2020-02-04T09:58:37-06:00 2019-04-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2018-05-01 381366932 CLARK RETIREMENT COMMUNITY INC CLAR 6164521568 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 BRIAN PANGLE PRESIDENT/CEO 6164521568 2019-12-16 1 LISA FORT P00223532 2695674500 2019-12-16 67.59.56.32 2019-12-16 11:36:27 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 58F74DC53CB874483B207ADF23CD6921384352E9 2018 2020-09-23 17:36:50Z BRIAN PANGLE 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 19866629 0 X CLARKRETIREMENT.ORG X 1906 MI TO PROVIDE RETIREMENT HOUSING, HEALTHCARE, AND RELATED SERVICES TO RESIDENTS AND CLIENTS. 14 12 304 788 0 0 1934952 1296402 21786339 18056907 -27450 -7358 541419 493685 24235260 19839636 0 0 0 0 9690025 9493665 0 0 542074 14206845 12938908 23896870 22432573 338390 -2592937 48442215 55985560 32596249 41081120 15845966 14904440 TO CREATE A COMMUNITY OF DIGNITY, COMPASSION AND RESPECT CENTERED ON THE LIVES OF OLDER ADULTS AND THOSE WHO CARE FOR THEM. 0 0 17213599 18056907 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 2019, CLARK PROVIDED OVER $1,400,018 IN BENEVOLENT CARE GRANTS TO RESIDENTS WHO HAVE OUTLIVED THEIR PERSONAL FINANCIAL RESOURCES.DURING FISCAL YEAR 2019, 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 2019. 17213599 1 1 0 1 0 0 0 0 0 1 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 1 0 0 0 0 0 0 1 1 1 0 0 1 14 0 1 304 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 MI X CRAIG COURTS 6164521568 1551 FRANKLIN ST SE GRAND RAPIDS MI 49506 STEVE FINNEY PRESIDENT 1.00 1.00 X X 0 0 0 BOB GILLETTE VICE PRESIDENT 1.00 0.00 X X 0 0 0 BETH KELLY SECRETARY 1.00 0.00 X X 0 0 0 GREGG RICHARDSON TREASURER 1.00 0.00 X X 0 0 0 BRIAN PANGLE CEO 40.00 1.00 X X 337759 0 23361 SUZEANNE BENET BOARD MEMBER 1.00 0.00 X 0 0 0 SPENCER BROWN BOARD MEMBER 1.00 0.00 X 0 0 0 JAYNE COURTS BOARD MEMBER 1.00 0.00 X 0 0 0 MARGIE CRAWFORD BOARD MEMBER 1.00 0.00 X 0 0 0 BRIAN ELLIS EX-OFFICIO 1.00 1.00 X 0 0 0 DALE GROGAN BOARD MEMBER 1.00 0.00 X 0 0 0 KATHY HOLT BOARD MEMBER 1.00 0.00 X 0 0 0 CHARLES HOMEYER EX-OFFICIO 1.00 0.00 X 0 0 0 CAROL ANN YOUELLS EX-OFFICIO 1.00 0.00 X 0 0 0 MIKE CRETE EX-OFFICIO - PART YEAR 1.00 1.00 X 0 0 0 CRAIG COURTS CFO/COO 40.00 1.00 X 244234 0 18420 LUANN HANSEN EXECUTIVE DIRECTOR - FRANKLIN CAMPUS 40.00 0.00 X 133011 0 0 JOANN ABRAHAM VICE PRESIDENT DEVELOPMENT 2.00 38.00 X 105270 0 3725 RENEE FOSTER DIRECTOR OF FINANCE 40.00 0.00 X 104930 0 18348 925204 0 63854 5 0 1 0 UNIDINE CORPORATION 1000 WASHINGTON ST STE 510 BOSTON MA 02118 DINING SERVICES 2969311 ELZINGA & VOLKERS INC 86 EAST SIXTH STREET HOLLAND MI 49423 CONSTRUCTION 2883942 CREATING RESULTS INC 14000 CROWN COURT STE 211 WOODBRIDGE VA 22193 MARKETING SERVICES 813624 PROGRESSIVE AE 1811 - 4 MILE ROAD NE GRAND RAPIDS MI 49525 ARCHITECTURAL 642630 QCI HEALTHCARE 2805 COIT NE GRAND RAPIDS MI 49505 CLINICAL STAFFING 406223 19 1296402 1296402 RESIDENT SERVICES 623000 18056907 18056907 18056907 19635 19635 17614 0 17614 17614 17614 26993 -26993 -26993 -26993 PROPERTY TAX REVENUE 900099 161871 161871 BARBER SHOP REVENUE 900099 105576 105576 GUEST MEALS 900099 38125 38125 170499 170499 476071 19839636 18056907 0 486327 X 667696 667696 7322567 5068237 2018177 236153 104960 84366 19351 1243 826757 639108 178235 9414 571685 420844 144642 6199 56947 44112 12226 609 -9620 -7452 -2065 -103 1568 1214 337 17 29158 29158 5090913 3943493 1093029 54391 722221 629645 35593 56983 99748 78105 20553 1090 773390 741853 31537 66146 9644 13290 43212 44929 6551 9027 29351 1024488 982711 41777 2330784 2235739 95045 231209 221781 9428 NURSING HOME SUPPLIES 1037560 812429 213788 11343 MEDICAID TAXES 587973 587973 REPAIRS AND MAINTENANCE 427465 410034 17431 PROPERTY TAXES 253704 243358 10346 170325 59854 18299 92172 22432573 17213599 4676900 542074 512840 247186 91403 87156 527759 573246 72275427 34360565 33719437 37914862 10749675 12393442 2841101 4769668 48442215 55985560 3188337 6955483 11076471 11711900 11485352 11302220 5228697 10977812 1617392 133705 32596249 41081120 X 15845966 14904440 15845966 14904440 48442215 55985560 X -2592937 221986 -271898 1701323 X X 0 1 X 1 0 X 5609788 2189699 1748266 1934952 1296402 12779107 25405528 25690787 25069265 21786339 18056907 116008826 31015316 27880486 26817531 23721291 19353309 128787933 5609788 2103699 1670766 1934952 1296402 12615607 0 5609788 2103699 1670766 1934952 1296402 12615607 116172326 104251 49980 27669 6678 37249 225827 104251 49980 27669 6678 37249 225827 535083 524874 582281 522116 476071 2640425 31654650 28455340 27427481 24250085 19866629 131654185 0.88240 0.98080 0.00170 0.00150 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2014 AMOUNT: $ 535,083. 2015 AMOUNT: $ 524,874. 2016 AMOUNT: $ 582,281. 2017 AMOUNT: $ 522,116. 2018 AMOUNT: $ 476,071. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1568 1568 0 PART II-B, LINE 1: A PORTION OF THE DUES PAID TO LEADING AGE MICHIGAN AND LEADING AGE NATIONAL ARE ALLOCATED TO LOBBYING ACTIVITIES. 1720903 74582 1795485 1575336 145567 1720903 1507611 67725 1575336 1507611 1507611 1507611 1507611 1.00000 0 1 1 4714933 4714933 56659501 30746364 25913137 4870942 3614201 1256741 6030051 6030051 37914862 BENEFICIAL INTEREST IN NET ASSETS OF CLARK RETIREMENT COMMUNITY FOUNDATION 12393442 F 12393442 ASSETS LIMITED AS TO USE 2152470 RESERVATION DEPOSITS 1936850 OTHER LONG-TERM ASSETS 680348 4769668 DUE TO AFFILIATES 102541 OTHER LONG-TERM LIABILITIES 31164 133705 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO HELP TO CREATE A COMMUNITY OF DIGNITY, COMPASSION AND RESPECT CENTERED ON THE LIVES OF OLDER ADULTS AND THOSE WHO CARE FOR THEM. X X X X 0 0 0 0 0 0 0 0 0 BRIAN PANGLE CEO 296209 0 41550 0 0 0 4794 0 18567 0 361120 0 0 0 CRAIG COURTS CFO/COO 221734 0 22500 0 0 0 3569 0 14851 0 262654 0 0 0 A MICHIGAN STRATEGIC FUND 521417332 594698AQ5 2006-06-09 11539859 SEE PART VI 0 0 0 A 11539853 1161000 13793 230797 5104 2008 1 1 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 0 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STRATEGIC FUND DATE THE REBATE COMPUTATION WAS PERFORMED: 06/09/2011 SCHEDULE K, PART I, LINE A, COLUMN F: ADVANCE REFUND PORTION OF 1998 BONDS (ISSUED 9/10/1998) AND CURRENTLY REFUND ALL OF 2001 BONDS (ISSUED 6/28/2001). JAYNE COURTS BOARD MEMBER 262654 COMPENSATION (BY CLARK) OF FAMILY MEMBER - CRAIG COURTS, CFO/COO 0 FORM 990, PART VI, SECTION A, LINE 2 JAYNE COURTS, BOARD MEMBER, HAS A FAMILY RELATIONSHIP WITH CRAIG COURTS, CFO/COO OF CLARK RETIREMENT COMMUNITY, INC. 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 2019. 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 3,943,493. MANAGEMENT AND GENERAL EXPENSES 1,093,029. FUNDRAISING EXPENSES 54,391. TOTAL EXPENSES 5,090,913. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN FOUNDATION 1,673,913. GAIN ON INTEREST RATE SWAP AGREEMENT 27,410. 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 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 CLARK RETIREMENT COMMUNITY FOUNDATION C 1296402 CASH CLARK RETIREMENT COMMUNITY FOUNDATION A 6600 ACTUAL RENT