STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COVENANT LIVING OF COLORADO: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COVENANT LIVING OF COLORADO (EIN 84-1084331)
Tax period
2016-02-01 to 2017-01-31
Filed
2017-11-08
IRS object ID
201703129349301325
Schema version
2016v3.0
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)
Return2017-11-08T10:29:43-06:00ReturnTs
Tax Period End2017-01-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN841084331EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Covenant Village of Colorado IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOVEBusinessNameControlTxt
Phone3034244828PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19153 Yarrow StreetAddressLine1Txt
CityWestminsterCityNm
State AbbreviationCOStateAbbreviationCd
ZIP800214563ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJody HoltPersonNm
Person TitleVP of Finance/CFOPersonTitleTxt
Phone7738782294PhoneNum
Signature2017-11-08SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.8.120.204IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-08IPDt
IP Tm09:50:33IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id475448EDD106694E6004F08D4B312B5174DD2527AtSubmissionCreationDeviceId
At Submission Filing Device Id475448EDD106694E6004F08D4B312B5174DD2527AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJody HoltPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1c/o CRC - 5700 Old Orchard RdAddressLine1Txt
CitySkokieCityNm
State AbbreviationILStateAbbreviationCd
ZIP60077ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,331,585GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption2650GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.covenantretirement.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionCare for senior adults.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee257TotalEmployeeCnt
Total Volunteers27TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$70,482PYContributionsGrantsAmt
CY Contributions Grants$378,961CYContributionsGrantsAmt
PY Program Service Revenue$15,888,671PYProgramServiceRevenueAmt
CY Program Service Revenue$16,467,297CYProgramServiceRevenueAmt
PY Investment Income$29,026PYInvestmentIncomeAmt
CY Investment Income$895,809CYInvestmentIncomeAmt
PY Other Revenue$554,069PYOtherRevenueAmt
CY Other Revenue$525,406CYOtherRevenueAmt
PY Total Revenue$16,542,248PYTotalRevenueAmt
CY Total Revenue$18,267,473CYTotalRevenueAmt
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$6,970,281PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,073,484CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$166,547CYTotalFundraisingExpenseAmt
PY Other Expenses$12,313,019PYOtherExpensesAmt
CY Other Expenses$12,172,021CYOtherExpensesAmt
PY Total Expenses$19,283,300PYTotalExpensesAmt
CY Total Expenses$19,245,505CYTotalExpensesAmt
PY Revenues Less Expenses-$2,741,052PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$978,032CYRevenuesLessExpensesAmt
Total Assets BOY$60,402,048TotalAssetsBOYAmt
Total Assets EOY$58,956,398TotalAssetsEOYAmt
Total Liabilities BOY$77,018,728TotalLiabilitiesBOYAmt
Total Liabilities EOY$76,592,777TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$16,616,680NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$17,636,379NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAs a ministry of the Evangelical Covenant Church, Covenant Retirement Communities 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$6,856,725ExpenseAmt
Revenue$8,945,335RevenueAmt
DescResidential Living:The number of persons who benefited from the services we provided for the year ended January 31, 2017 were as follows:There were a total of 308 residents occupying 236 apartments at 01/31/17. Residency for the fiscal year totaled 109,606 resident days.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,383,905ExpenseAmt
Revenue$1,902,296RevenueAmt
DescAssisted Living:The number of persons who benefited from the services we provided for the year ended January 31, 2017 were as follows:There were total of 38 assisted living residents at 01/31/17. Assisted living residency for the the fiscal year totaled 11,147 resident days.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,968,276ExpenseAmt
Revenue$6,145,072RevenueAmt
DescSkilled Nursing & Skilled Dementia:The number of persons who benefited from the services we provided for the year ended January 31, 2017 were as follows:There were a total of 55 skilled and long term residents at 01/31/17. Skilled and long term residency for the fiscal year totaled 17,231 resident days.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescThe organization was involved in various community benefits projects that include the following:- Staff members volunteered a total of 144 hours of their time at Arvada Covenant Church and Alzheimer's Walk (equivalent to $10,200)- Residents volunteered a total of 9,407 hours at local hospitals and clinics, churches, schools, food pantries/banks, shelters, knitting and sewing projects for different organizations, teaching, tutoring and mentoring projects, Habitat for Humanity, Parkinson's Support Group, Alzheimer's Walk, Set Free Prison Ministry, DIA, Arvada Center, Northglenn Bicycle Program and others. Residents also raised monetary donations ($3,075 in total) for Alzheimer's Walk- Hosted student nursing internship programs for Regis University (equivalent to $16,550) - Provided space usage for meetings and events for various groups ranging from under 35 people to 75+ people such Alzheimer's Association Monthly Support Group, Parkinson's Wellness Recovery Classes, City of Westminster's Town Hall, Standley Lake High School Link Leaders Training and NW Denver Area Active Minds monthly presentation (equivalent to $58,500)- Monetary Donations to Arvada Food Bank, Denver Rescue Mission, Hope House, Growing Home, Jeffco Action Center, Ralston House and Westminster Food Bank ($8,000 in total)- In-Kind Donations to Arvada United Methodist Church food outreach ministry ($962 estimated value)- Host site for small to large scale community events (from under 35 participant to 75+) such as Arthritis Foundation PAC E Aquacize, Parkinson's Wellness Recovery classes and Support Group, Alzheimer's Educational Event, Peace Officers International Lunch, Colorado Senior Lobby Event, City of Westminster National Day of Prayer, House Bill Signing Ceremony and Health Faire (equivalent to $414,505)Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$13,208,906TotalProgramServiceExpensesAmt
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 OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document36IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee257EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
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 AddressYes (1)OfficerMailingAddressInd
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)
Phone7738782294PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O CRC 5700 Old Orchard RdAddressLine1Txt
CitySkokieCityNm
State AbbreviationILStateAbbreviationCd
ZIP60077ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jon P Aagaard MD
Director1.001.00Yes (X)$0$0$0
Pamela Christensen
Director1.001.00Yes (X)$0$0$0
Kara E Davis MD
Director1.001.00Yes (X)$0$0$0
Rev Harvey Drake
Director1.001.00Yes (X)$0$0$0
Mark C Eastburg
Director/Chair1.001.00Yes (X)$0$0$0
James Elving
Director1.001.00Yes (X)$0$0$0
Marc E Espinosa
Director/Vice Chair1.001.00Yes (X)$0$0$0
Carol A Findling
Director1.001.00Yes (X)$0$0$0
Lorene G Flewellen
Director1.001.00Yes (X)$0$0$0
Rhoda Friesen
Director1.001.00Yes (X)$0$0$0
Thomas F Heywood
Director1.001.00Yes (X)$0$0$0
Donald Hodgkinson
Director1.001.00Yes (X)$0$0$0
Kathy Holmgren
Director1.001.00Yes (X)$0$0$0
Jody Holt
Director/Secretary1.001.00Yes (X)$0$0$0
Scott Macdonald
Director1.001.00Yes (X)$0$0$0
Matthew Manlove
Director1.001.00Yes (X)$0$0$0
Dale Glen Rinard
Director1.001.00Yes (X)$0$0$0
Marlene Stante
Director1.001.00Yes (X)$0$0$0
Anne Vining
Director1.001.00Yes (X)$0$0$0
David A Dwight
Ex-Officio1.0040.00Yes (X)$0$629,581$22,698
Jennifer Larson
Ex-Officio1.001.00Yes (X)$0$0$0
Gary Walter
Ex-Officio1.0040.00Yes (X)$0$166,203$111,795
Terri S Cunliffe
Ex-Officio/President1.0040.00Yes (X)$0$502,850$84,235Yes (X)
Elizabeth B Buikema
Senior VP/CFO/Treasurer1.0040.00$0$330,207$63,644Yes (X)
David G Erickson
VP/Asst Secretary1.0040.00$0$278,833$52,881Yes (X)
Joshua Anderson
Assoc VP/Asst Secretary1.0040.00$0$216,126$48,796Yes (X)
Kent Mulkey
Executive Director40.000.00$153,667$0$23,548Yes (X)
Janet Marks
Admin-Healthcare40.000.00$127,271$0$15,434Yes (X)
Diane C Lozier
Sales Director40.000.00$118,960$0$14,469Yes (X)
Rick K Fisk
Former Ex-Officio/President0.0040.00$0$547,941$259,846Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$399,898TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,671,741TotReportableCompRltdOrgAmt
Total Other Compensation$697,346TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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$587,452
Construction Managemeent Express
51 W 84th Avenue Suite 300DenverCO80260General Constractor$553,124
Fashion Flooring
7581 West 103rd Avenue Suite 100WestminsterCO80021Flooring$330,396
Environmental Designs Inc
12511 East 112th AvenueHendersonCO80640Ground Maintenance$163,822
Genesis Rehab Services
101 East State StreetKenneth SquarePA19348Therapy Services$144,700
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Fundraising$30,323FundraisingAmt
All Other Contributions$348,638AllOtherContributionsAmt
Total Contributions$378,961TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Routine Services623000$10,669,811$10,669,811
Entrance Fee623000$2,864,641$2,864,641
Medicare/Medicaid623000$1,625,520$1,625,520
Ancillary Services623000$1,208,889$1,208,889
Meals623000$98,436$98,436
FieldValueIRS element (for citing)
Total Program Service Revenue$16,467,297TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$950,134TotalRevenueColumnAmt
Exclusion$950,134ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$47,941SecuritiesAmt
Other$6,384OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$47,941SecuritiesAmt
Other-$6,384OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$54,325TotalRevenueColumnAmt
Exclusion-$54,325ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$9,787FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$30,323ContriRptFundraisingEventAmt
Fundraising Direct Expenses$9,787FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Support Services623000$100,668$100,668
Services to Residents623000$20,840$20,840

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$403,898TotalRevenueColumnAmt
Related Or Exempt Func Income$403,898RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$525,406OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,267,473TotalRevenueColumnAmt
Related Or Exempt Func Income$16,992,703RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$895,809ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$173,939TotalAmt
Management And General$173,939ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,529,739TotalAmt
Program Services$4,385,607ProgramServicesAmt
Management And General$1,122,537ManagementAndGeneralAmt
Fundraising$21,595FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$105,223TotalAmt
Program Services$76,976ProgramServicesAmt
Management And General$28,130ManagementAndGeneralAmt
Fundraising$117FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$839,528TotalAmt
Program Services$639,043ProgramServicesAmt
Management And General$199,534ManagementAndGeneralAmt
Fundraising$951FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$425,055TotalAmt
Program Services$321,421ProgramServicesAmt
Management And General$101,982ManagementAndGeneralAmt
Fundraising$1,652FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$48,761TotalAmt
Program Services$48,761ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,280TotalAmt
Management And General$21,280ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,872TotalAmt
Management And General$7,872ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,462,945TotalAmt
Program Services$1,232,745ProgramServicesAmt
Management And General$230,019ManagementAndGeneralAmt
Fundraising$181FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$310,122TotalAmt
Program Services$482ProgramServicesAmt
Management And General$309,640ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$753,022TotalAmt
Program Services$569,670ProgramServicesAmt
Management And General$183,066ManagementAndGeneralAmt
Fundraising$286FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$621,517TotalAmt
Management And General$621,517ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$694,397TotalAmt
Program Services$694,397ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$56,801TotalAmt
Program Services$33,061ProgramServicesAmt
Management And General$23,740ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,791TotalAmt
Program Services$2,056ProgramServicesAmt
Management And General$26,735ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,306,339TotalAmt
Program Services$1,584,455ProgramServicesAmt
Management And General$691,902ManagementAndGeneralAmt
Fundraising$29,982FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,052,189TotalAmt
Program Services$2,097,247ProgramServicesAmt
Management And General$915,657ManagementAndGeneralAmt
Fundraising$39,285FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$225,198TotalAmt
Program Services$225,198ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmt
Related Party Activity$947,985$916,980$31,005
Dining Services$797,562$797,562
Resident Care$319,094$319,094
Admin & General$187,158$173,131$14,027

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$330,988TotalAmt
Program Services$167,104ProgramServicesAmt
Management And General$122,391ManagementAndGeneralAmt
Fundraising$41,493FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,245,505TotalAmt
Program Services$13,208,906ProgramServicesAmt
Management And General$5,870,052ManagementAndGeneralAmt
Fundraising$166,547FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,328BOYAmt
EOY$7,381EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$519,193BOYAmt
EOY$515,842EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$83,406BOYAmt
EOY$118,149EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,226,040BOYAmt
EOY$1,380,425EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$35,401BOYAmt
EOY$50,773EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$76,149,029LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$29,823,824LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$47,118,021BOYAmt
EOY$46,325,205EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,310,386BOYAmt
EOY$8,963,058EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,507,545BOYAmt
EOY$1,528,602EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$595,728BOYAmt
EOY$66,963EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$60,402,048BOYAmt
EOY$58,956,398EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$916,142BOYAmt
EOY$768,992EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,544,077BOYAmt
EOY$12,949,539EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,542,559BOYAmt
EOY$42,378,265EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$92,519BOYAmt
EOY$66,616EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,923,431BOYAmt
EOY$20,429,365EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$77,018,728BOYAmt
EOY$76,592,777EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$16,774,141BOYAmt
EOY-$17,752,173EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$157,461BOYAmt
EOY$115,794EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$16,616,680BOYAmt
EOY-$17,636,379EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$60,402,048BOYAmt
EOY$58,956,398EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$978,032ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$41,667OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$293,230CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$97,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$112,644CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,482CurrentTaxYearMinus1YearAmt
Current Tax Year$378,961CurrentTaxYearAmt
Total$953,025TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,038,774CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,304,660CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,348,091CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,888,671CurrentTaxYearMinus1YearAmt
Current Tax Year$16,467,297CurrentTaxYearAmt
Total$79,047,493TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,332,004CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,402,368CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,460,735CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,959,153CurrentTaxYearMinus1YearAmt
Current Tax Year$16,846,258CurrentTaxYearAmt
Total$80,000,518TotalAmt

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$80,000,518PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$809,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$846,150CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$404,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,026CurrentTaxYearMinus1YearAmt
Current Tax Year$895,809CurrentTaxYearAmt
Total$2,984,777TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$809,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$846,150CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$404,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,026CurrentTaxYearMinus1YearAmt
Current Tax Year$895,809CurrentTaxYearAmt
Total$2,984,777TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,141,518CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,248,518CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,865,013CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,988,179CurrentTaxYearMinus1YearAmt
Current Tax Year$17,742,067CurrentTaxYearAmt
Total$82,985,295TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96400PublicSupportCY509Pct
Public Support PY5090.97080PublicSupportPY509Pct
Investment Income CY0.03600InvestmentIncomeCYPct
Investment Income PY0.02920InvestmentIncomePYPct
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$2,161,208OtherCostOrOtherBasisAmt
Book Value$2,161,208BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,608,954OtherCostOrOtherBasisAmt
Depreciation$25,266,274DepreciationAmt
Book Value$36,342,680BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,654,499OtherCostOrOtherBasisAmt
Depreciation$4,426,009DepreciationAmt
Book Value$7,228,490BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$724,368OtherCostOrOtherBasisAmt
Depreciation$131,541DepreciationAmt
Book Value$592,827BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$46,325,205TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Deferred Revenue Subject to Refund$9,076,252
Refundable Contract Liabilities$9,789,488
Inter-company Advance Accounts$815,035
Other Liabilities$748,590
FieldValueIRS element (for citing)
Total Liability$20,429,365TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IV, Line 2b:FormAndLineReferenceDesc
ExplanationResident 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. Resident 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.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Benefit GalaEvent1Nm
Gross Receipts Event1$40,110GrossReceiptsEvent1Amt
Charitable Contri Event1$30,323CharitableContriEvent1Amt
Gross Revenue Event1$9,787GrossRevenueEvent1Amt
Food And Beverage Event1$5,250FoodAndBeverageEvent1Amt
Entertainment Event1$1,455EntertainmentEvent1Amt
Other Direct Expenses Event1$3,082OtherDirectExpensesEvent1Amt
Gross Receipts Total$40,110GrossReceiptsTotalAmt
Charitable Contributions Tot$30,323CharitableContributionsTotAmt
Gross Revenue Total Events$9,787GrossRevenueTotalEventsAmt
Food And Beverage Total Events$5,250FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,455EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$3,082OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$9,787DirectExpenseSummaryEventsAmt
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
David A Dwight
Ex-Officio$0$503,437$0$0$0$126,144$0$7,950$0$25,192$0$662,723$0$0
Gary Walter
Ex-Officio$0$166,203$0$0$0$0$0$24,931$0$86,864$0$277,998$0$0
Terri S Cunliffe
Ex-Officio/President$0$392,000$0$44,510$0$66,340$0$65,703$0$21,879$0$590,432$0$0
Elizabeth B Buikema
Senior VP/CFO/Treasurer$0$248,387$0$40,586$0$41,234$0$36,737$0$30,576$0$397,520$0$0
David G Erickson
VP/Asst Secretary$0$217,505$0$17,861$0$43,467$0$27,940$0$31,264$0$338,037$0$0
Joshua Anderson
Assoc VP/Asst Secretary$0$164,113$0$22,680$0$29,333$0$22,074$0$29,767$0$267,967$0$0
Kent Mulkey
Executive Director$146,905$0$0$0$6,762$0$13,000$0$11,093$0$177,760$0$0$0
Rick K Fisk
Former Ex-Officio/President$0$286,625$0$134,971$0$126,345$0$254,610$0$5,508$0$808,059$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) 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. Contributions were made to the deferred compensation plan for the following participants: Elizabeth Buikema - $28,787 Terri Cunliffe - $45,986 David Dwight - $67,225 David Erickson - $27,994 Joshua Anderson - $19,783 Rick Fisk - $18,600 Kent Mulkey - $13,000
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 CRC and CMB are eligible for incentive compensation as determined by the Executive Compensation Committee of either the CRC or CMB's Board based on where these individuals are employed. Incentives paid in 2016 relate to the achievement of targets for the fiscal year ended 1/31/2016.
Part II, Column D:Nontaxable benefits include health insurance premiums paid by the employer and employee.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 - Part III - Line 1Mission Statement As a ministry of the Evangelical Covenant Church, Covenant Retirement Communities celebrate 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 Retirement Communities (CRC), Covenant Village of Colorado, Inc. provided $160,294 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 24aTax-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 Village of Colordo, Inc. delegated control over management duties to Covenant Retirement Communities, Inc. (CRC), its parent organization.
Form 990, Part VI, Section A, line 6The sole member is Covenant Retirement Communities, Inc. (CRC)
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 CRC, 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 Retirement Communities, Inc. (CRC) 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 CRC policy is distributed to CRC 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 CRC'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 Retirement Communities' (CRC) 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 CRC'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 CRC'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) written employment contract; 3) compensation survey or study; 4) approval by the board or compensation committee.
Form 990, Part VI, Section C, line 18A copy of the organization's Form 990 is available upon request by contacting the CRC accounting department at 773-878-5744.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy and financial statements are available upon request by contacting the CRC accounting department at 773-878-5744.
Form 990 - Part VI - Line 9Contact Info for Directors & Officers All of the organization's directors and officers can be contacted at this address: Covenant Retirement Communities, Inc. - 5700 Old Orchard Road, Skokie, IL 60077.
Form 990 - Part VII - Section A Column BRelated Organization Officers and Directors devote approximately 1 hour per week to related organizations except for those individuals that are employees of these related organizations; those individuals devote approximately 40 hours to the organizations at which they are employed.
Form 990, Part XI, line 9:Change in Temporarily Restricted Net Assets not included on Income Stmnt -41,667.

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 12a, I0Swedish 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 12a, I0Swedish 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
Predominant Income TypeN/APredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

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 PhysicianN/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 Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
covenant Retirement Communities Inc
P$3,143,311
Covenant Trust Company
P$31,005