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WASHINGTON AND JANE SMITH COMMUNITY BEVERLY: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
WASHINGTON AND JANE SMITH COMMUNITY BEVERLY (EIN 36-2167948)
Tax period
2019-07-01 to 2020-06-30
Filed
2020-12-07
IRS object ID
202013429349300326
Schema version
2019v5.1
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)
Return2020-12-07T12:01:03-06:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 W 22ND ST SUITE 1100AddressLine1Txt
CityOAK BROOKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362167948EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON AND JANE SMITH COMMUNITY -BusinessNameLine1Txt
Business Name Line2BEVERLYBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWASHBusinessNameControlTxt
Phone7734747300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACEAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60643ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRAY MARNERISPersonNm
Person TitleCFOPersonTitleTxt
Phone7734747350PhoneNum
Signature2020-12-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRIS MANDERFIELDPreparerPersonNm
PTINP01238973PTIN
Phone6305738600PhoneNum
Preparation2020-12-01PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SMITH VILLAGEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKEVIN MCGEEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACEAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60643ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,396,336GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SMITHVILLAGE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1926FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE MISSION OF WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY IS TO ENRICH THE (SEE SCHEDULE O) LIVES OF SENIOR ADULTS BY OFFERING THOUGHTFUL INNOVATIONS IN SERVICES FOR A VARIETY OF LIFESTYLES.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee311TotalEmployeeCnt
Total Volunteers85TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$706,897PYContributionsGrantsAmt
CY Contributions Grants$6,813,562CYContributionsGrantsAmt
PY Program Service Revenue$21,346,664PYProgramServiceRevenueAmt
CY Program Service Revenue$20,093,330CYProgramServiceRevenueAmt
PY Investment Income$264,263PYInvestmentIncomeAmt
CY Investment Income$272,187CYInvestmentIncomeAmt
PY Other Revenue$524,385PYOtherRevenueAmt
CY Other Revenue$1,129,542CYOtherRevenueAmt
PY Total Revenue$22,842,209PYTotalRevenueAmt
CY Total Revenue$28,308,621CYTotalRevenueAmt
PY Grants And Similar Paid$368,365PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$204,203CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,847,052PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,135,002CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,001,961PYOtherExpensesAmt
CY Other Expenses$15,544,290CYOtherExpensesAmt
PY Total Expenses$22,217,378PYTotalExpensesAmt
CY Total Expenses$22,883,495CYTotalExpensesAmt
PY Revenues Less Expenses$624,831PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,425,126CYRevenuesLessExpensesAmt
Total Assets BOY$64,001,500TotalAssetsBOYAmt
Total Assets EOY$68,370,441TotalAssetsEOYAmt
Total Liabilities BOY$65,724,342TotalLiabilitiesBOYAmt
Total Liabilities EOY$68,962,483TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,722,842NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$592,042NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWASHINGTON AND JANE SMITH COMMUNITY - BEVERLY 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. (SEE SCHEDULE O) LOCATED IN CHICAGO, ILLINOIS. WITHIN THE COMMUNITY, WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY OPERATES A 149 INDEPENDENT LIVING UNITS, 82 BED ASSISTED LIVING, 39 BED SKILLED MEMORY SUPPORT, AND 61 BED SKILLED NURSING FACILITY LICENSED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH). ALL 100 SKILLED NURSING BEDS ARE CERTIFIED FOR PARTICIPATION IN THE MEDICARE AND MEDICAID PROGRAMS. WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY IS SUBJECT TO PERIODIC REGULATORY INSPECTIONS PERFORMED BY IDPH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,034,832ExpenseAmt
Grant$73,513GrantAmt
Revenue$6,812,307RevenueAmt
DescTHE ORGANIZATION PROVIDES RETIREMENT HOUSING AND HEALTH CARE SERVICES TO SENIOR ADULTS IN A CONTINUING CARE RETIREMENT COMMUNITY SETTING. WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY OPERATES A 100 BED SKILLED NURSING CARE UNIT. SERVICES PROVIDED INCLUDE 24-HOUR NURSING CARE AND REHABILITATION SERVICES. CONTRACTUAL ADJUSTMENTS FOR THESE TWO GOVERNMENTAL SPONSORED PROGRAMS WERE $691,111. DURING FYE 2020, $73,151 IN CHARITABLE SERVICES WERE PROVIDED TO RESIDENTS IN SKILLED NURSING. THE COMMUNITY ALSO PROVIDED $178,435 IN HEALTH CARE DISCOUNTS TO ITS RESIDENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,221,237ExpenseAmt
Revenue$5,274,649RevenueAmt
DescTHE ORGANIZATION PROVIDES RETIREMENT HOUSING AND HEALTH CARE SERVICES TO SENIORS AGED 62 AND OLDER IN A CONTINUING CARE RETIREMENT COMMUNITY SETTING. WITHIN THE COMMUNITY, WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY OPERATES 149 INDEPENDENT LIVING APARTMENTS. WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY BEGAN OPERATION OF THESE UNITS IN NOVEMBER 2007. 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 WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,942,379ExpenseAmt
Grant$130,690GrantAmt
Revenue$5,038,220RevenueAmt
DescTHE ORGANIZATION PROVIDES RETIREMENT HOUSING AND HEALTH CARE SERVICES TO SENIORS AGED 55 AND OLDER IN A CONTINUING CARE RETIREMENT COMMUNITY SETTING. WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY OPERATES A 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 WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY. DURING FYE 2020, $130,690 IN CHARITABLE SERVICES WERE PROVIDED TO RESIDENTS IN ASSISTED LIVING. THE COMMUNITY ALSO PROVIDED $203,180 IN HEALTH CARE DISCOUNTS TO ITS RESIDENTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$3,040,654RevenueAmt
DescAMORTIZATION OF NON-REFUNDABLE ENTRANCE FEES AND OTHER ANCILLARY REVENUE SUCH AS THERAPY AND PHARMACY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$3,040,654TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$20,198,448TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee311EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RAY MARNERISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7734747350PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12320 WEST 113TH PLACEAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60643ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KAY E THURN
TRUSTEE1.004.00Yes (X)$0$0$0
ANNE Z SCHAIBLE
TRUSTEE1.001.00Yes (X)$0$0$0
MICHAEL P STANTON
TRUSTEE1.001.00Yes (X)$0$0$0
BRIAN PIEJKO
TRUSTEE1.001.00Yes (X)$0$0$0
ALICE E KEANE
TRUSTEE1.001.00Yes (X)$0$0$0
THOMAS L HOGAN
BOARD CHAIR2.003.00Yes (X)$0$0$0Yes (X)
ANN HASKINS
VICE BOARD CHAIR1.001.00Yes (X)$0$0$0Yes (X)
HUGH J AHERN
TRUSTEE1.002.00Yes (X)$0$0$0
KEVIN MCGEE
PRESIDENT/CEO12.0037.50$0$202,841$37,517Yes (X)
RAYMOND MARNERIS
TREASURER/CFO12.0037.50$0$185,991$37,659Yes (X)
JAMES SCHMITT
CHIEF INFORMATION OFFICER12.0037.50$0$145,582$35,393Yes (X)
MARTI JATIS
EXECUTIVE DIRECTOR37.50$114,794$0$23,954Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$114,794TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$534,414TotReportableCompRltdOrgAmt
Total Other Compensation$134,523TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WASHINGTON AND JANE SMITH HOME
2320 W 113TH PLACECHICAGOIL60643NURSING SERVICES$2,900,302
WASHINGTON AND JANE SMITH HOME
2320 W 113TH PLACECHICAGOIL60643CONSULTING SERVICES$1,996,096
MORRISON DINING SERVICES
PO BOX 102289ATLANTAGA30268DINING SERVICES$1,839,554
AEGIS THERAPIES INC
PO BOX 8103FORT SMITHAR72902REHABILITATION SERVICES$925,760
GLYNN DEVINS INC
8880 WARD PARKWAYKANSAS CITYMO64114SALES AND MARKETING SERVICES$499,980
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Related Organizations$6,580,805RelatedOrganizationsAmt
All Other Contributions$232,757AllOtherContributionsAmt
Noncash Contributions$6,150,514NoncashContributionsAmt
Total Contributions$6,813,562TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING CARE SERVICES623000$6,812,307$6,812,307
INDEPENDENT LIVING SERVICES623000$5,274,649$5,274,649
ASSISTED LIVING SERVCES623000$5,038,220$5,038,220
ANCILLARY SERVICES623000$2,176,116$2,176,116
ENTRANCE FEES RECOGNIZED623000$792,038$792,038
FieldValueIRS element (for citing)
Total Program Service Revenue$20,093,330TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$272,187TotalRevenueColumnAmt
Exclusion$272,187ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$313,795RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$87,715RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$226,080RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$226,080TotalRevenueColumnAmt
Related Or Exempt Func Income$72,500RelatedOrExemptFuncIncomeAmt
Exclusion$153,580ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$903,462TotalRevenueColumnAmt
Exclusion$903,462ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$903,462OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,308,621TotalRevenueColumnAmt
Related Or Exempt Func Income$20,165,830RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,329,229ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$204,203TotalAmt
Program Services$204,203ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,859,497TotalAmt
Program Services$5,859,497ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$70,253TotalAmt
Program Services$70,253ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$752,967TotalAmt
Program Services$752,967ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$452,285TotalAmt
Program Services$452,285ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,996,096TotalAmt
Management And General$1,996,096ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,454TotalAmt
Management And General$51,454ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$11,511TotalAmt
Management And General$11,511ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,616,988TotalAmt
Program Services$3,604,154ProgramServicesAmt
Management And General$12,834ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$376,945TotalAmt
Program Services$376,945ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$458,805TotalAmt
Program Services$422,695ProgramServicesAmt
Management And General$36,110ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$75,434TotalAmt
Program Services$75,434ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,878,760TotalAmt
Program Services$1,878,760ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,933TotalAmt
Program Services$1,933ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,970TotalAmt
Program Services$2,951ProgramServicesAmt
Management And General$3,019ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,350,735TotalAmt
Program Services$1,350,735ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$2,731,408TotalAmt
Program Services$2,731,408ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,823,852TotalAmt
Program Services$1,823,852ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$390,514TotalAmt
Program Services$390,514ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
LOSS OF REFINANCE OF LO$352,023$352,023
SWAP TERMINATION FEES$222,000$222,000
TAXES AND FEES$199,862$199,862

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,883,495TotalAmt
Program Services$20,198,448ProgramServicesAmt
Management And General$2,685,047ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$540BOYAmt
EOY$540EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,754,276BOYAmt
EOY$3,061,433EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,503,782BOYAmt
EOY$2,130,310EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$120,159BOYAmt
EOY$110,887EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$78,437,007LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,364,032LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$49,343,221BOYAmt
EOY$52,072,975EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,189,763BOYAmt
EOY$10,686,253EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$89,759BOYAmt
EOY$308,043EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$64,001,500BOYAmt
EOY$68,370,441EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,723,665BOYAmt
EOY$4,029,834EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,287,576BOYAmt
EOY$1,272,166EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,530,084BOYAmt
EOY$33,663,969EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$289,708BOYAmt
EOY$371,004EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$1,198,600EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,893,309BOYAmt
EOY$28,426,910EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$65,724,342BOYAmt
EOY$68,962,483EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,722,842BOYAmt
EOY-$592,042EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,722,842BOYAmt
EOY-$592,042EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$64,001,500BOYAmt
EOY$68,370,441EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,425,126ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$194,040NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,100,286OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$720,618CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$250,578CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$230,663CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$706,897CurrentTaxYearMinus1YearAmt
Current Tax Year$6,813,562CurrentTaxYearAmt
Total$8,722,318TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,093,718CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,666,581CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,574,412CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,346,664CurrentTaxYearMinus1YearAmt
Current Tax Year$20,093,330CurrentTaxYearAmt
Total$102,774,705TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,814,336CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,917,159CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,805,075CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,053,561CurrentTaxYearMinus1YearAmt
Current Tax Year$26,906,892CurrentTaxYearAmt
Total$111,497,023TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$612,882CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$129,567CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$120,001CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$667,587CurrentTaxYearMinus1YearAmt
Current Tax Year$6,939,582CurrentTaxYearAmt
Total$8,469,619TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$612,882CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$129,567CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$120,001CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$667,587CurrentTaxYearMinus1YearAmt
Current Tax Year$6,939,582CurrentTaxYearAmt
Total$8,469,619TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$103,027,404PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$644,320CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$583,164CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$338,371CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$570,174CurrentTaxYearMinus1YearAmt
Current Tax Year$585,982CurrentTaxYearAmt
Total$2,722,011TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$644,320CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$583,164CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$338,371CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$570,174CurrentTaxYearMinus1YearAmt
Current Tax Year$585,982CurrentTaxYearAmt
Total$2,722,011TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$274,818CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$258,872CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$286,354CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$315,949CurrentTaxYearMinus1YearAmt
Current Tax Year$903,462CurrentTaxYearAmt
Total$2,039,455TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,733,474CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,759,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,429,800CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,939,684CurrentTaxYearMinus1YearAmt
Current Tax Year$28,396,336CurrentTaxYearAmt
Total$116,258,489TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88620PublicSupportCY509Pct
Public Support PY5090.93990PublicSupportPY509Pct
Investment Income CY0.02340InvestmentIncomeCYPct
Investment Income PY0.02550InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,262OtherActivitiesAmt
Total Lobbying Expenditures$1,262TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE EXPENSES DETAILED ABOVE REPRESENT AN ALLOCATION OF MEMBERSHIP DUES TO LEADINGAGE ILLINOIS (TRADE ASSOCIATION).ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,582,817BeginningYearBalanceAmt
Investment Earnings Or Losses-$340,565InvestmentEarningsOrLossesAmt
Other Expenditures$430,291OtherExpendituresAmt
End Year Balance$13,811,961EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,068,499BeginningYearBalanceAmt
Investment Earnings Or Losses$1,006,318InvestmentEarningsOrLossesAmt
Other Expenditures$492,000OtherExpendituresAmt
End Year Balance$14,582,817EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,122,478BeginningYearBalanceAmt
Investment Earnings Or Losses$946,021InvestmentEarningsOrLossesAmt
End Year Balance$14,068,499EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,568,100BeginningYearBalanceAmt
Investment Earnings Or Losses$1,554,378InvestmentEarningsOrLossesAmt
End Year Balance$13,122,478EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,358,419BeginningYearBalanceAmt
Investment Earnings Or Losses-$274,518InvestmentEarningsOrLossesAmt
Grants Or Scholarships$515,801GrantsOrScholarshipsAmt
End Year Balance$11,568,100EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.06000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.94000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,200,239OtherCostOrOtherBasisAmt
Book Value$2,200,239BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$68,766,717OtherCostOrOtherBasisAmt
Depreciation$25,013,827DepreciationAmt
Book Value$43,752,890BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,325,184OtherCostOrOtherBasisAmt
Depreciation$1,284,102DepreciationAmt
Book Value$6,041,082BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$144,867OtherCostOrOtherBasisAmt
Depreciation$66,103DepreciationAmt
Book Value$78,764BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$52,072,975TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
REFUNDABLE ENTRANCE FEES$23,710,435
OTHER CURRENT LIABILITIES$4,501
REFUNDABLE RESERVATION DEPOSITS$698,182
INTEREST RATE SWAP LIABILITY$4,013,792
FieldValueIRS element (for citing)
Total Liability$28,426,910TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$17,747,293TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$194,040NetUnrealizedGainsInvstAmt
Other Revenue-$4,012,571OtherRevenueAmt
Revenue Not Reported-$4,206,611RevenueNotReportedAmt
Revenue Subtotal$21,953,904RevenueSubtotalAmt
Other Revenues Not Included$6,354,717OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$6,354,717RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$28,308,621TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,767,007TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$87,715OtherExpensesIncludedAmt
Expenses Not Reported$87,715ExpensesNotReportedAmt
Expenses Subtotal$22,679,292ExpensesSubtotalAmt
Other Expenses Not Included$204,203OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$204,203ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$22,883,495TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:RESIDENTS 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 COMMINGLED 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.
PART V, LINE 4:THE ENDOWMENT FUND IS HELD BY WASHINGTON AND JANE SMITH HOME, A RELATED TAX-EXEMPT ORGANIZATION. WASHINGTON AND JANE SMITH HOME DISBURSES FUNDS AS NEEDED WITHIN THE GUIDELINES OF THE ENDOWMENT FUND. THE EARNINGS ON THE ASSETS OF THE ENDOWMENT FUND HAVE BEEN DESIGNATED TO SUPPORT THE CHARITABLE CARE ACTIVITIES OF WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY.
PART X, LINE 2:THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL OPEN YEARS COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE (IRS).
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL REVENUE EXPENSES 87,715. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -4,100,286.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CHARITABLE CARE 204,203. FORGIVENESS OF DEBT 6,150,514.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL REVENUE EXPENSES 87,715.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHARITABLE CARE 204,203.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCHARITABLE CAREGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$204,203CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN MCGEE
PRESIDENT/CEO$0$202,841$0$0$0$0$0$8,376$0$29,141$0$240,358$0$0
RAYMOND MARNERIS
TREASURER/CFO$0$185,991$0$0$0$0$0$7,631$0$30,028$0$223,650$0$0
JAMES SCHMITT
CHIEF INFORMATION OFFICER$0$145,582$0$0$0$0$0$6,163$0$29,230$0$180,975$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION RELIES ON WASHINGTON AND JANE SMITH HOME, A RELATED TAX-EXEMPT ORGANIZATION TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS. THE COMPENSATION COMMITTEE OF WASHINGTON AND JANE SMITH HOME 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 AN ANNUAL BASIS. DECISIONS ARE DOCUMENTED IN THE COMPENSATION COMMITTEE MEETING MINUTES.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A861091967NONEAVAIL2019-10-25$23,608,000TO FUND SMITH VILLAGE PROJECT SERIES 2019A BONDS000
ILLINOIS FINANCE AUTHORITY
B861091967NONEAVAIL2019-10-25$25,000,000TO REFUND SERIES 2016 BONDS000
ILLINOIS FINANCE AUTHORITY
C861091967NONEAVAIL2019-10-25$5,119,000TO REFUND SERIES 2016 BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtOther Spent ProceedsOtherSpentProceedsAmt
A$23,608,000$47,173$205,251$4,387,603$18,967,973000Yes (1)
B$25,000,000$233,846Yes (1)0Yes (1)Yes (1)$323,000$24,766,154
C$5,119,000$47,654Yes (1)0Yes (1)Yes (1)$70,000$5,071,346

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.003600.0036000Yes (1)
B00Yes (1)Yes (1)00.003600.0036000Yes (1)
C00Yes (1)Yes (1)00.003600.0036000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
FIRST MIDWEST BANK
A0Yes (1)00Yes (1)Yes (1)10.000000000000000Yes (1)
HUNTINGTON BANK
B0Yes (1)00Yes (1)Yes (1)10.000000000000000Yes (1)
FIRST MIDWEST BANK
C0Yes (1)00Yes (1)Yes (1)10.000000000000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescFORGIVENESS OF DEBTDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$6,150,514NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS AN AGREEMENT WITH WASHINGTON AND JANE SMITH HOME TO OVERSEE ITS GENERAL OPERATIONS. THE INITIAL TERM OF THIS AGREEMENT WAS FOR A 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 WASHINGTON AND JANE SMITH HOME. UNDER THE TERMS OF THE AGREEMENT, THE ORGANIZATION MUST COMPENSATE WASHINGTON AND JANE SMITH HOME FOR SERVICES RENDERED. THE AGREEMENT ALSO CONTAINS A PROVISION TO COMPENSATE WASHINGTON AND JANE SMITH HOME FOR SUPPLEMENTAL SERVICES IT MAY PROVIDE ABOVE AND BEYOND THOSE ENUMERATED IN THE AGREEMENT. IN ADDITION, THE ORGANIZATION MUST PAY WASHINGTON AND JANE SMITH HOME AN ADDITIONAL SUM ON A MONTHLY BASIS AS REIMBURSEMENT FOR WASHINGTON AND JANE SMITH HOME'S OVERHEAD EXPENSES RELATED TO THE ORGANIZATION. EXPENSES INCURRED BY THE ORGANIZATION UNDER THIS AGREEMENT WERE $1,996,096.
FORM 990, PART VI, SECTION A, LINE 6WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY HAS A SINGLE CLASS OF VOTING MEMBERS AND THE SOLE MEMBER OF THAT CLASS IS WASHINGTON AND JANE SMITH HOME, A RELATED ILLINOIS TAX-EXEMPT ORGANIZATION, WHICH SHALL CONTINUE FROM YEAR-TO-YEAR AS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION MUST HAVE APPROVAL OF ITS SOLE MEMBER, WASHINGTON AND JANE SMITH HOME, BEFORE ELECTING OR REMOVING ANY OF THE ORGANIZATION'S TRUSTEES AND OFFICERS.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATION SHALL NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OF THE SOLE MEMBER: (1) ELECTION AND REMOVAL OF TRUSTEES AND OFFICERS. (2) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE ORGANIZATION. (3) AMENDMENT OF THE BYLAWS OF THE ORGANIZATION. (4) MERGER, CONSOLIDATION OR DISSOLUTION OF THE ORGANIZATION. (5) THE CREATION OF ANY SUBSIDIARIES OR AFFILIATES OF THE ORGANIZATION. (6) ADOPTION OF THE BUSINESS PLAN APPROVED ANNUALLY BY THE BOARD OF TRUSTEES OF THE ORGANIZATION. (7) ADOPTION OF THE ANNUAL BUDGET APPROVED BY THE ORGANIZATION AND ANY ACTIONS TAKEN BY THE ORGANIZATION WHICH WOULD OR COULD INVOLVE EXPENDITURES WHICH EXCEED ONE HUNDRED AND TEN PERCENT (110%) OF THE APPROVED BUDGETED AMOUNTS FOR SUCH EXPENDITURES. (8) 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. (9) THE SELECTION AND RETENTION OF THE EXECUTIVE DIRECTOR OF THE ORGANIZATION. (10) THE MAKING OF CAPITAL EXPENDITURES OR SALE OF ANY CAPITAL ASSETS BY THE ORGANIZATION IN EXCESS OF FIFTY THOUSAND DOLLARS ($50,000) UNLESS PROVIDED IN THE ANNUAL BUDGET. (11) THE SELECTION OF THE MANNER AND LOCATION OF INVESTMENT OF ANY FUNDS. (12) THE EXTENSION OF ANY LOANS BY OR ANY BORROWING BY THE ORGANIZATION
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S INTERNAL MANAGEMENT AND THE FINANCE COMMITTEE REVIEWS THE RETURN WITH ITS PAID TAX PREPARER. AFTER REVIEW, COPIES OF THE FULL FORM 990 ARE MADE AVAILABLE TO ALL TRUSTEES PRIOR TO FILING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY ALL TRUSTEES, CORPORATE OFFICERS, EXECUTIVE AND KEY PERSONNAL 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.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION RELIES ON WASHINGTON AND JANE SMITH HOME, A RELATED TAX-EXEMPT ORGANIZATION TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS. THE COMPENSATION COMMITTEE OF WASHINGTON AND JANE SMITH HOME 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 AN ANNUAL BASIS. DECISIONS ARE DOCUMENTED IN THE COMPENSATION COMMITTEE MEETING MINUTES. THE LAST COMPENSATION REVIEW WAS COMPLETED IN OCTOBER 2019. THE CEO OF WASHINGTON AND JANE SMITH HOME DETERMINES THE ANNUAL COMPENSATION OF ALL OTHER OFFICERS, WITH THE EXCEPTION OF THE CFO, BY COMPARING THE COMPENSATION OF EACH OFFICER AND KEY EMPLOYEES TO PROFESSIONALS PERFORMING SIMILAR SERVICES IN SIMILAR INDUSTRIES ON AN ANNUAL BASIS. THE LAST COMPENSATION REVIEW WAS COMPLETED IN JULY 2019.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104, AND ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PART IX, LINE 11GNURSING MANAGEMENT, PHARMACY, OTHER CONSULTING: PROGRAM SERVICE EXPENSES 972,283. MANAGEMENT AND GENERAL EXPENSES 12,834. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 985,117. DINING SERVICES: PROGRAM SERVICE EXPENSES 1,634,303. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,634,303. REHABILITATION SERVICES: PROGRAM SERVICE EXPENSES 810,649. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 810,649. MARKETING SERVICES: PROGRAM SERVICE EXPENSES 186,919. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 186,919.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -4,100,286.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WASHINGTON AND JANE SMITH HOME
2320 WEST 113TH PLACECHICAGOIL60643364335178CONSULTINGIL501(C)(3)LINE 12B, IIN/A0
WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK
10501 EMILIE LANEORLAND PARKIL60467364333423LIFE PLAN COMMUNITYIL501(C)(3)LINE 110WASHINGTON AND JANE SMITH HOME
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WASHINGTON AND JANE SMITH HOME
E$304,778COST
WASHINGTON AND JANE SMITH HOME
M$4,896,398COST
WASHINGTON AND JANE SMITH HOME
J$155,244COST
WASHINGTON AND JANE SMITH HOME
C$430,291COST
WASHINGTON AND JANE SMITH HOME
C$6,150,514COST