STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CLARK-LINDSEY VILLAGE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CLARK-LINDSEY VILLAGE INC (EIN 37-1017284)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-05-12
IRS object ID
202041339349300129
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)
Return2020-05-12T09:13:47-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371017284EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK-LINDSEY VILLAGE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCLARBusinessNameControlTxt
Phone2173442144PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 WEST WINDSOR ROADAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61802ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY F MASTPersonNm
Person TitleCFOPersonTitleTxt
Phone2173442144PhoneNum
Signature2020-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFF PARKERPreparerPersonNm
PTINP00970069PTIN
Phone3149254300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-08IPDt
IP Tm14:13:14IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE087ECC427FCF6F1386F54131AA171D58D37D782AtSubmissionCreationDeviceId
At Submission Filing Device Id8930F06402091CE01DE01F5E1C46450EDDF6C8ABAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDEBRA S REARDANZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 WEST WINDSOR ROADAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61802ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,321,716GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CLARK-LINDSEY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO PROVIDE HOUSING AND HEALTHCARE FACILITIES/SERVICES FOR ELDERLY PERSONSActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee413TotalEmployeeCnt
Total Volunteers500TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$419,230PYContributionsGrantsAmt
CY Contributions Grants$114,637CYContributionsGrantsAmt
PY Program Service Revenue$19,456,546PYProgramServiceRevenueAmt
CY Program Service Revenue$20,146,773CYProgramServiceRevenueAmt
PY Investment Income$445,342PYInvestmentIncomeAmt
CY Investment Income$438,243CYInvestmentIncomeAmt
PY Other Revenue$333,943PYOtherRevenueAmt
CY Other Revenue$304,681CYOtherRevenueAmt
PY Total Revenue$20,655,061PYTotalRevenueAmt
CY Total Revenue$21,004,334CYTotalRevenueAmt
PY Grants And Similar Paid$66,124PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$125,380CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,371,647PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,791,837CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,505,400PYOtherExpensesAmt
CY Other Expenses$9,695,267CYOtherExpensesAmt
PY Total Expenses$19,943,171PYTotalExpensesAmt
CY Total Expenses$20,612,484CYTotalExpensesAmt
PY Revenues Less Expenses$711,890PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$391,850CYRevenuesLessExpensesAmt
Total Assets BOY$52,662,566TotalAssetsBOYAmt
Total Assets EOY$55,103,274TotalAssetsEOYAmt
Total Liabilities BOY$32,208,220TotalLiabilitiesBOYAmt
Total Liabilities EOY$32,320,339TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,454,346NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,782,935NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE HOUSING AND HEALTHCARE FACILITIES/SERVICES FOR ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,828,488ExpenseAmt
Revenue$20,146,773RevenueAmt
DescALL OF CLARK-LINDSEYS BUILDINGS ARE LOCATED ON A SINGLE SITE COMPRISED OF 27 ACRES ADJACENT TO MEADOWBROOK PARK AND THE UNIVERSITY OF ILLINOIS. INDEPENDENT LIVING OPTIONS FOR PEOPLE AGE 62 AND OVER INCLUDE 131 APARTMENTS AND 16 VILLA UNITS. RESIDENTS CAN PURCHASE A LIFE PLAN RESIDENCY CONTRACT, WHICH GUARANTEES THEM RESIDENCY IN THE APARTMENTS OF VILLAS AND ACCESS TO THE HEALTH CENTER FOR LIFE. ASSISTED LIVING CONSISTS OF 12 LICENSED BEDS IN A GREEN HOUSE HOME. THE 12 ROOM HOME PROVIDES FOR CARE IN A SMALLER HOME LIKE SETTING. PROFESSIONAL NURSING STAFF IS ON DUTY 24 HOURS A DAY. SKILLED CARE CONSISTS OF 105 LICENSED BEDS. 12 BEDS ARE IN A SECOND GREEN HOUSE HOME. 93 BEDS ARE IN MEADOWBROOK HEALTH CENTER. 37 BEDS ARE MEDICARE CERTIFIED. PROFESSIONAL NURSING STAFF IS ON DUTY 24 HOURS A DAY. IN ADDITION TO RESIDENCY AND IN-PATIENT SERVICES, CLARK-LINDSEY PROVIDES OUTPATIENT THERAPY INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Grant$125,380GrantAmt
DescTHE MISSION OF CLARK-LINDSEY IS TO OFFER SENIOR ADULTS EXCEPTIONAL SERVICES AND LIVING ENVIRONMENTS DESIGNED TO ENGAGE THE MIND, SPIRIT, AND BODY IN WELLNESS AND COMMUNITY. THE MISSION IS FURTHERED AND SUSTAINED THROUGH YEARS OF CHARITABLE GIVING. GENEROUS DONORS HAVE PROVIDED FOR A FRIENDSHIP FUND TO ASSIST COMMUNITY MEMBERS WHO NO LONGER HAVE THE FINANCIAL RESOURCES TO PROVIDE FOR THEIR HOME AND HEALTH CARE COSTS. CLARK-LINDSEY PROVIDES CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA UNDER ITS FRIENDSHIP FUND POLICY WITHOUT CHARGE OR AT REDUCED RATES. KEY ELEMENTS USED TO DETERMINE ELIGIBILITY INCLUDE A RESIDENTS DEMONSTRATED INABILITY TO PAY. CLARK-LINDSEY MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS FRIENDSHIP FUND POLICY, THE ESTIMATED COST OF THOSE SERVICES AND SUPPLIES, AND EQUIVALENT SERVICE STATISTICS. DURING THE YEARS ENDED DECEMBER 31, 2019, TWO RESIDENTS RECEIVED FINANCIAL ASSISTANCE FROM THE FRIENDSHIP FUND.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$15,828,488TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
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 Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee413EmployeeCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEBRA REARDANZ CEOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2173442144PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 WEST WINDSOR ROADAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61802ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID HOOD
BOARD MEMBER2.00Yes (X)$0$0$0
ROLAND WHITE
CHAIR2.00Yes (X)$0$0$0Yes (X)
KATHLEEN HOLDEN
VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
TANYA GALLAGHER
SECRETARY & ASSISTANT TREASURER (TERM ENDED 01/19)2.00Yes (X)$0$0$0Yes (X)
GENE GRANDONE
BOARD MEMBER2.00Yes (X)$0$0$0
JAMES GREEN
BOARD MEMBER2.00Yes (X)$0$0$0
WADE HAMPTON
BOARD MEMBER2.00Yes (X)$0$0$0
DAVE LINE
TREASURER & ASSISTANT SECRETARY2.00Yes (X)$0$0$0Yes (X)
WENDY BARTLO
BOARD MEMBER2.00Yes (X)$0$0$0
DENNIS BEARD
BOARD MEMBER2.00Yes (X)$0$0$0
AMIN KASSEM
BOARD MEMBER2.00Yes (X)$0$0$0
CINDY GUTHRIE
BOARD MEMBER2.00Yes (X)$0$0$0
DEBRA S REARDANZ
PRESIDENT / CEO40.00$257,231$0$31,399Yes (X)
TIMOTHY P MAST
VICE PRESIDENT OF FINANCE40.00$128,803$0$22,281Yes (X)
RIKKI BRADY
VICE PRESIDENT OF HEALTH SERVICES40.00$120,578$0$22,876Yes (X)
RON WILCOX
VP OF RESIDENTIAL SERVICES40.00$107,891$0$31,036Yes (X)
KRISTA BORBELY
VP OF HUMAN RESOURCES40.00$102,390$0$26,782Yes (X)
JASON RICE
DINING SERVICE DIRECTOR40.00$100,736$0$28,116Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$817,629TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$162,490TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
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
SODEXO INC & AFFILIATES
PO BOX 360170PITTSBURGHPA15251ENVIRONMENTAL SERVICES$1,251,137
HEALTHPRO HERITAGE LLC
536 OLD HOWELL ROADGREENVILLESC29615THERAPY SERVICES$953,046
THOMPSON ELECTRONICS
905 S BOSCH RDPEORIAIL61607ELECTRONICS CONTRACTOR$333,257
MTK TECHNOLOGIES
701 DEVONSHIRE DR C-14CHAMPAIGNIL61820IT SERVICES$329,880
COLONY SQUARE CLEANERS
701 DEVONSHIRE DRCHAMPAIGNIL61820LAUNDRY SERVICE$180,660
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$114,637AllOtherContributionsAmt
Total Contributions$114,637TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623000$18,459,375$18,459,375
AMORTIZATION OF DEFERRED REVENUE623000$1,687,398$1,687,398
FieldValueIRS element (for citing)
Total Program Service Revenue$20,146,773TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$425,365TotalRevenueColumnAmt
Exclusion$425,365ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,289,141SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,210,635SecuritiesAmt
Other$65,628OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$78,506SecuritiesAmt
Other-$65,628OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,878TotalRevenueColumnAmt
Exclusion$12,878ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$39,368GrossSalesOfInventoryAmt
Cost Of Goods Sold$41,119CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,751TotalRevenueColumnAmt
Exclusion-$1,751ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEAL REVENUE900099$100,833$100,833
HAIR SALON SERVICES900099$87,093$87,093
GUEST SUITE900099$63,460$63,460

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,046TotalRevenueColumnAmt
Exclusion$55,046ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$306,432OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,004,334TotalRevenueColumnAmt
Related Or Exempt Func Income$20,146,773RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$742,924ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$125,380TotalAmt
Program Services$125,380ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$851,267TotalAmt
Management And General$851,267ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,230,661TotalAmt
Program Services$7,223,651ProgramServicesAmt
Management And General$1,007,010ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$208,247TotalAmt
Program Services$100,683ProgramServicesAmt
Management And General$107,564ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$804,376TotalAmt
Program Services$388,899ProgramServicesAmt
Management And General$415,477ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$697,286TotalAmt
Program Services$337,123ProgramServicesAmt
Management And General$360,163ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,398TotalAmt
Management And General$27,398ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$62,039TotalAmt
Management And General$62,039ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$83,691TotalAmt
Management And General$83,691ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,147,991TotalAmt
Program Services$1,086,095ProgramServicesAmt
Management And General$61,896ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$53,985TotalAmt
Management And General$53,985ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$634,787TotalAmt
Program Services$530,373ProgramServicesAmt
Management And General$104,414ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$387,779TotalAmt
Program Services$9,367ProgramServicesAmt
Management And General$378,412ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,440,325TotalAmt
Program Services$1,305,768ProgramServicesAmt
Management And General$134,557ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$101,740TotalAmt
Program Services$78,953ProgramServicesAmt
Management And General$22,787ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$66,168TotalAmt
Program Services$53,625ProgramServicesAmt
Management And General$12,543ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$389,412TotalAmt
Program Services$353,033ProgramServicesAmt
Management And General$36,379ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,685,706TotalAmt
Program Services$2,434,805ProgramServicesAmt
Management And General$250,901ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$183,577TotalAmt
Management And General$183,577ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DIETARY$983,684$795,148$188,536
ANCILLARY$375,889$375,889
ADMINISTRATION$283,856$283,856
REPAIRS$269,272$142,137$127,135

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$517,968TotalAmt
Program Services$487,559ProgramServicesAmt
Management And General$30,409ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,612,484TotalAmt
Program Services$15,828,488ProgramServicesAmt
Management And General$4,783,996ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$16,806BOYAmt
EOY$269,978EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,665,415BOYAmt
EOY$1,530,758EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,099,840BOYAmt
EOY$1,275,950EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$24,968BOYAmt
EOY$24,968EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$200,306BOYAmt
EOY$156,772EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$62,627,564LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$28,851,537LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,448,959BOYAmt
EOY$33,776,027EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$15,206,272BOYAmt
EOY$18,054,769EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$14,052EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$52,662,566BOYAmt
EOY$55,103,274EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,040,058BOYAmt
EOY$2,082,444EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$17,581,707BOYAmt
EOY$18,065,131EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,293,929BOYAmt
EOY$11,807,024EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$13,358BOYAmt
EOY$16,761EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$126,500BOYAmt
EOY$126,500EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$152,668BOYAmt
EOY$222,479EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,208,220BOYAmt
EOY$32,320,339EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,941,656BOYAmt
EOY$22,183,164EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$512,690BOYAmt
EOY$599,771EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,454,346BOYAmt
EOY$22,782,935EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,662,566BOYAmt
EOY$55,103,274EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$391,850ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,936,739NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$311,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$450,517CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$192,272CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$419,230CurrentTaxYearMinus1YearAmt
Current Tax Year$114,637CurrentTaxYearAmt
Total$1,488,611TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,165,427CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,173,741CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,752,597CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,456,546CurrentTaxYearMinus1YearAmt
Current Tax Year$20,146,773CurrentTaxYearAmt
Total$87,695,084TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$38,478CurrentTaxYearMinus1YearAmt
Current Tax Year$39,368CurrentTaxYearAmt
Total$77,846TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,477,382CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,624,258CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,944,869CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,914,254CurrentTaxYearMinus1YearAmt
Current Tax Year$20,300,778CurrentTaxYearAmt
Total$89,261,541TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$89,261,541PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$224,769CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$245,612CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$286,388CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$290,511CurrentTaxYearMinus1YearAmt
Current Tax Year$425,365CurrentTaxYearAmt
Total$1,472,645TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$224,769CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$245,612CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$286,388CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$290,511CurrentTaxYearMinus1YearAmt
Current Tax Year$425,365CurrentTaxYearAmt
Total$1,472,645TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$345,265CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$333,301CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$353,267CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$337,230CurrentTaxYearMinus1YearAmt
Current Tax Year$306,432CurrentTaxYearAmt
Total$1,675,495TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,047,416CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,203,171CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,584,524CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,541,995CurrentTaxYearMinus1YearAmt
Current Tax Year$21,032,575CurrentTaxYearAmt
Total$92,409,681TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96590PublicSupportCY509Pct
Public Support PY5090.96570PublicSupportPY509Pct
Investment Income CY0.01590InvestmentIncomeCYPct
Investment Income PY0.01450InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS - 2015 AMOUNT: $ 7,889. 2016 AMOUNT: $ 3,019. 2017 AMOUNT: $ 1,841. 2018 AMOUNT: $ 702. 2019 AMOUNT: $ 7,020. MEAL REVENUE - 2015 AMOUNT: $ 105,622. 2016 AMOUNT: $ 122,001. 2017 AMOUNT: $ 127,985. 2018 AMOUNT: $ 130,001. 2019 AMOUNT: $ 100,833. SALON SERVICES - 2015 AMOUNT: $ 58,149. 2016 AMOUNT: $ 57,230. 2017 AMOUNT: $ 65,269. 2018 AMOUNT: $ 75,411. 2019 AMOUNT: $ 87,093. GARAGE FEES - 2015 AMOUNT: $ 37,320. 2016 AMOUNT: $ 35,640. 2017 AMOUNT: $ 36,629. 2018 AMOUNT: $ 35,819. 2019 AMOUNT: $ 33,872. LAUNDRY INCOME - 2015 AMOUNT: $ 18,149. 2016 AMOUNT: $ 17,118. 2017 AMOUNT: $ 18,576. 2018 AMOUNT: $ 15,642. 2019 AMOUNT: $ 14,094. PERSONAL SERVICE ATTENDANT - 2015 AMOUNT: $ 3,385. 2016 AMOUNT: $ 3,436. 2017 AMOUNT: $ 1,569. 2018 AMOUNT: $ 3,465. 2019 AMOUNT: $ 60. GROCERY STORE - 2015 AMOUNT: $ 45,227. 2016 AMOUNT: $ 42,104. 2017 AMOUNT: $ 36,268. GUEST SUITE INCOME - 2015 AMOUNT: $ 69,524. 2016 AMOUNT: $ 52,753. 2017 AMOUNT: $ 65,130. 2018 AMOUNT: $ 76,190. 2019 AMOUNT: $ 63,460.ExplanationTxt

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 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$2,442,707BeginningYearBalanceAmt
Contributions$30,450ContributionsAmt
Investment Earnings Or Losses$378,213InvestmentEarningsOrLossesAmt
Other Expenditures$7,642OtherExpendituresAmt
Administrative Expenses$11,621AdministrativeExpensesAmt
End Year Balance$2,832,107EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,595,209BeginningYearBalanceAmt
Contributions$20,370ContributionsAmt
Investment Earnings Or Losses-$105,405InvestmentEarningsOrLossesAmt
Other Expenditures$56,098OtherExpendituresAmt
Administrative Expenses$11,369AdministrativeExpensesAmt
End Year Balance$2,442,707EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,392,134BeginningYearBalanceAmt
Contributions$25,580ContributionsAmt
Investment Earnings Or Losses$276,536InvestmentEarningsOrLossesAmt
Other Expenditures$84,699OtherExpendituresAmt
Administrative Expenses$14,342AdministrativeExpensesAmt
End Year Balance$2,595,209EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,311,535BeginningYearBalanceAmt
Contributions$21,420ContributionsAmt
Investment Earnings Or Losses$93,413InvestmentEarningsOrLossesAmt
Other Expenditures$20,947OtherExpendituresAmt
Administrative Expenses$13,287AdministrativeExpensesAmt
End Year Balance$2,392,134EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,334,249BeginningYearBalanceAmt
Contributions$33,000ContributionsAmt
Investment Earnings Or Losses-$12,519InvestmentEarningsOrLossesAmt
Other Expenditures$30,206OtherExpendituresAmt
Administrative Expenses$12,989AdministrativeExpensesAmt
End Year Balance$2,311,535EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.83210BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.16790PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$225,000OtherCostOrOtherBasisAmt
Book Value$225,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,912,898OtherCostOrOtherBasisAmt
Depreciation$21,355,834DepreciationAmt
Book Value$28,557,064BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,125,569OtherCostOrOtherBasisAmt
Depreciation$1,310,943DepreciationAmt
Book Value$814,626BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,280,283OtherCostOrOtherBasisAmt
Depreciation$6,184,760DepreciationAmt
Book Value$4,095,523BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$83,814OtherCostOrOtherBasisAmt
Book Value$83,814BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$33,776,027TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED COMPENSATIONDesc
Amt$222,479Amt
FieldValueIRS element (for citing)
Total Liability$222,479TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE RECORDS OF THREE COMMITTEES, INCLUDING THE MEADOWBROOK AUXILIARY FUND, THE RESIDENT COUNCIL FUND, AND THE LIBRARY FUND, ARE MAINTAINED BY CLARK-LINDSEY, BUT THE MONEY IS NOT CLARK-LINDSEY'S TO SPEND. IN ADDITION, MONEY IS MAINTAINED FOR HEALTH CENTER RESIDENTS IN A SEPARATE ACCOUNT, BUT THE MONEY IS NOT CLARK-LINDSEY'S TO SPEND. THESE FUNDS ARE INCLUDED IN CASH AND IN A LIABILITY CAPTIONED "FUNDS HELD FOR OTHERS".
PART V, LINE 4:THE ARMSEY BEAUTIFICATION FUND IS A TERM ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT FOR CLARK-LINDSEY RESIDENT GROUNDS AND GARDENS. THE THOMPSON LIBRARY FUND IS A TERM ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF THE CLARK-LINDSEY RESIDENT LIBRARY. THE WEBBER EDUCATIONAL FUND IS A PERMANENT ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF CONTINUING EDUCATION FOR HEALTH CENTER STAFF. THE STEWART LIBRARY FUND IS A PERMANENT ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF THE CLARK-LINDSEY RESIDENT LIBRARY. THE KAULFERS FUND IS A BOARD DESIGNATED, QUASI ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT FOR QUALITY OF LIFE IMPROVEMENTS INCLUDING PROGRAMS AND FACILITIES ESPECIALLY DEVELOPED FOR SENIOR CITIZENS.
PART X, LINE 2:MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

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 TypeCHARITY CARE - FINANCIAL ASSISTANCE FOR HOME AND HEALTH CARE COSTS.GrantTypeTxt
Recipient2RecipientCnt
Cash Grant$125,380CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCLARK-LINDSEY MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS FRIENDSHIP FUND POLICY, THE ESTIMATED COST OF THOSE SERVICES AND SUPPLIES, AND EQUIVALENT SERVICE STATISTICSExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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 (2 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
DEBRA S REARDANZ
PRESIDENT / CEO$240,231$0$17,000$0$0$0$14,755$0$16,644$0$288,630$0$0$0
TIMOTHY P MAST
VICE PRESIDENT OF FINANCE$122,343$0$6,124$0$336$0$8,208$0$14,073$0$151,084$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BDEBRA S. REARDANZ RECEIVED AN EMPLOYEE MATCH PAYMENT OF $6,356 TO HER 457 PLAN IN 2019. ON JANUARY 1, 2017, CLARK-LINDSEY ENTERED INTO A SUPPLEMENTAL COMPENSATION AGREEMENT COVERING DEBRA S. REARDANZ WHICH PROVIDES FOR THE OFFICER TO RECEIVE, UPON TERMINATION OF EMPLOYMENT, PAYMENT IN CASH, IN FULL, WITHIN 90 DAYS. THE BENEFIT TO WHICH THE OFFICER IS ENTITLED TO RECEIVE BECOMES FULLY VESTED ON THE 10TH FULL CALENDAR YEAR AFTER THE GRANT DATE. IF DEATH OR DISABILITY OCCURS DURING THE PERIOD COVERED BY THE AGREEMENT, THE BALANCE OF THE ACCOUNT BECOMES 100% VESTED WITH THE BENEFIT PAYMENTS MADE TO THE BENEFICIARY. CLARK-LINDSEY'S FUNDING OF THIS BENEFIT IS BEING RECOGNIZED AS COMPENSATION COST ON AN ANNUAL BASIS AND INTENDS TO USE CASH FROM OPERATIONS TO FUND THIS OBLIGATION. AT DECEMBER 31, 2019 AND 2018, CLARK-LINDSEY HAS RECORDED A DESIGNATED INVESTMENT BALANCE AND A DEFERRED COMPENSATION LIABILITY OF APPROXIMATELY $35,000 AND $18,000.
PART I, LINE 7BONUSES ARE PROVIDED BASED UPON THE ORGANIZATION'S FINANCIAL OUTCOME.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF URBANA CHAMPAIGN COUNTY ILLINOIS
A376000524NONEAVAIL2004-05-20$5,000,000IMPROVEMENTS TO HEALTHCARE FACILITY000
CITY OF URBANA CHAMPAIGN COUNTY ILLINOIS
B376000524NONEAVAIL2015-12-30$10,000,000IMPROVEMENTS AND ADDITIONS TO HEALTHCARE FACILITY000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,534,811$5,000,000$97,185$4,902,815200500Yes (1)Yes (1)
B$540,690$9,986,267$135,458$9,850,809201700Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)000.000800.000000.0008000Yes (1)
B0Yes (1)000.000800.000000.0008000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: CITY OF URBANA, CHAMPAIGN COUNTY, ILLINOIS DATE THE REBATE COMPUTATION WAS PERFORMED: 05/31/2019
SCHEDULE K, PAGE 1 - ISSUE PRICE VS. TOTAL PROCEEDS OF ISSUETHERE IS A DIFFERENCE IN THE ISSUE PRICE VS. THE TOTAL PROCEEDS OF ISSUE IN THE AMOUNT OF $13,733.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSARA COOKPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDAUGHTER OF BOARD OF DIRECTOR DAVE LINERelationshipDescriptionTxt
Transaction$49,779TransactionAmt
TransactionGROSS WAGESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2AT HOME WITH CLV, LLC WAS ORGANIZED DURING 2019 AND BEGAN OPERATIONS IN OCTOBER OF 2019 WITH THE MISSION OF PROVIDING HOME AND COMMUNITY-BASED CARE.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD DIRECTS THAT AT LEAST ONE BOARD MEMBER, WHO SERVES ON THE FINANCE COMMITTEE, CONDUCT THE ANNUAL REVIEW OF THE FORM 990 AND PRESENT IT TO THE FULL BOARD PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD DIRECTS THAT OFFICERS, DIRECTOR, AND KEY EMPLOYEES ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR PREPARING QUARTERLY REPORTS TO THE BOARD FINANCE COMMITTEE THAT DISCLOSES ACTUAL, POTENTIAL OR PERCEIVED CONFLICTS OF INTEREST. IN THE EVENT THAT A CONFLICT EXISTS, THE PERSON IS REQUIRED TO RECUSE HIMSELF OR HERSELF FROM PARTICIPATING IN THE DECISION.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD DIRECTS THAT THE PERSONNEL & POLICY COMMITTEE (P&PC) CONDUCT THE PRESIDENT'S ANNUAL PERFORMANCE REVIEW AND DEVELOP SALARY AND COMPENSATION RECOMMENDATIONS FOR FULL BOARD APPROVAL. A COMPARATIVE ANALYSIS OF THE PRESIDENT'S ANNUAL COMPENSATION IS REVIEWED BY THE P&PC USING SOURCES SUCH AS INDEPENDENT SALARY SURVEYS, REVIEW OF FORM 990S AND OTHER INFORMATION AS IT IS AVAILABLE. TO ENSURE THE INDEPENDENCE AND OBJECTIVITY OF THE COMPARATIVE REVIEW, THE DATA AND ANALYSIS IS PREPARED BY SOMEONE OTHER THAN THE PRESIDENT. IN REGARDS TO OTHER OFFICERS AND KEY EMPLOYEES, THE PRESIDENT PERFORMS A SIMILAR PROCESS USING INDEPENDENT SALARY SURVEY DATA TO DETERMINE COMPENSATION. THESE PROCESSES WERE LAST UNDERTAKEN IN 2020 AND 2019, RESPECTIVELY.
FORM 990, PART VI, SECTION C, LINE 19CLARK-LINDSEY VILLAGE, INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION.
FORM 990, PART XII, LINE 2CTHE PROCESS FOR REVIEW AND OVERSIGHT OF THE AUDIT PROCESS IS CONSISTENT WITH PRIOR YEARS.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AT HOME WITH CLV LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 W WINDSOR RDAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61802ZIPCd
FieldValueIRS element (for citing)
EIN842989449EIN
Primary ActivitiesHOME HEALTH CAREPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of EOY Assets$219,830ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.80000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AT HOME WITH CLV LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$200,000InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt