WASHINGTON AND JANE SMITH HOME: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WASHINGTON AND JANE SMITH HOME (EIN 36-4335178)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-13
IRS object ID
201233189349303808
Schema version
2011v1.2
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)
Timestamp2012-11-13T14:45:52-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN364335178EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON AND JANE SMITH HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWASHNameControl
Phone7734747300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACE NO 1335AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60643ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRAY MARNERISName
TitleCFOTitle
Phone7734747350Phone
Date Signed2012-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHAD KUNZEName
PTINP00639380PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SMITH SENIOR LIVINGBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEVIN MCGEENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACE NO 1335AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60643ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22068039GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SMITHSENIORLIVING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF SMITH VILLAGE IS TO ENRICH THE LIVES OF SENIOR ADULTS. (SEE SCHEDULE O) THROUGH THE OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY OFFERING THE HIGHEST QUALITY OF SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees74TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4002668ProgramServiceRevenuePriorYear
Program Service Revenue CY4984300ProgramServiceRevenueCY
Investment Income Prior Year1459373InvestmentIncomePriorYear
Investment Income Current Year1814708InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year5462041TotalRevenuePriorYear
Total Revenue Current Year6799008TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year463548GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY434403GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3427365SalariesEtcPriorYear
Salaries Etc Current Year4233556SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year744113OtherExpensePriorYear
Other Expenses Current Year932527OtherExpensesCurrentYear
Total Expenses Prior Year4635026TotalExpensesPriorYear
Total Expenses Current Year5600486TotalExpensesCurrentYear
Revenues Less Expenses Prior Year827015RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1198522RevenuesLessExpensesCY
Total Assets BOY43007742TotalAssetsBOY
Total Assets EOY41848098TotalAssetsEOY
Total Liabilities BOY5074314TotalLiabilitiesBOY
Total Liabilities EOY4183759TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37933428NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY37664339NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF SMITH SENIOR LIVING IS TO ENRICH THE LIVES OF SENIOR ADULTS THROUGH THE HIGHEST QUALITY OF SERVICES. THE ORGANIZATION'S CHARITABLE PURPOSE IS TO PROVIDE MANAGEMENT, PLANNING, FINANCIAL AND ADMINISTRATIVE SERVICES (SEE SCHEDULE O) EXCLUSIVELY TO ITS RELATED CCRC ORGANIZATIONAL AFFILIATES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2447060Expense
Revenue2611743Revenue
DescriptionSMITH SENIOR LIVING PROVIDES MANAGEMENT, PLANNING, FINANCIAL AND ADMINISTRATIVE SERVICES EXCLUSIVELY TO ITS RELATED CONTINUING CARE RETIREMENT COMMUNITY ORGANIZATIONAL AFFILIATES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2396847Expense
Revenue2372557Revenue
DescriptionSMITH SENIOR LIVING IS THE SOLE MEMBER OF SMITH CARES, LLC, A STAFFING HOLDING COMPANY. SMITH CARES PROVIDES PROFESSIONAL STAFF TO THE AFFILIATED COMPANIES OF SMITH CROSSING AND SMITH VILLAGE WHEN THE INDIVIDUALS ARE SHARED BETWEEN THE TWO AFFILIATE ORGANIZATIONS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense434403Expense
Grants434403Grants
DescriptionMONIES PROVIDED BY DONATION TO THE ORGANIZATION ARE A SHARING OF EARNINGS ON THE ORIGINAL ENDOWMENT CREATED BY EMILIE SMITH. THE BOARD HAS DESIGNATED THAT 4% OF THE VALUE OF THE ENDOWMENT BE CONTRIBUTED EACH YEAR TO SMITH VILLAGE FOR CHARITABLE CARE.Description
FieldValueIRS element (for citing)
Total Program Service Expense5278310TotalProgramServiceExpense
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 Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees74NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
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 Line1RAY MARNERISBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7734747350TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60643ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ROBERT A BERGHOFF
BOARD CHAIR/PRESIDENT3.00XX000
GEORGE A PETRAITIS
BOARD VICE CHAIR/SECRETARY/TRUSTEE3.00XX000
ALLEN K FLAGLER
TRUSTEE1.00X000
THOMAS L HOGAN
TRUSTEE1.00X000
WILLIAM H HUNDING
TRUSTEE3.00X000
STEVEN J MURPHY
TRUSTEE2.00X000
KARYN PETTIGREW
TRUSTEE1.00X000
KAY E THURN
TRUSTEE2.00X000
ANDREW J ANELLO
TRUSTEE3.00X000
THOMAS E CHOMICZ
TRUSTEE3.00X000
HUGH J AHERN
TRUSTEE1.00X000
MICHAEL A FLYNN
PRESIDENT/CEO37.50X182020031355
RAYMOND J MARNERIS
TREASURER/CFO37.50X83042015801
MEAGAN ROHAN
SECRETARY1.00X192000738
ROBERT A BOEHM
DIRECTOR OF MARKETING37.50115801012044X
DEBORAH HART
FORMER CFO0.5010849309905X
FieldValueIRS element (for citing)
Total Reportable Comp From Org508556TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation69843TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BULE SHIELD
25550 NETWORK PLACECHICAGOIL60673HEALTH INSURANCE1358601
HUB INTERNATIONAL MIDWEST
15174 COLLECTIONS CENTER DRIVECHICAGOIL60693INSURANCE BROKER277615
NHRMA MUTUAL INSURANCE
PO BOX 17062URBANAIL61803WORKMAN COMPENSATION INSURANCE261620
CROWE HORWATH LLP
PO BOX 145415CINCINNATIOH45250AUDITORS135545
SHEILA KING
PO BOX 10425CHICAGOIL60610PUBLIC RELATIONS SERVICES134439
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEE54161026116912611691
AGENCY FEE62300023725572372557
MISCELLANEOUS SUPPORT6239905252
FieldValueIRS element (for citing)
Total Program Service Revenue4984300TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column948460TotalRevenueColumn
Exclusion$948,460ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities16135279Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities15269031Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities866248Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column866248TotalRevenueColumn
Exclusion$866,248ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6799008TotalRevenueColumn
Related Or Exempt Function Income4984300RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,814,708ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total434403Total
Program Services434403ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total489356Total
Program Services489356ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3041765Total
Program Services3041765ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total90521Total
Program Services90521ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total347676Total
Program Services347676ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total264238Total
Program Services264238ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total29162Total
Program Services29162ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total95417Total
Management And General95417ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total52508Total
Management And General52508ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total103627Total
Program Services76747ProgramServices
Management And General26880ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total111207Total
Program Services91307ProgramServices
Management And General19900ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total122135Total
Program Services35302ProgramServices
Management And General86833ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total82241Total
Program Services82241ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total85054Total
Program Services85054ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22541Total
Program Services11058ProgramServices
Management And General11483ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total83311Total
Program Services83311ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total105515Total
Program Services105515ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total38907Total
Program Services9752ProgramServices
Management And General29155ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionTAXES AND FEESDescription
Total902Total
Program Services902ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5600486Total
Program Services5278310ProgramServices
Management And General322176ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY139060BOY
EOY459379EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY481215BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY6527727BOY
EOY5065330EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY170300BOY
EOY126128EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis962162LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec540398LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY519749BOY
EOY421764EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY29173282BOY
EOY27447305EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1410229BOY
EOY1258738EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4586180BOY
EOY7069454EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY43007742BOY
EOY41848098EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY451443BOY
EOY476641EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3072938BOY
EOY3707118EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1549933BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5074314BOY
EOY4183759EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY26029629BOY
EOY26158901EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11037132BOY
EOY10638771EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY866667BOY
EOY866667EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37933428BOY
EOY37664339EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43007742BOY
EOY41848098EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1198522ReconcilationRevenueExpenses
Reconcilation Other Changes-1467611ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
WJS - SMITH VILLAGE
3621679489111$434,403
WJS - SMITH CROSSING
3643334239111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts434403SumOfAmounts

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance11903799BeginningOfYearBalance
Investment Earnings Or Losses-85920InvestmentEarningsOrLosses
Grants Or Scholarships434403GrantsOrScholarships
Other Expenditures121962OtherExpenditures
End Of Year Balance11505438EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10274728BeginningOfYearBalance
Investment Earnings Or Losses2092619InvestmentEarningsOrLosses
Grants Or Scholarships463548GrantsOrScholarships
End Of Year Balance11903799EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance9837732BeginningOfYearBalance
Investment Earnings Or Losses870994InvestmentEarningsOrLosses
Grants Or Scholarships418398GrantsOrScholarships
Administrative Expenses15600AdministrativeExpenses
End Of Year Balance10274728EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10661483BeginningOfYearBalance
Investment Earnings Or Losses-418068InvestmentEarningsOrLosses
Grants Or Scholarships405683GrantsOrScholarships
End Of Year Balance9837732EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.08000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.92000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis462924OtherCostOrOtherBasis
Depreciation185170Depreciation
Book Value277754BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis499238OtherCostOrOtherBasis
Depreciation355228Depreciation
Book Value144010BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings421764TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES6263792
DEPOSITS805662
FieldValueIRS element (for citing)
Total Book Value Other Assets7069454TotalBookValueOtherAssets
Total Revenue6799008TotalRevenue
Total Expenses5600486TotalExpenses
Excess Or Deficit For Year1198522ExcessOrDeficitForYear
Net Unrealized GL On Investments-1467611NetUnrealizedGLOnInvestments
Total Adjustments-1467611TotalAdjustments
Excess Or Deficit Per FS-269089ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE EARNINGS ON THE ASSETS OF THE ENDOWMENT FUND HAVE BEEN DESIGNATED TO SUPPORT THE CHARITABLE CARE ACTIVITIES OF SMITH VILLAGE
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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON AND JANE SMITH COMMUNITY-BEVERLYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60643ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient362167948EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant434403AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantCHARITABLE CARE ACTIVITIESPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE GRANTED FUNDS ARE NOT RESTRICTED AS TO USE AND ARE FOR CHARITABLE CARE OPERATIONS. THE GRANT WAS MADE TO A RELATED TAX-EXEMPT ORGANIZATION AND MANAGEMENT ENSURES THE FUNDS ARE USED TO SUPPORT THE ORGANIZATION'S EXEMPT PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL A FLYNN
17124500010775074730238820213375000
RAYMOND J MARNERIS
80267000277504922010879098843000
ROBERT A BOEHM
1006280001517304570074740127845000
DEBORAH HART
432730006522002031078740118398000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VIFORM 990, PART VII, SECTION A THE CEO AND CFO REPORTED ON PART VII DEVOTE APPROXIAMATELY 12 HOURS A WEEK TO SMITH VILLAGE AND SMITH CROSSING, BOTH OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS. THE FOLLOWING TRUSTEES EACH DEVOTE APPROXIMATELY 1 TO 3 HOURS A WEEK TO SMITH VILLAGE, A RELATED TAX-EXEMPT ORGANIZATION. HUGH AHERN ROBERT BERGHOFF THOMAS CHOMICZ ALLEN FLAGLER THOMAS HOGAN WILLIAM HUNDING STEVEN MURPHY GEORGE PETRAITIS KARYN PETTIGREW THE FOLLOWING TRUSTEES EACH DEVOTE APPROXIMATELY 1 TO 3 HOURS A WEEK TO SMITH CROSSING, A RELATED TAX-EXEMPT ORGANIZATION. ANDREW ANELLO ROBERT BERGHOFF THOMAS CHOMICZ STEVEN MURPHY KAY THURN
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION MADE CHANGES TO THE BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATIONS INTERNAL MANAGEMENT AND THE FINANCE COMMITTEE REVIEWS THE RETURN WITH ITS PAID TAX PREPARER. AFTER REVIEW, COPIES OF THE FULL FORM 990 ARE PRESENTED TO ALL TRUSTEES AND REVIEWED AT A BOARD MEETING PRIOR TO FILING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY ALL TRUSTEES AND KEY PERSONNEL ARE REQUIRED TO COMPLETE A DISCLOSURE FOR CONFLICTS OF INTEREST. THE DISCLOSURES ARE SUMMARIZED BY THE CFO AND REVIEWED BY THE GOVERNANCE COMMITTEE WHO DETERMINES IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS THE TRUSTEE IS REQUIRED TO RECUSE THEMSELVES FROM ANY VOTING, DELIBERATION, OR DECISION ON THE TRANSACTION AT THE BOARD LEVEL. FURTHERMORE, ALL VENDOR PAYMENT ACTIVITY IS REVIEWED BY THE CFO FOR VENDORS THAT MAY BE RELATED TO THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION COMMITTEE OF SSL EVALUATES AND ESTABLISHES COMPENSATION AND REVIEWS PROTOCOL FOR THE ORGANIZATION'S CEO AND CFO. ANNUAL COMPENSATION COMPARISONS TO INDUSTRY PROFESSIONALS ARE GATHERED AND REVIEWED ON AN ANNUAL BASIS. DECISIONS ARE DOCUMENTED IN THE COMPENSATION COMMITTEE MEETING MINUTES. THE LAST COMPENSATION REVIEW WAS COMPLETED IN 2012. THE CEO OF SSL DETERMINES THE ANNUAL COMPENSATION OF ALL OTHER OFFICERS, WITH THE EXCEPTION OF THE CFO, BY COMPARING THE COMPENSATION OF EACH OFFICER AND KEY EMPLOYEES TO PROFESSIONALS PERFORMING SIMILAR SERVICES IN SIMILAR INDUSTRIES ON AN ANNUAL BASIS. THE LAST COMPENSATION REVIEW WAS COMPLETED IN 2012.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -1,467,611.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PAGE 12, PART XII, LINE 2CTHIS PROCESS IS CONSISTENT WITH THE PRIOR YEAR.AUDIT COMMITTEE & FINANCIAL STATEMENT OVERSIGHT

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SMITH CARES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60643ZIPCode
FieldValueIRS element (for citing)
EIN262018889EIN
Primary ActivitiesSTAFFINGPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income-24291TotalIncome
EOY Assets180392EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SMITH SENIOR LIVINGBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
WJS - SMITH VILLAGE
2320 WEST 113TH PLACECHICAGOIL60643362167948CCRCIL501(C)(3)LINE 9SMITH SENIOR LIVING1
WJS - SMITH CROSSING
10501 EMILIE LANEORLAND PARKIL60467364333423CCRCIL501(C)(3)LINE 9SMITH SENIOR LIVING1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY
B434403COST
WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY
D2065330COST
WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK
D3000000COST
WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY
D1500000COST
WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY
K3150651COST
WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK
K1823641COST
WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY
J46680COST

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