2026-08-07T10:28:18+00:00 2025-09-30 331498605 PLANTE & MORAN PLLC 10 SOUTH RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2024-10-01 841084331 COVENANT LIVING OF COLORADO INC COVE 3034244828 9153 YARROW STREET WESTMINSTER CO 800214563 JEAN E JUSTIE CFO 3034244828 2026-08-07 true true SAMANTHA L BECKER P01344887 3122071040 2026-07-31 2024 2025-03-06 01:10:19Z DAVID ERICKSON C/O CLCS - 5700 OLD ORCHARD RD SKOKIE IL 60077 27836610 false X WWW.COVLIVING.ORG X 1988 CO CARE FOR SENIOR ADULTS. 19 15 262 47 0 418707 347680 24066937 25475452 601484 1440908 305444 571015 25392572 27835055 0 0 0 10249057 10972209 0 0 168675 14269501 15239173 24518558 26211382 874014 1623673 66242379 69423922 81358340 82158371 -15115961 -12734449 (SEE SCHEDULE O) false false 9249519 13881566 RESIDENTIAL LIVING: THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED SEPTEMBER 30, 2025 WERE AS FOLLOWS: THERE WERE A TOTAL OF 311 RESIDENTS OCCUPYING 233 APARTMENTS AT 09/30/2025. RESIDENCY FOR THE FISCAL YEAR TOTALED 111,140 RESIDENT DAYS. 7602769 8805070 SKILLED NURSING: THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED SEPTEMBER 30, 2025 WERE AS FOLLOWS: THERE WERE A TOTAL OF 53 SKILLED AND LONG TERM RESIDENTS AT 09/30/2025. SKILLED AND LONG TERM RESIDENCY FOR THE FISCAL YEAR TOTALED 19,491 RESIDENT DAYS. 2261212 3041133 ASSISTED LIVING: THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED SEPTEMBER 30, 2025 WERE AS FOLLOWS: THERE WERE A TOTAL OF 38 ASSISTED LIVING RESIDENTS AT 09/30/2025. ASSISTED LIVING RESIDENCY FOR THE FISCAL YEAR TOTALED 13,641 RESIDENT DAYS. 19113500 true true false true false false false false true false true true false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true false false false false true 0 0 262 true false false false false false false false false false false false false X 19 15 false true false false true false true true true true false false true true true true true true false true false false X JEAN E JUSTIE 7738782294 C/O CLCS 5700 OLD ORCHARD RD SKOKIE IL 60077 DAVID G ERICKSON DIRECTOR/EX-OFFICIO/CHIEF EXECUTIVE OFFICER 1.0 61.0 X X 0 661650 149211 JANET CREANEY DIRECTOR/CHAIR 0.1 2.2 X X 0 0 0 JANET GOELZ HOFFMAN DIRECTOR/VICE CHAIR 0.1 2.2 X X 0 0 0 JENNIFER MEANS DIRECTOR/SECRETARY 0.1 2.1 X X 0 0 0 AL LOPUS DIRECTOR 0.1 2.1 X 0 0 0 ALLAN ANDERSON DIRECTOR 0.1 2.1 X 0 0 0 ANDREW VANOVER DIRECTOR - PART YEAR 0.1 2.1 X 0 0 0 CRAIG SWANSON DIRECTOR 0.1 2.1 X 0 0 0 CURT ANDERSON DIRECTOR/EX-OFFICIO 0.1 2.2 X 0 0 0 JOHN FREDRICKSON DIRECTOR 0.1 2.1 X 0 0 0 KATHY BUETTNER DIRECTOR 0.1 2.2 X 0 0 0 KURT KINCANON DIRECTOR 0.1 2.1 X 0 0 0 LORENE FLEWELLEN DIRECTOR 0.1 2.2 X 0 0 0 MARY PALMER DIRECTOR/EX-OFFICIO - PART YEAR 0.1 2.3 X 0 0 0 MATHEW MANLOVE DIRECTOR 0.1 2.1 X 0 0 0 PAMELA CHRISTENSEN DIRECTOR 0.1 2.1 X 0 0 0 RICK SHEPARD DIRECTOR 0.1 2.1 X 0 0 0 ROBERT MARTIN DIRECTOR 0.1 2.1 X 0 0 0 SARAH BENTLEY DIRECTOR 0.1 2.1 X 0 0 0 TAMMY SWANSON-DRAHEIM DIRECTOR/EX-OFFICIO/ECC PRES 0.1 42.2 X 0 145412 106291 TODD SLETCHA DIRECTOR/EX-OFFICIO/CMB PRESIDENT 0.1 42.3 X 0 323746 67944 CORY KALLHEIM GENERAL COUNSEL/ASSISTANT SECRETARY 1.0 61.0 X 0 327540 81213 EMILY WARNYGORA CHIEF OF STAFF/ASST. SECRETARY 1.0 61.0 X 0 101477 13734 JEAN E JUSTIE CHIEF FINANCIAL OFFICER/TREASURER/ASSISTANT SEC 1.0 61.0 X 0 585593 108168 PETER MILBOURN ASSOCIATE VICE PRESIDENT, OPERATIONS 1.0 46.0 X 0 322709 50065 ROBERT BAKER EXECUTIVE DIRECTOR 40.0 0 X 254897 0 24550 ROBERTA NEVERS INTERIM CHIEF HUMAN RESOURCES OFFICER 1.0 60.0 X 0 288527 63598 TANDERIA BROWN CHIEF HUMAN RESOURCES OFFICER - PART YEAR 1.0 60.0 X 0 394651 61258 ANNA SECHRIST DIRECTOR OF SALES 40.0 0 X 135272 0 26529 GARRY HINDERLITER DIRECTOR OF HUMAN RESOURCES 40.0 0 X 135974 0 39645 JARED KONKLE NURSING SUPERVISOR, RN 40.0 0 X 126571 0 15871 JENNA BUTTERFIELD HEALTHCARE ADMINISTRATOR 40.0 0 X 148850 0 20486 KELLY MEDINA DIRECTOR OF NURSING 40.0 0 X 125698 0 32383 JAY PRINCE FORMER SVP/COMMUNITY OPERATIONS/ASST. SECRETARY 0.0 0.0 X 0 183058 4875 TERRI S CUNLIFFE FORMER DIRECTOR AND CLCS PRESIDENT/CEO - THRU 05/24 0.0 0.0 X 0 941279 235887 WILLIAM RABE FORMER OFFICER/CURENT CHIEF INFORMATION AND TECHNOLOGY OFFICER 0.0 42.0 X 0 495439 74300 927262 4771081 1176008 9 true true false 0 347680 347680 ROUTINE SERVICES 623000 16236010 16236010 ENTRANCE FEE 623000 4187163 4187163 MEDICARE/MEDICAID 623000 3418018 3418018 ANCILLARY SERVICES 623000 1507414 1507414 MEALS 623000 126847 126847 0 0 0 0 25475452 454357 454357 0 0 988106 0 0 1555 988106 -1555 986551 986551 SUPPORT SERVICES 623000 144723 144723 SERVICES TO RESIDENTS 623000 32254 32254 APARTMENT UPGRADES 623000 28755 28755 365283 46585 0 318698 571015 27835055 25727769 0 1759606 289765 289765 8962906 7310836 1557139 94931 98419 65195 30402 2822 944298 727540 215418 1340 676821 551809 117394 7618 110020 110020 77616 77616 5460 5460 750 750 2250612 2152368 96701 1543 163075 163075 1164953 1019622 135537 9794 680256 194665 485591 1015829 1015829 95389 59025 33292 3072 113612 26612 84769 2231 1239327 904245 327107 7975 4477536 3266927 1181795 28814 396062 396062 RELATED PARTY ACTIVITY 1836669 1836669 DINING SERVICES 972684 972684 MAINTENANCE FOR RESIDENTS 299894 299894 RECRUITING 138261 37363 100898 201168 2804 189829 8535 26211382 19113500 6929207 168675 10563 16657 514440 514979 147199 72709 1417430 1098162 0 0 0 0 9725 17570 93224455 50344504 43016983 42879951 11921941 14554795 8737953 9802954 0 466145 466145 66242379 69423922 312745 689678 18073690 18614401 25950927 18907229 166443 162244 0 0 7016293 36854535 36768526 81358340 82158371 X -15343471 -13014249 227510 279800 -15115961 -12734449 66242379 69423922 X 1623673 752669 5170 X false true true false X 1274165 1026041 493392 418707 347680 3559985 18742815 20529618 22860262 24372381 25727769 112232845 0 0 0 20016980 21555659 23353654 24791088 26075449 115792830 0 0 0 1300 625 1925 0 0 0 0 0 0 0 0 0 1300 625 1925 115790905 437041 498366 667170 412760 454357 2469694 0 437041 498366 667170 412760 454357 2469694 0 7941 12106 0 0 318698 338745 20461962 22066131 24020824 25203848 26848504 118601269 0.97630 0.96381 0.02 0.02 X SCHEDULE A, PART III, LINE 12 OTHER INCOME DESCRIPTION - INSURANCE CLAIMS REIMBURSEMENT, COLUMN A - 7941.0, COLUMN B - 12106.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 20047.0; DESCRIPTION - GAIN ON EXTINGUISHMENT OF DEBT, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 318698.0, COLUMN F - 318698.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 750 750 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF MEMBERSHIP DUES PAID TO LEADING AGE ARE USED FOR LOBBYING PURPOSES false true X 2161208 2161208 70263081 40493369 29769712 18293787 9188269 9105518 2506379 662866 1843513 42879951 CLOSELY-HELD EQUITY INTERESTS FINANCIAL DERIVATIVES MORTGAGES 50017 F PRIVATE EQUITY 269016 F HEDGE FUND & DERIVATIVES 2268011 F DOMESTIC EQUITY 4835581 F INTERNATIONAL EQUITY 2380329 F 9802954 FEDERAL INCOME TAXES DEFERRED REVENUE SUBJECT TO REFUND 12762985 REFUNDABLE CONTRACT LIABILITIES 20501948 OTHER LIABILITIES 795558 INTER-COMPANY PAYABLES 2708035 36768526 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART IV, LINE 2B EXPLANATION OF ESCROW AGREEMENT RESIDENT TRUST FUND ACCOUNT: PER STATE REGULATIONS, AN ACCOUNT IS MADE AVAILABLE TO SKILLED NURSING COMMUNITY RESIDENTS WISHING TO DEPOSIT PERSONAL NEEDS FUNDS THAT THEY CAN ACCESS AS NEEDED. INTEREST IS PAID BASED ON THE INTEREST RECEIVED FROM THE BANK FOR THOSE DEPOSITED FUNDS AND ALLOCATED AMONG THE INDIVIDUAL TRUST FUND ACCOUNTS BASED ON AVERAGE BALANCES. 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 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. true true false false false false false true false DAVID G ERICKSON DIRECTOR/EX-OFFICIO/CHIEF EXECUTIVE OFFICER 0 459033 0 96942 0 105675 0 98100 0 51111 0 810861 0 49490 TODD SLETCHA DIRECTOR/EX-OFFICIO/CMB PRESIDENT 0 277415 0 0 0 46331 0 35568 0 32376 0 391690 0 13018 TAMMY SWANSON-DRAHEIM DIRECTOR/EX-OFFICIO/ECC PRES 0 114912 0 0 0 30500 0 28291 0 78000 0 251703 0 0 TERRI S CUNLIFFE FORMER DIRECTOR AND CLCS PRESIDENT/CEO - THRU 05/24 0 260945 0 343678 0 336656 0 220397 0 15490 0 1177166 0 115275 JAY PRINCE FORMER SVP/COMMUNITY OPERATIONS/ASST. SECRETARY 0 84974 0 0 0 98084 0 0 0 4875 0 187933 0 0 WILLIAM RABE FORMER OFFICER/CURENT CHIEF INFORMATION AND TECHNOLOGY OFFICER 0 290639 0 101942 0 102858 0 48843 0 25457 0 569739 0 34258 JEAN E JUSTIE CHIEF FINANCIAL OFFICER/TREASURER/ASSISTANT SEC 0 342178 0 150383 0 93032 0 54841 0 53327 0 693761 0 13839 CORY KALLHEIM GENERAL COUNSEL/ASSISTANT SECRETARY 0 255110 0 48075 0 24355 0 37044 0 44169 0 408753 0 0 ROBERT BAKER EXECUTIVE DIRECTOR 196173 0 39984 0 18740 0 23704 0 846 0 279447 0 0 0 TANDERIA BROWN CHIEF HUMAN RESOURCES OFFICER - PART YEAR 0 247389 0 99854 0 47408 0 32398 0 28860 0 455909 0 0 PETER MILBOURN ASSOCIATE VICE PRESIDENT, OPERATIONS 0 249295 0 32899 0 40515 0 27695 0 22370 0 372774 0 15252 ROBERTA NEVERS INTERIM CHIEF HUMAN RESOURCES OFFICER 0 184300 0 41415 0 62812 0 31153 0 32445 0 352125 0 0 JENNA BUTTERFIELD HEALTHCARE ADMINISTRATOR 117530 0 16184 0 15136 0 9894 0 10592 0 169336 0 0 0 GARRY HINDERLITER DIRECTOR OF HUMAN RESOURCES 102374 0 16006 0 17594 0 4436 0 35209 0 175619 0 0 0 KELLY MEDINA DIRECTOR OF NURSING 109647 0 9558 0 6493 0 5059 0 27324 0 158081 0 0 0 ANNA SECHRIST DIRECTOR OF SALES 86887 0 43500 0 4885 0 3756 0 22773 0 161801 0 0 0 SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION SEE SCHEDULE O EXPLANATION FOR FORM 990 PART VI SECTION B LINE 15 FOR THE METHODS USED TO DETERMINE CEO COMPENSATION. THE REVIEW AND APPROVAL PROCESS IS DESIGNED TO SATISFY AND QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958. SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT JAY PRINCE RECEIVED SEVERANCE IN THE AMOUNT OF $70,017. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COVENANT MINISTRIES OF BENEVOLENCE (CMB), A RELATED ORGANIZATION, 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 EXECUTIVE COMPENSATION COMMITTEE OF CMB'S BOARD ("COMMITTEE") 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 ARE PARTICIPANTS IN THE PLAN: TERRI CUNLIFFE TODD SLECHTA DAVID ERICKSON JEAN JUSTIE WILLIAM RABE TANDERIA BROWN PETER MILBOURN ROBERT BAKER JENNA BUTTERFIELD CORY KALLHEIM JAY PRINCE ROBERTA NEVERS KELLY MEDINA IN 2024, THESE INDIVIDUALS VESTED IN THE PLAN IN THE FOLLOWING AMOUNTS: DAVID ERICKSON - $49,490 WILLIAM RABE - $34,258 TERRI CUNLIFFE - $70,201 PETER MILBOURN - $15,252 TODD SLECHTA - $13,018 JEAN JUSTIE - $13,839 IN 2024, THESE INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE PLAN IN THE FOLLOWING AMOUNTS: DAVID ERICKSON - $30,843 PETER MILBOURN - $9,919 TERRI CUNLIFFE - $595,808 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS THE FOLLOWING APPLIES TO CERTAIN INDIVIDUALS LISTED ON PART VII WHOSE COMPENSATION IS PAID FROM RELATED ORGANIZATIONS: THE EXECUTIVE COMPENSATION COMMITTEE (OF CMB'S BOARD) FOLLOWS A PRESCRIBED METHOD FOR CALCULATING INCENTIVE COMPENSATION AWARDS. 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 OR ON FACTORS THAT WILL ASSURE THAT FINAL INCENTIVE COMPENSATION AWARDS ARE IN THE BEST INTEREST OF THE ORGANIZATION AND APPROPRIATELY REFLECT THE PERFORMANCE OF THE ORGANIZATION. REFER TO ADDITIONAL INFORMATION ON THE COMMITTEE INCLUDED IN SCHEDULE O. SCHEDULE J, PART II, COLUMN (B)(II) BONUS AND INCENTIVE COMPENSATION - CERTAIN KEY PERSONS EMPLOYED BY COVENANT LIVING AND CMB ARE ELIGIBLE FOR INCENTIVE COMPENSATION AS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF EITHER THE COVENANT LIVING OR CMB'S BOARD BASED ON WHERE THESE INDIVIDUALS ARE EMPLOYED. INCENTIVES RELATED TO THE ACHIEVEMENT OF TARGETS FOR THE TWELVE MONTHS ENDED 9/30/23 WERE PAID OUT IN 2024 FOR CLCS AND RELATED ENTITIES. INCENTIVES RELATED TO CMB'S ACHIEVEMENT OF TARGETS FOR THE TWELVE MONTHS ENDED 9/30/24 WERE PAID OUT IN 2024. SCHEDULE J, PART II, COLUMN (D) NONTAXABLE BENEFITS INCLUDE HEALTH INSURANCE PREMIUMS PAID BY THE EMPLOYER AND EMPLOYEE. FORM 990, PART III, LINE 1 AS A MINISTRY OF THE EVANGELICAL COVENANT CHURCH, COVENANT LIVING COMMUNITIES AND SERVICES 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 LIVING, COVENANT LIVING OF COLORADO, INC. PROVIDED $145,046 OF FREE OR DISCOUNTED SERVICES TO THOSE RESIDENTS UNABLE TO PAY ALL OR A PORTION OF THEIR CHARGES, AND WHO MEET CERTAIN ELIGIBILITY REQUIREMENTS. COVENANT LIVING OF COLORADO ALSO PROVIDES SERVICES TO MEDICAID RECIPIENTS AT A COST GREATER THAN THE REIMBURSEMENT PROVIDED. IN THE YEAR ENDED SEPTEMBER 30, 2025, THE AMOUNT OF COST IN EXCESS OF MEDICAID REIMBURSEMENT WAS $841,518. ADDITIONALLY, COVENANT LIVING OF COLORADO PROVIDES OTHER BENEFITS TO THE COMMUNITY, INCLUDING HOSTING MEETINGS FOR LOCAL ORGANIZATIONS FOR FREE. RESIDENTS OF COVENANT LIVING OF COLORADO VOLUNTEER AT MANY ORGANIZATIONS BOTH IN AND OUTSIDE OF THE COMMUNITY. FORM 990, PART IV, LINE 24A TAX-EXEMPT BONDS THE ORGANIZATION HAS TAX-EXEMPT BONDS ISSUED AFTER DECEMBER 31, 2002 WITH AN OUTSTANDING PRINCIPAL OF MORE THAN $100,000. THE BONDS ARE REPORTED ON SCHEDULE K OF THE PARENT ORGANIZATION. FORM 990, PART VI, LINE 3 DELEGATION OF MANAGEMENT DUTIES COVENANT LIVING OF COLORADO DELEGATED CONTROL OVER MANAGEMENT DUTIES TO COVENANT LIVING COMMUNITIES AND SERVICES, ITS PARENT ORGANIZATION. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER IS COVENANT LIVING COMMUNITIES AND SERVICES. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS S 2.4 OF BYLAWS INCLUDE RESERVED POWERS TO THE [INDIVIDUAL] MEMBERS SUCH AS CHANGES TO MISSION AND STRATEGIC PLAN, APPROVAL OF CERTAIN ACQUISITIONS, DISPOSITIONS AND FINANCINGS, CHANGES TO ARTICLES AND BYLAWS. FORM 990, PART VI, LINE 9 INTERESTED PERSON NOT AT ORGANIZATION'S ADDRESS ALL OF THE ORGANIZATION'S DIRECTORS AND OFFICERS CAN BE CONTACTED AT THIS ADDRESS: COVENANT LIVING COMMUNITIES AND SERVICES - 5700 OLD ORCHARD ROAD, SKOKIE, IL 60077. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY MANAGEMENT REVIEW: THE DRAFT FORM 990 WAS REVIEWED BY MULTIPLE LEVELS OF MANAGEMENT INCLUDING THE CHIEF FINANCIAL OFFICER. THE GENERAL COUNSEL ALSO REVIEWED SELECT RETURNS. BOARD REVIEW: PRIOR TO FILING, THE FORM 990 PROCESS WAS REVIEWED WITH THE BOARD OF DIRECTORS AT THE BOARD MEETING AND THE FINAL FORM 990 WAS PROVIDED TO EACH BOARD MEMBER. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY COVENANT LIVING COMMUNITIES AND SERVICES 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. THE COVENANT LIVING POLICY IS DISTRIBUTED ANNUALLY TO COVENANT LIVING 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 COVENANT LIVING'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, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES COVENANT LIVING COMMUNITIES AND SERVICES' 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 COVENANT LIVING'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 COVENANT LIVING'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. THE RESOURCES UTILIZED BY THE COMPENSATION COMMITTEE INCLUDE: 1) INDEPENDENT COMPENSATION CONSULTANT; 2) COMPENSATION SURVEY OR STUDY; 3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST BY CONTACTING THE COVENANT LIVING COMMUNITIES AND SERVICES FINANCE DEPARTMENT AT 773-878-2294. THE FINANCIAL STATEMENTS CAN BE ACCESSED THROUGH THE COVENANT LIVING WEBSITE. FORM 990, PART VII, SECTION B, LINE 1 INDEPENDENT CONTRACTORS ARE NOW REPORTED ON THE FORM 990 OF COVENANT LIVING COMMUNITIES AND SERVICES (CLCS), THE PARENT COMPANY OF COVENANT LIVING OF COLORADO, AS THE ENTITY RESPONSIBLE FOR PAYMENTS AND ISSUANCE OF FORMS 1099, ALIGNING WITH TAX REPORTING REQUIREMENTS. FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE ALL OTHER REVENUE - TOTAL REVENUE: 365283, RELATED OR EXEMPT FUNCTION REVENUE: 46585, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 318698; FORM 990, PART X, LINE 23 PART X, LINES 20 AND 23 - IN THE PRIOR YEAR, THE AMOUNT REPORTED ON LINE 20 INCLUDED BOTH TAX-EXEMPT AND TAXABLE BOND LIABILITIES. IN THE CURRENT YEAR, TAXABLE BOND LIABILITIES ARE SEPARATELY REPORTED ON LINE 23. THIS CHANGE REFLECTS A RECLASSIFICATION OF EXISTING LIABILITIES AND DOES NOT REPRESENT NEW DEBT. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN PRESENT VALUE OF IRREVOCABLE TRUSTS - 5170; TOTAL - 5170; EVANGELICAL COVENANT CHURCH 8303 WEST HIGGINS ROAD CHICAGO IL 60631 362167730 CHURCH IL 501(C)(3) 1 NA false COVENANT LIVING COMMUNITIES AND SERVICES 5700 OLD ORCHARD RD SKOKIE IL 60077 363478388 MANAGEMENT/SUPPORT SERVICES IL 501(C)(3) TYPE II EVANGELICAL COVENANT CHURCH false COVENANT LIVING OF GOLDEN VALLEY 5800 ST CROIX AVE MINNEAPOLIS MN 55422 410841150 CONTINUING CARE RETIREMENT COMMUNITY MN 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT HEALTH CARE CENTER INC 2155 PFINGSTEN ROAD NORTHBROOK IL 60062 521115873 CONTINUING CARE RETIREMENT COMMUNITY IL 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT HOME 2625 TECHNY ROAD NORTHBROOK IL 60062 362643638 CONTINUING CARE RETIREMENT COMMUNITY IL 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT LIVING OF CROMWELL INC 52 MISSIONARY ROAD CROMWELL CT 06416 131740015 CONTINUING CARE RETIREMENT COMMUNITY CT 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT HOME OF CHICAGO 2720 W FOSTER AVE CHICAGO IL 60625 363095932 ASSISTED LIVING FACILITY IL 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT HOME SERVICES 5700 OLD ORCHARD RD SKOKIE IL 60077 260744025 HOME HEALTH SERVICES IL 501(C)(3) 10 COVENANT LIVING SERVICES false COVENANT HOUSING CORPORATION 5700 OLD ORCHARD RD SKOKIE IL 60077 364484624 MANAGEMENT/SUPPORT SERVICES IL 501(C)(3) TYPE II COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT MINISTRIES OF BENEVOLENCE 5145 N CALIFORNIA AVE CHICAGO IL 60625 363486813 CHURCH AFFILIATE IL 501(C)(3) TYPE I EVANGELICAL COVENANT CHURCH false COVENANT LIVING OF BIXBY INC 5700 OLD ORCHARD RD SKOKIE IL 60077 320419173 CONTINUING CARE RETIREMENT COMMUNITY IL 501(C)(3) 10 COVENANT LIVING SERVICES false COVENANT LIVING OF THE GREAT LAKES 2520 LAKE MICHIGAN DRIVE NW GRAND RAPIDS MI 49504 383244636 CONTINUING CARE RETIREMENT COMMUNITY MI 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT LIVING WEST 2550 TREASURE DRIVE SANTA BARBARA CA 93105 953472345 CONTINUING CARE RETIREMENT COMMUNITY CA 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT LIVING SERVICES 5700 OLD ORCHARD RD SKOKIE IL 60077 272480652 MANAGEMENT/SUPPORT SERVICES IL 501(C)(3) TYPE II COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT LIVING OF FLORIDA INC 9215 W BROWARD BLVD PLANTATION FL 33324 521115870 CONTINUING CARE RETIREMENT COMMUNITY FL 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT LIVING AT THE HOLMSTAD 700 W FABYAN PARKWAY BATAVIA IL 60510 362835154 CONTINUING CARE RETIREMENT COMMUNITY IL 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT LIVING AT WINDSOR PARK 124 WINDSOR PARK DRIVE CAROL STREAM IL 60188 363385581 CONTINUING CARE RETIREMENT COMMUNITY IL 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false TULSA HILLS COMMUNITY INC 5700 OLD ORCHARD RD SKOKIE IL 60077 842854729 CONTINUING CARE RETIREMENT COMMUNITY IL 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false EMC HEALTH INC 2881 GEER ROAD SUITE A TURLOCK CA 95382 942281314 MANAGEMENT/SUPPORT SERVICES CA 501(C)(3) TYPE II COVENANT MINISTRIES OF BENEVOLENCE false COVENANT INITIATIVES FOR CARE INC 4055 W PETERSON AVE SUITE 106 CHICAGO IL 60646 271841721 MANAGEMENT/SUPPORT SERVICES IL 501(C)(3) TYPE II COVENANT MINISTRIES OF BENEVOLENCE false COVENANT CARE CENTER 9201 WEST BROWARD BLVD PLANTATION FL 33324 591948940 CONTINUING CARE RETIREMENT COMMUNITY FL 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT PALMS OF MIAMI 9201 WEST BROWARD BLVD PLANTATION FL 33324 590653300 CONTINUING CARE RETIREMENT COMMUNITY FL 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT RETIREMENT COMMUNITIES OF MINNESOTA INC 5825 SAINT CROIX AVENUE MINNEAPOLIS MN 55422 411506900 CONTINUING CARE RETIREMENT COMMUNITY MN 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false CRC FOUNDATION 5700 OLD ORCHARD RD STE 100 SKOKIE IL 60077 300763748 FUNDRAISING IL 501(C)(3) 7 COVENANT LIVING COMMUNITIES AND SERVICES false THREE CROWNS FOUNDATION 2323 MCDANIEL AVENUE EVANSTON IL 60201 201060468 FOUNDATION IL 501(C)(3) TYPE II COVENANT LIVING SERVICES false THREE CROWNS PARK 2323 MCDANIEL AVENUE EVANSTON IL 60201 362030089 CONTINUING CARE RETIREMENT COMMUNITY IL 501(C)(3) 10 THREE CROWNS FOUNDATION false COVENANT LIVING OF KEENE 5700 OLD ORCHARD RD SKOKIE IL 60077 873525712 CONTINUING CARE RETIREMENT COMMUNITY IL 501(C)(3) 10 COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT LIVING AT SHANNONDALE 801 VANOSDALE RD KNOXVILLE TN 37909 620698709 CONTINUING CARE RETIREMENT COMMUNITY TN 501(C)(3) 10 COVENANT LIVING SERVICES false MISSION CARE COMMUNITIES INC PO BOX 1307 BURLINGTON VT 05402 333595861 CAPTIVE INSURANCE VT 501(C)(3) TYPE II COVENANT LIVING COMMUNITIES AND SERVICES false COVENANT LIVING OF GENEVA 5700 OLD ORCHARD RD SKOKIE IL 60077 843227613 RENTAL SENIOR HOUSING IL 501(C)(3) 10 COVENANT LIVING SERVICES false COVENANT INTERNATIONAL INSURANCE COMPANY LTD INNOVATION HOUSE 3RD FLOOR 46 REID STREET HAMILTON BERMUDA BD HM12 INSURANCE BD NA C CORPORATION false COVENANT TRUST COMPANY 141 W JACKSON BLVD SUITE 1850A CHICAGO IL 60604 363583163 FINANCIAL SERVICES IL NA C CORPORATION false COVENANT LIVING HOLDINGS THREE INC 5700 OLD ORCHARD ROAD SKOKIE IL 60077 932491440 CONSULTING SERVICES IL NA C CORPORATION false false false false false false false false false false false false false false false false false true true false