2012-11-15T10:16:54-06:00 2012-03-31 341945695 SS&G INC 1665 ELK BOULEVARD DES PLAINES IL 600164776 990 2011-04-01 362815382 EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO INC EVAN 8478845000 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 MIKE FLYNN 8478845000 2012-11-12 1 THOMAS H AHLBECK P00237636 8478244000 2012-11-12 2011 2016-02-24 21:20:13Z FRIENDSHIP VILLAGE OF SCHAUMBURG STEPHEN YENCHEK 350 W SCHAUMBURG RD SCHAUMBURG IL 60194 61731190 0 X WWW.FRIENDSHIPVILLAGE.ORG X 1974 IL TO PROVIDE MATURE ADULTS WITH EXCEPTIONAL LIVING CHOICES. SEE ADDITIONAL DETAIL IN PART III. 8 8 776 470 0 0 127091 0 43313897 44406743 2498796 1177378 622631 663714 46562415 46247835 0 188684 0 0 19761026 20502959 0 0 0 29007307 28762992 48768333 49454635 -2205918 -3206800 168218626 161701637 213636554 210404902 -45417928 -48703265 IN OUR TRADITION OF FAITH, PROVIDE MATURE ADULTS AND THEIR FAMILIES WITH CHOICES OF EXCEPTIONAL LIVING AND SERVICE ENVIRONMENTS THAT ENGAGE THEM IN COMMUNITY, WELLNESS AND FRIENDSHIP. 0 0 44030686 188684 44406743 LONG-TERM CARE COMMUNITY SERVING APPROXIMATELY 885 RESIDENTS. 44030686 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 15 0 776 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X JEFF NYBERG 8478434259 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 X JAN TUCKER 0.10 X X 900 4350 0 WILLIAM POWELL 0.10 X 0 0 0 JEAN SCHLINKMANN 0.10 X X 300 4350 0 PAUL SCHAFFHAUSEN 0.10 X 150 4350 0 THOMAS CASTRONOVO 0.10 X 150 2400 0 KATHLEEN GILMER 0.10 X X 450 6600 0 THOMAS JOHNSON 0.10 X 0 3450 0 KATHY RIVERA 0.10 X 150 5250 0 STEPHEN YENCHEK 40.00 X 0 255137 23441 RICHARD KLOCKENGA 40.00 X 0 182223 15514 DEAN DELLARIA 40.00 X 114470 0 14875 JUDY PITZELE 40.00 X 104395 0 5984 220965 468110 59814 2 0 1 0 ARAMARK CORPORATION 25271 NETWORK PLACE CHICAGO IL 60673 DINING SERVICE 3737117 FRIENDSHIP SENIOR OPTIONS NFP 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 MANAGEMENT 2043828 ALLIANCE REHAB 1520 KENSINGTON RD SUITE 110 OAK BROOK IL 60523 THERAPY STAFF 1448446 DAVIS HARRISON DION 333 NORTH MICHIGAN AVE SUITE 2300 CHICAGO IL 60601 LEGAL 995783 FIRST SECURITY SYSTEMS 1811 HIGH GROVE LANE SUITE 191 NAPERVILLE IL 60540 SECURITY 196625 9 RESIDENT SERV REVENUE 623990 39956513 39956513 AMORT. OF ENTRANCE FEE 623990 4450230 4450230 44406743 1078922 1078922 53971 0 53971 53971 53971 15581811 15468225 15130 113586 -15130 98456 98456 TELEPHONE SERVICE FEES 900099 210749 210749 CONVENIENCE STORE 900099 117626 117626 SPA/SALON REVENUE 900099 74684 74684 206684 206684 609743 46247835 44406743 0 1841092 X 188684 188684 3300 3300 16055747 14335917 1719830 72959 65144 7815 3136525 2827521 309004 1234428 1102201 132227 2043828 510957 1532871 24514 24514 8224 8224 134710 134710 2919659 2659089 260570 1050957 26128 1024829 470475 354260 116215 68583 68583 4843740 4843740 97457 92059 5398 68039 57525 10514 4327813 4327813 6993186 6993186 575548 575548 FOOD/MEDICINE/SUPPLIES 3815204 3815204 REPAIRS AND MAINTENANCE 1046645 1022367 24278 RESIDENT EVENTS/PROGRAM 222349 222349 RECRUITMENT 38230 38230 13831 10994 2837 49454635 44030686 5423949 0 1075717 1614 6110449 6901232 3342292 4326940 104602 165230 367138 358617 176519561 64605484 116606595 111914077 32415076 31801918 8196757 6232009 168218626 161701637 9507524 10012049 8256987 8356992 110448672 109160229 85423371 82875632 213636554 210404902 X -45606612 -48703265 188684 0 -45417928 -48703265 168218626 161701637 X -3206800 -78537 X 0 1 1 X 0 X 195949 109772 95912 127091 528724 34862625 38172718 41463563 43313897 44406743 202219546 265979 350479 585287 553428 560468 2315641 35324553 38632969 42144762 43994416 44967211 205063911 3300 3950 8719 9625 25594 0 3300 3950 8719 9625 25594 205038317 2912479 1147591 731461 842965 1132893 6767389 2912479 1147591 731461 842965 1132893 6767389 150780 195774 598812 17571 49273 1012210 38387812 39976334 43475035 44854952 46149377 212843510 0.96330 0.96130 0.03180 0.03000 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART III, LINE 12 - OTHER INCOME DETAIL MISCELLANEOUS $427,900 PY REAL ESTATE TAX REFUND $564,597 RETURN OF ENERGY CREDITS $ 19,713 1 4208 8906 9403 3711 0 4524257 4524257 152502240 51825988 100676252 11673510 7268412 4405098 7819554 5511084 2308470 111914077 REFUNDABLE ENTRANCE FEES 81315875 ENTRANCE FEE DEPOSITS 1134056 DUE TO FSSF 20 DUE TO FSO 425295 DUE TO FVMC 386 82875632 PART IV, LINE 1B: THE ACTIVITY DEPARTMENT OF EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO MAINTAINS A TRUST ACCOUNT AND PETTY CASH REQUIRED BY THE STATE TO SUPPORT RESIDENTS UNDER THE PUBLIC AID PROGRAM AND TO HOLD CASH THAT RESIDENTS IN THE HEALTHCARE RELATED AREAS CAN USE FOR OUTINGS AND PERSONAL EXPENDITURES. THE ACCOUNT IS REVIEWED MONTHLY FOR ACCURACY. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE ORGANIZATION'S 2011, 2010, AND 2009 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. 1 FRIENDSHIP SENIOR SERVICE FOUNDATION NFP 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 201630044 501(C)(3) 188684 N/A N/A FUNDRAISING ACTIVITIES 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS ARE ONLY PROVIDED TO RELATED 501(C)(3) ENTITIES. X X X X 0 0 0 0 0 0 0 0 0 STEPHEN YENCHEK 0 234401 0 20736 0 0 0 2607 0 20834 0 278578 0 0 RICHARD KLOCKENGA 0 170220 0 12003 0 0 0 1880 0 13634 0 197737 0 0 ILLINOIS FINANCE AUTHORITY 861091967 45200BPV4 2005-07-15 8292086 CAMPUS REDEVELOPMENT 0 0 0 ILLINOIS FINANCE AUTHORITY 861091967 45200BPY8 2005-07-15 5000000 CAMPUS REDEVELOPMENT 0 0 0 ILLINOIS FINANCE AUTHORITY 861091967 45200BPW2 2005-07-15 20752257 CAMPUS REDEVELOPMENT 0 0 0 ILLINOIS FINANCE AUTHORITY 861091967 45200BPX0 2005-07-15 45835815 CAMPUS REDEVELOPMENT 0 0 0 3850000 8292086 623385 318330 36766 161586 368490 7478349 2007 1 0 1 1 5000000 375891 191419 22169 97165 311678 4496903 2007 1 0 1 1 20752257 1560119 803194 92012 407705 370874 18869004 2007 1 0 1 1 45835815 3445857 1768903 203228 897904 2082639 41555879 2007 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 X ILLINOIS FINANCE AUTHORITY 861091967 45200FV22 2010-03-01 1942273 REFUND 7/15/05 BOND 0 0 0 ILLINOIS FINANCE AUTHORITY 861091967 45200FU80 2010-03-01 4147333 REFUND 7/15/05 BOND 0 0 0 ILLINOIS FINANCE AUTHORITY 861091967 45200FU98 2010-03-01 26983908 REFUND 7/15/05 BOND 0 0 0 1942273 158419 13031 58549 1650639 58751 2010 1 0 1 1 4147333 338273 27825 123246 3533444 123670 2010 1 0 1 1 26983908 2200915 181036 802124 22988525 804885 2010 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 FRIENDSHIP SENIOR OPTIONS, NFP PROVIDES STRATEGIC DIRECTION AND CRITICAL MANAGEMENT SERVICES INCLUDING EXECUTIVE, ADMINISTRATIVE, AND FINANCIAL FUNCTIONS TO EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO. FORM 990, PART VI, SECTION A, LINE 6 FRIENDSHIP SENIOR OPTIONS, NFP IS A MEMBER IN THAT IT CAN APPOINT THE MEMBERS OF THE GOVERNING BODY OF EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO. FORM 990, PART VI, SECTION A, LINE 7A THE EXPLANATION IS THE SAME AS FOR PART VI, LINE 6. FORM 990, PART VI, SECTION B, LINE 11 ALL BOARD OF DIRECTOR MEMBERS RECEIVE AN EMAILED VERSION OF THE FORM 990 BEFORE IT IS FILED. THE FINANCE COMMITTEE REVIEWS THE FORM 990 BEFORE IT IS FILED. AFTER THE RETURN IS FILED, A PRESENTATION IS GIVEN TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C EVERY YEAR, THE BOARD MEMBERS AND MANAGEMENT TEAM RECEIVE A CONFLICT OF INTEREST POLICY. THEY HAVE TO SIGN AN ATTACHMENT STATING THAT THEY RECEIVED THE POLICY AND WHETHER OR NOT THEY ARE AWARE OF ANY CONFLICTS. ON THOSE OCCASIONS WHERE THE ISSUE ARISES, THE CONFLICT, THE POTENTIAL FOR CONFLICT, OR THE PERCEPTION OF CONFLICT IS FULLY DISCLOSED TO THE BOARD PRIOR TO DISCUSSION ON THE MATTER CALLING FOR BOARD ACTION. PRIOR TO SUCH DISCUSSION, THE BOARD HAS DETERMINED WHETHER THE PRESENCE OF OR PARTICIPATION BY THE "CONFLICTED" BOARD MEMBER IN THE DISCUSSION WILL INFLUENCE THE DISCUSSION ITSELF OR ITS OUTCOME. THE "CONFLICTED" MEMBER MAY OR MAY NOT BE EXCUSED FROM SUCH DISCUSSION. IN ALL INSTANCES, THE "CONFLICTED" BOARD MEMBER ABSTAINS FROM ANY VOTE ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE ANNUAL EXECUTIVE COMPENSATION SALARY SURVEYS WERE CONDUCTED AT THE REQUEST OF THE FSO EXECUTIVE COMMITTEE (WHICH ALSO OPERATES AS THE COMPENSATION COMMITTEE) AND THE FSO PRESIDENT/CEO AND PRESENTED IN MARCH 2012. THE ORGANIZATION AT THE DIRECTIVE OF THE EXECUTIVE COMMITTEE CONTRACTED WITH AN INDEPENDENT, EXTERNAL COMPENSATION CONSULTANT TO PROVIDE THE SALARY SURVEY DATA AND TO ENSURE WE ARE IN COMPLIANCE WITH ALL IRS RULINGS ON EXECUTIVE COMPENSATION. THE ORGANIZATION ALSO HAS A PLAN DOCUMENT THAT IS REVIEWED ANNUALLY AND UPDATED AS REGULATIONS OR THE PLAN CONSTRUCT CHANGES. THE COMPENSATION COMMITTEE APPROVES ALL SALARY AND BENEFIT ADJUSTMENTS FOR THE SENIOR EXECUTIVES WHICH NORMALLY TAKE PLACE ANNUALLY IN JULY. IN JULY 2012, MERIT INCREASES WERE APPROVED FOR THE VICE-PRESIDENT OF PLANNING & MARKETING, VICE-PRESIDENT OF HUMAN RESOURCES AND EXECUTIVE DIRECTOR OF GREENFIELDS OF GENEVA. FSO EXECUTIVE POSITIONS VACANT AT THE TIME OF THE MERIT INCREASES INCLUDED THE VICE-PRESIDENT OF OPERATIONS AND CHIEF FINANCIAL OFFICER. THE PRESIDENT/CEO IS UNDER AN EMPLOYMENT CONTRACT AND WHILE THE POSITION IS SURVEYED, IT IS NOT INCLUDED IN THE ANNUAL ADJUSTMENTS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH THE MAIN DESK UPON REQUEST. THE PUBLIC IS ABLE TO OBTAIN COPIES OF THE ANNUAL REPORT WITH SUMMARIZED INFORMATION, THE GOVERNING DOCUMENTS, AND THE CONFLICT OF INTEREST POLICY UPON REQUEST. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: FORM 990, PART VII - RELATED ORGANIZATIONS THOMAS CASTRONOVO 0.80 KATHLEEN GILMER 1.90 THOMAS JOHNSON 0.90 KATHY RIVERA 1.40 PAUL SCHAFFHAUSEN 1.10 JEAN SCHLINKMANN 1.30 JAN TUCKER 1.10 FORM 990, PART IX EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO, INC. (ERGHC) PROVIDES THE W-2S FOR THE EMPLOYEES OF ALL OF ITS RELATED ENTITIES, IN ADDITION TO ITS OWN EMPLOYEES. THEREFORE, ALL PAYROLL TAXES FOR ALL THE RELATED ENTITIES ARE REPORTED ON THE RETURN FOR ERGHC. THE SALARY EXPENSE AND TOTAL NUMBER OF EMPLOYEES, HOWEVER, IS ALLOCATED BETWEEN ALL THE ENTITIES. FORM 990, PART IX ERGHC REPORTS NO FUNDRAISING EXPENSES ON PART IX OF THE RETURN. THIS IS BECAUSE ITS RELATED PARTY, FRIENDSHIP SENIOR SERVICE FOUNDATION, WAS CREATED IN ORDER TO PERFORM THE FUNDRAISING FUNCTIONS FOR THE ENTITY. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -78,537. FRIENDSHIP SENIOR OPTIONS 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 201278553 SUPPORT IL 501(C)(3) LINE 11C, III-FI N/A 0 FRIENDSHIP VILLAGE OF MILL CREEK 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 203300991 RETIREMENT IL 501(C)(3) LINE 9 FRIENDSHIP SENIOR OPTIONS 1 FRIENDSHIP SENIOR SERVICE FOUNDATION 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 201630044 SUPPORT IL 501(C)(3) LINE 11C, III-FI FRIENDSHIP SENIOR OPTIONS 1 0 0 0 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1