2022-03-08T15:18:55-06:00 2021-04-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2020-05-01 381366932 CLARK RETIREMENT COMMUNITY INC CLAR 6164521568 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 BRIAN BRINK CFO 6164521568 2022-03-04 1 BRIAN BRINK 999009999 SAMANTHA BECKER P01344887 2695674500 2022-03-04 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BRIAN PANGLE 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 19739352 0 X CLARKRETIREMENT.ORG X 1906 MI TO PROVIDE RETIREMENT HOUSING, HEALTHCARE, AND RELATED SERVICES TO RESIDENTS AND CLIENTS. 14 13 321 250 0 0 3999355 3384975 17513442 15629700 198568 16257 634798 708420 22346163 19739352 0 0 0 0 9380019 9496369 0 0 527057 12512851 13431335 21892870 22927704 453293 -3188352 99194078 100230556 88387061 90691731 10807017 9538825 TO CREATE A COMMUNITY OF DIGNITY, COMPASSION AND RESPECT CENTERED ON THE LIVES OF OLDER ADULTS AND THOSE WHO CARE FOR THEM. 0 0 17538040 0 15629700 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 2021, CLARK PROVIDED OVER $1,180,000 IN BENEVOLENT CARE GRANTS TO RESIDENTS WHO HAVE OUTLIVED THEIR PERSONAL FINANCIAL RESOURCES.DURING FISCAL YEAR 2021, CLARK RECEIVED SEVERAL NOTABLE AWARDS AND RECOGNITION FOR ITS PROGRAM SERVICES. CLARK WAS VOTED AS ONE OF THE BEST AND BRIGHTEST TO WORK FOR IN 2021. 17538040 1 1 0 0 0 0 0 0 0 0 1 1 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 25 0 1 321 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 MI X GARY PERRAS 6162786547 1551 FRANKLIN ST SE GRAND RAPIDS MI 49506 BRIAN PANGLE CEO 40.00 2.00 X X 310142 0 25162 JOANN ABRAHAM VP DEVELOPMENT/FDN EXEC DIRECTOR 1.00 41.00 X 114020 0 7240 RENEE FOSTER DIRECTOR OF OPERATIONS & ADMIN SERVICES 40.00 0.00 X 114496 0 2291 AMY MULWA DIRECTOR OF NURSING 40.00 0.00 X 107827 0 5532 KELLY TIMMER CFO - PART YEAR 40.00 2.00 X 109712 0 0 LOUANN SHAWVER VP OF SALES, MKTG AND COMMUNICATIONS 40.00 0.00 X 105125 0 2069 NICOLE SWART EXECUTIVE DIRECTOR 40.00 0.00 X 101992 0 0 BRIAN BRINK CFO 40.00 1.00 X 16950 0 0 BOB GILLETTE PRESIDENT - PART YEAR/BOARD MEMBER 2.00 2.00 X X 0 0 0 BETH KELLY PRESIDENT 2.00 1.00 X X 0 0 0 DALE GROGAN SECRETARY 1.00 1.00 X X 0 0 0 SPENCER BROWN TREASURER 1.00 1.00 X X 0 0 0 SUZEANNE BENET BOARD MEMBER 1.00 1.00 X 0 0 0 JAYNE COURTS BOARD MEMBER 1.00 1.00 X 0 0 0 HOWARD CUTLER BOARD MEMBER 1.00 1.00 X 0 0 0 KATHY HOLT BOARD MEMBER 1.00 1.00 X 0 0 0 GRAHAM IRWIN BOARD MEMBER 1.00 1.00 X 0 0 0 STEVE FINNEY BOARD MEMBER - PART YEAR 1.00 0.00 X X 0 0 0 BRIAN ELLIS EX-OFFICIO 1.00 2.00 X 0 0 0 MARK MILLER EX-OFFICIO 1.00 1.00 X 0 0 0 FORREST HOPPE EX-OFFICIO 1.00 1.00 X 0 0 0 MARGIE CRAWFORD EX-OFFICIO 1.00 1.00 X 0 0 0 SUE YODER EX-OFFICIO - PART YEAR 1.00 0.00 X 0 0 0 CHARLES HOMEYER EX-OFFICIO - PART YEAR 1.00 0.00 X 0 0 0 980264 0 42294 7 0 1 0 ELIZINGA & VOLKERS INC 86 EAST SIXTH STREET HOLLAND MI 49423 CONSTRUCTION 13136805 UNIDINE CORPORATION 1000 WASHINGTON ST STE 510 BOSTON MA 02118 DINING SERVICES 3402453 PLANTE & MORAN LIVING FORWARD 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 CONSULTING SERVICES 626475 CENTURY FLOORSPACE 719 CENTURY AVE SW GRAND RAPIDS MI 49503 CONSTRUCTION SERVICES 320718 PROGRESSIVE AE 1811 4 MILE ROAD NE GRAND RAPIDS MI 49525 ARCHITECTURAL 223101 15 836152 2548823 3384975 RESIDENT SERVICES 623000 15590436 15590436 RELATED PARTY RENT 623000 24784 24784 ANCILLARY SERVICES 623000 14480 14480 15629700 16257 16257 30703 0 30703 30703 30703 PROPERTY TAX REVENUE 623990 215191 215191 GUEST MEALS REVENUE 623990 46998 46998 BARBER SHOP REVENUE 623990 46135 46135 369393 369393 677717 19739352 15629700 0 724677 X 488452 488452 7475196 5365863 1914508 194825 81517 45572 34728 1217 872046 462309 397392 12345 579158 302683 268393 8082 90482 90482 13715 13715 4284006 3154831 857202 271973 313141 270713 33944 8484 850861 650828 188239 11794 803488 770723 32765 6598 4831 1767 1359 995 364 1606061 1540569 65492 2764276 2651554 112722 344897 330833 14064 NURSING HOME SUPPLIES 1322879 1011879 292663 18337 REPAIRS AND MAINTENANCE 532062 510366 21696 PROPERTY TAXES 322638 309482 13156 BAD DEBTS 60000 60000 114872 94009 20863 22927704 17538040 4862607 527057 1864196 1270316 2709843 1314183 354201 284755 100905 224478 478529 524185 104238294 38641627 44700986 65596667 8953363 10882401 40032055 20133571 99194078 100230556 4536029 8419896 14637613 15292702 66859245 66923068 559153 0 1763857 0 31164 56065 88387061 90691731 X 10807017 9538825 0 10807017 9538825 99194078 100230556 X -3188352 -3070 1923230 X X 0 1 X 1 0 X 1748266 1934952 1296402 3999355 3384975 12363950 25069265 21786339 18056907 17513442 15629700 98055653 26817531 23721291 19353309 21512797 19014675 110419603 1670766 1934952 1296402 3633157 836152 9371429 0 1670766 1934952 1296402 3633157 836152 9371429 101048174 27669 6678 37249 242643 46960 361199 27669 6678 37249 242643 46960 361199 582281 522116 476071 607642 677717 2865827 27427481 24250085 19866629 22363082 19739352 113646629 0.88910 0.88790 0.00320 0.00300 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2016 AMOUNT: $ 582,281. 2017 AMOUNT: $ 522,116. 2018 AMOUNT: $ 476,071. 2019 AMOUNT: $ 607,642. 2020 AMOUNT: $ 677,717. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4422933 4422933 65957365 34680821 31276544 5012343 3960806 1051537 28845653 28845653 65596667 BENEFICIAL INTEREST IN NET ASSETS OF CLARK RETIREMENT COMMUNITY FOUNDATION 10882401 F 10882401 ASSETS LIMITED AS TO USE 16673365 RESERVATION DEPOSITS 3289767 OTHER LONG-TERM ASSETS 56065 DUE FROM AFFILIATES 114374 20133571 OTHER LONG-TERM LIABILITIES 56065 56065 X X X X 0 0 0 0 0 0 0 0 0 BRIAN PANGLE CEO 309654 0 0 0 488 0 13584 0 11578 0 335304 0 0 0 A ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF GRAND RAPIDS - SERIES 2019A 521701965 38625KAB6 2019-12-10 53870000 SEE PART VI 0 0 0 B ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF GRAND RAPIDS - SERIES 2019B 521701965 38625KAE0 2019-12-10 5695000 SEE PART VI 0 0 0 C ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF GRAND RAPIDS-SERIES 2019C-1 521701965 38625KAF7 2019-12-10 7250000 SEE PART VI 0 0 0 D ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF GRAND RAPIDS-SERIES 2019C-2 521701965 38625KAG5 2019-12-10 3340000 SEE PART VI 0 0 0 A 10750886 52653485 2004796 3693994 1016234 35187575 1 0 0 1 B 920000 5695000 385548 4143 66119 5169190 70000 1 0 0 1 C 7250000 217500 387728 136768 6508004 1 0 0 1 D 3340000 116900 215097 63008 2944996 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 D 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 D 1 SCHEDULE K, PART I, LINE A, COLUMN F: FINANCE KELLER LAKE CAMPUS 2019 CAPITAL PROJECT AND REFUND MICHIGAN STRATEGIC FUND BOND SCHEDULE K, PART I, LINE B, COLUMN F: REFINANCE COMMERCIAL BANK DEBT SCHEDULE K, PART I, LINE C, COLUMN F: FINANCE 2019 CAPITAL PROJECT SCHEDULE K, PART I, LINE D, COLUMN F: REFINANCE 2019 CAPITAL PROJECT FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE BOARD FOR REVIEW BEFORE FILING. THE OFFICIERS OF THE ORGANIZATION ALSO REVIEW THE 990 PRIOR TO FILING. A COPY OF THE 990 WILL BE MADE AVAILABLE UPON REQUEST. 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 2021. 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 PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 3,154,831. MANAGEMENT AND GENERAL EXPENSES 857,202. FUNDRAISING EXPENSES 271,973. TOTAL EXPENSES 4,284,006. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN FOUNDATION 1,929,038. TRANSFER TO AFFILIATE -5,808. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM THE PRIOR YEAR. 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 SE GRAND RAPIDS MI 495063331 842692761 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II CLARK RETIREMENT COMMUNITY INC 1 1546 SHERMAN STREET LLC 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 843920830 INVESTMENT COMPANY MI N/A C 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 CLARK RETIREMENT COMMUNITY FOUNDATION C 836152 CASH CLARK RETIREMENT COMMUNITY FOUNDATION A 24784 ACTUAL RENT