS/AddressLine2
SODEXHO INC
PO BOX 70060	CHICAGO	IL	60673	DIETARY SERVICE	1853617
COMPREHENSIVE THERAPEUTICS LTD
3703 WEST LAKE AVE	GLENVIEW	IL	60025	NURSING THERAPY	1124523	SUITE 200
PROVIDENCE MANAGEMENT
18601 NORTH CREEK DRIVE	TINLEY PARK	IL	60477	MANAGEMENT	559986
OMNICARE OF NORTHERN ILLINOIS
PO BOX 641805	CINCINNATTI	OH	45264	PHARMACY	441136
NOBLES AMERICAS ENERGY SOLUTIONS
525 WEST MONROE	CHICAGO	IL	60661	ENERGY SERVICE	311392	8TH FLOOR

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	18	NumberOfContractorsGT100K
All Other Contributions	2366140	AllOtherContributions
Total Contributions	2366140	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	SENIOR HOUSING, ASSISTANCE	Description
Business Code	623000	BusinessCode
Total Revenue Column	23877777	TotalRevenueColumn
Related Or Exempt Function Income	23877777	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	23877777	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	527393	TotalRevenueColumn
Related Or Exempt Function Income	527393	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	26771310	TotalRevenueColumn
Related Or Exempt Function Income	24405170	RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	189275	Total
Management And General	189275	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	7305205	Total
Program Services	6447498	ProgramServices
Management And General	857707	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	90164	Total
Program Services	74507	ProgramServices
Management And General	15657	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1453200	Total
Program Services	1231780	ProgramServices
Management And General	221420	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	553850	Total
Program Services	483661	ProgramServices
Management And General	70189	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	789530	Total
Program Services	559986	ProgramServices
Management And General	229544	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	268466	Total
Management And General	268466	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	37754	Total
Management And General	37754	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1839343	Total
Management And General	1839343	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	10731	Total
Management And General	10731	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	137487	Total
Management And General	137487	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1110294	Total
Program Services	1110294	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	6942	Total
Management And General	6942	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4856776	Total
Program Services	4856776	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3579432	Total
Program Services	3579432	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	195189	Total
Management And General	195189	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	1723054	1691808	31246
NURSING - THERAPY	1130562	1130562
NURSING - PHARMACY	498394	498394
CONSULTING SERVICES	482352	482352

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1449113	Total
Program Services	1333832	ProgramServices
Management And General	115281	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	27707113	Total
Program Services	23480882	ProgramServices
Management And General	4226231	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1845463	BOY
EOY	2032649	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2379104	BOY
EOY	2921135	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	270429	BOY
EOY	539008	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	130322232	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	23203944	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	110285301	BOY
EOY	107118288	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	21316020	BOY
EOY	26120230	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3579583	BOY
EOY	3385171	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	139675900	BOY
EOY	142116481	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2072075	BOY
EOY	2341447	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	75619946	BOY
EOY	73005318	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	90640000	BOY
EOY	81905000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	273103	BOY
EOY	8419510	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	168605124	BOY
EOY	165671275	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-28957337	BOY
EOY	-29609241	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	28113	BOY
EOY	14838	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	6039609	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-28929224	BOY
EOY	-23554794	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	139675900	BOY
EOY	142116481	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-935803	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	628639	ReconciliationUnrealizedInvest
Reconcilation Other Changes	5681594	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	780067	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1208665	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	757704	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3573526	CurrentTaxYearMinus1Year
Current Tax Year	2366140	CurrentTaxYear
Total	8686102	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11425909	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	18485983	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	21360817	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	22878195	CurrentTaxYearMinus1Year
Current Tax Year	24405170	CurrentTaxYear
Total	98556074	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12205976	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	19694648	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	22118521	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	26451721	CurrentTaxYearMinus1Year
Current Tax Year	26771310	CurrentTaxYear
Total	107242176	Total

Field	Value	IRS element (for citing)
Public Support Total509	107242176	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1375193	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	417984	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	211973	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	279552	CurrentTaxYearMinus1Year
Current Tax Year	527393	CurrentTaxYear
Total	2812095	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1375193	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	417984	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	211973	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	279552	CurrentTaxYearMinus1Year
Current Tax Year	527393	CurrentTaxYear
Total	2812095	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	13581169	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	20112632	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	22330494	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	26731273	CurrentTaxYearMinus1Year
Current Tax Year	27298703	CurrentTaxYear
Total	110054271	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.97440	PublicSupportPercentage509
Prior Year Support Percentage	0.97220	PriorYearSupportPercentage
Investment Income Percentage	0.03000	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.03000	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	85418	OtherCostOrOtherBasis
Book Value	85418	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	125662405	OtherCostOrOtherBasis
Depreciation	21298547	Depreciation
Book Value	104363858	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	398258	OtherCostOrOtherBasis
Depreciation	128078	Depreciation
Book Value	270180	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4176151	OtherCostOrOtherBasis
Depreciation	1777319	Depreciation
Book Value	2398832	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	107118288	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
REFUNDABLE ENTRANCE FEES	$7,136,569
ACCRUED DEVELOPER FEE	$1,104,222
RESIDENT DEPOSITS	$129,925
WAITING LIST DEPOSITS	$117,888
UNAMORTIZED BOND DISCOUNT	-$69,094

Field	Value	IRS element (for citing)
Total Of Amounts	8419510	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	27399949	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	628639	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	628639	RevenueNotRptdF990
Revenue Subtotal	26771310	RevenueSubtotal
Total Revenue Per Form990	26771310	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	27707113	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	27707113	ExpensesSubtotal
Total Expenses Per Form990	27707113	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Field	Value	IRS element (for citing)
Name Person	LILBURN DALE	NamePerson
Title	CEO	Title
Base Compensation Filing Org	189275	BaseCompensationFilingOrg
Deferred Comp Filing Org	37855	DeferredCompFilingOrg
Total Compensation Filing Org	227130	TotalCompensationFilingOrg

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Business Name Line2IssuerName/BusinessNameLine2	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
ILLINOIS FINANCE AUTHORITY
A	VARIABLE RATE DEMAND REVENUE BOND	861091967	45200BUE6	2005-12-08	20000000	CONSTRUCT REPLACEMENT FACILITY	false	false	false
ILLINOIS FINANCE AUTHORITY
B	VARIABLE RATE DEMAND REVENUE BOND	861091967	45200BUF3	2005-12-08	68500000	CONSTRUCT REPLACEMENT FACILITY	false	false	false
ILLINOIS FINANCE AUTHORITY
C	FIXED RATE DEMAND REVENUE BOND	861091967	45200BUA4	2005-12-08	1030000	CONSTRUCT REPLACEMENT FACILITY	false	false	false
ILLINOIS FINANCE AUTHORITY
D	FIXED RATE DEMAND REVENUE BOND	861091967	45200BUA4	2005-12-08	1920000	CONSTRUCT REPLACEMENT FACILITY	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capital ExpendituresCapitalExpenditures
A	740000	20000000	1356946	856305	2008	false	false	true	true
B	61625000	68500000	500401	2369612	2008	false	false	true	true	63563948
C		1030000	77783	25654	2008	false	false	true	true	918229
D		1920000	145250	47643	2008	false	false	true	true	1743182

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false	false
D	false	false	false	false	false	false	false	false

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	false	false	false	true	true	false	false	false	false
B	false	false	false	true	true	false	false	false	false
C	false	false	false	true	false	false	false	false	false
D	false	false	false	true	false	false	false	false	false

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	false	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	DATE REBATE COMPUTATION PERFORMED	Identifier
Return Reference	SCHEDULE K	ReturnReference
Explanation	ILLINOIS FINANCE AUTHORITY 111010 ILLINOIS FINANCE AUTHORITY 111010 ILLINOIS FINANCE AUTHORITY 111010 ILLINOIS FINANCE AUTHORITY 111010 ILLINOIS FINANCE AUTHORITY 111010 ILLINOIS FINANCE AUTHORITY 111010	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	THE VOLUNTEERS PERFORM MINIMAL TASKS IN ASSISTING THE RESIDENTS AT THE FACILITY.
MANAGEMENT DELEGATED	FORM 990, PAGE 6, PART VI, LINE 3	PLYMOUTH PLACE HAS CONTRACTED WITH PROVIDENCE MANAGEMENT TO PROVIDE CFO AND REALTED ACCOUNTING SERVICES, IT SERVICES AND NURSING CENTER ADMINISTRATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	A DRAFT OF THE 990 IS PREPARED AND SUBMITTED TO THE CEO FOR INITIAL REVIEW. THE CEO PRESENTS TO THE FINANCE COMMITTEE A COPY OF THE 990 FOR THEIR REVIEW BEFORE FILING.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE BOARD MEMBERS REVIEW AND UPDATE THEIR ANNUAL DISCLOSURE OF INTERESTS.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE BOARD ANNUALLY RECEIVES AND REVIEWS THE COMPENSATION SURVEYS OF AAHSA & LSN.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE FACILITY OFFICE.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	RECORDING OF PERMANENTLY RESTRICRED ASSETS 5,681,593 ROUNDING 1