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COVENANT LIVING OF FLORIDA INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
COVENANT LIVING OF FLORIDA INC (EIN 52-1115870)
Tax period
2015-02-01 to 2016-01-31
Filed
2016-12-14
IRS object ID
201633499349301133
Schema version
2015v2.1
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)
Return2016-12-14T17:23:13-06:00ReturnTs
Tax Period End2016-01-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521115870EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Covenant Village of Florida IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOVEBusinessNameControlTxt
Phone9544722860PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19215 W Broward Blvd No 100AddressLine1Txt
CityPlantationCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33324ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonElizabeth BuikemaPersonNm
Person TitleVP of Finance/CFOPersonTitleTxt
Phone7738782294PhoneNum
Signature2016-12-14SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerElizabeth BuikemaPrincipalOfficerNm

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$18,998,218GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption2650GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.covenantretirement.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionCare for senior adults.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee316TotalEmployeeCnt
Total Volunteers118TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$534,759PYContributionsGrantsAmt
CY Contributions Grants$223,330CYContributionsGrantsAmt
PY Program Service Revenue$16,714,481PYProgramServiceRevenueAmt
CY Program Service Revenue$17,902,989CYProgramServiceRevenueAmt
PY Investment Income$726,939PYInvestmentIncomeAmt
CY Investment Income$623,757CYInvestmentIncomeAmt
PY Other Revenue$227,599PYOtherRevenueAmt
CY Other Revenue$235,579CYOtherRevenueAmt
PY Total Revenue$18,203,778PYTotalRevenueAmt
CY Total Revenue$18,985,655CYTotalRevenueAmt
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$6,926,005PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,662,118CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$197,140CYTotalFundraisingExpenseAmt
PY Other Expenses$12,562,786PYOtherExpensesAmt
CY Other Expenses$14,146,114CYOtherExpensesAmt
PY Total Expenses$19,488,791PYTotalExpensesAmt
CY Total Expenses$21,808,232CYTotalExpensesAmt
PY Revenues Less Expenses-$1,285,013PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,822,577CYRevenuesLessExpensesAmt
Total Assets BOY$55,590,456TotalAssetsBOYAmt
Total Assets EOY$53,208,018TotalAssetsEOYAmt
Total Liabilities BOY$63,409,903TotalLiabilitiesBOYAmt
Total Liabilities EOY$63,912,197TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$7,819,447NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$10,704,179NetAssetsOrFundBalancesEOYAmt
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$8,483,076ExpenseAmt
Revenue$9,063,119RevenueAmt
DescResidential Living: The number of persons who benefited from the services we provided for the year ended January 31, 2016 were as follows:There were a total of 292 residents, occupying 248 apartments at 01/31/2016. Residency for the fiscal year totaled 101,972 resident days.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,430,234ExpenseAmt
Revenue$1,924,766RevenueAmt
DescAssisted Living: The number of persons who benefited from the services we provided for the year ended January 31, 2016 were as follows:There were a total of 35 assisted living residents at 01/31/2016. Assisted living residency for the fiscal year totaled 12,112 patient days.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,960,112ExpenseAmt
Revenue$7,150,683RevenueAmt
DescSkilled Nursing: The number of persons who benefited from the services we provided for the year ended January 31, 2016 were as follows:There were a total of 49 skilled care patients at 01/31/2016.Skilled care residency for the fiscal year totaled 18,160 patient days.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescThe organization was involved in various community benefits projectswhich include the following:- Staff members volunteered a total of 26 hours to Hope South Florida and Relay for Life(equivalent to $1,550)- Residents volunteered a total of 1,749 hours to various organizationsor events in the community including Charity Bears, Senior Luncheon, Men's Chorus, Insight for the blind, at local churches,Plantation History Museum, AARP and others. The residents also raised in-kind donations for Operation Christmas Child Shoebox Collection (estimated value of $3,000).- Provided space usage for meetings/events for small (under 35) tolarge groups (75+ people) and Community Events including AARP safe driving class, Alzheimer's Support Group, Girl Scout Troops, BCOA, various arts and music events, H2U Fitness Clas, WSR Lecture, USO Veteran's Dance, Garden Getaway Women's Retreat, Holiday Bazaar, Pastors' Appreciation Brunch, NSU Lifelong Learning, Election Polls and others (equivalent to $966,000)-In-Kind donations to Escarment Foundation, Faith Farm Ministries andImmanuel Baptist Church (estimated value of $16,632)Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$14,873,422TotalProgramServiceExpensesAmt
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 StmtYes (1)IndependentAuditFinclStmtInd
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 Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee316EmployeeCnt
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 Members21GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Elizabeth B BuikemaBusinessNameLine1Txt
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 (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
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
Director1.001.00Yes (X)$0$0$0
James Elving
Director1.001.00Yes (X)$0$0$0
Marc E Espinosa
Director1.001.00Yes (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
Director1.001.00Yes (X)$0$0$0
Scott Macdonald
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$1,846,302$29,812
Rick K Fisk
Ex-Officio/President1.0040.00Yes (X)$0$1,037,707$19,210Yes (X)
Jennifer Larson
Ex-Officio1.001.00Yes (X)$0$0$0
Gary Walter
Ex-Officio1.0040.00Yes (X)$0$151,696$109,618
Terri S Cunliffe
Ex-Officio/President1.0040.00Yes (X)$0$482,038$73,683Yes (X)
Elizabeth B Buikema
Senior VP/CFO/Treasurer1.0040.00$0$356,598$57,905Yes (X)
David G Erickson
VP/Asst Secretary1.0040.00$0$285,049$52,820Yes (X)
Nadia Geigler
Dir Admin Srvcs/Asst Secretary1.0040.00$0$100,457$10,051Yes (X)
Ian L Brown
Executive Director40.000.00$138,290$0$30,057Yes (X)
Theresa Minervini
Sales Director40.000.00$109,785$0$21,354Yes (X)
Douglas S Fennema
Executive Director40.000.00$110,323$0$12,893Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$358,398TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,259,847TotReportableCompRltdOrgAmt
Total Other Compensation$417,403TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
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 & Affiliates
4880 Paysphere CircleChicagoIL60674Dining Services$466,664
R&S General Contractors
3325 Griffin Road 113Fort LauderdaleFL33312Apartment Refurbishments$430,950
Dubois Construction Servics
1311 W Newport Center Drive SuiteDeerfield BeachFL33442Apartment Refurbishments$404,224
Advanced Fire and Security
PO Box 668370Pompano BeachFL33066Fire Alarm Systems$247,235
JWR Constructions Services
1311 W Newport Center Drive SuiteDeerfield BeachFL33442Health Center Refurbishments$234,623
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Fundraising$18,690FundraisingAmt
All Other Contributions$204,640AllOtherContributionsAmt
Total Contributions$223,330TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Routine Services623000$9,838,785$9,838,785
Medicare/Medicaid623000$2,788,368$2,788,368
Entrance Fee623000$2,639,449$2,639,449
Ancillary Services623000$2,494,775$2,494,775
Meals623000$141,612$141,612
FieldValueIRS element (for citing)
Total Program Service Revenue$17,902,989TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$484,090TotalRevenueColumnAmt
Exclusion$484,090ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$123,877SecuritiesAmt
Other$15,790OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$123,877SecuritiesAmt
Other$15,790OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$139,667TotalRevenueColumnAmt
Exclusion$139,667ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$12,563FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$18,690ContriRptFundraisingEventAmt
Fundraising Direct Expenses$12,563FundraisingDirectExpensesAmt

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$68,184$68,184
Services to Resident623000$16,908$16,908

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$150,487TotalRevenueColumnAmt
Related Or Exempt Func Income$150,487RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$235,579OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,985,655TotalRevenueColumnAmt
Related Or Exempt Func Income$18,138,568RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$623,757ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,287,791TotalAmt
Program Services$5,025,014ProgramServicesAmt
Management And General$1,262,777ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$123,660TotalAmt
Program Services$89,429ProgramServicesAmt
Management And General$34,231ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$790,441TotalAmt
Program Services$623,995ProgramServicesAmt
Management And General$166,446ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$460,226TotalAmt
Program Services$364,592ProgramServicesAmt
Management And General$95,634ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$44,553TotalAmt
Program Services$44,553ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$45,058TotalAmt
Management And General$45,058ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,453TotalAmt
Management And General$31,453ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,252,746TotalAmt
Program Services$751,841ProgramServicesAmt
Management And General$500,905ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$578,561TotalAmt
Program Services$348ProgramServicesAmt
Management And General$578,213ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,247,556TotalAmt
Program Services$878,643ProgramServicesAmt
Management And General$368,913ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$351,647TotalAmt
Management And General$351,647ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$959,614TotalAmt
Program Services$959,614ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$55,849TotalAmt
Program Services$11,857ProgramServicesAmt
Management And General$43,992ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$33,508TotalAmt
Program Services$14,231ProgramServicesAmt
Management And General$19,277ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,978,210TotalAmt
Program Services$1,339,050ProgramServicesAmt
Management And General$613,245ManagementAndGeneralAmt
Fundraising$25,915FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,104,684TotalAmt
Program Services$2,103,514ProgramServicesAmt
Management And General$962,452ManagementAndGeneralAmt
Fundraising$38,718FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$342,919TotalAmt
Program Services$342,919ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Admin & General$1,462,958$797,180$665,778
Related Party Activity$1,088,763$956,256$132,507
Dining Services$931,109$931,109
Resident Care$550,023$550,023

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$86,903TotalAmt
Program Services$45,510ProgramServicesAmt
Management And General$41,393ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,808,232TotalAmt
Program Services$14,873,422ProgramServicesAmt
Management And General$6,737,670ManagementAndGeneralAmt
Fundraising$197,140FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,729BOYAmt
EOY$497,964EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,124,694BOYAmt
EOY$100,574EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,122,743BOYAmt
EOY$996,090EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,007,042BOYAmt
EOY$1,830,375EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$83,113BOYAmt
EOY$37,778EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$30,583BOYAmt
EOY$30,645EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$68,345,862LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,054,416LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,411,265BOYAmt
EOY$34,291,446EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,173,934BOYAmt
EOY$12,795,022EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,382,154BOYAmt
EOY$2,264,580EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$241,199BOYAmt
EOY$363,544EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$55,590,456BOYAmt
EOY$53,208,018EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$958,747BOYAmt
EOY$762,885EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,504,192BOYAmt
EOY$9,511,469EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,615,801BOYAmt
EOY$24,860,052EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt
EOY$27,700EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,326,163BOYAmt
EOY$28,750,091EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,409,903BOYAmt
EOY$63,912,197EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$8,248,514BOYAmt
EOY-$11,071,092EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$429,067BOYAmt
EOY$366,913EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$7,819,447BOYAmt
EOY-$10,704,179EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,590,456BOYAmt
EOY$53,208,018EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,822,577ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$62,155OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
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$683,401CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$661,797CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,036,135CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$534,759CurrentTaxYearMinus1YearAmt
Current Tax Year$223,330CurrentTaxYearAmt
Total$3,139,422TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,790,848CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,674,726CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,923,241CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,714,481CurrentTaxYearMinus1YearAmt
Current Tax Year$17,902,989CurrentTaxYearAmt
Total$80,006,285TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,474,249CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,336,523CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,959,376CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,249,240CurrentTaxYearMinus1YearAmt
Current Tax Year$18,126,319CurrentTaxYearAmt
Total$83,145,707TotalAmt

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$83,145,707PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$823,232CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$654,113CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$545,442CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$726,939CurrentTaxYearMinus1YearAmt
Current Tax Year$623,757CurrentTaxYearAmt
Total$3,373,483TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$823,232CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$654,113CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$545,442CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$726,939CurrentTaxYearMinus1YearAmt
Current Tax Year$623,757CurrentTaxYearAmt
Total$3,373,483TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,297,481CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,990,636CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,504,818CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,976,179CurrentTaxYearMinus1YearAmt
Current Tax Year$18,750,076CurrentTaxYearAmt
Total$86,519,190TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96100PublicSupportCY509Pct
Public Support PY5090.95690PublicSupportPY509Pct
Investment Income CY0.03900InvestmentIncomeCYPct
Investment Income PY0.04310InvestmentIncomePYPct
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$565,255OtherCostOrOtherBasisAmt
Book Value$565,255BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,130,624OtherCostOrOtherBasisAmt
Depreciation$27,398,622DepreciationAmt
Book Value$25,732,002BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,680,140OtherCostOrOtherBasisAmt
Depreciation$5,463,084DepreciationAmt
Book Value$6,217,056BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,969,843OtherCostOrOtherBasisAmt
Depreciation$1,192,710DepreciationAmt
Book Value$1,777,133BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,291,446TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Deferred Revenue Subject to Refund$7,299,742
Refundable Contract Liabilities$2,590,680
Accrued Taxes & Employee Benefits$35,650
Inter-company Advance Accounts$18,455,080
Other Liabilities$368,939
FieldValueIRS element (for citing)
Total Liability$28,750,091TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$17,952,210TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$116,717OtherRevenueAmt
Revenue Not Reported-$116,717RevenueNotReportedAmt
Revenue Subtotal$18,068,927RevenueSubtotalAmt
Other Revenues Not Included$916,727OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$916,727RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$18,985,654TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,774,788TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$916,727OtherExpensesIncludedAmt
Expenses Not Reported-$916,727ExpensesNotReportedAmt
Expenses Subtotal$21,691,515ExpensesSubtotalAmt
Other Expenses Not Included$116,717OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$116,717ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$21,808,232TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b: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.
Part XI, Line 2d - Other Adjustments:Contribution related expenses netted against contribution Revenue -132,507. Other non-operating income 15,790.
Part XI, Line 4b - Other Adjustments:Dining services revenue 141,612. Loss - Disposal of Fixed Asset 15,790. Loss on Extinguishment of Debt 759,325.
Part XII, Line 2d - Other Adjustments:Dining services revenue netted with Dietary expense -141,612. Loss - Disposal of Fixed Asset -15,790. Loss on Extinguishment of Debt -759,325.
Part XII, Line 4b - Other Adjustments:Contribution related expenses netted against contribution Revenue 132,507. Other non-operating income -15,790.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Benefit DinnerEvent1Nm
Gross Receipts Event1$31,253GrossReceiptsEvent1Amt
Charitable Contri Event1$18,690CharitableContriEvent1Amt
Gross Revenue Event1$12,563GrossRevenueEvent1Amt
Non Cash Prizes Event1$2,521NonCashPrizesEvent1Amt
Food And Beverage Event1$6,221FoodAndBeverageEvent1Amt
Entertainment Event1$1,000EntertainmentEvent1Amt
Other Direct Expenses Event1$2,821OtherDirectExpensesEvent1Amt
Gross Receipts Total$31,253GrossReceiptsTotalAmt
Charitable Contributions Tot$18,690CharitableContributionsTotAmt
Gross Revenue Total Events$12,563GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$2,521NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$6,221FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$2,821OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$12,563DirectExpenseSummaryEventsAmt
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 (7 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$497,736$0$0$0$1,348,566$0$7,950$0$31,135$0$1,885,387$0$0
Rick K Fisk
Ex-Officio/President$0$461,683$0$222,540$0$353,484$0$7,950$0$18,993$0$1,064,650$0$0
Gary Walter
Ex-Officio$0$151,696$0$0$0$0$0$22,754$0$86,864$0$261,314$0$0
Terri S Cunliffe
Ex-Officio/President$0$341,165$0$77,220$0$63,653$0$54,291$0$22,034$0$558,363$0$0
Elizabeth B Buikema
Senior VP/CFO/Treasurer$0$240,768$0$75,396$0$40,434$0$30,133$0$31,216$0$417,947$0$0
David G Erickson
VP/Asst Secretary$0$193,687$0$41,895$0$49,467$0$25,505$0$31,019$0$341,573$0$0
Ian L Brown
Executive Director$135,968$0$0$0$2,322$0$11,733$0$18,818$0$168,841$0$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 - $26,913 Terri Cunliffe - $45,986 David Dwight - $65,253 David Erickson - $24,737 Rick Fisk - $56,068 Nadia Geigler - $7,308 Ian L. Brown - $11,733 The compensation amounts reported for certain individuals in Part II, columns (B)(i) through (iii), include amounts earned over many years of employment under a supplemental nonqualified retirement plan. These amounts were at risk, and would have been forfeited if the reported individual had not satisfied a substantial service requirement. These amounts would be paid out over an individual's years of retirement, like a traditional pension plan benefit, but special laws for tax-exempt organizations require that the entire value be reported, taxed and paid out at one time. The individuals who earned these amounts over many years of service, and the amounts that were paid out in the reported year, are as follows: Rick Fisk: $248,729 David Dwight: $1,215,769
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 2015 relate to the achievement of targets for the fiscal year ended 1/31/2015.
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 Florida, Inc. provided $344,021 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 Florida, 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 11Management 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 15Covenant 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 -62,155.

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
5101 North Francisco AvenueChicagoIL60625362167730ChurchIL501(c)(3)Line 1N/A0
Swedish Covenant Faculty Group (SCFG)
5145 North California AvenueChicagoIL60625363686216Patient Treatment/EducationIL501(c)(3)Line 11a, 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 11a, 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 PhysiciansN/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 OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
Covenant Retirement Communities Inc
Q$1,093,794
Covenant Retirement Communities Inc
P$498,581
Covenant Trust Company
P$106,775