2019-12-17T15:26:33-06:00 2019-03-31 381357951 PLANTE MORAN 10 S RIVERSIDE PLAZA CHICAGO IL 60606 990 2018-04-01 471545753 PRESBYTERIAN HOMES PRES 8479793900 8707 SKOKIE BOULEVARD NO 400 SKOKIE IL 60077 TODD F SWORTZEL CHIEF EXECUTIVE OFFICER 8479793900 2019-12-06 1 DAVID LOWENTHAL P00378651 3122071040 2019-12-06 67.59.56.30 2019-12-06 11:29:21 CS P CE116CF1B5FDB7DAD0437E80FEFE64DA22EB8A24 23D9C3BAD3C11415BCA5E3AEE50D281DF37E870F 2018 2020-04-17 16:48:07Z TODD F SWORTZEL 8707 SKOKIE BOULEVARD NO 400 SKOKIE IL 60077 127579203 0 X WWW.PRESBYTERIANHOMES.ORG X 2014 IL PRESBYTERIAN HOMES, A FAITH BASED NOT FOR PROFIT, CREATES VIBRANT COMMUNITIES FOR OLDER ADULTS THAT INSPIRE WELLNESS, INDEPENDENCE, JOY, AND SECURITY - ENRICHING THE LIVES OF RESIDENTS AND THEIR FAMILIES. 15 15 898 260 0 1388 2063672 1992062 64507905 69110341 525916 6133988 3375670 3536481 70473163 80772872 0 0 0 0 33446170 34763235 0 0 0 40791395 42524402 74237565 77287637 -3764402 3485235 439476075 455838690 351963480 368547357 87512595 87291333 X PRESBYTERIAN HOMES, A FAITH BASED NOT FOR PROFIT, CREATES VIBRANT COMMUNITIES FOR OLDER ADULTS THAT INSPIRE WELLNESS, INDEPENDENCE, JOY, AND SECURITY - ENRICHING THE LIVES OF RESIDENTS AND THEIR FAMILIES. 0 0 30313818 35414897 LAKE FOREST PLACE AND THE MOORINGS OF ARLINGTON HEIGHTS ("THE MOORINGS") ARE NOT-FOR-PROFIT INDEPENDENT LIVING, LIFE PLAN COMMUNITIES (FORMERLY KNOWN AS CONTINUING CARE RETIREMENT COMMUNITIES). INDEPENDENT LIVING FACILITIES AT LAKE FOREST PLACE AND THE MOORINGS CONSIST A TOTAL OF 554 APARTMENTS, VILLAS AND COTTAGES. AVAILABLE RESIDENTIAL SERVICES INCLUDE FLEXIBLE DINING OPTIONS, HOUSEKEEPING AND COMPLETE MAINTENANCE SERVICES, TRANSPORTATION AS WELL AS PLANNED SOCIAL AND EDUCATIONAL ACTIVITIES AND PROGRAMS. TEN TWENTY GROVE IS AN INDEPENDENT LIVING FACILITY CONSISTING 47 APARTMENTS. THE THREE INDEPENDENT LIVING FACILITIES SERVED A TOTAL OF 766 INDEPENDENT LIVING RESIDENTS DURING THE FILING YEAR. 10314317 9330587 ASSISTED FACILITIES AT LAKE FOREST PLACE AND THE MOORINGS CONSIST 104 UNITS. THE PROGRAM PROVIDES CARE TO OLDER ADULTS WHO NEED ASSISTANCE WITH PERSONAL CARE AND DAILY ACTIVITIES. BOTH FACILITIES SERVED A TOTAL OF 136 ASSISTED LIVING RESIDENTS DURING THE FILING YEAR. 24409094 24257498 LAKE FOREST PLACE AND THE MOORINGS HEALTH CARE CENTERS PROVIDE INTERMEDIATE AND SKILLED NURSING FOR BOTH SHORT AND LONG TERM STAYS. RESPITE, REHABILITATION, AND PROGRAMS TO CARE FOR THOSE WITH ALZHEIMER'S DISEASE AND OTHER COGNITIVE IMPAIRMENTS ARE ALSO AVAILABLE. LAKE FOREST PLACE HEALTH CARE CENTER CONSISTS 50 SKILLED, MEDICARE-CERTIFIED NURSING BEDS AND 20 MEMORY CARE BEDS. THE MOORINGS HEALTH CARE CENTER CONSISTS 60 SKILLED, MEDICARE-CERTIFIED NURSING BEDS AND 39 INTERMEDIATE AND MEMORY CARE BEDS. THE TWO HEALTH CARE CENTERS SERVED A TOTAL OF 760 RESIDENTS DURING THE FILING YEAR. 107359 REVENUE IS RELATED TO INCOME FROM EMPLOYEE MEALS, PAYMENT LATE FEES, AND OTHER PROGRAM ACTIVITIES. 107359 65037229 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 75 0 1 898 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X MARK HAVRILKA 8479793900 8707 SKOKIE BOULEVARD SUITE 400 SKOKIE IL 60077 LEE HUTCHINSON BOARD CHAIR 1.00 2.00 X X 0 0 0 MICHAEL KIRBY SECRETARY 1.00 2.00 X X 0 0 0 PAULA NOBLE TREASURER 1.00 2.00 X X 0 0 0 FRAN CARROLL DIRECTOR 1.00 2.00 X 0 0 0 DONALD C CLARK JR DIRECTOR 1.00 2.00 X 0 0 0 CHARLIE DENISON DIRECTOR 1.00 2.00 X 0 0 0 MONICA HEENAN DIRECTOR 1.00 2.00 X 0 0 0 ELINOR HITE DIRECTOR 1.00 2.00 X 0 0 0 VINCENT KELLY DIRECTOR 1.00 2.00 X 0 0 0 DENNIS MARX DIRECTOR 1.00 2.00 X 0 0 0 E DENNIS MURPHY DIRECTOR 1.00 2.00 X 0 0 0 BETSY NICHOLS DIRECTOR 1.00 2.00 X 0 0 0 NEELE STEARNS DIRECTOR 1.00 2.00 X 0 0 0 MARK TOLEDO DIRECTOR 1.00 2.00 X 0 0 0 JANE WESTERN DIRECTOR 1.00 2.00 X 0 0 0 TODD F SWORTZEL CEO 15.00 22.50 X 984756 0 194516 NADIM M ABI-ANTOUN COO 21.50 16.00 X 427579 0 85307 MARK HAVRILKA CFO 24.50 13.00 X 371634 0 91575 NANCY TOLAN VP, FACILITY MANAGEMENT 28.50 9.00 X 222062 0 49704 ANDREW T WISSEL VP, HUMAN RESOURCES 20.50 17.00 X 171296 0 53887 LISA J VANDERMARK EXEC. DIR. THE MOORINGS 37.50 0.00 X 210647 0 43908 GLENN B BRICHACEK EXEC. DIR. LAKE FOREST PLACE 37.50 0.00 X 210608 0 53312 ROBERT A WERDAN VP, MARKETING & PUBLIC RELATIONS 25.50 12.00 X 228067 0 66141 MARY ANN ANICHINI VP, CQI UNTIL 7/20/2018 24.50 13.00 X 194078 0 6525 DANIEL M WEINBERGER VP, INFORMATION TECHNOLOGY 25.50 12.00 X 165585 0 49519 LINDSEY M AUMICK DIRECTOR OF FINANCE 24.50 13.00 X 147882 0 9913 DENISE DALE DIRECTOR OF HEALTHCARE, LAKE FOREST PLACE 37.50 0.00 X 147753 0 22551 3481947 0 726858 34 0 1 0 POWER CONSTRUCTION COMPANY 8750 W BRYN MAWR AVENUE SUITE 500 CHICAGO IL 60631 CONSTRUCTION 18038323 UNIDINE CORPORATION 1000 WASHINGTON STREET SUITE 510 BOSTON MA 02118 DINING/FOOD SERVICES 3121179 GREENLEAF CABINETS INC 37 SHERWOOD TERRACE SUITE 108 LAKE BLUFF IL 60044 CABINET CONTRACTORS 2748172 HEALTHPRO REHABILITATION 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY MGMT AND CONSULTING SERVICES 1935483 EXECUTIVE CONSTRUCTION INC 235 FENCL LANE HILLSIDE IL 60162 CONSTRUCTION 1707187 46 1992062 1992062 HEALTH CARE FEES 623311 24257498 24257498 INDEPENDENT LIVING FEES 623311 22958690 22958690 DEFERRED ENTRANCE FEE INCOME 623311 12456207 12456207 ASSISTED LIVING FEES 623311 9330587 9330587 107359 107359 69110341 4528723 4528723 32545 0 32545 32545 32545 47984000 46378735 1605265 1605265 1605265 499392 427596 71796 71796 MANAGEMENT FEES 561000 3432140 3432140 3432140 80772872 69110341 0 9670469 2992794 2992794 24596956 21515401 3081555 1309133 852241 456892 4079699 3578945 500754 1784653 1546643 238010 260995 260995 364038 364038 6468153 5772242 695911 1314269 1314269 205273 35239 170034 875361 557938 317423 331212 44364 286848 12249 527 11722 4399797 4149306 250491 17627296 17412327 214969 728346 674973 53373 BUILDING SERVICES AND U 3875268 3815038 60230 RAW FOOD COST 2177126 2177126 DRUGS AND SUPPLIES 1470375 1408789 61586 REAL ESTATE TAXES 889780 889406 374 1524864 606724 918140 77287637 65037229 12250408 0 28290716 30445135 6583214 2312654 2129552 2302152 690851 1126464 433113108 143005251 275073668 290107857 117549618 122614833 9158456 6929595 439476075 455838690 18803204 17948544 81467651 88234181 143397158 154846062 108295467 107518570 351963480 368547357 X 87512595 87291333 87512595 87291333 439476075 455838690 X 3485235 -2266029 -1440468 X 0 1 X 1 0 X 343158 6657868 2063672 1992062 11056760 19606749 62730926 64507905 69110341 215955921 194281 444606 483720 499392 1621999 20144188 69833400 67055297 71601795 228634680 343158 6657868 2063672 1992062 11056760 0 343158 6657868 2063672 1992062 11056760 217577920 894048 2476445 3498853 4561268 11430614 894048 2476445 3498853 4561268 11430614 1184529 3409496 3249501 3432140 11275666 22222765 75719341 73803651 79595203 251340960 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MANAGEMENT FEE - 2015 AMOUNT: $ 1,184,529. 2016 AMOUNT: $ 3,409,496. 2017 AMOUNT: $ 3,249,501. 2018 AMOUNT: $ 3,432,140. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19642758 19642758 356817082 122999485 233817597 384907 67062 317845 41619321 19938704 21680617 14649040 14649040 290107857 SAFEKEEPING 459752 DEPOSITS - ENTRANCE FEES 1336848 REFUNDABLE ENTRANCE FEES 105091318 OTHER 630652 107518570 X 1 1 X X X X 0 1 0 0 0 0 0 1 0 TODD F SWORTZEL CEO 475073 0 101606 0 408077 0 169513 0 25003 0 1179272 0 0 0 NADIM M ABI-ANTOUN COO 329139 0 60480 0 37960 0 71312 0 13995 0 512886 0 0 0 MARK HAVRILKA CFO 286573 0 59696 0 25365 0 64485 0 27090 0 463209 0 0 0 NANCY TOLAN VP, FACILITY MANAGEMENT 169642 0 29307 0 23113 0 30245 0 19459 0 271766 0 0 0 ANDREW T WISSEL VP, HUMAN RESOURCES 154131 0 5562 0 11603 0 27318 0 26569 0 225183 0 0 0 LISA J VANDERMARK EXEC. DIR. THE MOORINGS 179493 0 29015 0 2139 0 29003 0 14905 0 254555 0 0 0 GLENN B BRICHACEK EXEC. DIR. LAKE FOREST PLACE 176478 0 31702 0 2428 0 24812 0 28500 0 263920 0 0 0 ROBERT A WERDAN VP, MARKETING & PUBLIC RELATIONS 187176 0 20577 0 20314 0 33664 0 32477 0 294208 0 0 0 MARY ANN ANICHINI VP, CQI UNTIL 7/20/2018 95215 0 0 0 98863 0 5724 0 801 0 200603 0 0 0 DANIEL M WEINBERGER VP, INFORMATION TECHNOLOGY 149344 0 15918 0 323 0 26660 0 22859 0 215104 0 0 0 LINDSEY M AUMICK DIRECTOR OF FINANCE 145390 0 2250 0 242 0 8837 0 1076 0 157795 0 0 0 DENISE DALE DIRECTOR OF HEALTHCARE, LAKE FOREST 124482 0 21594 0 1677 0 9111 0 13440 0 170304 0 0 0 PART I, LINE 1A TODD F. SWORTZEL, CEO, RECEIVES A $24,000 TAXABLE HOUSING ALLOWANCE WHICH IS INCLUDED IN W-2 WAGES. PART I, LINE 4B DURING THE YEAR THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN: TODD SWORTZEL, MARK HAVRILKA, NADIM ABI-ANTOUN, NANCY TOLAN, ROBERT WERDAN, ANDREW WISSEL, MARY ANN ANICHINI, GLEN BRICHACEK, LISA VANDERMARK AND DANNY WEINBERGER. DURING THE YEAR TODD SWORTZEL RECEIVED PAYMENTS TOTALING $380,513 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR NADIM ABI-ANTOUN RECEIVED PAYMENTS TOTALING $16,956 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR MARK HAVRILKA RECEIVED PAYMENTS TOTALING $8,013 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR NANCY TOLAN RECEIVED PAYMENTS TOTALING $15,471 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR ANDREW WISSEL RECEIVED PAYMENTS TOTALING $4,912 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR ROBERT WERDAN RECEIVED PAYMENTS TOTALING $18,449 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR MARY ANN ANICHINI RECEIVED PAYMENTS TOTALING $67,180 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. INCLUDED IN PART II, COLUMN (B)(III) ARE AMOUNTS THAT WERE PAID TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN. THESE AMOUNTS WERE CREDITED TO AN ACCOUNT FOR THE EXECUTIVE IN PRIOR YEARS, BUT THE EXECUTIVE WAS REQUIRED TO REMAIN EMPLOYED UNTIL THE YEAR FOR WHICH THIS FORM IS BEING FILED IN ORDER TO BECOME VESTED IN HIS OR HER ACCOUNT. AS A RESULT, THE AMOUNTS THAT WERE PREVIOUSLY CREDITED TO THE EXECUTIVE'S ACCOUNT SHOULD HAVE BEEN INCLUDED IN PART II, COLUMN (C) IN THE YEAR THAT THE AMOUNT WAS CREDITED. NEVERTHELESS, THE ORGANIZATION INADVERTENTLY EXCLUDED THOSE AMOUNTS FROM COLUMN (C) ON PREVIOUSLY FILED FORM 990S. WHEN THE PREVIOUSLY CREDITED AMOUNTS BECOME VESTED, THE AMOUNTS ARE INCLUDED IN PART II, COLUMN (B)(III). THESE AMOUNTS SHOULD BE VIEWED AS HAVING BEEN EARNED OVER THE EXECUTIVE'S ENTIRE PERIOD OF EMPLOYMENT AS AN EXECUTIVE OF THE ORGANIZATION. THE ORGANIZATION HAS CORRECTED THE REPORTING OF THE AMOUNTS CREDITED TO THE 457(F) DEFERRED COMPENSATION PLANS ON A PROSPECTIVE BASIS. NEVERTHELESS, THE FOLLOWING AMOUNTS REPRESENT THE CUMULATIVE AMOUNTS THAT WERE CREDITED TO THE 457(F) DEFERRED COMPENSATION PLAN IN PRIOR YEARS BUT NOT YET PAID, AND SHOULD HAVE BEEN REPORTED IN PART II, COLUMN (C) OF PREVIOUSLY FILED FORM 990S: TODD SWORTZEL $209,271 NADIM ABI-ANTOUN $138,279 DANNY WEINBERGER $ 28,868 MARK HAVRILKA $168,375 NANCY TOLAN $ 81,396 ROBERT WERDAN $ 96,238 ANDREW WISSEL $ 79,832 ANDREW CLAUSON $ 1,667 GLENN BRICHACEK $ 16,935 LISA VANDERMARK $ 27,411 PART I, LINE 7 AS INDICATED IN SCHEDULE J, PART II, THE OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION RECEIVED A BONUS BASED ON PERFORMANCE, QUALITY AND CENSUS METRICS AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THIS BONUS WAS APPROVED BY BOARD OF DIRECTORS UPON THE RECOMMENDATION OF THE GOVERNANCE COMMITTEE. A ILLINOIS FINANCE AUTHORITY 861091967 45204EBD9 2016-04-27 114484316 TO REFUND THE SERIES 1996A, 2001, 2006 AND 2007 BONDS 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 2016-09-30 69615000 TO FUND CAMPUS EXPANSION AT THE MOORINGS OF ARLINGTON HEIGHTS 0 0 0 A 7859408 100253916 90415000 1586771 8252145 2016 1 0 1 1 B 69615000 400000 65127262 4087738 2016 0 0 1 1 A 0 0 0 0 0 0 1 B 1 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1: THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR, THE VICE CHAIR, THE SECRETARY, THE TREASURER, AND SUCH ADDITIONAL MEMBERS OF THE BOARD AS FROM TIME TO TIME MAY BE DETERMINED BY THE BOARD OF DIRECTORS. THE PRESIDENT/CEO SHALL BE A NON-VOTING ATTENDEE AT ALL MEETINGS OF THE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS IN EMERGENCIES WHEN CONVENING THE FULL BOARD IS NOT PRACTICABLE AND SHALL REPORT ITS ACTIONS TO THE BOARD AT THE EARLIEST OPPORTUNITY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND IS THEN PRESENTED TO THE AUDIT COMMITTEE, WHICH ACTS AS A REPRESENTATIVE OF THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THIS IS ACCOMPLISHED PRIOR TO THE FILING OF THE FORM 990. THE AUDIT COMMITTEE FORWARDS ITS RECOMMENDATION FOR ACCEPTANCE OF THE FORM 990 TO THE BOARD OF DIRECTORS. COPIES OF THE FORM 990 ARE ALSO FORWARDED TO THE ENTIRE BOARD FOR THEIR REVIEW AND COMMENT PERIOD. THE BOARD THEN ACTS ON THE RECOMMENDATION OF THE AUDIT COMMITTEE PRIOR TO THE 990'S BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PRESBYTERIAN HOMES EMPLOY MULTIPLE PRACTICES TO ENSURE SENIOR STAFF AND MEMBERS OF THE BOARD OF DIRECTORS FOLLOW BEST GOVERNANCE PRACTICES. AN EXTENSIVE CONFLICTS OF INTEREST POLICY WAS ADOPTED IN APRIL 2001, REVISED IN APRIL 2004 AND FURTHER REVISED IN 2011. ALL DIRECTORS AND SENIOR STAFF ARE REQUIRED TO FILE AN ANNUAL STATEMENT RELATED TO CONFLICTS OF INTEREST. IN ACCORDANCE WITH PRESBYTERIAN HOMES' ACCREDITATION BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES-CONTINUING CARE ACCREDITATION COMMISSION (CARF-CCAC), A CODE OF ETHICS WAS ADOPTED IN APRIL 2007 AND ALL DIRECTORS ARE REQUIRED TO FILE AN ANNUAL STATEMENT CONFIRMING THEIR ACCEPTANCE OF THE CODE. FINALLY, PRESBYTERIAN HOMES ADMINISTERS THE IRS RELATIONSHIP SURVEY TO ALL DIRECTORS AND KEY EMPLOYEES ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNANCE COMMITTEE OF PRESBYTERIAN HOMES IS RESPONSIBLE FOR ALL COMPENSATION AND BENEFIT MATTERS FOR SENIOR MANAGEMENT AND KEY EMPLOYEES. PRESBYTERIAN HOMES ANNUALLY PARTICIPATES IN AN INDUSTRY SPECIFIC EXECUTIVE COMPENSATION SURVEY. THE RESULTS OF THIS SURVEY IS REVIEWED BY MANAGEMENT AND SHARED WITH THE COMMITTEE AS NECESSARY. IN ADDITION THE COMMITTEE REGULARLY ENGAGES AN EXTERNAL COMPENSATION CONSULTING FIRM TO ASSIST IN ITS REVIEW OF THE LEVEL OF COMPENSATION, INCENTIVES AND BENEFITS FOR SENIOR EXECUTIVES AND KEY EMPLOYEES EVERY THREE YEARS. THE COMPENSATION CONSULTANTS ACCUMULATE AND PRESENT TO THE GOVERNANCE COMMITTEE MARKET INFORMATION FOR EACH SENIOR EXECUTIVE POSITION, SUMMARIZE INDIVIDUAL EXECUTIVE COMPENSATION, INCENTIVE AND BENEFITS PACKAGES AND BENCHMARK THAT INFORMATION TO THE INDUSTRY DATA THEY HAVE ACCUMULATED. ANNUALLY, THE ORGANIZATION'S STAFF AND/OR THE BOARD OF DIRECTORS PREPARES PERFORMANCE REVIEWS FOR ALL SENIOR MANAGERS AND KEY EMPLOYEES AND MAKES A RECOMMENDATION TO THE GOVERNANCE COMMITTEE REGARDING COMPENSATION, INCENTIVES AND BENEFITS ADJUSTMENTS. THE GOVERNANCE COMMITTEE CONSIDERS THE PERFORMANCE RECOMMENDATION, COMPARISONS OF TOTAL COMPENSATION BY EXECUTIVE TO MARKET COMPENSATION PERCENTILE FOR INDUSTRY EXECUTIVES WITH SIMILAR JOB TITLES AND/OR SKILL SETS, AND ORGANIZATIONAL NEEDS IN TERMS OF MEETING THE CHALLENGES OF THE UNIQUE BUSINESS OF PROVIDING SENIOR CARE SERVICES. THE GOVERNANCE COMMITTEE MAKES A RECOMMENDATION REGARDING COMPENSATION AND BENEFITS CHANGES FOR SENIOR MANAGEMENT WHICH IS APPROVED ANNUALLY BY THE FULL BOARD OF DIRECTORS WITHIN THE BUDGET PROCESS. THE GOVERNANCE COMMITTEE PROCEEDINGS ARE CONTEMPORANEOUSLY DOCUMENTED AND MINUTES ARE MAINTAINED AND ON FILE AT THE CORPORATE OFFICE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO THE PUBLIC. CONTACT FOR THE INFORMATION IS THE CHIEF FINANCIAL OFFICER, MARK HAVRILKA AT PRESBYTERIAN HOMES, 8707 SKOKIE BOULEVARD, SUITE 400, SKOKIE, IL 60077. THE FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ILLINOIS ATTORNEY GENERAL'S OFFICE. FORM 990, PART XI, LINE 9: CHANGE IN MARKET VALUE OF SWAP -1,440,468. LAKE FOREST PLACE LLC 1100 PEMBRIDGE DRIVE LAKE FOREST IL 60045 472210722 LIFE PLAN COMMUNITY (FKA CONTINUING CARE RETIREMENT COMMUNITY) IL 39443865 247044863 PRESBYTERIAN HOMES TEN TWENTY GROVE 1020 GROVE STREET EVANSTON IL 60201 472216648 INDEPENDENT LIVING IL 1010610 6209846 PRESBYTERIAN HOMES THE MOORINGS OF ARLINGTON HEIGHTS LLC 811 E CENTRAL ROAD ARLINGTON HEIGHTS IL 60005 472235160 LIFE PLAN COMMUNITY (FKA CONTINUING CARE RETIREMENT COMMUNITY) IL 35022012 160749887 PRESBYTERIAN HOMES PRESBYTERIAN HOMES MANAGER LLC 8707 SKOKIE BOULEVARD SUITE 400 SKOKIE IL 60077 472195328 MANAGEMENT SERVICES IL 4798141 46750324 PRESBYTERIAN HOMES PRESBYTERIAN HOMES OUTPATIENT REHAB AGENCY LLC 3200 GRANT STREET EVANSTON IL 60201 611748512 OUTPATIENT REHABILITATION IL 498243 302486 PRESBYTERIAN HOMES MANAGER LLC GENEVA FOUNDATION 8707 SKOKIE BOULEVARD SUITE 400 SKOKIE IL 60077 710945228 SUPPORTING ORGANIZATION IL 501(C) (3) LINE 12A, I PRESBYTERIAN HOMES 1 WESTMINSTER PLACE 3200 GRANT STREET EVANSTON IL 60201 362167832 LIFE PLAN COMMUNITY (F/K/A CONTINUING CARE RETIREMENT COMMUNITY ) IL 501(C) (3) LINE 10 PRESBYTERIAN HOMES 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 GENEVA FOUNDATION OF PRESBYTERIAN HOMES C 1992062 CASH RECEIVED GENEVA FOUNDATION OF PRESBYTERIAN HOMES O 353601 CASH RECEIVED GENEVA FOUNDATION OF PRESBYTERIAN HOMES O 142940 CASH RECEIVED WESTMINSTER PLACE O 3289200 CASH RECEIVED WESTMINSTER PLACE D 1573858 CASH RECEIVED WESTMINSTER PLACE O 60000 CASH PROVIDED