2017-11-15T09:24:57-06:00 2017-03-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2016-04-01 362167832 WESTMINSTER PLACE WEST 8479793904 8707 SKOKIE BOULEVARD SUITE 400 SKOKIE IL 60077 TODD F SWORTZEL CHIEF EXECUTIVE OFFICER 8479793904 2017-11-14 1 GREGORY S ADAMS P00095597 6305738600 2017-11-14 67.137.57.251 2017-11-14 10:43:05 CS P 49C78CA456FC69BC203EAED2C25D47719A2DC5E6 B0B82EE3E858863B5AFDA9227FC05760300C7D48 2016 2017-02-10 21:41:12Z X TODD F SWORTZEL 8707 SKOKIE BOULEVARD SUITE 400 SKOKIE IL 60077 78664479 0 X WWW.PRESBYTERIANHOMES.ORG X 1904 IL WESTMINSTER PLACE, 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. 16 16 670 212 0 0 7809514 4335108 85090478 47637427 12577115 319447 245009 16458 105722116 52308440 0 0 0 0 43144221 23369234 0 0 0 46053192 26393132 89197413 49762366 16524703 2546074 99602581 102184668 95212990 94930635 4389591 7254033 X WESTMINSTER PLACE, 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 13198467 13675886 WESTMINSTER PLACE IS A NOT-FOR-PROFIT INDEPENDENT LIVING, LIFE PLAN COMMUNITY (FORMERLY KNOWN AS CONTINUING CARE RETIREMENT COMMUNITY). INDEPENDING LIVING FACILITY IN WESTMINSTER PLACE CONSISTS OF 254 APARTMENTS, TOWNHOUSES AND COTTAGES. SERVICES PROVIDED BY WESTMINSTER PLACE INCLUDE FLEXIBLE DINING OPTIONS, HOUSEKEEPING AND COMPLETE MAINTENANCE SERVICES, TRANSPORTATION AS WELL AS PLANNED SOCIAL AND EDUCATIONAL ACTIVITIES AND PROGRAMS. DURING THE FILING YEAR, WESMINSTER PLACE SERVED 313 INDEPENDENT LIVING RESIDENTS, OCCUPIED 244 OF ITS INDEPENDENT LIVING UNITS. 9576273 8791179 THE ASSISTED LIVING FACILITY AT WESTMINSTER PLACE AND THE HIGHLANDS AT KING HOME ("KING HOME"), OWNED BY WESTMINSTER PLACE, PROVIDE ASSISTED LIVING TO OLDER ADULTS WHO NEED ASSISTANCE WITH PERSONAL CARE AND DAILY ACTIVITIES. ASSISTED LIVING AT WESTMINSTER PLACE CONSISTS OF 91 STUDIO, ONE AND TWO-BEDROOM APARTMENTS. KING HOME CONSISTS OF 53 ONE AND TWO-BEDROOM APARTMENTS. IN JANUARY 2017, THE CLOSING OF KING HOME WAS ANNOUNCED, AND NO MORE ADMISSIONS WERE BEING TAKEN AT KING HOME. EXISTING RESIDENTS WERE OFFERED A UNIT AT WESTMINSTER PLACE ASSISTED LIVING FACILITY. THE TRANSITION OF RESIDENTS BEGAN IN EARLY FEBRUARY. TOGETHER, WESTMINSTER PLACE ASSISTED LIVING FACILITY AND KING HOME SERVED 175 RESIDENTS DURING THE FILING YEAR. 19086741 24818022 WESTMINSTER PLACE 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. THE HEALTH CARE CENTERS INCLUDE 100 SKIILLED, MEDICARE-CERTIFIED BEDS AND 95 INTERMEDIATE AND MEMORY CARE BEDS. DURING THE FILING YEAR, THE HEALTH CARE CENTERS SERVED A TOTAL OF 585 RESIDENTS. 352340 REVENUE IS RELATED TO INCOME FORM PARKING/GARAGE/TRANSPORTATION, GUEST ROOM RENTAL AND OTHER INCOME. 352340 41861481 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 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 0 1 0 0 0 1 78 0 670 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X MARK HAVRILKA 8479793904 8707 SKOKIE BLVD SUITE 400 SKOKIE IL 60077 X CHARLES DENISON DIRECTOR 1.00 2.00 X 0 0 0 GEORGE DROST DIRECTOR 1.00 2.00 X 0 0 0 GREG HUMMEL DIRECTOR 1.00 2.00 X 0 0 0 LEE HUTCHINSON CHAIR 1.00 2.00 X X 0 0 0 DENNIS MARX DIRECTOR 1.00 2.00 X 0 0 0 DENNIS MURPHY DIRECTOR 1.00 2.00 X 0 0 0 MARSHALL PECK TREASURER 1.00 2.00 X X 0 0 0 HARLAN STANLEY DIRECTOR 1.00 2.00 X 0 0 0 MARK TOLEDO DIRECTOR 1.00 2.00 X 0 0 0 BETSY NICHOLS DIRECTOR 1.00 2.00 X 0 0 0 JANE WESTERN DIRECTOR 1.00 2.00 X 0 0 0 MONICA HEENAN DIRECTOR 1.00 2.00 X 0 0 0 PAULA NOBLE SECRETARY 1.00 2.00 X X 0 0 0 MICHAEL KIRBY DIRECTOR 1.00 2.00 X 0 0 0 MARK DENNIS DIRECTOR 1.00 2.00 X 0 0 0 FRAN CARROLL DIRECTOR 1.00 2.00 X 0 0 0 TODD F SWORTZEL CEO 7.50 30.00 X 0 578828 30397 MARK HAVRILKA CFO 11.00 26.50 X 0 325289 44926 DR PETER L JAGGARD MEDICAL DIRECTOR 37.50 0.00 X 218235 0 12478 KEITH STOHLGREN VP/EXEC DIR. WESTMINSTER 37.50 0.00 X 299819 0 35281 ROBERT A WERDAN VP MARKETING 12.00 25.50 X 0 212883 40944 NADIM M ABI-ANTOUN COO 16.00 21.50 X 0 319876 23784 NANCY TOLAN VP FACILITIES MANAGEMENT 9.00 28.50 X 0 178099 31377 ANDREW T WISSEL VP HUMAN RESOURCES 17.00 20.50 X 0 179882 29758 MICHAEL DEBARI DIRECTOR OF PHARMACY 37.50 0.00 X 189066 0 11214 LINDA L DOTSON DIRECTOR OF HEALTH CARE-WE 37.50 0.00 X 153468 0 17963 MARY ANN ANICHINI VP QUALITY IMPROVEMENT 13.00 24.50 X 0 156638 9155 DANIEL M WEINBERGER VP OF INFORMATION TECHNOLOGY 12.00 25.50 X 0 141458 30412 MARIBEL RIVERO CONTINUITY OF CARE COORDINATOR 37.50 0.00 X 115912 0 26146 976500 2092953 343835 10 0 1 0 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 30368 DINING AND FOOD SERVICE 3258780 CLARK ROOFING 2700 W CERMAK RD BROADVIEW IL 60155 ROOF SYSTEMS AND SERVICES 1622742 HEALTHPRO REHABILITATION 307 INTERNATIONAL CIRCLE SUITE 100 HUNT VALLEY MD 21030 THERAPY MANAGEMENT AND CONSULTING SERVIC 1108715 ILLINOIS CONSTRUCTION SERVICES INC 1733 N 33RD STREET STONE PARK IL 60165 CONSTRUCTION 986487 EXECUTIVE CONSTRUCTION INC 235 FENCL LANE HILLSIDE IL 60162 CONSTRUCTION 891577 29 4335108 4335108 HEALTH CARE FEES 623311 24818022 24818022 INDEPENDENT LIVING FEES 623311 9428297 9428297 ASSISTED LIVING FEES 623311 8791179 8791179 DEFERRED ENTRANCE FEE INCOME 623311 4247589 4247589 OTHER 623311 352340 352340 47637427 324762 324762 46800 0 46800 46800 46800 26030022 26035337 -5315 -5315 -5315 290360 320702 -30342 -30342 52308440 47637427 0 335905 585637 231364 354273 18070104 17042359 1027745 723955 686897 37058 2661896 2500624 161272 1327642 1238392 89250 4414389 4414389 62618 62618 18828 18828 2549974 2329271 220703 589287 589287 202220 40256 161964 440922 440922 7759 6187 1572 434170 434170 7680259 7680259 354932 92917 262015 MANAGEMENT FEE 3169497 3169497 UTILITIES AND TELEPHONE 1988264 1861924 126340 DRUGS & MED SUPPLIES 1516094 1516094 ENVIRONMENTAL SERVICES 1455632 1455632 1508287 330746 1177541 49762366 41861481 7900885 0 1571816 1899823 1212218 0 1577079 2506931 461930 300803 193291445 110655834 82400911 82635611 10951439 13146426 1427188 1695074 99602581 102184668 5057613 5096335 30436303 30068632 14000000 13653206 45719074 46112462 95212990 94930635 X 4389591 7254033 4389591 7254033 99602581 102184668 X 2546074 501531 -183163 X X 0 1 X 1 0 X 8709052 8843345 9147804 7809514 4335108 38844823 92549268 95930040 101381160 85090478 47637427 422588373 1082326 992157 757251 290360 3122094 102340646 105765542 111286215 93190352 51972535 464555290 8703310 8843345 9147804 7809514 4335108 38839081 0 8703310 8843345 9147804 7809514 4335108 38839081 425716209 1123705 1938299 2444044 1644848 371562 7522458 1123705 1938299 2444044 1644848 371562 7522458 138013 155307 195448 125000 613768 103602364 107859148 113925707 94960200 52344097 472691516 0.90060 0.91390 0.01590 0.01800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4983815 221432 197590 5007657 45947529 1273513 42237227 4983815 45923852 261344 237667 45947529 44319155 13650 4281429 2690382 45923852 43304016 28779 1418540 432180 44319155 1.00000 0 1 1 7322959 7322959 163824701 95786971 68037730 22117360 14868863 7248497 26425 26425 82635611 SAFEKEEPING ACCOUNTS 797933 REFUNDABLE ENTRANCE FEES 39872671 PENSION LIABILITY 3038984 REFUNDABLE DEPOSITS 635085 DUE TO AFFILIATE 1266307 OTHER LONG-TERM LIABILITY 501482 46112462 X PART V, LINE 4: THE GENEVA FOUNDATION'S PERMANENTLY RESTRICTED FUNDS ARE PRIMARILY FOR THE FUNDING OF THE CHARITABLE SUPPORT FOR PRESBYTERIAN HOMES AND WESTMINSTER PLACE. GENEVA FOUNDATION'S FELLOWSHIP FUND ENSURES THAT NO RESIDENT WILL BE ASKED TO LEAVE THE COMMUNITY DUE TO INABILITY TO PAY. IT EXTENDS MEDICAL AND SUPPORTIVE SERVICES TO MAINTAIN THE RESIDENTS SECURITY, HEALTH, DIGNITY, AND SELF-ESTEEM. THE PERMANENTLY RESTRICTED FELLOWSHIP FUND IS INTENDED TO PROVIDE FOR THE CARE OF RESIDENTS OF PRESBYTERIAN HOMES AND WESTMINSTER PLACE. ONLY THOSE ENDOWMENT FUNDS WHICH ARE SPECIFICALLY ASSOCIATED WITH WESTMINSTER PLACE ARE SHOWN AS ENDOWMENT FUNDS WITHIN SCHEDULE D, PART V. PART X, LINE 2: WESTMINSTER PLACE IS A NONPROFIT CORPORATION EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). WESTMINSTER PLACE FOLLOWS THE ACCOUNTING STANDARDS FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. WESTMINSTER PLACE FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION. THE INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. X 1 1 0 1 0 0 0 0 0 0 0 TODD F SWORTZEL CEO 0 448442 0 104064 0 26322 0 15900 0 14497 0 609225 0 0 MARK HAVRILKA CFO 0 260087 0 63960 0 1242 0 15900 0 29026 0 370215 0 0 DR PETER L JAGGARD MEDICAL DIRECTOR 218235 0 0 0 0 0 12478 0 0 0 230713 0 0 0 KEITH STOHLGREN VP/EXEC DIR. WESTMINSTER 268385 0 29112 0 2322 0 13762 0 21519 0 335100 0 0 0 ROBERT A WERDAN VP MARKETING 0 184288 0 26860 0 1735 0 12141 0 28803 0 253827 0 0 NADIM M ABI-ANTOUN COO 0 270736 0 48600 0 540 0 12935 0 10849 0 343660 0 0 NANCY TOLAN VP FACILITIES MANAGEMENT 0 154776 0 22828 0 495 0 11120 0 20257 0 209476 0 0 ANDREW T WISSEL VP HUMAN RESOURCES 0 156893 0 22244 0 745 0 10934 0 18824 0 209640 0 0 MICHAEL DEBARI DIRECTOR OF PHARMACY 187159 0 0 0 1907 0 10081 0 1133 0 200280 0 0 0 LINDA L DOTSON DIRECTOR OF HEALTH CARE-WE 140975 0 10439 0 2054 0 9231 0 8732 0 171431 0 0 0 MARY ANN ANICHINI VP QUALITY IMPROVEMENT 0 141189 0 13648 0 1801 0 8022 0 1133 0 165793 0 0 DANIEL M WEINBERGER VP OF INFORMATION TECHNOLOGY 0 137445 0 3750 0 263 0 9022 0 21390 0 171870 0 0 PART I, LINE 1A TODD F. SWORTZEL, CEO, RECEIVES A $24,000 TAXABLE HOUSING ALLOWANCE FROM PRESBYTERIAN HOMES (THE SOLE CORPORATE MEMBER OF WESTMINSTER PLACE 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, KEITH STOHLGREN, MARY ANN ANICHINI AND DANNY WEINBERGER. DURING THE YEAR TODD SWORTZEL RECEIVED PAYMENTS TOTALING $60,000 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR NADIM ABI-ANTOUN RECEIVED PAYMENTS TOTALING $7,129 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR NANCY TOLAN RECEIVED PAYMENTS TOTALING $14,997 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. DURING THE YEAR ROBERT WERDAN RECEIVED PAYMENTS TOTALING $17,975 FROM A NON-QUALIFIED SECTION 457(F) DEFERRED COMPENSATION PLAN. PART 1, LINE 3 THE GOVERNANCE COMMITTEE OF PRESBYTERIAN HOMES (SOLE MEMBER OF WESTMINSTER PLACE) 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 ORGANIZATIIN'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. A ILLINOIS FINANCE AUTHORITY 861091967 45204EBD9 2016-04-27 114484316 TO REFUND THE SERIES 1996A, 2001, 2006 AND 2007 BONDS 0 0 0 A 217525 14230400 14000000 230400 2016 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 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 A, LINE 3 THE ORGANIZATION HAS AN AGREEMENT WITH PRESBYTERIAN HOMES MANAGER, LLC WHO EMPLOYS THE MANAGEMENT TEAM AND MANAGES THE FACILITIES AND PROVIDES A NUMBER OF SERVICES ON A CENTRALIZED BASIS UNDER THE TERMS OF A SEPARATE MANAGEMENT SERVICES AGREEMENT. THE ORGANIZATION PAYS A MANAGEMENT FEE OF 6% OF BUDGETED REVENUES PER YEAR. PURSUANT TO THE MANAGEMENT SERVICES AGREEMENT, THE FEE IS DETERMINED ON AN ANNUAL BASIS BY AGREEMENT BETWEEN PH MANAGER, LLC AND THE ORGANIZATION. TOTAL MANAGEMENT FEES PAID FOR THE YEAR ENDED MARCH 31, 2017 WERE $3,169,497. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF WESTMINSTER PLACE IS PRESBYTERIAN HOMES (EIN 47-1545753) FORM 990, PART VI, SECTION A, LINE 7A ARTICLE I, SECTION 4 OF THE BYLAWS INDICATES THAT THE MEMBER (PRESBYTERIAN HOMES) SHALL BE ENTILED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBER. ARTICLE III, SECTION 1 OF THE BYLAWS INDICATES THAT THE NUMBER OF DIRECTORS MAY BE DECREASED TO NOT FEWER THAN THREE (3) OR INCREASED TO ANY NUMBER FROM TIME TO TIME BY THE MEMBER (PRESBYTERIAN HOMES), IN A WRITING SIGNED BY THE MEMBER (PRESBYTERIAN HOMES). 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 BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C WESTMINSTER PLACE 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 WESTMINSTER PLACE'S 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, WESTMINSTER PLACE ADMINISTERS THE IRS RELATIONSHIP SURVEY TO ALL DIRECTORS AND KEY EMPLOYEES ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 SEE SCHEDULE J, PART III 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 VII MR. TODD F. SWORTZEL, CHIEF EXCECUTIVE OFFICER ASSIGNS 60 PERCENT OF HIS TIME TO WESTMINSTER PLACE AND PRESBYTERIAN HOMES, AND 40 PERCENT OF HIS TIME TO THE GENEVA FOUNDATION. THE CFO ASSIGNS 6.2 PERCENT OF HIS TIME TO THE GENEVA FOUNDATION OF PRESBYTERIAN HOMES. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -183,163. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE TO THE PROCESS FROM THE CURRENT YEAR. ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT REVIEW AND SELECTION OF THE INDEPENDENT ACCOUNTING ENGAGEMENT TEAM. GENEVA FOUNDATION OF PRESBYTERIAN HOMES 8707 SKOKIE BOULEVARD SUITE 400 SKOKIE IL 60077 710945228 SUPPORTING ORGANIZATION IL 501(C)(3) LINE 11A, I PRESBYTERIAN HOMES 0 PRESBYTERIAN HOMES 8707 SKOKIE BOULEVARD SUITE 400 SKOKIE IL 60077 471545753 LIFE PLAN COMMUNITY (F/K/A CONTINUING CARE RETIREMENT COMMUNITY) IL 501(C)(3) LINE 9 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0