2023-11-13T11:50:32-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2022-05-01 381366932 CLARK RETIREMENT COMMUNITY INC CLAR 6164521568 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 ROGER E WEIDEMAN II DIRECTOR & CFO 6164521568 2023-11-10 1 ROGER WEIDEMAN II 999009999 0 AMY CIMINELLO P00796388 2695674500 2023-11-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROGER E WEIDEMAN II 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 24769741 0 X CLARKRETIREMENT.ORG X 1906 MI TO PROVIDE RETIREMENT HOUSING, HEALTHCARE, AND RELATED SERVICES TO RESIDENTS AND CLIENTS. 6 2 274 52 0 0 3791838 2037477 15867368 21219350 114320 60166 735401 1452748 20508927 24769741 0 0 0 0 9649217 10868716 0 0 0 16375306 22161159 26024523 33029875 -5515596 -8260134 96381064 96787228 90786860 92260240 5594204 4526988 TO CREATE A COMMUNITY OF DIGNITY, COMPASSION AND RESPECT CENTERED ON THE LIVES OF OLDER ADULTS AND THOSE WHO CARE FOR THEM. 0 0 28097017 0 21219350 CLARK RETIREMENT COMMUNITY IS THE FIRST ORGANIZATION IN THE UNITED STATES TO RECEIVE ACCREDITATION FOR DEMENTIA SERVICES BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES - CONTINUING CARE ACCREDITATION COMMITTEE (CARF-CCAC).IN FISCAL YEAR 2022, CLARK PROVIDED OVER $852,000 IN BENEVOLENT CARE GRANTS TO RESIDENTS WHO HAVE OUTLIVED THEIR PERSONAL FINANCIAL RESOURCES.DURING FISCAL YEAR 2022, CLARK RECEIVED SEVERAL NOTABLE AWARDS AND RECOGNITION FOR ITS PROGRAM SERVICES. 28097017 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 14 0 1 274 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 MI X JIM STAHL 5137822687 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 JOHN DATTILO DIRECTOR & CEO 2.00 56.00 X X 0 363620 37901 ROGER WEIDEMAN II DIRECTOR & CFO 2.00 56.00 X X 0 334250 35922 BRIAN PANGLE DIRECTOR & PRESIDENT 40.00 2.00 X X 0 233815 28405 JAY RUMBACH DIRECTOR & SECRETARY 41.00 1.00 X X 0 199838 16372 FORREST HOPPE DIRECTOR 2.00 0.00 X 0 0 0 MARK MILLER DIRECTOR 2.00 0.00 X 0 0 0 NICOLE SWART VP OF OPERATIONS 40.00 0.00 X 156852 0 7367 JOANN ABRAHAM VP DEVELOPMENT/FOUNDATION EXECUTIVE 40.00 0.00 X 104744 0 7055 LAUANN SHAWVER VP SALES, MARKETING & COMMUNICATIONS 40.00 0.00 X 111702 0 14101 BRIAN MORRILL DIRECTOR OF INFORMATION TECHNOLOGY 40.00 0.00 X 101264 0 4370 474562 1131523 151493 4 0 1 0 UNIDINE CORPORATION 1000 WASHINGTON ST STE 510 BOSTON MA 02118 DINING SERVICES 1847280 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 DINING SERVICES 880821 ELZINGA & VOLKERS INC 86 EAST SIXTH STREET HOLLAND MI 49423 CONSTRUCTION 266803 PREMIER ROOFING EXTERIORS 3440 FAIRLANES AVE SW GRANDVILLE MI 49418 CONSTRUCTION 259112 MNEMONIX TECHNOLOGY CONSULTING 600 EAST FULTON ADA MI 49301 IT SERVICES 210839 9 325524 1711953 2037477 RESIDENT SERVICES 623000 21201246 21201246 RELATED PARTY RENT 623000 14457 14457 ANCILLARY SERVICES 623000 3647 3647 21219350 60166 60166 40214 0 40214 40214 40214 PROPERTY TAX REVENUE 623990 365504 365504 HOUSEKEEPING/MAINTENANCE 623990 258020 258020 BARBER SHOP REVENUE 623990 59173 59173 729837 729837 1412534 24769741 21219350 0 1512914 X 164219 164219 8257173 7677277 579896 116582 116582 1372347 878502 493845 958395 929761 28634 271039 271039 33835 33835 8905157 7707550 1197607 479660 457466 22194 493469 399 493070 1081458 1081458 15486 10557 4929 8408 2753 5655 3907915 3907915 3980750 3980750 519543 519543 BAD DEBTS 610972 610972 PROPERTY TAXES 555932 555932 REPAIRS AND MAINTENANCE 539823 363853 175970 SUPPLIES 413804 377931 35873 343908 109873 234035 33029875 28097017 4932858 0 1668815 1094795 13917 13918 2632208 3145244 118481 118481 510373 621423 88489373 2998124 71248448 85491249 7681745 12507077 6302118 96381064 96787228 1903875 4493991 27763808 27711678 59127317 57960000 1991860 2094571 90786860 92260240 X 5594204 4526988 5594204 4526988 96381064 96787228 X -8260134 7192918 X X 0 1 X 1 0 X 1296402 3999355 3384975 3791838 2037477 14510047 18056907 17513442 15629700 15867368 21219350 88286767 19353309 21512797 19014675 19659206 23256827 102796814 1296402 3633157 836152 1044696 325524 7135931 0 1296402 3633157 836152 1044696 325524 7135931 95660883 37249 242643 46960 133629 100380 560861 37249 242643 46960 133629 100380 560861 476071 607642 677717 716092 1412534 3890056 19866629 22363082 19739352 20508927 24769741 107247731 0.89200 0.88560 0.00520 0.00440 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2018 AMOUNT: $ 476,071. 2019 AMOUNT: $ 607,642. 2020 AMOUNT: $ 677,717. 2021 AMOUNT: $ 716,092. 2022 AMOUNT: $ 1,412,534. PART III, SHORT YEAR EXPLANATION: BECAUSE OF THE SHORT YEAR-END FILING, THE COLUMNS IN SCHEDULE A PART III CORRESPOND TO THE FOLLOWING TAX YEARS: 2018 = FYE 4/30/19 2019 = FYE 4/30/20 2020 = FYE 4/30/21 2021 = FYE 4/30/22 2022 = FYE 12/31/22 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4760000 4760000 79287668 2606681 76680987 3418197 344921 3073276 1023508 46522 976986 85491249 ASSETS LIMITED AS TO USE 5942329 DUE FROM AFFILIATES 359789 6302118 DUE TO AFFILIATES 1755014 OTHER LIABILITIES 339557 2094571 0 0 0 0 0 0 0 0 0 JOHN DATTILO DIRECTOR & CEO 0 323620 0 40000 0 0 0 16957 0 20944 0 401521 0 0 ROGER WEIDEMAN II DIRECTOR & CFO 0 299250 0 35000 0 0 0 15282 0 20640 0 370172 0 0 BRIAN PANGLE DIRECTOR & PRESIDENT 0 233815 0 0 0 0 0 13229 0 15176 0 262220 0 0 JAY RUMBACH DIRECTOR & SECRETARY 0 199538 0 300 0 0 0 15007 0 1365 0 216210 0 0 NICOLE SWART VP OF OPERATIONS 156852 0 0 0 0 0 6746 0 621 0 164219 0 0 0 PART I, LINE 3 METHODS USED TO DETERMINE COMPENSATION: COMPENSATION PAID BY BHI RETIREMENT COMMUNITIES IS DETERMINED BY THE REVIEW AND APPROVAL OF THE BHI SENIOR LIVING BOARD WHICH INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. A SEE PART VI 521701965 38625KAD2 2019-12-10 63243485 SEE PART VI 0 0 0 A 10590000 67146095 4166969 3902610 1222604 38639429 19214483 2021 1 1 1 1 A 0 0 1 1 0 0.00500 0.00000 0.00500 0 0 0 A 0 1 0 0 0 0 0 0 0 A 1 SCHEDULE K, PART I, LINE A, COLUMN F: FINANCE KELLER LAKE CAMPUS 2019 CAPITAL PROJECT AND REFUND MICHIGAN STRATEGIC FUND BOND ISSUED ON JUNE 9, 2006 AND FINANCE 2019 CAPITAL PROJECT. FORM 990, PART VI, SECTION A, LINE 6 EFFECTIVE FEBRUARY 1, 2022, BHI RETIREMENT COMMUNITIES, INC. IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A EFFECTIVE FEBRUARY 1, 2022, BHI RETIREMENT COMMUNITIES, INC., THE SOLE MEMBER, HAS THE ABILITY TO APPOINT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B EFFECTIVE FEBRUARY 1, 2022, GOVERNANCE DECISIONS OF THE ORGANIZATION ARE RESERVED TO BHI RETIREMENT COMMUNITIES, INC., THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE ORGANIZATION'S FORM 990 PRIOR TO THE FILING OF THE RETURN IS MADE BY AN OFFICER OF THE MANAGING AGENT OF THE ORGANIZATION. THE FORM 990 IS ALSO REVIEWED BY THE BOARD OF DIRECTORS AND AN INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DOCUMENT. THESE DOCUMENTS ARE REVIEWED ANNUALLY TO ENSURE COMPLIANCE. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST WITH CLARK RETIREMENT COMMUNITY CANNOT INFLUENCE IN ANY WAY AND MUST ABSTAIN FROM VOTING ON ANY OUTCOME RELATED TO THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 AN ANNUAL REVIEW IS CONDUCTED BY THE EMPLOYERS ASSOCIATION ALONG WITH HR GENERATING COMPARISONS TO LOCAL, REGIONAL AND NATIONAL INDUSTRY DATA. A COPY OF THE REVIEW IS PROVIDED TO THE BOARD FOR APPROVAL. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS IN FISCAL YEAR 2022. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, PORTIONS OF THE FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL DISCLOSURE STATEMENT. FORM 990, PART IX, LINE 11G LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 214,046. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 214,046. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 22,705. MANAGEMENT AND GENERAL EXPENSES 1,197,607. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,220,312. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 7,287,352. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,287,352. MEDICARE CONSULTANT: PROGRAM SERVICE EXPENSES 81,066. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,066. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 102,381. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,381. FORM 990, PART XI, LINE 9: INHERENT CONTRIBUTION FROM AFFILIATIONS 7,192,918. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM THE PRIOR YEAR. FORM 990, PART XII, LINE 2B: EFFECTIVE FEBRUARY 1, 2022, CLARK RETIREMENT COMMUNITY INC. HAD A CHANGE IN OWNERSHIP. AS A RESULT, AN AUDIT WAS PERFORMED FOR THE PERIOD MAY 1, 2021 THROUGH JANUARY 31, 2022. THE PERIOD FEBRUARY 1, 2022 THROUGH DECEMBER 31, 2022 WILL BE INCLUDED IN BHI SENIOR LIVINGS CONSOLIDATED AUDIT. CLARK RETIREMENT COMMUNITY FOUNDATION 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 383236052 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I CLARK RETIREMENT COMMUNITY INC 1 CLARK RETIREMENT SERVICES COMPANY 1551 FRANKLIN STREET SE GRAND RAPIDS MI 495063331 842692761 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II BHI SENIOR LIVING INC 1 BHI FOUNDATION 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 351680796 SENIOR LIVING IN 501(C)(3) LINE 12A, I BHI SENIOR LIVING INC 1 BHI RETIREMENT COMMUNITIES INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 260262903 SENIOR LIVING IN 501(C)(3) LINE 12A, I BHI SENIOR LIVING INC 1 WESLEY MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 351020934 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 PRAIRIE LANDING COMMUNITY INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 262053830 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 FOUR SEASONS VILLAS INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011187 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 HOOSIER MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011190 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 BHI SENIOR LIVING INC 8330 ALLISON POINTE TRAIL SUITE 300 INDIANAPOLIS IN 46250 350931432 SENIOR LIVING IN 501(C)(3) LINE 10 N/A 0 MAPLE KNOLL COMMUNITIES INC 11100 SPRINGFIELD DRIVE CINCINNATI OH 45246 310544277 SENIOR LIVING OH 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 MAPLE KNOLL FOUNDATION 11100 SPRINGFIELD DRIVE CINCINNATI OH 45246 881290177 SENIOR LIVING OH 501(C)(3) LINE 7 BHI RETIREMENT COMMUNITIES INC 1 WESLEY MANOR SOUTHSIDE LP 1555 N MARKET STREET FRANKFORT IN 46041 RETIRE LIVING IN N/A 0 1 SLDEVELOPMENT INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 452664455 GOLF COURSE IN N/A C 1 BHI HOME CARE INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 475160712 HOME CARE IN N/A C 1 1546 SHERMAN STREET LLC 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 843920830 INVESTMENT COMPANY MI N/A C 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 CLARK RETIREMENT COMMUNITY FOUNDATION C 325524 CASH CLARK RETIREMENT COMMUNITY FOUNDATION A 14457 ACTUAL RENT