2026-08-07T10:26:17+00:00 2025-09-30 331498605 PLANTE & MORAN PLLC 10 SOUTH RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2024-10-01 620698709 COVENANT LIVING AT SHANNONDALE COVE 8656903411 801 VANOSDALE ROAD KNOXVILLE TN 37909 JEAN E JUSTIE CFO 8656903411 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 19219199 false X WWW.SHANNONDALETN.COM X 1968 TN CARE FOR SENIOR ADULTS. 19 15 426 127 0 164393 33985 20473783 19032714 1388787 -36918 76209 152500 22103172 19182281 0 3809 0 0 11430556 11544586 0 0 0 23362768 21037142 34793324 32585537 -12690152 -13403256 115294091 110567541 123519917 127982661 -8225826 -17415120 (SEE SCHEDULE O) false false 14162283 3809 10544185 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 427 RESIDENTS, OCCUPYING 316 APARTMENTS AT 09/30/2025. RESIDENCY FOR THE FISCAL YEAR TOTALED 153,323 RESIDENT DAYS. 5108630 4752468 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 42 SKILLED CARE RESIDENTS AT 09/30/2025. SKILLED AND LONG TERM RESIDENCY FOR THE FISCAL YEAR END TOTALED 13,817 RESIDENT DAYS. 4967700 3888561 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 63 ASSISTED LIVING RESIDENTS AT 09/30/2025. ASSISTED LIVING RESIDENCY FOR THE FISCAL YEAR TOTALED 24,428 RESIDENT DAYS. 24238613 true false false true false false false false true true true false 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 0 426 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 false false false TN 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 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 WILLIAM RABE FORMER OFFICER/CURENT CHIEF INFORMATION AND TECHNOLOGY OFFICER 2.0 40.0 X 0 495439 74300 BENJAMIN STEIFEL HEALTHCARE ADMINISTRATOR 40.0 0 X 123391 0 16994 DAWN DOUD EXECUTIVE DIRECTOR 40.0 0 X 112925 0 20363 ERIK HOCKMAN INTERIM CHIEF FINANCIAL OFFICER 40.0 0 X 113229 0 6623 LINDA WOLFENBARGER HUMAN RESOURCES MANAGER 40.0 0 X 116674 0 8268 SANDRA FRANKLIN DIRECTOR OF ASSISTED LIVING 40.0 0 X 119651 0 5663 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 TODD TAYLOR PHOT PRESIDENT/CEO 40.0 0 X 137770 0 0 723640 4448372 1024390 6 true true false 0 33985 33985 ROUTINE SERVICES 623000 15610357 15610357 ENTRANCE FEES 623000 2329581 2329581 MEDICARE/MEDICAID 623000 534940 534940 ANCILLARY SERVICES 623000 529113 529113 MEALS 623000 28723 28723 0 0 0 0 19032714 0 0 0 36918 0 -36918 -36918 -36918 APARTMENT UPGRADES 623000 105347 105347 SUPPORT SERVICES 623000 23079 23079 SERVICES TO RESIDENTS 623000 6938 6938 17136 17136 0 0 152500 19182281 19185214 0 -36918 3809 3809 9271610 7668255 1603355 126895 62957 63938 1461868 1187911 273957 684213 551524 132689 382094 127806 254288 115297 115297 21560 21560 37 37 25698 25698 3203864 2156524 1047340 0 80164 80164 1095774 877224 218550 413800 226115 187685 1907015 1551255 355760 163651 17139 146512 95974 26942 69032 2698481 2007254 691227 7054401 5247386 1807015 517921 517921 FOOD COSTS 1482464 1482446 18 BAD DEBT 1201508 1201508 MAINTENANCE FOR RESIDENTS 562237 562237 RELATED PARTY ACTIVITY 455552 455552 -440350 -36092 -404258 0 32585537 24238613 8346924 0 3262733 460523 15511 19824 3863213 1272594 0 0 109239 109239 131582 160895 90250481 6225206 80650301 84025275 0 0 0 0 26995563 24222046 265949 297145 115294091 110567541 26419 1077007 17338318 19683559 2085825 747911 0 104069355 106474184 123519917 127982661 X -8491900 -17745225 266074 330105 -8225826 -17415120 115294091 110567541 X -13403256 4213962 X false true true false X 7610657 7032518 935225 164393 33985 15776778 24172652 24811612 27995594 20549992 19185214 116715064 0 0 0 31783309 31844130 28930819 20714385 19219199 132491842 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132491842 237158 14484 11717 104701 0 368060 0 237158 14484 11717 104701 0 368060 0 0 0 0 0 0 0 32020467 31858614 28942536 20819086 19219199 132859902 0.99723 0.9964 0 0 X SCHEDULE A, PART III BECAUSE OF THE SHORT YEAR-END FILING, THE COLUMNS IN SCHEDULE A PART III CORRESPOND TO THE FOLLOWING TAX YEARS: 2020 = FYE 12/31/21 2021 = FYE 12/31/22 2022 = FYE 12/31/23 2023 = SHORT YEAR END 9/30/24 2024 = FYE 9/30/25 false false false false false false false false true 37 37 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 265949 31196 297145 0 251523 14426 265949 0 0 0 0 0 0.0 1.0 0.0 false true true 6260000 6260000 75807344 3740327 72067017 2464508 252253 2212255 5718629 2232626 3486003 84025275 0 FEDERAL INCOME TAXES 0 REFUNDABLE CONTRACT LIABILITIES 38884924 ACCRUED PROPERTY TAXES 146663 INTER-COMPANY ADVANCE ACCOUNTS 65462001 OTHER LIABILITIES 1785539 PENSION LIABILITY 195057 106474184 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE ASSETS SHALL BE DISTRIBUTED FOR ENDOWMENT PURPOSES TO THE INSTITUTION WHERE THE DONOR HAS BEEN INSTITUTIONALIZED FOR A SUBSTANTIAL PERIOD OF TIME PRIOR TO HER DEATH. YEARLY INCOME FROM THE ENDOWMENT SHALL BE USED FOR PURPOSES DESIGNATED BY THE BOARD OF TRUSTEES OF THE INSTITUTION. 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 FACILITY 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. 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 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 TANDERIA BROWN CHIEF HUMAN RESOURCES OFFICER - PART YEAR 0 247389 0 99854 0 47408 0 32398 0 28860 0 455909 0 0 ROBERTA NEVERS INTERIM CHIEF HUMAN RESOURCES OFFICER 0 184300 0 41415 0 62812 0 31153 0 32445 0 352125 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 TODD TAYLOR PHOT PRESIDENT/CEO 137770 0 0 0 0 0 0 0 0 0 137770 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 COMMITTEE HAS DETERMINED THAT TOTAL COMPENSATION FOR EACH SUCH EXECUTIVE IS REASONABLE. THE FOLLOWING ARE PARTICIPANTS IN THE PLAN: TERRI CUNLIFFE DAVID ERICKSON JEAN JUSTIE WILLIAM RABE TANDERIA BROWN CORY KALLHEIM TODD SLETCHA ROBERTA NEVERS JAY PRINCE BENJAMIN STIEFEL DAWN DOUD IN 2024, THESE INDIVIDUALS VESTED IN THE PLAN IN THE FOLLOWING AMOUNTS: TERRI CUNLIFFE - $70,201 DAVID ERICKSON - $49,490 WILLIAM RABE - $34,258 JEAN JUSTIE - $13,839 TODD SLECHTA - $13,018 IN 2024, THESE INDIVIDUALS RECEIVED THE FOLLOWING DISTRIBUTIONS FROM THE PLAN: DAVID ERICKSON - $30,843 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 VI, LINE 15B 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 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 3 DELEGATION OF MANAGEMENT DUTIES COVENANT LIVING AT SHANNONDALE DELEGATED CONTROL OVER MANAGEMENT DUTIES TO COVENANT LIVING SERVICES, ITS PARENT ORGANIZATION. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER IS COVENANT LIVING SERVICES. THE SOLE MEMBER OF COVENANT LIVING SERVICES 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 MEMBERS SUCH AS APPOINTMENT OF PRESIDENT OF THE CORPORATION , 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 CONTACT INFO FOR DIRECTORS & OFFICERS 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'S 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 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 VIII, LINE 11D OTHER MISCELLANEOUS REVENUE OTHER REVENUE - TOTAL REVENUE: 17136, RELATED OR EXEMPT FUNCTION REVENUE: 17136, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN RESTRICTED NET ASSETS - 31200; FSO LIABILITY ADJUSTMENT - 4182762; TOTAL - 4213962; FORM 990, PART VII, SECTION B. - INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS ARE NOW REPORTED ON THE FORM 990 OF COVENANT LIVING COMMUNITIES AND SERVICES (CLCS), THE PARENT COMPANY OF COVENANT LIVING AT SHANNONDALE, AS THE ENTITY RESPONSIBLE FOR PAYMENTS AND ISSUANCE OF FORMS 1099, ALIGNING WITH TAX REPORTING REQUIREMENTS. FORM 990, PART III, LINE 1 AS A MINISTRY OF THE EVANGELICAL COVENANT CHURCH, COVENANT LIVING AT SHANNONDALE 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. 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. COVENANT LIVING IS ORGANIZED AND OPERATED FOR THE BENEFIT OF, AND TO PLAN AND SUPPORT THE CHARITABLE PURPOSES OF, MULTIPLE CONTINUING CARE RETIREMENT COMMUNITIES, ALL NONPROFIT ORGANIZATIONS, CONSISTING OF RESIDENTIAL LIVING, ASSISTED LIVING, ASSISTED LIVING MEMORY CARE, AND SKILLED NURSING, AS WELL AS OTHER SENIOR CARE ORGANIZATIONS AND SERVICES. ADDITIONALLY, COVENANT LIVING AT SHANNONDALE PROVIDES OTHER BENEFITS TO THE COMMUNITY, INCLUDING HOSTING MEETINGS FOR LOCAL ORGANIZATIONS FOR FREE. RESIDENTS OF COVENANT LIVING VOLUNTEER AT MANY ORGANIZATIONS BOTH IN AND OUTSIDE OF THE COMMUNITY. 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 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