WASHINGTON AND JANE SMITH COMMUNITY BEVERLY: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WASHINGTON AND JANE SMITH COMMUNITY BEVERLY (EIN 36-2167948)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-09
IRS object ID
201143139349303059
Schema version
2010v3.2
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)
Timestamp2011-11-09T18:00:06-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362167948EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON AND JANE SMITH COMMUNITY - BEVERLYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWASHNameControl
Phone7734747300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12320 West 113th PlaceAddressLine1
CityChicagoCity
StateILState
ZIP Code60643ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRAY MARNERISName
TitleCFOTitle
Date Signed2011-11-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SMITH VILLAGEBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL A FLYNNBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12320 West 113th PlaceAddressLine1
CityChicagoCity
StateILState
ZIP Code60643ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18632054GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SMITHVILLAGE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1926YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF SMITH VILLAGE IS TO ENRICH THE LIVES OF SENIOR ADULTS THROUGH THE HIGHEST QUALITY OF SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees326TotalNbrEmployees
Total Nbr Volunteers88TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year587517ContributionsGrantsPriorYear
Contributions Grants Current Year711632ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14195972ProgramServiceRevenuePriorYear
Program Service Revenue CY17566248ProgramServiceRevenueCY
Investment Income Prior Year143951InvestmentIncomePriorYear
Investment Income Current Year174050InvestmentIncomeCurrentYear
Other Revenue Prior Year117252OtherRevenuePriorYear
Other Revenue Current Year127181OtherRevenueCurrentYear
Total Revenue Prior Year15044692TotalRevenuePriorYear
Total Revenue Current Year18579111TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY505625GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5929349SalariesEtcPriorYear
Salaries Etc Current Year6117933SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11731000OtherExpensePriorYear
Other Expenses Current Year12677433OtherExpensesCurrentYear
Total Expenses Prior Year17660349TotalExpensesPriorYear
Total Expenses Current Year19300991TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2615657RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-721880RevenuesLessExpensesCY
Total Assets BOY71807907TotalAssetsBOY
Total Assets EOY71848674TotalAssetsEOY
Total Liabilities BOY69806591TotalLiabilitiesBOY
Total Liabilities EOY70563513TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2001316NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1285161NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSMITH VILLAGE WAS INCORPORATED FOR THE CHARITABLE PURPOSE OF PROVIDING INDEPENDENT LIVING, ASSISTED LIVING, AND NURSING CARE SERVICES TO MEN AND WOMEN THROUGH THE OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY, LOCATED IN BEVERLY, ILLINOIS.MissionDescription
Significant ChangefalseSignificantChange
Expense6886933Expense
Revenue9810911Revenue
DescriptionTHE ORGANIZATION PROVIDES RETIREMENT HOUSING AND HEALTH CARE SERVICES TO SENIORS AGED 62 AND OLDER IN A CONTINUING CARE RETIREMENT COMMUNITY SETTING. WITHIN THE COMMUNITY, SMITH VILLAGE OPERATES A 103 BED SKILLED NURSING CARE UNIT. SERVICES PROVIDED INCLUDE 24-HOUR NURSING CARE AND REHABILITATION SERVICES. SMITH VILLAGE IS LICENSED FOR AND ACCEPTS BOTH MEDICARE AND MEDICAID AS SUPPLEMENTAL PAYMENT SOURCES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6747245Expense
Revenue2976973Revenue
DescriptionTHE ORGANIZATION PROVIDES RETIREMENT HOUSING AND HEALTH CARE SERVICES TO SENIORS AGED 62 AND OLDER IN A CONTINUING CARE RETIREMENT COMMUNITY SETTING. WITHIN THE COMMUNITY, SMITH VILLAGE OPERATES 152 INDEPENDENT LIVING APARTMENTS. SMITH VILLAGE BEGAN OPERATION OF THESE UNITS IN NOVEMBER 2007. NOT ALL UNITS WERE OCCUPIED AS OF THE END OF THE FYE 2011. RESIDENTS RECEIVE DISCOUNTED SERVICES IN HEALTHCARE SHOULD THEY REQUIRE TRANSITION TO ASSISTED LIVING OR INTO SKILLED CARE. RESIDENTS WHO OUTLIVE THEIR FINANCIAL RESOURCES CAN APPLY FOR SUPPORT THROUGH THE CHARITABLE CARE FUNDS OF SMITH VILLAGE. DURING THE FYE 2011 REPORTING PERIOD, $156,589 OF DISCOUNTED SERVICES WAS PROVIDED TO RESIDENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3327647Expense
Grants505625Grants
Revenue3971185Revenue
DescriptionTHE ORGANIZATION PROVIDES RETIREMENT HOUSING AND HEALTH CARE SERVICES TO SENIORS AGED 62 AND OLDER IN A CONTINUING CARE RETIREMENT COMMUNITY SETTING. WITHIN THE COMMUNITY, SMITH VILLAGE OPERATES AN 82 UNIT ASSISTED LIVING CENTER. SERVICES INCLUDE PROVISION OF ASSISTANCE TO INDIVIDUALS WHO CAN NO LONGER LIVE INDEPENDENTLY AND NEED ASSISTANCE WITH AT LEAST THREE ACTIVITIES OF DAILY LIVING SUCH AS EATING, BATHING, DRESSING, MEDICATIONS, ETC. INDIVIDUALS RESIDING IN ASSISTED LIVING WHO HAVE OUTLIVED THEIR FINANCIAL RESOURCES ARE FURTHER SUPPORTED BY THE CHARITABLE CARE FUNDS OF SMITH VILLAGE. DURING FYE 2011, $505,625 IN CHARITABLE SERVICES WERE PROVIDED TO RESIDENTS IN ASSISTED LIVING.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense397309Expense
Revenue885680Revenue
Description4D. THE ORGANIZATION ASSESSES AN ENTRANCE FEE UPON MOVING INTO AN INDEPENDENT LIVING UNIT. THIS ENTRANCE FEE SECURES THE RESIDENT'S RIGHT TO RECEIVE DISCOUNTED SERVICES IN HEALTHCARE SHOULD THEY REQUIRE TRANSITION TO ASSISTED LIVING OR SKILLED CARE. UPON LEAVING THE CCRC, RESIDENTS RECEIVE EITHER A 90% OR 95% REFUND OF THE ORIGINAL ENTRANCE FEE. THE NON-REFUNDABLE PORTION OF THE ENTRANCE FEE IS RETAINED BY THE COMPANY AND AMORTIZED INTO INCOME OVER THE ESTIMATED LIFE CYCLE OF INDIVIDUALS IN INDEPENDENT LIVING. 4E. THE ORGANIZATION OWNS AND OPERATES A 17 UNIT APARTMENT BUILDING RESTRICTED TO SENIOR ADULTS. THESE UNITS PROVIDE AFFORDABLE HOUSING ALTERNATIVES WITHOUT ANY OF THE SERVICES PROVIDED WITHIN THE SCOPE OF THE CONTINUING CARE RETIREMENT COMMUNITY. 4F. THE ORGANIZATION PROVIDES BASE PACKAGES OF SERVICES TO RESIDENTS WITHIN A SET MONTHLY OR DAILY FEE STRUCTURE. RESIDENTS CAN CHOOSE TO SECURE ADDED SERVICES FOR ADDITIONAL FEES IN AREAS SUCH AS BEAUTY AND BARBER SERVICES, ADDITIONAL DINING OPTIONS, UNDERGROUND PARKING, TECHNOLOGY SERVICES, AND SPECIAL EVENT PARTICIPATION.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp397309TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev885680TotalOfOtherProgramServiceRev
Total Program Service Expense17359134TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees326NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KARYN PETTIGREW
TRUSTEE1X000
STEVEN MURPHY
TRUSTEE1X000
WILLIAM HUNDING
PRESIDENT2X000X
EUGENE DELVES
VICE PRESIDENT1X000X
THOMAS CHOMICZ
TRUSTEE2X000
KEVIN MCGEE
EXECUTIVE DIRECTOR40115287022728X
CRAIG HANENBURG
CIO2011059112999X
DEBORAH E HART
CFO - PARTIAL YEAR2013379227848X
MICHAEL A FLYNN
CEO2018185328422X
MICHAEL T LEATHERMAN
TREASURER/TRUSTEE - PARTIAL YEAR2X000X
GEORGE E PETRAITIS
SECRETARY1X000X
ALLEN FLAGLER
TRUSTEE1X000
RICHARD MARNERIS
TRUSTEE - PARTIAL YEAR1X000
RAYMOND J MARNERIS
CFO - PARTIAL YEAR2000X
EDUARDO TORRES
DIRECTOR OF NURSING4011219105296X
FieldValueIRS element (for citing)
Total Reportable Comp From Org227478TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs426236TotalReportableCompFrmRltdOrgs
Total Other Compensation97293TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MORRISON DINING
PO BOX 102289ATLANTAGA30268DINING SVC MGMT & SUPPLIES1871112
ALLIANCE REHAB
1520 KENSINGTON RDOAK BROOKIL60523CONTRACT REHAB SVC824813
WASHINGTON & JANE SMITH HOME
2320 WEST 113TH PLACECHICAGOIL60643MANAGEMENT SERVICES661542
ALLIANCE PHARMACY SERVICES
1520 KENSINGTON ROAD SUITE 105OAKBROOKIL60523CONTRACT PHARMACY SVC332603
MEDLINE INDUSTRIES INC
DEPT CH 14400PALATINEIL600554400CONTRANCTUAL MEDICAL SUPPLIES104525
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations463548RelatedOrganizations
All Other Contributions248084AllOtherContributions
Total Contributions711632TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING CARE SERVICES75486217548621
ASSISTED LIVING SERVICES39711853971185
INDEPENDENT LIVING SERVICES29769732976973
ANCILLARY SERVICES22622902262290
ENTRANCE FEES RECOGNIZED510178510178

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column297001TotalRevenueColumn
Related Or Exempt Function Income297001RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue17566248TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11462TotalRevenueColumn
Exclusion$11,462ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column162588TotalRevenueColumn
Exclusion$162,588ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real180124Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real52943Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real127181Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column127181TotalRevenueColumn
Related Or Exempt Function Income78501RelatedOrExemptFunctionIncome
Exclusion$48,680ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18579111TotalRevenueColumn
Related Or Exempt Function Income17644749RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$222,730ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total505625Total
Program Services505625ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5098598Total
Program Services5098598ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total80845Total
Program Services80845ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total576282Total
Program Services576282ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total362208Total
Program Services362208ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1603000Total
Management And General1603000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total60223Total
Program Services59863ProgramServices
Management And General360ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4367497Total
Program Services4305888ProgramServices
Management And General61609ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total186206Total
Program Services26276ProgramServices
Management And General159930ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total373708Total
Program Services306505ProgramServices
Management And General67203ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total41088Total
Program Services23111ProgramServices
Management And General17977ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total823088Total
Program Services823088ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total17754Total
Program Services12821ProgramServices
Management And General4933ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2443498Total
Program Services2420074ProgramServices
Management And General23424ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2572562Total
Program Services2572562ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total129031Total
Program Services125610ProgramServices
Management And General3421ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionFEESDescription
Total59778Total
Program Services59778ProgramServices

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19300991Total
Program Services17359134ProgramServices
Management And General1941857ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY700BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2096613BOY
EOY1289607EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY771404BOY
EOY1073630EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY122354BOY
EOY73360EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis70842714LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10824207LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY62038006BOY
EOY60018507EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY252381BOY
EOY268838EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3009063BOY
EOY4477466EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3517386BOY
EOY4646766EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY71807907BOY
EOY71848674EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2126008BOY
EOY2251640EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1657723BOY
EOY1613214EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY42086893BOY
EOY39569456EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY144091BOY
EOY162955EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY23791876BOY
EOY26966248EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY69806591BOY
EOY70563513EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1940985BOY
EOY1219321EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY60331BOY
EOY65840EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2001316BOY
EOY1285161EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY71807907BOY
EOY71848674EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-721880ReconcilationRevenueExpenses
Reconcilation Other Changes5725ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years569543CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years840816CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years661412CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year587517CurrentTaxYearMinus1Year
Current Tax Year711632CurrentTaxYear
Total3370920Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8722444CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10857229CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12778937CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14236810CurrentTaxYearMinus1Year
Current Tax Year17644749CurrentTaxYear
Total64240169Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9291987CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11698045CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13440349CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14824327CurrentTaxYearMinus1Year
Current Tax Year18356381CurrentTaxYear
Total67611089Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years411584CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years435576CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years413248CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year459114CurrentTaxYearMinus1Year
Current Tax Year506563CurrentTaxYear
Total2226085Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years411584CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years435576CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years413248CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year459114CurrentTaxYearMinus1Year
Current Tax Year506563CurrentTaxYear
Total2226085Total
FieldValueIRS element (for citing)
Public Support Total50965385004PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years396715CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years600523CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years192554CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year220365CurrentTaxYearMinus1Year
Current Tax Year222730CurrentTaxYear
Total1632887Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years396715CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years600523CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years192554CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year220365CurrentTaxYearMinus1Year
Current Tax Year222730CurrentTaxYear
Total1632887Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33608CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167573CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64519CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total265700Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9722310CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12466141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13697422CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15044692CurrentTaxYearMinus1Year
Current Tax Year18579111CurrentTaxYear
Total69509676Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94070PublicSupportPercentage509
Prior Year Support Percentage0.80183PriorYearSupportPercentage
Investment Income Percentage0.02350InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02810PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, VARIOUS SMALL ITEMS: 2006 - $33,608 2007 - $167,573 2008 - $64,519 2009 - NONE 2010 - NONE ,GeneralExplanation

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$7,118OtherActivitiesAmount
Total Lobbying Expenditures IIB7118TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of other lobbying activitiesIdentifier
Return ReferenceSchedule C, Part II-B, Line 1iReturnReference
ExplanationTHE EXPENSES DETAILED ABOVE REPRESENT AN ALLOCATION OF MEMBERSHIP DUES TO LSN ASSOCIATION.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance9837732BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses870994InvestmentEarningsOrLosses
Grants Or Scholarships418398GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses15600AdministrativeExpenses
End Of Year Balance10274728EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10661483BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses-418068InvestmentEarningsOrLosses
Grants Or Scholarships405683GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance9837732EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.07000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.93000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1674140OtherCostOrOtherBasis
Book Value1674140BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis65918241OtherCostOrOtherBasis
Depreciation9315155Depreciation
Book Value56603086BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3250333OtherCostOrOtherBasis
Depreciation1509052Depreciation
Book Value1741281BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings60018507TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value0BookValue

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionFIXED INCOME - GICSDescription
Book Value4477466BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities4477466TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
BOND ISSUANCE COSTS, NET962438
COST OF ACQUIRING INITIAL CONTINUING-CARE CONTRACTS, NET2134397
DUE FROM AFFILIATES1549931
FieldValueIRS element (for citing)
Total Book Value Other Assets4646766TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ENTRANCE FEES$19,785,071
OTHER CURRENT LIABILITIES$15,260
REFUNDABLE RESERVATION DEPOSITS$578,442
NOTE PAYABLE TO AFFILIATE$6,587,475
FieldValueIRS element (for citing)
Total Of Amounts26966248TotalOfAmounts
Total Revenue18579111TotalRevenue
Total Expenses19300991TotalExpenses
Excess Or Deficit For Year-721880ExcessOrDeficitForYear
Net Unrealized GL On Investments5725NetUnrealizedGLOnInvestments
Other$0OtherAmount
Total Adjustments5725TotalAdjustments
Excess Or Deficit Per FS-716155ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18132154TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments5725NetUnrealizedGainsInvestments
Other Revenues52943OtherRevenues
Revenue Not Rptd F99058668RevenueNotRptdF990
Revenue Subtotal18073486RevenueSubtotal
Other Revenues Not Included505625OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt505625RevenueNotRptdOnFinStmt
Total Revenue Per Form99018579111TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18848309TotExpensesEtcAuditedFinclStmt
Other Expenses Included52943OtherExpensesIncluded
Expenses Not Rptd F99052943ExpensesNotRptdF990
Expenses Subtotal18795366ExpensesSubtotal
Other Expenses Not Included505625OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt505625ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019300991TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanation of escrow agreementSchedule D, Part IV, Line 2bRESIDENTS CAN ELECT TO USE THE ORGANIZATION FOR THE MANAGEMENT OF THEIR FUNDS THROUGH THE RESIDENT TRUST ACCOUNTS. THERE IS NO UPPER LIMIT ON AMOUNTS THAT CAN BE ACCEPTED. RESIDENTS AUTHORIZE THE ORGANIZATION TO UTILIZE THEIR FUNDS TO PAY FOR ITEMS AS NEEDED. ALL FUNDS ARE HELD SEPARATELY FROM CORPORATE FUNDS, BUT CO-MINGLED WITH OTHER RESIDENTS' FUNDS. INTEREST IS PAID ON A PASS-THROUGH BASIS FROM BANKING INSTITUTIONS. NO ADDITIONAL FEES ARE INCURRED FOR RESIDENTS TO UTILIZE THIS TRUST FUND ARRANGEMENT.
Intended uses of endowment fundsSchedule D, Part V, Line 4THE ENDOWMENT FUND IS HELD BY WASHINGTON AND JANE SMITH HOME D/B/A SMITH SENIOR LIVING (SSL), A RELATED TAX-EXEMPT ORGANIZATION. SSL DISBURSES FUNDS AS NEEDED WITHIN THE GUIDELINES OF THE ENDOWMENT FUND. THE EARNINGS ON THE ASSETS IN THE ENDOWMENT FUND HAVE BEEN DESIGNATED TO SUPPORT THE OPERATING ACTIVITIES OF SMITH VILLAGE.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE ORGANIZATION HAS ADOPTED U.S. GAAP WITH RESPECT TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE ADOPTION HAD NO TAX EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.
Other revenues in audited financial statements not in form 990Schedule D, Part XII, Line 2dRENTAL REVENUE EXPENSES - 52943;
Other revenues in form 990 not in audited financial statementsSchedule D, Part XII, Line 4bCHARITABLE CARE - 505625;
Other expenses in audited financial statements not in form 990Schedule D, Part XIII, Line 2dRENTAL REVENUE EXPENSES - 52943;
Other expenses in form 990 not in audited financial statementsSchedule D, Part XIII, Line 4bCHARITABLE CARE - 505625;

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantCHARITABLE CARETypeOfGrant
Number Of Recipients78NumberOfRecipients
Amount Of Cash Grant505625AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationTHE ORGANIZATION'S CHARITABLE SUPPORT PROGRAM HAS TWO COMPONENTS. IN SEVERAL INSTANCES, THE ORGANIZATION HAS AGREED TO PROVIDE A FIXED AMOUNT PER MONTH IN CHARITABLE SUPPORT WITH THE EXPECTATION THAT THE INDIVIDUAL IS THEN RESPONSIBLE FOR THE BALANCE OF THEIR MONTHLY BILL. THE SECOND COMPONENT DESIGN IS WHEN AN INDIVIDUAL HAS ESSENTIALLY RUN OUT OF ASSETS AND THE ORGANIZATION CONTINUES TO PROVIDE ALL THE REQUIRED SERVICES WITH CHARITABLE CARE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 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
DEBORAH E HART
01212260001256605525022323016164000
MICHAEL A FLYNN
01666320001522107427020995021027500

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierMETHODS USED TO ESTABLISH COMPENSATIONIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 3ReturnReference
ExplanationTHE ORGANIZATION RELIES ON SMITH SENIOR LIVING (SSL), A RELATED TAX-EXEMPT ORGANIZATION TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. THE CHAIRMAN OF THE BOARD 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 A SEMI-ANNUAL BASIS. DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN861091967IssuerEIN
CUSIP Number45200BVN5CUSIPNumber
Date Issued2005-12-29DateIssued
Issue Price61805000IssuePrice
Description Of PurposeRE-DEVELOPED CAMPUS INTO A CCRCDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired22500000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds63046169TotalProceeds
Amount In Reserve Fund2889528AmountInReserveFund
Capitalized Interest3706008CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds1111028IssuanceCostsFromProceeds
Credit Enhancement250181CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures47790073CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2006YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.0036PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.0000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.0036TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1LASALLE BANK NATIONAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge4.0TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1NATIXISBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC40.0TermOfGIC
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedtrueGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierBOND GROSS PROCEEDS INVESTED BEYOND AVAILABLE TEMPORARY PERIODIdentifier
Return ReferenceSCHEDULE K, PART IV, LINE 5ReturnReference
ExplanationTHE YIELD REDUCTION CALCULATION WAS PERFORMED AND THERE WAS NO LIABILITY OWED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of other program servicesForm 990, Part III, Line 4d4D. THE ORGANIZATION ASSESSES AN ENTRANCE FEE UPON MOVING INTO AN INDEPENDENT LIVING UNIT. THIS ENTRANCE FEE SECURES THE RESIDENT'S RIGHT TO RECEIVE DISCOUNTED SERVICES IN HEALTHCARE SHOULD THEY REQUIRE TRANSITION TO ASSISTED LIVING OR SKILLED CARE. UPON LEAVING THE CCRC, RESIDENTS RECEIVE EITHER A 90% OR 95% REFUND OF THE ORIGINAL ENTRANCE FEE. THE NON-REFUNDABLE PORTION OF THE ENTRANCE FEE IS RETAINED BY THE COMPANY AND AMORTIZED INTO INCOME OVER THE ESTIMATED LIFE CYCLE OF INDIVIDUALS IN INDEPENDENT LIVING. 4E. THE ORGANIZATION OWNS AND OPERATES A 17 UNIT APARTMENT BUILDING RESTRICTED TO SENIOR ADULTS. THESE UNITS PROVIDE AFFORDABLE HOUSING ALTERNATIVES WITHOUT ANY OF THE SERVICES PROVIDED WITHIN THE SCOPE OF THE CONTINUING CARE RETIREMENT COMMUNITY. 4F. THE ORGANIZATION PROVIDES BASE PACKAGES OF SERVICES TO RESIDENTS WITHIN A SET MONTHLY OR DAILY FEE STRUCTURE. RESIDENTS CAN CHOOSE TO SECURE ADDED SERVICES FOR ADDITIONAL FEES IN AREAS SUCH AS BEAUTY AND BARBER SERVICES, ADDITIONAL DINING OPTIONS, UNDERGROUND PARKING, TECHNOLOGY SERVICES, AND SPECIAL EVENT PARTICIPATION.
Delegation of management dutiesForm 990, Part VI, Section A, Line 3THE ORGANIZATION HAS AN AGREEMENT WITH SMITH SENIOR LIVING (SSL) TO OVERSEE AND MANAGE ITS DAY-TO-DAY OPERATIONS. THE INITIAL TERM OF THIS AGREEMENT WAS FOR THE PERIOD OF ONE (1) YEAR. THIS AGREEMENT RENEWS ANNUALLY THEREAFTER UNLESS TERMINATED IN ACCORDANCE WITH OTHER TERMS AND CONDITIONS CONTAINED THEREIN. FURTHERMORE, CERTAIN SUBORDINATION AND DEFERRAL PROVISIONS APPLY IN CONNECTION WITH PAYMENT OF COMPENSATION TO SSL. UNDER THE TERMS OF THE AGREEMENT, THE ORGANIZATION MUST COMPENSATE SSL FOR MANAGEMENT SERVICES RENDERED. THE AGREEMENT ALSO CONTAINS A PROVISION TO COMPENSATE SSL FOR SUPPLEMENTAL SERVICES IT MAY PROVIDE ABOVE AND BEYOND THOSE ENUMERATED IN THE AGREEMENT. IN ADDITION, THE ORGANIZATION MUST PAY SSL AN ADDITIONAL SUM ON A MONTHLY BASIS AS REIMBURSEMENT FOR SSL'S OVERHEAD EXPENSES RELATED TO THE ORGANIZATION. EXPENSES INCURRED BY THE ORGANIZATION FOR MANAGEMENT SERVICES PROVIDED UNDER THIS AGREEMENT AND CERTAIN PASS-THROUGH CORPORATE COSTS WERE $1,603,000.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6SMITH VILLAGE HAS A SINGLE CLASS OF VOTING MEMBERS AND THE SOLE MEMBER OF THAT CLASS IS SMITH SENIOR LIVING, A RELATED ILLINOIS TAX-EXEMPT ORGANIZATION, WHICH SHALL CONTINUE FROM YEAR-TO-YEAR AS THE SOLE MEMBER OF THE ORGANIZATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aTHE ORGANIZATION MUST HAVE APPROVAL OF ITS SOLE MEMBER, SMITH SENIOR LIVING, BEFORE ELECTING OR REMOVING ANY OF THE ORGANIZATION'S TRUSTEES AND OFFICERS.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bTHE ORGANIZATION SHALL NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OF THE SOLE MEMBER: (1) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THIS CORPORATION. (2) AMENDMENT OF THE BYLAWS OF THIS CORPORATION. (3) MERGER, CONSOLIDATION OR DISSOLUTION OF THIS CORPORATION. (4) THE CREATION OF ANY SUBSIDIARIES OR AFFILIATES OF THIS CORPORATION. (5) ADOPTION OF THE BUSINESS PLAN APPROVED ANNUALLY BY THE BOARD OF TRUSTEES OF THIS CORPORATION. (6) ADOPTION OF THE ANNUAL BUDGET APPROVED BY THIS CORPORATION AND ANY ACTIONS TAKEN BY THIS CORPORATION WHICH WOULD OR COULD INVOLVE EXPENDITURES WHICH EXCEED ONE HUNDRED AND TEN PERCENT (110%) OF THE APPROVED BUDGETED AMOUNTS FOR SUCH EXPENDITURES. (7) THE SELECTION OF BANKING AFFILIATIONS, ACCOUNTING FIRMS OR LEGAL COUNSEL, AS WELL AS APPROVAL OF THE ENGAGEMENT OF ANY CONSULTANTS NOT SPECIFICALLY PROVIDED IN AN APPROVED BUDGET. (8) THE SELECTION AND RETENTION OF THE EXECUTIVE DIRECTOR OF THIS CORPORATION. (9) THE MAKING OF CAPITAL EXPENDITURES OR SALE OF ANY CAPITAL ASSETS BY THIS CORPORATION IN EXCESS OF FIFTY THOUSAND DOLLARS ($50,000) UNLESS PROVIDED IN THE ANNUAL BUDGET. (10) THE SELECTION OF THE MANNER AND LOCATION OF INVESTMENT OF ANY FUNDS. (11) THE EXTENSION OF ANY LOANS BY OR ANY BORROWING BY THIS CORPORATION.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE ORGANIZATION'S INTERNAL MANAGEMENT REVIEWS THE RETURN WITH ITS PAID TAX PREPARER. AFTER REVIEW, COPIES OF THE FULL FORM 990 ARE PRESENTED TO ALL TRUSTEES VIA EMAIL PRIOR TO FILING THE RETURN WITH THE IRS. FULL REVIEW OF THE RETURN IS DELEGATED TO THE FINANCE COMMITTEE.
Conflict of interest policyForm 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 REVIEWED BY THE CFO 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.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE ORGANIZATION RELIES ON SMITH SENIOR LIVING (SSL), A RELATED TAX-EXEMPT ORGANIZATION TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. THE CHAIRMAN OF THE BOARD 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 A SEMI-ANNUAL BASIS. DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. THE LAST COMPENSATION REVIEW WAS COMPLETED IN 2010. DUE TO GENERAL ECONOMIC ISSUES, COMPENSATION ADJUSTMENTS WERE FOREGONE IN FISCAL YEAR 2011 FOR THE CEO.
Public DisclosureForm 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.
COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEESFORM 990, PART VI, SECTION B, LINE 15BTHE CEO OF THE ORGANIZATION DETERMINES THE ANNUAL COMPENSATION OF ALL OTHER OFFICERS, WITH THE EXCEPTION OF THE CFO, BY COMPARING THE COMPENSATION OF EACH OFFICER AND KEY EMPLOYEE TO PROFESSIONALS PERFORMING SIMILAR SERVICES IN SIMILAR INDUSTRIES ON AN ANNUAL BASIS. THE CHAIRMAN OF THE BOARD EVALUATES AND ESTABLISHES COMPENSATION AND REVIEWS PROTOCOL FOR THE ORGANIZATION'S CFO. ANNUAL COMPENSATION COMPARISONS TO INDUSTRY PROFESSIONALS ARE GATHERED AND REVIEWED ON A SEMI-ANNUAL BASIS. THE LAST COMPENSATION REVIEW WAS COMPLETED IN 2010.
FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONSFORM 990, PART VI, SECTION A, LINE 2RICHARD MARNERIS, TRUSTEE, IS THE BROTHER OF RAYMOND J MARNERIS, CFO. RICHARD MARNERIS WAS TRUSTEE THROUGH AUGUST OF 2010. RAYMOND J MARNERIS BECAME CFO IN APRIL OF 2011. THEREFORE, RICHARD WAS NOT ON THE BOARD OF DIRECTORS WHEN RAYMOND WAS THE CFO. THEY ARE BOTH LISTED AS INTERESTED PERSONS BECAUSE THEY EACH SERVED IN THEIR RESPECTIVE POSITIONS FOR PART OF THE YEAR ENDING JUNE 30, 2011.
COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEE, KEY EMPLOYEES, ETCFORM 990, PART VII, SECTION A, LINE 1(A), COLUMN (B)THE CEO, CFO, AND CIO REPORTED ON PART VII DEVOTE APPROXIMATELY 38 HOURS A WEEK TO SMITH SENIOR LIVING AND 2HRS A WEEK TO SMITH CROSSING, BOTH OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS. THE FOLLOWING TRUSTEES/OFFICERS EACH DEVOTE APPROXIMATELY 1-2 HOURS A WEEK TO SMITH SENIOR LIVING, A RELATED TAX-EXEMPT ORGANIZATION: THOMAS CHOMICZ EUGENE DELVES ALLEN FLAGLER WILLIAM HUNDING MICHAEL LEATHERMAN RICHARD MARNERIS STEVEN MURPHY GEORGE PETRAITIS KARYN PETTIGREW THE FOLLOWING TRUSTEE/OFFICERS EACH DEVOTE APPROXIMATELY 1-2HRS A WEEK TO SMITH CROSSING, A RELATED TAX-EXEMPT ORGANIZATION: MICHAEL LEATHERMAN GEORGE PETRAITIS THOMAS CHOMICZ
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 5725;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
WJS - SMITH SENIOR LIVING
2320 WEST 113TH PLACECHICAGOIL60643364335178MANAGEMENTIL501(C)(3)11 - Type INA
WJS - SMITH CROSSING
10501 EMILIE LANEORLAND PARKIL60467364333423CCRCIL501(C)(3)9SSL
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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