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PLYMOUTH PLACE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PLYMOUTH PLACE INC (EIN 36-2169165)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201703179349306775
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)
Return2017-11-13T15:20:11-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 W 22ND ST STE 1100AddressLine1Txt
CityOAK BROOKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362169165EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PLYMOUTH PLACE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPLYMBusinessNameControlTxt
Phone7083540340PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 N LAGRANGE ROADAddressLine1Txt
CityLAGRANGE PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60526ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDALE LILBURNPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone7083540340PhoneNum
Signature2017-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGREGORY S ADAMSPreparerPersonNm
PTINP00095597PTIN
Phone6305738600PhoneNum
Preparation2017-11-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-13IPDt
IP Tm11:09:36IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id573A7FE416AD6C5E032A0E46635AF7078886CB08AtSubmissionCreationDeviceId
At Submission Filing Device Id1A575DA7D4580FEB092587E941B69D20BC1E409CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDALE LILBURNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 N LAGRANGE ROADAddressLine1Txt
CityLAGRANGE PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60526ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$30,411,119GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PLYMOUTHPLACE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1938FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionRETIREMENT HOME FOR SENIOR CITIZENSActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee472TotalEmployeeCnt
Total Volunteers45TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$890,766PYContributionsGrantsAmt
CY Contributions Grants$1,279,970CYContributionsGrantsAmt
PY Program Service Revenue$27,078,516PYProgramServiceRevenueAmt
CY Program Service Revenue$27,836,642CYProgramServiceRevenueAmt
PY Investment Income$690,724PYInvestmentIncomeAmt
CY Investment Income$1,294,507CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$28,660,006PYTotalRevenueAmt
CY Total Revenue$30,411,119CYTotalRevenueAmt
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$11,015,469PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,197,131CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,737,620PYOtherExpensesAmt
CY Other Expenses$18,927,516CYOtherExpensesAmt
PY Total Expenses$29,753,089PYTotalExpensesAmt
CY Total Expenses$31,124,647CYTotalExpensesAmt
PY Revenues Less Expenses-$1,093,083PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$713,528CYRevenuesLessExpensesAmt
Total Assets BOY$139,718,992TotalAssetsBOYAmt
Total Assets EOY$137,699,421TotalAssetsEOYAmt
Total Liabilities BOY$177,084,512TotalLiabilitiesBOYAmt
Total Liabilities EOY$177,741,142TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$37,365,520NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$40,041,721NetAssetsOrFundBalancesEOYAmt
MissionPLYMOUTH 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,896,222ExpenseAmt
Revenue$27,836,642RevenueAmt
DescPLYMOUTH 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 11 OCCUPIED OR FUNCTIONAL COTTAGES.Desc
Total Program Service Expenses$27,896,222TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
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 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee472EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DALE LILBURNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7083540340PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 N LAGRANGE ROADAddressLine1Txt
CityLAGRANGE PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60526ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JANET MCDERMED
DIRECTOR1.00Yes (X)$0$0$0
MARK CLOGHESSY
DIRECTOR1.00Yes (X)$0$0$0
DORIS BRYANT
DIRECTOR1.00Yes (X)$0$0$0
BILL COATES
DIRECTOR1.00Yes (X)$0$0$0
DR LOREN HORTEN
DIRECTOR1.00Yes (X)$0$0$0
DR LARRY LAPALIO
DIRECTOR1.00Yes (X)$0$0$0
REV CARLY STUCKLEN SATHER
DIRECTOR3.50Yes (X)$0$0$0
HARRIET VERGOWE
DIRECTOR2.30Yes (X)$0$0$0
BOB WESTRICK
DIRECTOR1.80Yes (X)$0$0$0
LAURA WEYRAUCH
DIRECTOR1.00Yes (X)$0$0$0
DR KENT ARMBRUSTER
DIRECTOR1.00Yes (X)$0$0$0
MARVIN BALDWIN
DIRECTOR1.00Yes (X)$0$0$0
ELIZABETH ASPERGER
DIRECTOR1.00Yes (X)$0$0$0
THOM SERAFIN
DIRECTOR1.00Yes (X)$0$0$0
DALE LILBURN
CEO45.00$215,215$0$1,988Yes (X)
SHARON SLEEZER
DIRECTO OF SALESR45.00$116,904$0$9,148Yes (X)
LATISHA WARD-SYKES
RN45.00$103,722$0$1,556Yes (X)
MARGARET GILBERT
SENIOR LIVING COUNSELOR45.00$116,794$0$15,609Yes (X)
RAYMOND FELSON
EXECUTIVE DIRECTOR45.00$140,945$0$11,243Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$693,580TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$39,544TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
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
PO BOX 70060CHICAGOIL60673DIETARY AND MAINTENANCE SERVICE$2,839,181
HEALTHPRO REHABILITATION
3703 WEST LAKE AVENUE SUITE 200GLENVIEWIL60025NURSING THERAPY$1,436,312
PROVIDENCE LIFE SERVICES
18601 NORTH CREEK DRIVETINLEY PARKIL60477MANAGEMENT AND IT$958,792
OMNICARE INC
2313 S MT PROSPECT RDDES PLAINESIL60018LONG TERM CARE PHARMACY$533,500
NOVASTAFF HEALTHCARE SERVICES
2021 MIDWEST RD 200OAK BROOKIL60523HEALTHCARE SERVICES$475,121
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,279,970AllOtherContributionsAmt
Noncash Contributions$145,225NoncashContributionsAmt
Total Contributions$1,279,970TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSENIOR HOUSING, ASSISTANCEDesc
Business623000BusinessCd
Total Revenue Column$27,836,642TotalRevenueColumnAmt
Related Or Exempt Func Income$27,836,642RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$27,836,642TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,294,507TotalRevenueColumnAmt
Exclusion$1,294,507ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,411,119TotalRevenueColumnAmt
Related Or Exempt Func Income$27,836,642RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,294,507ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$217,680TotalAmt
Management And General$217,680ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,399,484TotalAmt
Program Services$8,284,086ProgramServicesAmt
Management And General$1,115,398ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$80,945TotalAmt
Program Services$69,941ProgramServicesAmt
Management And General$11,004ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,802,819TotalAmt
Program Services$1,464,379ProgramServicesAmt
Management And General$338,440ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$696,203TotalAmt
Program Services$606,644ProgramServicesAmt
Management And General$89,559ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,502,699TotalAmt
Program Services$1,416,419ProgramServicesAmt
Management And General$86,280ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$35,949TotalAmt
Management And General$35,949ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$104,248TotalAmt
Management And General$104,248ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$410,556TotalAmt
Management And General$410,556ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$128,851TotalAmt
Program Services$67,234ProgramServicesAmt
Management And General$61,617ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$200,735TotalAmt
Management And General$200,735ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,188,941TotalAmt
Program Services$1,188,941ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,281,309TotalAmt
Program Services$4,281,309ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,856,864TotalAmt
Program Services$3,737,307ProgramServicesAmt
Management And General$119,557ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$211,385TotalAmt
Management And General$211,385ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER$2,463,141$2,237,124$226,017
DIETARY AND DINING$1,994,918$1,994,918
NURSING - THERAPY$1,434,919$1,434,919
MEDICAL SUPPLIES AND PH$1,113,001$1,113,001

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,124,647TotalAmt
Program Services$27,896,222ProgramServicesAmt
Management And General$3,228,425ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,789,510BOYAmt
EOY$7,343,871EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,277,040BOYAmt
EOY$2,863,374EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$119,457BOYAmt
EOY$263,234EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$132,735,616LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,560,856LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$98,352,419BOYAmt
EOY$95,174,760EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$15,734,395BOYAmt
EOY$25,676,249EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,446,171BOYAmt
EOY$6,377,933EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$139,718,992BOYAmt
EOY$137,699,421EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,429,163BOYAmt
EOY$2,316,608EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$12,697,829BOYAmt
EOY$11,358,705EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$78,834,210BOYAmt
EOY$78,482,646EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$83,123,310BOYAmt
EOY$85,583,183EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$177,084,512BOYAmt
EOY$177,741,142EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$43,697,291BOYAmt
EOY-$46,352,519EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$202,097BOYAmt
EOY$171,290EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,129,674BOYAmt
EOY$6,139,508EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$37,365,520BOYAmt
EOY-$40,041,721EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$139,718,992BOYAmt
EOY$137,699,421EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$713,528ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$45,934NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,008,607OtherChangesInNetAssetsAmt
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$2,366,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,214,687CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$256,138CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$890,766CurrentTaxYearMinus1YearAmt
Current Tax Year$1,593,246CurrentTaxYearAmt
Total$7,320,977TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,405,170CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,768,454CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,290,957CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,078,516CurrentTaxYearMinus1YearAmt
Current Tax Year$27,836,642CurrentTaxYearAmt
Total$134,379,739TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,771,310CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,983,141CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,547,095CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,969,282CurrentTaxYearMinus1YearAmt
Current Tax Year$29,429,888CurrentTaxYearAmt
Total$141,700,716TotalAmt

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$141,700,716PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$527,393CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$643,930CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,168,375CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$690,724CurrentTaxYearMinus1YearAmt
Current Tax Year$981,231CurrentTaxYearAmt
Total$4,011,653TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$527,393CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$643,930CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,168,375CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$690,724CurrentTaxYearMinus1YearAmt
Current Tax Year$981,231CurrentTaxYearAmt
Total$4,011,653TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,298,703CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,627,071CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,715,470CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,660,006CurrentTaxYearMinus1YearAmt
Current Tax Year$30,411,119CurrentTaxYearAmt
Total$145,712,369TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97250PublicSupportCY509Pct
Public Support PY5090.97670PublicSupportPY509Pct
Investment Income CY0.02750InvestmentIncomeCYPct
Investment Income PY0.02330InvestmentIncomePYPct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$85,418OtherCostOrOtherBasisAmt
Book Value$85,418BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$126,784,835OtherCostOrOtherBasisAmt
Depreciation$34,387,244DepreciationAmt
Book Value$92,397,591BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$463,337OtherCostOrOtherBasisAmt
Depreciation$202,271DepreciationAmt
Book Value$261,066BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,269,215OtherCostOrOtherBasisAmt
Depreciation$2,971,341DepreciationAmt
Book Value$2,297,874BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$132,811OtherCostOrOtherBasisAmt
Book Value$132,811BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$95,174,760TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
REFUNDABLE ENTRANCE FEES$83,250,668
RESIDENT DEPOSITS$147,997
WAITING LIST DEPOSITS$166,077
FUTURE SERVICE OBLIGATION$2,018,441
FieldValueIRS element (for citing)
Total Liability$85,583,183TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$28,448,445TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$45,934NetUnrealizedGainsInvstAmt
Other Revenue-$2,008,608OtherRevenueAmt
Revenue Not Reported-$1,962,674RevenueNotReportedAmt
Revenue Subtotal$30,411,119RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$30,411,119TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$31,124,647TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$31,124,647ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$31,124,647TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. THE FEDERAL AND STATE RETURNS FOR THE ORGANIZATION FOR THE FISCAL YEARS ENDED DECEMBER 31, 2013-2015 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THE DATE OF FILING.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 9,833. CHANGE IN VALUE OF FUTURE SERVICE OBLIGATION -2,018,441. OTHER

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DALE LILBURN
CEO$193,215$0$22,000$0$0$0$1,988$0$0$0$217,203$0$0$0
RAYMOND FELSON
EXECUTIVE DIRECTOR$131,945$0$9,000$0$0$0$2,467$0$8,776$0$152,188$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A86109196745203HQP02013-05-15$24,765,000REFINANCING OF SERIES 2005 BONDS000
ILLINOIS FINANCE AUTHORITY
B86109196745203H6A52015-10-21$56,547,882REFINANCING OF SERIES 2005 BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtCapital ExpendituresCapitalExpendituresAmt
A$24,765,000$495,300$24,269,7000Yes (1)Yes (1)Yes (1)
B$56,547,882$1,125,200$53,088,3110Yes (1)Yes (1)Yes (1)$450,000$2,334,371

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)0000000
B0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Schedule M IRS990ScheduleM

Securities Closely Held Stock SecuritiesCloselyHeldStockGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$145,225NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3PLYMOUTH 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 11BA DRAFT OF THE 990 IS PROVIDED DIRECTLY TO THE AUDIT COMMITTEE WHO IS RESPONSIBLE FOR REVIEWING AND APPROVING IT.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD MEMBERS REVIEW AND UPDATE THEIR ANNUAL DISCLOSURE OF INTERESTS.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD ANNUALLY RECEIVES AND REVIEWS THE COMPENSATION SURVEYS OF AAHSA & LEADINGAGE ILLINOIS.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE FACILITY OFFICE.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF PERPETUAL TRUST 9,833. OTHER 1. CHNAGE IN VALUE OF FUTURE SERVICE OBLIGATION -2,018,441.