COVENANT HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COVENANT HOME (EIN 36-2643638)
Tax period
2010-02-01 to 2011-01-31
Filed
2011-12-13
IRS object ID
201123479349301017
Schema version
2010v3.4
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)
Timestamp2011-12-13T17:39:26-06:00Timestamp
Tax Period End Date2011-01-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362643638EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Covenant Home IllinoisBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOVENameControl
Phone8474806380Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12625 Techny RoadAddressLine1
CityNorthbrookCity
StateILState
ZIP Code600625900ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameElizabeth BuikemaName
TitleVP of Finance/CFOTitle
Phone7738782294Phone
Date Signed2011-12-13DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonElizabeth BuikemaNameOfPrincipalOfficerPerson
Gross Receipts11755453GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number2650GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.covenantretirement.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1962YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionCare for senior adults.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees328TotalNbrEmployees
Total Nbr Volunteers220TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year337149ContributionsGrantsPriorYear
Contributions Grants Current Year684006ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8598924ProgramServiceRevenuePriorYear
Program Service Revenue CY8993857ProgramServiceRevenueCY
Investment Income Prior Year1797876InvestmentIncomePriorYear
Investment Income Current Year1712443InvestmentIncomeCurrentYear
Other Revenue Prior Year222061OtherRevenuePriorYear
Other Revenue Current Year248585OtherRevenueCurrentYear
Total Revenue Prior Year10956010TotalRevenuePriorYear
Total Revenue Current Year11638891TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3144706SalariesEtcPriorYear
Salaries Etc Current Year3005367SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year410596TotalFundrsngExpCurrentYear
Other Expense Prior Year7904230OtherExpensePriorYear
Other Expenses Current Year8372102OtherExpensesCurrentYear
Total Expenses Prior Year11048936TotalExpensesPriorYear
Total Expenses Current Year11377469TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-92926RevenuesLessExpensesPriorYear
Revenues Less Expenses CY261422RevenuesLessExpensesCY
Total Assets BOY80848766TotalAssetsBOY
Total Assets EOY81576177TotalAssetsEOY
Total Liabilities BOY67517802TotalLiabilitiesBOY
Total Liabilities EOY67888911TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13330964NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13687266NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAs 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)MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7564581Expense
Revenue9313673Revenue
DescriptionResidential Living:The number of persons who benefited from the services we provided for the year ended January 31, 2011 were as follows:There were a total of 321 residents, occupying 267 apartments at 01/31/2011. Residency for the fiscal year totaled 118,589 resident days.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionThe organization was involved in various community benefits projectswhich includes the following:- Staff members volunteered 374 hours of their time to local churches, Greater Food Depository and others (equivalent to $32,450)- Residents volunteered 4800 hours of their time to local churchrces, local schools, food pantries and soup kitchens, hospitals, Chicago Botanic Garden and others- Provided space usage for small groups (under 35 people) to large groups (75+ participants) which includes the Community College Emeritus, Fire Department Training, Nursing Seminar and Northbrook Chamber of Commerce, Glenview Church Leadership Retreat and as a Polling Place (equivalent to $52,163 and about 38 hrs of staff time)- Provided scholarships to Individuals ($750 in total)- Monetary Donations to Advocate Hospital, World Vision Child Sponsorship, YMCA and others ($3,005 in total)- In-Kind Donations to missions in Zaire, Medical Society in the Philippines, "Wing Spread" Event, Habitat for Humanity and St. Vincent DePaul Thrift Store (estimated value of $56,400.00)- Sponsored Diversity Breakfast Club and Covenant Passport Program(equivalent to $4,700)- Hosted medium to large scale community events such as the Alzheimers/Parkinsons Support Group, Free Paper Shredding Progam, and CRC Sunday Celebration with Exhibit (equivalent to $129,840 and about 51 staff hours )Description
FieldValueIRS element (for citing)
Total Program Service Expense7564581TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees328NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Elizabeth BuikemaBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7738782295TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1C/O CRC 5700 Old Orchard RdAddressLine1
CitySkokieCity
StateILState
ZIP Code60077ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Curtis B Anderson
Director1.00X000
Rev Richard B Berry
Director1.00X000
Wendell Danielson
Director1.00X000
Rev Harvey Drake
Director1.00X000
James Elving
Director1.00X000
Marc E Espinosa
Director1.00X000
Lorene G Flewellen
Director1.00X000
Beverly A Freeman
Director1.00X000
Rhoda Friesen
Director1.00X000
Donald Holt
Director1.00X000
Mary Miller
Director1.00X000
Cletus J Moll
Director1.00X000
Joyce Peterson
Director1.00X000
Norton Richards
Director1.00X000
Walter Schiller
Director1.00X000
Jean A Stebinger
Director1.00X000
John C Swanson
Director1.00X000
Anne Vining
Director1.00X000
David A Dwight
Ex-Officio1.00X0571606115344
Rick K Fisk
Ex-Officio/President1.00X053808687445X
Robert K Johnston
Ex-Officio1.00X000
Gary Walter
Ex-Officio1.00X0148660113514
Steven P Anderson
Senior VP/Asst Secretary1.00019241158709X
Elizabeth B Buikema
Senior VP/CFO/Treasurer1.00026995247324X
Moraine M Byrne
Senior VP/Asst Secretary1.00021262938590X
Terri S Cunliffe
EVP of Oper/Asst Sec1.00021578445700X
John R Harriff
Senior VP/Asst Secretary1.00019736444229X
David G Erickson
VP/Asst Secretary1.00020134228760X
Kathleen Jenkins
Dir Admin Srvcs/Asst Secretary1.00011571449654X
Neil E Warnygora
Executive Director40.00149972045694X
FieldValueIRS element (for citing)
Total Reportable Comp From Org149972TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2663548TotalReportableCompFrmRltdOrgs
Total Other Compensation674963TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Ptak Construction Company
33182 N Island AvenueWildwoodIL60030Maintenance Services424624
Sodexo Inc & Affiliates
4880 Paysphere CircleChicagoIL60674Dining Services423077
Advance Rooofing & Woodworking Inc
230 N Hicks PlacePalatineIL60067Roof Repair/Replacement267077
Alliance Rehab Inc
1520 Kensington Road Suite 110Oak BrookIL60523Therapy Services243998
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Fundraising Events52000FundraisingEvents
All Other Contributions632006AllOtherContributions
Total Contributions684006TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Routine Services62300057911195791119
Entrance Fee62300028336182833618
Ancillary Services623000186070186070
Meals623000183050183050
FieldValueIRS element (for citing)
Total Program Service Revenue8993857TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1112066TotalRevenueColumn
Exclusion$1,112,066ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real39430Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real110661Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-71231Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-71231TotalRevenueColumn
Exclusion-$71,231ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities600377Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities600377Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column600377TotalRevenueColumn
Exclusion$600,377ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events5901GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events46099CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses5901FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Support Services623000130715130715
Services to Residents6230001579315793

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column173308TotalRevenueColumn
Related Or Exempt Function Income173308RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue319816TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11638891TotalRevenueColumn
Related Or Exempt Function Income9313673RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,641,212ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2299046Total
Program Services1645002ProgramServices
Management And General634986ManagementAndGeneral
Fundraising19058Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total106049Total
Program Services77357ProgramServices
Management And General27320ManagementAndGeneral
Fundraising1372Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total413293Total
Program Services293482ProgramServices
Management And General118505ManagementAndGeneral
Fundraising1306Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total186979Total
Program Services115348ProgramServices
Management And General69958ManagementAndGeneral
Fundraising1673Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total11883Total
Program Services11883ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total10898Total
Management And General10898ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9312Total
Management And General9312ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total429557Total
Program Services421107ProgramServices
Management And General8183ManagementAndGeneral
Fundraising267Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total209137Total
Program Services383ProgramServices
Management And General208478ManagementAndGeneral
Fundraising276Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total329007Total
Program Services226057ProgramServices
Management And General99840ManagementAndGeneral
Fundraising3110Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total89315Total
Program Services2441ProgramServices
Management And General86835ManagementAndGeneral
Fundraising39Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total708672Total
Program Services708672ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total8535Total
Program Services2622ProgramServices
Management And General5643ManagementAndGeneral
Fundraising270Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total24952Total
Program Services1632ProgramServices
Management And General23320ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1529019Total
Program Services1010681ProgramServices
Management And General458706ManagementAndGeneral
Fundraising59632Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2792187Total
Program Services1856748ProgramServices
Management And General837656ManagementAndGeneral
Fundraising97783Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total76058Total
Program Services76058ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Related Party Payables99408311684759703222696
Dining Services512412512412
Resident Care504169504169
Admin & General21032316117871
Sales Tax1670116701

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total95173Total
Program Services66981ProgramServices
Management And General25078ManagementAndGeneral
Fundraising3114Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11377469Total
Program Services7564581ProgramServices
Management And General3402292ManagementAndGeneral
Fundraising410596Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY26477BOY
EOY33752EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY149801BOY
EOY271893EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY69984BOY
EOY77256EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY-850BOY
EOY175EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1678BOY
EOY44774EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis70616630LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec23567493LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY46132675BOY
EOY47049137EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY22174420BOY
EOY23527677EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5419212BOY
EOY5521483EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6875369BOY
EOY5050030EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY80848766BOY
EOY81576177EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY493439BOY
EOY467171EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY12107362BOY
EOY13585936EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY34172923BOY
EOY31807577EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY371948BOY
EOY231198EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20372130BOY
EOY21797029EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY67517802BOY
EOY67888911EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13604252BOY
EOY13865675EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY-273288BOY
EOY-178409EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13330964BOY
EOY13687266EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY80848766BOY
EOY81576177EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses261422ReconcilationRevenueExpenses
Reconcilation Other Changes94879ReconcilationOtherChanges
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)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years93583CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years247299CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years559683CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year337149CurrentTaxYearMinus1Year
Current Tax Year684006CurrentTaxYear
Total1921720Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7770498CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7015051CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6968740CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8598924CurrentTaxYearMinus1Year
Current Tax Year8993857CurrentTaxYear
Total39347070Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7864081CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7262350CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7528423CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8936073CurrentTaxYearMinus1Year
Current Tax Year9677863CurrentTaxYear
Total41268790Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50941268790PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1432754CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1882157CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-88296CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1797876CurrentTaxYearMinus1Year
Current Tax Year1712443CurrentTaxYear
Total6736934Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1432754CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1882157CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-88296CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1797876CurrentTaxYearMinus1Year
Current Tax Year1712443CurrentTaxYear
Total6736934Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9296835CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9144507CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7440127CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10733949CurrentTaxYearMinus1Year
Current Tax Year11390306CurrentTaxYear
Total48005724Total
FieldValueIRS element (for citing)
Public Support Percentage5090.85970PublicSupportPercentage509
Prior Year Support Percentage0.86250PriorYearSupportPercentage
Investment Income Percentage0.14030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.13750PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis450291OtherCostOrOtherBasis
Book Value450291BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis51388812OtherCostOrOtherBasis
Depreciation16287063Depreciation
Book Value35101749BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10929060OtherCostOrOtherBasis
Depreciation6017067Depreciation
Book Value4911993BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7848467OtherCostOrOtherBasis
Depreciation1263363Depreciation
Book Value6585104BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings47049137TotalOfBookValueLandBuildings

Other Securities OtherSecurities (6 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Mortgages44344F
Domestic Equity750832F
International Equity1235540F
Hedge Funds & Derivatives1922390F
Private Equity850005F
International Real Estate718372F
FieldValueIRS element (for citing)
Total Of Book Value Securities5521483TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Unamortized Debt & Related Expenses621555
Other Investments724488
Inter-company Advance Accounts3703987
FieldValueIRS element (for citing)
Total Book Value Other Assets5050030TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Deferred Revenue Subject to Refund$9,462,118
Refundable Contract Liabilities$11,929,081
Accrued Taxes & Employee Benefits$43,614
Other Liabilities$362,216
FieldValueIRS element (for citing)
Total Of Amounts21797029TotalOfAmounts
Total Revenue11638891TotalRevenue
Total Expenses11377469TotalExpenses
Excess Or Deficit For Year261422ExcessOrDeficitForYear
Other$94,879OtherAmount
Total Adjustments94879TotalAdjustments
Excess Or Deficit Per FS356301ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part IV, Line 2b:Part IV, line 2b: 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.
Part X:A FIN 48 footnote was not included in the consolidated audited financial statements of Covenant Retirement Communities, Inc. A FIN 48 analysis was completed for Covenant Retirement Communities, Inc. and it did not have a material impact on the financial position or results of operations.Description of Uncertain Tax Positions Under FIN 48:
Change in Temporarily Restricted Net Assets not included on Income Stmnt 94,879.Part XI, Line 8 - Other Adjustments:

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Benefit GalaNameOfEvent1
Gross Receipts Event152000GrossReceiptsEvent1
Charitable Contributions Event146099CharitableContributionsEvent1
Gross Revenue Event15901GrossRevenueEvent1
Entertainment Event12700EntertainmentEvent1
Other Direct Expenses Event13201OtherDirectExpensesEvent1
Gross Receipts Total52000GrossReceiptsTotal
Charitable Contributions Total46099CharitableContributionsTotal
Gross Revenue Total Events5901GrossRevenueTotalEvents
Entertainment Total Events2700EntertainmentTotalEvents
Other Direct Expenses Total Events3201OtherDirectExpensesTotalEvents
Direct Expense Summary Events5901DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
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 Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 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
David A Dwight
051097900060627085776029568068695000
Rick K Fisk
03704030130023037660071690024115063389109534
Gary Walter
01486600000027082086432026217400
Steven P Anderson
01452680305470165960417970225810256789010259
Elizabeth B Buikema
01984080392250323190246560246210319229010513
Moraine M Byrne
0155268035675021686024929015826025338408244
Terri S Cunliffe
0151562031369032853037247010719026375000
John R Harriff
0125169034080038115030819018998024718100
David G Erickson
014253703286502594009874023996023521200
Kathleen Jenkins
07128507500036929033794017549016705704408
Neil E Warnygora
126150067470170750290830196490198704000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aThe following are available benefits and are treated as taxable compensation: - Health club dues paid for one (1) senior-level employee. - Travel for companions paid for one (1) senior-level employee.
Part I, Line 4bExecutive 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 - $47,991.81 Rick Fisk - $34,207.02 Elizabeth Buikema - $11,583.58 Steven P. Anderson - $13,334.46 John R. Harriff - $13,818.86 Terri Cunliffe - $9,889.30 Moraine Byrne - $9,796.00 David Erickson - $12,754.58 Kathleen Jenkins - $7,046.80 Neil Warnygora - $9,509.08 Pension Restoration Plan As certain individuals' pension benefits may be limited by tax code maximums on both eligible compensation and benefits, Covenant Ministries of Benevolence (CMB) provides a Pension Restoration Plan which entitles the individuals listed below to a pension benefit based on total cash compensation. David A. Dwight - $8,596 Rick K. Fisk - $9,273
Part I, Line 7Part 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.
Part IIIPart 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 2010 relate to the achievement of targets for the fiscal year ended 1/31/2010. Part II, Column C: Deferred compensation includes an 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.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Colorado Health Facilities AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN840752932IssuerEIN
CUSIP Number196474Z29CUSIPNumber
Date Issued2005-08-25DateIssued
Issue Price35598651IssuePrice
Description Of PurposeSee Part VDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds36787926TotalProceeds
Amount In Reserve Fund2825349AmountInReserveFund
Issuance Costs From Proceeds581832IssuanceCostsFromProceeds
Capital Expenditures33049260CapitalExpenditures
Amount Unspent331485AmountUnspent
Year Of Subst Completion2008YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1naBusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1naBusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Schedule K Supplental InformationPart IV - Question 1: No positive arbitrage was calculated. Part IV - Question 5: Opinion of Bond Counsel was received that disbursement after temporary period would not adversely affect any exemption from federal income taxation to which such interest would otherwise be entitled.
Schedule K - Part I - Row A, Col FConstruction, equipping and related site work development of a new three-story 128,000 square foot Town Center with 44 residential living units on the second and third floors and underground parking. The Town Center was constructed on the site of an existing residential building and includes an indoor pool and fitness center in the common area. The Town Center was completed in 2008.Description of Purpose:

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 3Covenant Home delegated control over management duties to Covenant Retirement Communities, Inc. (CRC), its parent organization.
Form 990, Part VI, Section A, line 6The sole member is Covenant Retirement Communties, Inc. (CRC).
Form 990, Part VI, Section A, line 7bS 2.4 of Bylaws include reserved powers to the [individual] members such as appointment of president of Covenant Retirement Communities, Inc. (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 11Management 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.
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 conflict of interests. 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 12c
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.Form 990, Part VI, Section B, line 15
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 18
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.Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:Change in Temporarily Restricted Net Assets not included on Income Stmnt 94,879. Total to Form 990, Part XI, Line 5: 94,879.Form 990, Part XI, line 5:
Mission Statement: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 (CRC), Covenant Home provided $53,636 free or discounted services to those residents unable to pay all or a portion of their charges, and who meet certain eligibility requirements.Form 990 - Part III - Line 1
Contact Information for Directors & OfficersAll of the organization's directors and officers can be contacted at this address: Covenant Retirement Communities, Inc. - 5700 Old Orchard Road, Skokie, IL 60077.Form 990 Part VI - Line 9
Related OrganizationOfficers and Directors devote less than 1 hour per week to related organizations except for those individuals that are employees of Covenant Retirement Communities, Inc. (CRC). Those that are employed by CRC devote approximately 40 hours per week to CRC.Form 990 Part VII - Section A

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Evangelical Covenant Church
8303 West Higgins RoadChicagoIL60631362167730ChurchIL501(c)(3)Line 1N/A0
Swedish Covenant Faculty Group (SCFG)
5145 North California AvenueChicagoIL60625363686216Patient Treatment/EducationIL501(c)(3)Line 11a, I0Swedish Covenant Hospital
Swedish Covenant Hospital
5145 North California AvenueChicagoIL60625362179813HospitalIL501(c)(3)Line 30Covenant Ministries of Benevolence
Swedish Covenant Hospital Foundation (SCHF)
5145 North California AvenueChicagoIL60625205055155Supporting Organization of SCHIL501(c)(3)Line 70Swedish Covenant Hospital
SC Insurance Company
6970 E Chauncey Lane Suite 100PhoenixAZ85054273312053InsuranceAZ501(c)(3)Line 11a, I0Swedish Covenant Hospital

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Cardiovascular Performance Group LLC
5145 N California AvenueChicagoIL60625203587272Management ServicesILN/AN/A00
Coast Asset Management LLC
2450 Colorado Ave Suite 100 E TowerSanta MonicaCA90404954763400Hedge Fund InvestmentCAN/AN/A00
Covenant Village of Portland LP
420 NE Mason StPortlandOR97211364356838Assisted Living CommunityORN/AN/A00
LifeConnect LLC
5700 Old Orchard RoadSkokieIL60077272827919Wellness Software DevelopementILN/AN/A00
Management Services Organization LLC
5700 Old Orchard RoadSkokieIL60077272827998Management & Consulting ServicesILN/AN/A00
Swedish Covenant Surgery LLC
5215 N California AvenueChicagoIL60625272485300Outpatient Medical ServicesILN/AN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntity
Covenant International Insurance Company Ltd
Crawford House 50 Cedar AvenueHamiltonBDInsuranceBDN/A
Covenant Trust Company
Financial ServicesN/A5215 Old Orchard Road Suite 725SkokieIL60077363583163ILC
Swedish Covenant Management Services Inc (SCMS)
Physician Practice ManagementN/A5145 North California AvenueChicagoIL60625364073303ILC
Swedish Covenant Managed Care Alliance (SCMCA)
Physician - Hospital OrganizationN/A2740 West Foster Avenue Suite 409ChicagoIL60625364118659ILC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Covenant Retirement Communities Inc
P1650033
Covenant Retirement Communities Inc
A137465
Covenant Trust Company
O222526

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