2018-11-13T15:38:13-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2017-01-01 362169165 PLYMOUTH PLACE INC PLYM 7083540340 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 JAMES BIERE CHIEF EXECUTIVE OFFICER 7083540340 2018-11-06 1 CHRIS MANDERFIELD P01238973 6305738600 2018-11-06 67.137.57.251 2018-11-06 08:38:27 CS P 8A62A67B0CF66BC4F922050F57FA14743E0C529F 4F402DDF36D721BD6AB3A2CA290BB815499705B6 2017 2019-02-21 02:37:17Z JAMES BIERE 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 51438467 0 X WWW.PLYMOUTHPLACE.ORG X 1938 IL RETIREMENT HOME FOR SENIOR CITIZENS 15 15 430 45 0 0 1279970 445544 27836642 27841220 1294507 2997204 0 0 30411119 31283968 0 0 0 0 12197131 13236717 0 0 0 18927516 18457125 31124647 31693842 -713528 -409874 137699421 137360084 177741142 175241326 -40041721 -37881242 PLYMOUTH PLACE IS DEDICATED TO PROVIDING A WELCOMING ENVIRONMENT FOR OLDER ADULTS. WITH A FOCUS ON THE DIGNITY AND WORTH OF EACH INDIVIDUAL, WE HONOR EVERY RESIDENT'S RIGHT TO EXPERIENCE LIFE TO THE FULLEST. 0 0 28343171 27841220 PLYMOUTH PLACE IS A NONPROFIT CORPORATION WHICH PROVIDES HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO THE RESIDENTS OF THE LANDING AT PLYMOUTH PLACE, A RETIREMENT COMMUNITY IN LAGRANGE PARK, ILLINOIS. THE LANDING, A REDEVELOPMENT OF THE ORGANIZATION'S FORMER RETIREMENT COMMUNITY, CONSISTS OF 182 INDEPENDENT LIVING APARTMENTS, 52 ASSISTED LIVING, 26 MEMORY SUPPORT UNITS, 86 HEALTH CARE BEDS, AND 24 RENOVATED COTTAGES. 28343171 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 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 0 0 0 0 0 1 29 0 1 430 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X JAMES BIERE 7084826842 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 JANET MCDERMED DIRECTOR 1.00 X 0 0 0 MARK CLOGHESSY DIRECTOR 1.00 X 0 0 0 DORIS BRYANT DIRECTOR 1.00 X 0 0 0 MIKE THIESSEN DIRECTOR 1.00 X 0 0 0 DR LARRY LAPALIO DIRECTOR 1.00 X 0 0 0 REV CARLY STUCKLEN SATHER DIRECTOR 1.00 X 0 0 0 HARRIET VERGOWE DIRECTOR 1.00 X 0 0 0 LOUISE STARMANN DIRECTOR 1.00 X 0 0 0 LAURA WEYRAUCH DIRECTOR 1.00 X 0 0 0 DR KENT ARMBRUSTER DIRECTOR 1.00 X 0 0 0 MARVIN BALDWIN DIRECTOR 1.00 X 0 0 0 ELIZABETH ASPERGER DIRECTOR 1.00 X 0 0 0 THOM SERAFIN DIRECTOR 1.00 X 0 0 0 SALLY HADLEY DIRECTOR 1.00 X 0 0 0 JOHN BARRETT DIRECTOR 1.00 X 0 0 0 DALE LILBURN CEO, THROUGH 12/31/17 45.00 X 198046 0 3466 MARGARET GILBERT SENIOR LIVING COUNSELOR 45.00 X 110058 0 18740 RAYMOND FELSON EXECUTIVE DIRECTOR 45.00 X 143790 0 12173 451894 0 34379 3 0 1 0 SODEXO INC PO BOX 70060 CHICAGO IL 60673 DIETARY AND MAINTENANCE SERVICE 2478976 HEALTHPRO REHABILITATION 3703 WEST LAKE AVENUE SUITE 200 GLENVIEW IL 60025 NURSING THERAPY 1437022 PROVIDENCE LIFE SERVICES 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 MANAGEMENT AND IT 693875 OMNICARE INC 2313 S MT PROSPECT RD DES PLAINES IL 60018 LONG TERM CARE PHARMACY 527204 GLYNNDEVINS 8880 WARD PARKWAY SUITE 400 KANSAS CITY MO 64114 MARKETING SERVICES 329874 14 445544 445544 SENIOR HOUSING, ASSISTANCE 623000 27841220 27841220 27841220 880201 880201 22271502 20154499 2117003 2117003 2117003 31283968 27841220 0 2997204 198046 198046 10202692 9046434 1156258 78525 69333 9192 2003130 1676612 326518 754324 658872 95452 1392257 1303397 88860 13528 13528 95846 95846 408879 408879 149303 73809 75494 209013 209013 768448 768448 4223792 4223792 3911550 3773392 138158 244088 244088 OTHER 2551319 2259980 291339 DIETARY AND DINING 1950185 1950185 NURSING - THERAPY 1424577 1424577 MEDICAL SUPPLIES AND PH 1114340 1114340 31693842 28343171 3350671 0 7343871 6128713 2863374 2975021 263234 160339 134166762 41256177 95174760 92910585 25676249 28158225 6377933 7027201 137699421 137360084 2316608 3025642 11358705 10533892 78482646 77860354 85583183 83821438 177741142 175241326 X -46352519 -44906657 171290 158567 6139508 6866848 -40041721 -37881242 137699421 137360084 X -409874 -175428 2745781 X X 0 1 X 1 0 X 2214687 256138 890766 1593246 445544 5400381 27768454 27290957 27078516 27836642 27841220 137815789 29983141 27547095 27969282 29429888 28286764 143216170 0 0 0 143216170 643930 1168375 690724 981231 880201 4364461 643930 1168375 690724 981231 880201 4364461 30627071 28715470 28660006 30411119 29166965 147580631 0.97040 0.97250 0.02960 0.02750 X 85418 85418 127110292 37717260 89393032 1292547 229813 1062734 5550460 3202566 2347894 128045 106538 21507 92910585 DEFERRED MARKETING COSTS 160353 BENEFICIAL INTEREST IN PERPETUAL TRUST 6866848 7027201 REFUNDABLE ENTRANCE FEES 83472890 RESIDENT DEPOSITS 140326 WAITING LIST DEPOSITS 208222 83821438 X 33854321 -175428 2745781 2570353 31283968 0 31283968 31693842 0 31693842 0 31693842 PART X, LINE 2: THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS FOR INCOME TAXES IN EVALUATING UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 727,340. CHANGE IN VALUE OF FUTURE SERVICE OBLIGATION 2,018,441. X X 0 0 0 0 0 0 0 0 0 DALE LILBURN CEO, THROUGH 12/31/17 198046 0 0 0 0 0 3466 0 0 0 201512 0 0 0 RAYMOND FELSON EXECUTIVE DIRECTOR 135790 0 8000 0 0 0 2516 0 9657 0 155963 0 0 0 A ILLINOIS FINANCE AUTHORITY 861091967 45203HQP0 2013-05-15 24765000 REFINANCING OF SERIES 2005 BONDS 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45203H6A5 2015-10-21 56547882 REFINANCING OF SERIES 2005 BONDS 0 0 0 A 24765000 495300 24269700 0 1 1 1 B 1155000 56547882 1125200 2334371 53088311 0 1 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 FORM 990, PART VI, SECTION A, LINE 3 PLYMOUTH PLACE HAS CONTRACTED WITH PROVIDENCE MANAGEMENT TO PROVIDE CFO AND RELATED ACCOUNTING SERVICES, IT SERVICES AND NURSING CENTER ADMINISTRATION. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE 990 IS PROVIDED DIRECTLY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS REVIEW AND UPDATE THEIR ANNUAL DISCLOSURE OF INTERESTS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD ANNUALLY RECEIVES AND REVIEWS THE COMPENSATION SURVEYS OF AAHSA & LEADINGAGE ILLINOIS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE FACILITY OFFICE. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF PERPETUAL TRUST 727,340. CHANGE IN VALUE OF FUTURE SERVICE OBLIGATION 2,018,441. FORM 990, PART XII, LINE 2C PLYMOUTH PLACE, INC.'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS CHARGED WITH ALL DUTIES AND RESPONSIBILITIES OF THE BOARD AND IS AUTHORIZED AND EMPOWERED TO ACT ON BEHALF OF THE BOARD, BETWEEN ITS REGULAR OR SPECIAL MEETINGS, EXCEPT FOR BUYING, SELLING, MORTGAGING, ENCUMBERING, LEASING, CONVEYING AND TRANSFERRING OF REAL ESTATE THAT IS OWNED OR OPERATED BY PLYMOUTH PLACE. THE CHAIR, OR VICE-CHAIR, SHALL REPORT ALL EXECUTIVE COMMITTEE ACTIONS TAKEN ON BEHALF OF THE BOARD, PROMPTLY AND IN FULL, AT THE NEXT REGULARLY SCHEDULED BOARD OF DIRECTORS MEETING. THE CHAIR SHALL HAVE THE AUTHORITY TO CALL A SPECIAL MEETING OF THE BOARD IF, IN THE CHAIR'S OPINION, EXECUTIVE COMMITTEE ACTIONS WARRANT AN IMMEDIATE REPORT TO THE FULL BOARD.