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COVENANT LIVING OF CROMWELL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
COVENANT LIVING OF CROMWELL INC (EIN 13-1740015)
Tax period
2018-02-01 to 2019-01-31
Filed
2019-12-13
IRS object ID
201933479349300118
Schema version
2018v3.1
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)
Return2019-12-13T17:10:53-06:00ReturnTs
Tax Period End2019-01-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN131740015EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COVENANT LIVING OF CROMWELL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOVEBusinessNameControlTxt
Phone8606352690PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line152 MISSIONARY ROADAddressLine1Txt
CityCROMWELLCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06416ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJODY HOLTPersonNm
Person TitleVICE PRESIDENT/CFOPersonTitleTxt
Phone7738782294PhoneNum
Signature2019-12-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHALPreparerPersonNm
PTINP00378651PTIN
Phone3122071040PhoneNum
Preparation2019-12-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.59.56.31IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-12-13IPDt
IP Tm09:50:37IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id4990C5D5F740F16F3E957313BD9512F40585D08AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJODY HOLTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O CLC - 5700 OLD ORCHARD RDAddressLine1Txt
CitySKOKIECityNm
State AbbreviationILStateAbbreviationCd
ZIP60077ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,984,313GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption2650GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COVLIVING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1962FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionCARE FOR SENIOR ADULTSActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee349TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,461,088PYContributionsGrantsAmt
CY Contributions Grants$145,826CYContributionsGrantsAmt
PY Program Service Revenue$18,403,576PYProgramServiceRevenueAmt
CY Program Service Revenue$18,923,620CYProgramServiceRevenueAmt
PY Investment Income$334,986PYInvestmentIncomeAmt
CY Investment Income$569,335CYInvestmentIncomeAmt
PY Other Revenue$855,466PYOtherRevenueAmt
CY Other Revenue$922,173CYOtherRevenueAmt
PY Total Revenue$21,055,116PYTotalRevenueAmt
CY Total Revenue$20,560,954CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,939,317PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,136,776CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$249,836CYTotalFundraisingExpenseAmt
PY Other Expenses$11,719,015PYOtherExpensesAmt
CY Other Expenses$11,942,942CYOtherExpensesAmt
PY Total Expenses$20,658,332PYTotalExpensesAmt
CY Total Expenses$21,079,718CYTotalExpensesAmt
PY Revenues Less Expenses$396,784PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$518,764CYRevenuesLessExpensesAmt
Total Assets BOY$44,521,319TotalAssetsBOYAmt
Total Assets EOY$96,863,154TotalAssetsEOYAmt
Total Liabilities BOY$40,622,560TotalLiabilitiesBOYAmt
Total Liabilities EOY$93,544,309TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,898,759NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,318,845NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS A MINISTRY OF THE EVANGELICAL COVENANT CHURCH, COVENANT LIVING CELEBRATES GOD'S GIFT OF LIFE IN CHRISTIAN COMMUNITY. WE FOLLOW THE GREAT COMMANDMENT TO LOVE AND SERVE GOD AND ONE ANOTHER AS TAUGHT BY JESUS CHRIST. (SEE SCHEDULE O)MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,248,433ExpenseAmt
Revenue$8,769,559RevenueAmt
DescRESIDENTIAL LIVING: THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED JANUARY 31, 2019 WERE AS FOLLOWS:THERE WERE A TOTAL OF 251 RESIDENTS, OCCUPYING 202 APARTMENTS AT 01/31/2019. RESIDENCY FOR THE FISCAL YEAR TOTALED 91,100 RESIDENT DAYS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,754,126ExpenseAmt
Revenue$3,976,794RevenueAmt
DescASSISTED LIVING: THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED JANUARY 31, 2019 WERE AS FOLLOWS:THERE WERE A TOTAL OF 50 ASSISTED LIVING RESIDENTS AT 01/31/2019. ASSISTED LIVING RESIDENCY FOR THE FISCAL YEAR TOTALED 18,686 PATIENT DAYS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,547,651ExpenseAmt
Revenue$7,097,980RevenueAmt
DescSKILLED NURSING: THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED JANUARY 31, 2019 WERE AS FOLLOWS:THERE WERE A TOTAL OF 47 SKILLED CARE PATIENTS AT 01/31/2019.SKILLED CARE RESIDENCY FOR THE FISCAL YEAR TOTALED 18,261 PATIENT DAYS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$14,550,210TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document65IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee349EmployeeCnt
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 ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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 Members0ElectionOfBoardMembersInd
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 CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JODY HOLTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7738782295PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O CLC 5700 OLD ORCHARD RDAddressLine1Txt
CitySKOKIECityNm
State AbbreviationILStateAbbreviationCd
ZIP60077ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TERRI S CUNLIFFE
DIRECTOR/EX-OFFICIO/PRESIDENT1.0040.00Yes (X)Yes (X)$0$595,627$96,661
ROGER OXENDALE
DIRECTOR/EX-OFFICIO/PRESIDENT1.0040.00Yes (X)Yes (X)$0$393,472$42,860
SARAH BENTLEY
DIRECTOR/SECRETARY0.101.90Yes (X)Yes (X)$0$0$0
MARK C EASTBURG
DIRECTOR/CHAIR0.101.90Yes (X)Yes (X)$0$0$0
MATTHEW MANLOVE
DIRECTOR/VICE CHAIR0.101.90Yes (X)Yes (X)$0$0$0
MARY PALMER
DIRECTOR/TREASURER0.101.90Yes (X)Yes (X)$0$0$0
JON P AAGAARD MD
DIRECTOR0.101.90Yes (X)$0$0$0
PAMELA CHRISTENSEN
DIRECTOR0.101.90Yes (X)$0$0$0
KARA E DAVIS MD
DIRECTOR0.101.90Yes (X)$0$0$0
MARC E ESPINOSA
DIRECTOR - PART YEAR0.101.90Yes (X)$0$0$0
DONALD HODGKINSON
DIRECTOR0.101.90Yes (X)$0$0$0
SCOTT MACDONALD
DIRECTOR - PART YEAR0.101.90Yes (X)$0$0$0
DALE GLEN RINARD
DIRECTOR0.101.90Yes (X)$0$0$0
MARLENE STANTE
DIRECTOR0.101.90Yes (X)$0$0$0
ANDREW VANOVER
DIRECTOR0.101.90Yes (X)$0$0$0
ANNE E VINING
DIRECTOR0.101.90Yes (X)$0$0$0
KURT KINCANON
DIRECTOR0.101.90Yes (X)$0$0$0
ROBERT MARTIN
DIRECTOR0.101.90Yes (X)$0$0$0
RICHARD P NELSON
DIRECTOR/EX-OFFICIO0.101.90Yes (X)$0$0$0
GARY WALTER
DIRECTOR/EX-OFFICIO - PART YEAR1.0040.00Yes (X)$0$132,547$106,250
JOHN WENRICH
DIRECTOR/EX-OFFICIO1.0040.00Yes (X)$0$73,178$88,582
JODY HOLT
CFO/TREASURER/ASST SECRETARY1.0040.00Yes (X)$0$364,128$66,031
DAVID G ERICKSON
SR VP/GEN COUNSEL/ASST SECRETARY1.0040.00Yes (X)$0$307,461$64,355
REBEKAH ERICKSON
ASSISTANT SECRETARY1.0040.00Yes (X)$0$91,423$9,883
PAMELA B KLAPPROTH
EXECUTIVE DIRECTOR40.000.00$183,318$0$23,179Yes (X)
ERIN HALL
DIRECTOR OF SALES40.000.00$146,165$0$4,384Yes (X)
KIMBERLY FIORE
DIRECTOR OF SALES40.000.00$126,655$0$14,789Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$456,138TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,957,836TotReportableCompRltdOrgAmt
Total Other Compensation$516,974TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
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
4880 PAYSPHERE CIRCLECHICAGOIL60674DINING SERVICES$492,914
HEALTHPRO THERAPY SERVICES LLC
307 INTERNATIONAL CIRCLE SUITE 100HUNT VALLEYMD21030THERAPY MANAGEMENT AND CONSULTING$487,723
KARL E LINDROTH
PO BOX 463HEBRONCT06248CONSTRUCTION SERVICES$269,431
LINK MECHANICAL SERVICES INC
34 WALNUT STREET PO BOX 364NEW BRITAINCT06050HVAC SERVICES$260,523
SULLIVAN PAVING CO INC
PO BOX 337IVORYTONCT06442PAVING SERVICES$207,446
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Fundraising$51,045FundraisingAmt
All Other Contributions$94,781AllOtherContributionsAmt
Total Contributions$145,826TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROUTINE SERVICES623000$12,786,146$12,786,146
ENTRANCE FEE623000$2,325,042$2,325,042
MEDICARE/MEDICAID623000$2,281,413$2,281,413
ANCILLARY623000$1,422,593$1,422,593
MEALS623000$108,426$108,426
FieldValueIRS element (for citing)
Total Program Service Revenue$18,923,620TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$706,796TotalRevenueColumnAmt
Exclusion$706,796ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$70,167RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$68,707RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,460RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,460TotalRevenueColumnAmt
Exclusion$1,460ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$204,236SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$341,697OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$204,236SecuritiesAmt
Other-$341,697OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$137,461TotalRevenueColumnAmt
Exclusion-$137,461ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$12,955FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$51,045ContriRptFundraisingEventAmt
Fundraising Direct Expenses$12,955FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUPPORT SERVICES623000$823,014$823,014
SERVICES TO RESIDENTS623000$59,116$59,116
APARTMENT UPGRADES623000$30,148$30,148

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,435TotalRevenueColumnAmt
Related Or Exempt Func Income$8,435RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$920,713OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,560,954TotalRevenueColumnAmt
Related Or Exempt Func Income$19,844,333RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$570,795ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$196,595TotalAmt
Management And General$196,595ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,223,983TotalAmt
Program Services$6,069,678ProgramServicesAmt
Management And General$1,070,998ManagementAndGeneralAmt
Fundraising$83,307FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$239,697TotalAmt
Program Services$190,927ProgramServicesAmt
Management And General$44,974ManagementAndGeneralAmt
Fundraising$3,796FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$948,607TotalAmt
Program Services$809,949ProgramServicesAmt
Management And General$136,910ManagementAndGeneralAmt
Fundraising$1,748FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$527,894TotalAmt
Program Services$427,572ProgramServicesAmt
Management And General$94,180ManagementAndGeneralAmt
Fundraising$6,142FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$114,595TotalAmt
Program Services$114,595ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$119,586TotalAmt
Management And General$119,586ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,701TotalAmt
Management And General$8,701ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,578,587TotalAmt
Program Services$1,407,781ProgramServicesAmt
Management And General$170,643ManagementAndGeneralAmt
Fundraising$163FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$141,183TotalAmt
Program Services$563ProgramServicesAmt
Management And General$140,620ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$646,880TotalAmt
Program Services$467,094ProgramServicesAmt
Management And General$176,408ManagementAndGeneralAmt
Fundraising$3,378FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$609,680TotalAmt
Management And General$609,680ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,994,003TotalAmt
Program Services$1,308,317ProgramServicesAmt
Management And General$685,686ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$48,209TotalAmt
Program Services$10,874ProgramServicesAmt
Management And General$36,940ManagementAndGeneralAmt
Fundraising$395FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$38,880TotalAmt
Program Services$9,118ProgramServicesAmt
Management And General$29,762ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$891,383TotalAmt
Program Services$616,768ProgramServicesAmt
Management And General$264,025ManagementAndGeneralAmt
Fundraising$10,590FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,975,517TotalAmt
Program Services$2,058,827ProgramServicesAmt
Management And General$881,339ManagementAndGeneralAmt
Fundraising$35,351FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$211,259TotalAmt
Program Services$211,259ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
RELATED PARTY ACTIVITY$1,262,130-$14,400$1,184,097$92,433
DINING SERVICES$537,973$537,973
MAINT. FOR RESIDENTS$417,482$417,482
BAD DEBT$203,283$203,283

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$143,611TotalAmt
Program Services-$94,167ProgramServicesAmt
Management And General$225,245ManagementAndGeneralAmt
Fundraising$12,533FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,079,718TotalAmt
Program Services$14,550,210ProgramServicesAmt
Management And General$6,279,672ManagementAndGeneralAmt
Fundraising$249,836FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,766BOYAmt
EOY$543,556EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$106,875BOYAmt
EOY$2,116,631EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,241,234BOYAmt
EOY$123,363EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,129,563BOYAmt
EOY$935,464EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$336,478BOYAmt
EOY$380,411EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$54,872,022LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,236,383LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,648,146BOYAmt
EOY$30,635,639EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,964,798BOYAmt
EOY$56,468,751EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,006,660BOYAmt
EOY$4,595,893EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,079,799BOYAmt
EOY$1,063,446EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$44,521,319BOYAmt
EOY$96,863,154EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$34,377BOYAmt
EOY$188,761EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,039,430BOYAmt
EOY$11,143,525EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$50,307,095EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$291,562BOYAmt
EOY$1,913,210EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,257,191BOYAmt
EOY$29,991,718EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,622,560BOYAmt
EOY$93,544,309EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,581,904BOYAmt
EOY$3,035,911EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$316,855BOYAmt
EOY$282,934EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,898,759BOYAmt
EOY$3,318,845EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,521,319BOYAmt
EOY$96,863,154EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$518,764ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$61,150NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
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$405,459CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$169,579CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$214,654CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,461,088CurrentTaxYearMinus1YearAmt
Current Tax Year$145,826CurrentTaxYearAmt
Total$2,396,606TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,157,587CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,284,259CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,366,412CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,243,784CurrentTaxYearMinus1YearAmt
Current Tax Year$19,844,333CurrentTaxYearAmt
Total$90,896,375TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,563,046CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,453,838CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,581,066CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,704,872CurrentTaxYearMinus1YearAmt
Current Tax Year$19,990,159CurrentTaxYearAmt
Total$93,292,981TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$11,239CurrentTaxYearAmt
Total$11,239TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$11,239CurrentTaxYearAmt
Total$11,239TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$93,281,742PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$456,316CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$374,590CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$570,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$674,390CurrentTaxYearMinus1YearAmt
Current Tax Year$776,963CurrentTaxYearAmt
Total$2,853,009TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$456,316CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$374,590CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$570,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$674,390CurrentTaxYearMinus1YearAmt
Current Tax Year$776,963CurrentTaxYearAmt
Total$2,853,009TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,019,362CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,828,428CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,151,816CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,379,262CurrentTaxYearMinus1YearAmt
Current Tax Year$20,767,122CurrentTaxYearAmt
Total$96,145,990TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97020PublicSupportCY509Pct
Public Support PY5090.96780PublicSupportPY509Pct
Investment Income CY0.02970InvestmentIncomeCYPct
Investment Income PY0.03220InvestmentIncomePYPct
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 D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$195,000OtherCostOrOtherBasisAmt
Book Value$195,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,714,655OtherCostOrOtherBasisAmt
Depreciation$17,849,264DepreciationAmt
Book Value$19,865,391BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,921,042OtherCostOrOtherBasisAmt
Depreciation$5,726,975DepreciationAmt
Book Value$6,194,067BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,041,325OtherCostOrOtherBasisAmt
Depreciation$660,144DepreciationAmt
Book Value$4,381,181BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,635,639TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DEFERRED REVENUE SUBJECT TO REFUND$4,528,122
REFUNDABLE CONTRACT LIABILITIES$4,320,830
INTER-COMPANY ADVANCE ACCOUNTS$21,020,544
OTHER LIABILITIES$122,222
FieldValueIRS element (for citing)
Total Liability$29,991,718TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2B:FormAndLineReferenceDesc
ExplanationRESIDENT ENTRANCE FEE ACCOUNT: PROSPECTIVE RESIDENTS PAY AN APPLICATION FEE DEPOSIT WHICH IS CARRIED IN AN ESCROW ACCOUNT. AT MOVE IN, THE DEPOSIT IS APPLIED AGAINST THE TOTAL ENTRANCE FEE AMOUNT AND THE REMAINDER OF THE MONEY IS COLLECTED AND PUT IN THIS ACCOUNT. AT THE END OF THE MONTH THE RESIDENT HAS MOVED IN, ALL MONEY IS TRANSFERRED OUT OF THE ESCROW ACCOUNT. RESIDENT TRUST FUND ACCOUNT: PER STATE REGULATIONS, AN ACCOUNT IS MADE AVAILABLE TO SKILLED NURSING FACILITY RESIDENTS WISHING TO DEPOSIT PERSONAL NEEDS FUNDS THAT THEY CAN ACCESS AS NEEDED. INTEREST IS PAID BASED ON THE INTEREST RECEIVED FROM THE BANK FOR THOSE DEPOSITED FUNDS AND ALLOCATED AMONG THE INDIVIDUAL TRUST FUND ACCOUNTS BASED ON AVERAGE BALANCES.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BENEFIT GALAEvent1Nm
Gross Receipts Event1$64,000GrossReceiptsEvent1Amt
Charitable Contri Event1$51,045CharitableContriEvent1Amt
Gross Revenue Event1$12,955GrossRevenueEvent1Amt
Rent Facility Costs Event1$8,758RentFacilityCostsEvent1Amt
Entertainment Event1$700EntertainmentEvent1Amt
Other Direct Expenses Event1$3,497OtherDirectExpensesEvent1Amt
Gross Receipts Total$64,000GrossReceiptsTotalAmt
Charitable Contributions Tot$51,045CharitableContributionsTotAmt
Gross Revenue Total Events$12,955GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$8,758RentFcltyCostsTotalEventsAmt
Entertainment Total Events$700EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$3,497OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$12,955DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
TERRI S CUNLIFFE
DIRECTOR/EX-OFFICIO/PRESIDENT$0$454,342$0$79,316$0$61,969$0$75,861$0$23,617$0$695,105$0$0
ROGER OXENDALE
DIRECTOR/EX-OFFICIO/PRESIDENT$0$261,117$0$16,000$0$116,355$0$8,742$0$34,568$0$436,782$0$0
GARY WALTER
DIRECTOR/EX-OFFICIO - PART YEAR$0$112,547$0$20,000$0$0$0$20,600$0$85,650$0$238,797$0$0
JOHN WENRICH
DIRECTOR/EX-OFFICIO$0$72,178$0$1,000$0$0$0$18,482$0$70,100$0$161,760$0$0
JODY HOLT
CFO/TREASURER/ASST SECRETARY$0$291,195$0$32,000$0$40,933$0$40,950$0$33,576$0$438,654$0$0
DAVID G ERICKSON
SR VP/GEN COUNSEL/ASST SECRETARY$0$244,492$0$0$0$62,969$0$34,941$0$35,299$0$377,701$0$23,188
PAMELA B KLAPPROTH
EXECUTIVE DIRECTOR$137,265$0$0$0$46,053$0$5,080$0$18,389$0$206,787$0$16,496$0
ERIN HALL
DIRECTOR OF SALES$79,801$0$58,450$0$7,914$0$4,384$0$172$0$150,721$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3SEE SCHEDULE O EXPLANATION FOR FORM 990 PART VI SECTION B LINE 15 FOR THE METHODS USED TO DETERMINE CEO COMPENSATION. THE REVIEW AND APPROVAL PROCESS IS DESIGNED TO SATISFY AND QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958.
PART I, LINE 4BEXECUTIVE BENEFIT PLAN COVENANT MINISTRIES OF BENEVOLENCE (CMB), A RELATED ORGANIZATION, PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO ITS OFFICERS AND KEY EMPLOYEES. THESE BENEFITS ARE PROVIDED THROUGH A NONQUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH A PORTION OF THE BENEFITS BEING EARNED ARE SUBJECT TO A "SUBSTANTIAL RISK OF FORFEITURE." THE SUPPLEMENTAL RETIREMENT BENEFITS ARE STRUCTURED TO PROVIDE A RETENTION INCENTIVE THAT HAS BEEN DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF CMB'S BOARD ("COMMITTEE") TO BE OF SUBSTANTIAL VALUE TO THE ORGANIZATION. THE COMMITTEE APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THESE AND OTHER EXECUTIVES, IN A MANNER INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF FEDERAL INCOME TAX LAW. THE COMMITTEE HAS DETERMINED THAT TOTAL COMPENSATION FOR EACH SUCH EXECUTIVE IS REASONABLE. THE FOLLOWING ARE PARTICIPANTS IN THE PLAN: TERRI CUNLIFFE DAVID ERICKSON REBEKAH ERICKSON JODY HOLT ROGER OXENDALE PAMELA KLAPPROTH IN 2018, THESE INDIVIDUALS VESTED IN THE PLAN IN THE FOLLOWING AMOUNTS: DAVID ERICKSON - $7,172 ROGER OXENDALE - $54,315 PAMELA KLAPPROTH - $4,441 IN 2018, THESE INDIVIDUALS RECEIVED THE FOLLOWING DISTRIBUTIONS FROM THE PLAN. DAVID ERICKSON - $23,188 PAMELA KLAPPROTH - $16,496
PART I, LINE 7THE FOLLOWING APPLIES TO CERTAIN INDIVIDUALS LISTED ON PART VII WHOSE COMPENSATION IS PAID FROM RELATED ORGANIZATIONS: THE EXECUTIVE COMPENSATION COMMITTEE (OF CMB'S BOARD) FOLLOWS A PRESCRIBED METHOD FOR CALCULATING INCENTIVE COMPENSATION AWARDS. THE CALCULATION IS BASED ON MEASURABLE TARGETS DETERMINED AT THE BEGINNING OF THE YEAR. THE COMMITTEE HAS THE ABILITY TO ADJUST THE DOLLAR VALUE OF THE CALCULATED AWARDS BY UP TO 10%. THE ADJUSTMENT CAN BE AN UPWARD OR DOWNWARD ADJUSTMENT BASED ON VARIOUS PERFORMANCE FACTORS OR ON FACTORS THAT WILL ASSURE THAT FINAL INCENTIVE COMPENSATION AWARDS ARE IN THE BEST INTEREST OF THE ORGANIZATION AND APPROPRIATELY REFLECT THE PERFORMANCE OF THE ORGANIZATION. REFER TO ADDITIONAL INFORMATION ON THE COMMITTEE INCLUDED IN SCHEDULE O.
PART II, COLUMN B (II):BONUS AND INCENTIVE COMPENSATION - CERTAIN KEY PERSONS EMPLOYED BY COVENANT LIVING AND CMB ARE ELIGIBLE FOR INCENTIVE COMPENSATION AS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF EITHER THE COVENANT LIVING OR CMB'S BOARD BASED ON WHERE THESE INDIVIDUALS ARE EMPLOYED. INCENTIVES PAID IN 2018 RELATE TO THE ACHIEVEMENT OF TARGETS FOR THE FISCAL YEAR ENDED 1/31/2018.
PART II, COLUMN D:NONTAXABLE BENEFITS INCLUDE HEALTH INSURANCE PREMIUMS PAID BY THE EMPLOYER AND EMPLOYEE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1:AS A MINISTRY OF THE EVANGELICAL COVENANT CHURCH, COVENANT LIVING CELEBRATES GOD'S GIFT OF LIFE IN CHRISTIAN COMMUNITY. WE FOLLOW THE GREAT COMMANDMENT TO LOVE AND SERVE GOD AND ONE ANOTHER AS TAUGHT BY JESUS CHRIST. THAT COMPELS US TO AFFIRM THE DIGNITY OF EACH PERSON AND TO PURSUE EXCELLENCE AND FINANCIAL INTEGRITY IN ALL THAT WE DO. AS WE PROVIDE A BROAD RANGE OF RESOURCES, SERVICES AND PROGRAMS TO ENHANCE INDIVIDUAL AND COMMUNITY WELLNESS, WE COLLABORATE WITH RESIDENTS AND FAMILIES TO ACHIEVE THE BEST POSSIBLE RESULTS. WHILE SEEKING TO FOSTER INDEPENDENCE, WE RESPOND TO EACH INDIVIDUAL'S EVOLVING NEEDS IN ORDER TO PROVIDE THE SECURITY THAT ASSURES PEACE OF MIND. IN LIVING OUT THE MISSION, THE COMMUNITY PROVIDES A COMPLETE CONTINUUM OF CARE FROM RESIDENTIAL LIVING THROUGH SKILLED NURSING. SUCH SERVICES ARE GUIDED BY A SERIES OF VALUES AND GOALS ADDRESSING RESIDENT NEEDS, PRIVACY, SAFETY AND DIGNITY, INCLUDING APPROPRIATE ACCESS TO SERVICES. IN CARRYING OUT THE MISSION STATEMENT OF COVENANT LIVING, COVENANT LIVING OF CROMWELL, INC. PROVIDED $458,260 FREE OR DISCOUNTED SERVICES TO THOSE RESIDENTS UNABLE TO PAY ALL OR A PORTION OF THEIR CHARGES, AND WHO MEET CERTAIN ELIGIBILITY REQUIREMENTS.
FORM 990, PART IV, LINE 24A:TAX-EXEMPT BONDS THE ORGANIZATION HAS TAX-EXEMPT BONDS ISSUED AFTER DECEMBER 31, 2002 WITH AN OUTSTANDING PRINCIPAL OF MORE THAN $100,000. THE BONDS ARE REPORTED ON SCHEDULE K OF THE PARENT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 3COVENANT LIVING OF CROMWELL, INC. DELEGATED CONTROL OVER MANAGEMENT DUTIES TO COVENANT LIVING COMMUNITIES, INC., ITS PARENT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER IS COVENANT LIVING COMMUNTIES, INC.
FORM 990, PART VI, SECTION A, LINE 7BS 2.4 OF BYLAWS INCLUDE RESERVED POWERS TO THE [INDIVIDUAL] MEMBERS SUCH AS APPOINTMENT OF PRESIDENT OF COVENANT LIVING, CHANGES TO MISSION AND STRATEGIC PLAN, APPROVAL OF CERTAIN ACQUISITIONS, DISPOSITIONS AND FINANCINGS, CHANGES TO ARTICLES AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT REVIEW: THE DRAFT FORM 990 WAS REVIEWED BY MULTIPLE LEVELS OF MANAGEMENT INCLUDING THE VICE PRESIDENT OF FINANCE/CFO AND THE VICE PRESIDENT OF LEGAL AFFAIRS. BOARD REVIEW: PRIOR TO FILING, THE 990 PROCESS WAS REVIEWED WITH THE BOARD OF DIRECTORS AT THE BOARD MEETING AND THE FINAL FORM 990 WAS PROVIDED TO EACH BOARD MEMBER.
FORM 990, PART VI, SECTION B, LINE 12CCOVENANT LIVING HAS AN ADMINISTRATIVE POLICY ON CONFLICT OF INTEREST, IDENTIFYING THE PARAMETERS OF A CONFLICT OF INTEREST AND THE REQUIREMENT TO DISCLOSE ANY SUCH CONFLICT OF INTEREST. EACH JANUARY, THE COVENANT LIVING POLICY IS DISTRIBUTED TO COVENANT LIVING BOARD MEMBERS AND OFFICERS. THEY ARE ASKED TO SIGN ACKNOWLEDGING RECEIPT OF THE POLICY AND TO DISCLOSE IF THEY HAVE ANY CONFLICT OF INTERESTS. IF SOMEONE IS ABSENT FROM THE MEETING OR FAILS TO RETURN THE ACKNOWLEDGMENT, THERE IS A FOLLOW-UP WITH THE INDIVIDUAL UNTIL THE SIGNED ACKNOWLEDGMENT IS PROVIDED. IN ADDITION TO THE ABOVE, A SEPARATE AND MORE COMPREHENSIVE QUESTIONNAIRE IS SENT TO THE BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND OTHER INTERESTED PERSONS. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY COVENANT LIVING'S LEGAL COUNSEL TO DETERMINE IF ANY ACTUAL OR POTENTIAL CONFLICTS EXIST. IF A PERSON BECOMES AN INTERESTED PERSON, HE OR SHE MAY BE CONSIDERED IN DETERMINING WHETHER A QUORUM IS PRESENT. THE INTERESTED PERSON MAY MAKE A SHORT STATEMENT RELATING TO THE TRANSACTION OR ARRANGEMENT IN QUESTION, BUT SHALL NOT BE PRESENT DURING THE DISCUSSION AND SHALL NOT VOTE ON THE MOTION ADDRESSING THE ACTUAL OR POTENTIAL CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15BCOVENANT LIVINGS' BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO COVENANT LIVING'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE COVENANT LIVING'S SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD, AND THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE RESOURCES UTILIZED BY THE COMPENSATION COMMITTEE INCLUDE: 1) INDEPENDENT COMPENSATION CONSULTANT; 2) COMPENSATION SURVEY OR STUDY; 3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST BY CONTACTING THE COVENANT LIVING ACCOUNTING DEPARTMENT AT 773-878-5744.
FORM 990, PART VI, LINE 9:CONTACT INFO FOR DIRECTORS & OFFICERS ALL OF THE ORGANIZATION'S DIRECTORS AND OFFICERS CAN BE CONTACTED AT THIS ADDRESS: COVENANT LIVING COMMUNITIES, INC. - 5700 OLD ORCHARD ROAD, SKOKIE, IL 60077.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EVANGELICAL COVENANT CHURCH
8303 WEST HIGGINS ROADCHICAGOIL60631362167730CHURCHIL501(C)(3)LINE 1N/A0
SWEDISH COVENANT FACULTY GROUP (SCFG)
5145 NORTH CALIFORNIA AVENUECHICAGOIL60625363686216PATIENT TREATMENT/EDUCATIONIL501(C)(3)LINE 12B, II0SWEDISH COVENANT HOSPITAL
SWEDISH COVENANT HOSPITAL
5145 NORTH CALIFORNIA AVENUECHICAGOIL60625362179813HOSPITALIL501(C)(3)LINE 30COVENANT MINISTRIES OF BENEVOLENCE
SWEDISH COVENANT HOSPITAL FOUNDATION (SCHF)
5145 NORTH CALIFORNIA AVENUECHICAGOIL60625205055155SUPPORT OF SWEDISH COVENANT HOSPITALIL501(C)(3)LINE 70SWEDISH COVENANT HOSPITAL
SC INSURANCE COMPANY
6970 E CHAUNCEY LANE SUITE 100PHOENIXAZ85054273312053INSURANCEAZ501(C)(3)LINE 12B, II0SWEDISH COVENANT HOSPITAL

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COVENANT VILLAGE OF PORTLAND LPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1420 NE MASON STAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97211ZIPCd
FieldValueIRS element (for citing)
EIN364356838EIN
Primary ActivitiesASSISTED LIVING COMMUNITYPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
COVENANT INTERNATIONAL INSURANCE COMPANY LTD
CRAWFORD HOUSE 50 CEDAR AVENUEHAMILTONBDINSURANCEBDN/AC0
COVENANT TRUST COMPANY
FINANCIAL SERVICESN/AC08303 WEST HIGGINS ROAD 6TH FLOORCHICAGOIL60631363583163IL
SWEDISH COVENANT MANAGEMENT SERVICES INC (SCMS)
PHYSICIAN PRACTICE MANAGEMENTN/AC05145 NORTH CALIFORNIA AVENUECHICAGOIL60625364073303IL
SWEDISH COVENANT MANAGED CARE ALLIANCE (SCMCA)
PHYSICIAN - HOSPITAL ORGANIZATIONN/AC02740 WEST FOSTER AVENUE SUITE 409CHICAGOIL60625364118659IL
ST FRANCIS HEALTH CARE LTD
INDEPENDENT GROUP OF PHYSICIANSN/AC02740 WEST FOSTER AVENUE SUITE 002CHICAGOIL60625363208131IL
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
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 Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COVENANT LIVING COMMUNITIES INC
P$1,910,738ALLOCATION OF ACTUAL COST
COVENANT TRUST COMPANY
P$80,061ALLOCATION OF ACTUAL COST