2014-05-08T08:41:30-05:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2013-01-01 371017284 CLARK-LINDSEY VILLAGE INC CLAR 2173442144 101 WEST WINDSOR ROAD URBANA IL 61802 THOMAS B BERNS CHAIRMAN 2173442144 2014-05-02 1 JEFF PARKER P00970069 3149254300 2013 2015-11-30 17:44:51Z THOMAS B BERNS 101 WEST WINDSOR ROAD URBANA IL 61802 21883551 0 X WWW.CLARK-LINDSEY.COM X 1970 IL TO PROVIDE HOUSING AND HEALTHCARE FACILITIES/SERVICES FOR ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN. 12 12 300 517 0 0 42312 49313 14121884 14509060 329134 351501 240414 376517 14733744 15286391 0 0 0 0 6835697 7028835 0 0 0 6764720 6893572 13600417 13922407 1133327 1363984 28524107 31196411 14189473 15094515 14334634 16101896 TO PROVIDE HOUSING AND HEALTHCARE FACILITIES/SERVICES FOR ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN. 0 0 12378560 14509060 CLARK-LINDSEY VILLAGE'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE HOUSING, SERVICES, AND HEALTHCARE TO THE ELDERLY PERSONS ON A NON-PROFIT BASIS, WITHOUT REGARD TO RACE, RELIGION, SEX, CREED OR NATIONAL ORIGIN. IN 2013, CLARK- LINDSEY VILLAGE PROVIDED HOUSING AND SERVICES TO 458 ELDERLY PEOPLE, RESULTING IN 81,353 DAYS OF CARE. IN ADDITION, CLARK-LINDSEY PROVIDED 160,343 HOURS OF NURSING CARE, 50,010 UNIT SESSIONS OF THERAPY, AND MORE THAN 400 SENIOR PROGRAMS DESIGNED TO PROMOTE CONTINUED LEARNING AND SUCCESSFUL AGING. 12378560 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 40 0 300 1 0 0 0 0 0 0 0 0 0 1 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X DEBRA REARDANZ CEO 2173442144 101 WEST WINDSOR ROAD URBANA IL 61802 THOMAS B BERNS CHAIRMAN 2.00 X X 398 0 0 GLEN C PAINE VICE-CHAIRMAN 2.00 X X 737 0 0 DAVID W HOOD TREASURER 2.00 X X 561 0 0 MICHAEL W LYON SECRETARY 2.00 X X 0 0 0 CATHERINE A MURPHY BOARD MEMBER 2.00 X 0 0 0 CHRISTOPHER MOYER BOARD MEMBER 2.00 X 0 0 0 CAMILLE S HARMON BOARD MEMBER 2.00 X 0 0 0 MICHAEL B PROVENZANO BOARD MEMBER 2.00 X 0 0 0 ROLAND WHITE BOARD MEMBER 2.00 X 0 0 0 ELIZABETH H TYLER BOARD MEMBER 2.00 X 0 0 0 JAMES D GREEN BOARD MEMBER 2.00 X 0 0 0 KATHLEEN HOLDEN BOARD MEMBER 2.00 X 0 0 0 DEBRA S REARDANZ PRESIDENT / CEO 40.00 X 205638 0 28520 TIMOTHY P MAST CFO 40.00 X 101292 0 19293 308626 0 47813 2 0 1 0 FEUTZ CONTRACTORS INC 1120 N MAIN STREET PARIS IL 61944 CONSTRUCTION SERVICES 927985 REHABCARE GROUP INC 7733 FORSYTH BLVD SUITE 2300 ST LOUIS MO 63150 THERAPY SERVICES 917323 PERKINS EASTMAN ARCHITECTS PC 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECT SERVICES 357901 MTK TECHNOLOGIES INC 701 DEVONSHIRE DRIVE CHAMPAIGN IL 61820 TECHNOLOGY CONSULTING AND HARDWARE 151359 4 49313 20250 49313 RESIDENT SERVICES 623000 13151897 13151897 AMORTIZATION OF DEFERRED REVENUE 623000 1357163 1357163 14509060 195724 195724 6752937 6597099 61 155838 -61 155777 155777 MISCELLANEOUS REVENUE 900099 167098 167098 MEAL REVENUE 900099 154999 154999 HAIR SALON SERVICES 900099 54420 54420 376517 15286391 14509060 0 728018 354503 354503 5625580 5053202 572378 162519 146579 15940 399707 366444 33263 486526 424852 61674 54947 54947 35632 35632 67276 67276 12850 12850 91629 91629 14758 14758 187739 159395 28344 955171 944829 10342 63401 30952 32449 15558 5560 9998 100433 100433 1453448 1437711 15737 249587 246885 2702 THERAPY, NURSING SUPPLI 1514355 1514355 DIETARY 903558 903558 MAINTENANCE AND GROUNDS 528720 522995 5725 TAXES AND LICENSES 160673 160673 483837 345379 138458 13922407 12378560 1543847 0 525650 559024 652352 1409003 913247 1082714 25798 24198 132969 140515 32192092 19551221 13242886 12640871 12766197 13778912 265008 1561174 28524107 31196411 1512475 1769008 8512209 9034772 3904221 3709339 173000 469500 87568 111896 14189473 15094515 X 13965456 15679107 350092 403703 19086 19086 14334634 16101896 28524107 31196411 1363984 403278 0 X X 0 1 X 1 0 X 95282 21069 51720 42312 49313 259696 11951946 12860979 13530880 14121884 14509060 66974749 195321 222242 240414 376517 1034494 12047228 13077369 13804842 14404610 14934890 68268939 0 0 0 68268939 129044 206025 271682 224200 195724 1026675 129044 206025 271682 224200 195724 1026675 12176272 13283394 14076524 14628810 15130614 69295614 0.98520 0.98390 0.01480 0.01610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2060926 20000 204278 15992 13617 2255595 1895464 15000 184989 20816 13711 2060926 1975526 10000 -36476 41076 12510 1895464 1912590 10100 143851 77947 13068 1975526 1651044 10000 281355 15567 14242 1912590 0.89150 0.00850 0.10000 0 0 225000 225000 24814025 13961350 10852675 7153067 5589871 1563196 12640871 CONSTRUCTION IN PROGRESS 1561174 1561174 FUNDS HELD FOR OTHERS 26449 DEFERRED COMPENSATION 85447 111896 X 15568843 403278 403278 15165565 120827 120827 15286392 13855191 0 13855191 67216 67216 13922407 PART V, LINE 4: THE ARMSEY BEAUTIFICATION FUND IS A TERM ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT FOR CLARK-LINDSEY RESIDENT GROUNDS AND GARDENS. THE THOMPSON LIBRARY FUND IS A TERM ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF THE CLARK-LINDSEY RESIDENT LIBRARY. THE WEBBER EDUCATIONAL FUND IS A PERMANENT ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF CONTINUING EDUCATION FOR HEALTH CENTER STAFF. THE STEWART LIBRARY FUND IS A PERMANENT ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT OF THE CLARK-LINDSEY RESIDENT LIBRARY. THE KAULFERS FUND IS A BOARD DESIGNATED, QUASI ENDOWMENT USED TO PROVIDE FINANCIAL SUPPORT FOR QUALITY OF LIFE IMPROVEMENTS INDCLUDING PROGRAMS AND FACILITIES ESPECIALLY DEVELOPED FOR SENIOR CITIZENS. PART X, LINE 2: THE VILLAGE QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE VILLAGE IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE VILLAGE IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE CODE AND CONTRIBUTIONS TO THE VILLAGE QUALIFY AS A CHARITABLE TAX DEDUCTION FOR THE CONTRIBUTOR. THE VILLAGE'S 2010-2012 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSET -61. MANAGEMENT FEES INCLUDED IN REVENUE 67,277. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 53,611. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS -61. MANAGEMENT FEES NET AGAINST REVENUE 67,277. X 1 1 X X X X X 0 1 1 0 0 0 0 0 0 DEBRA S REARDANZ PRESIDENT / CEO 195873 0 9765 0 0 0 12995 0 15525 0 234158 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDED REIMBURSEMENT FOR COMPANION TRAVEL TO ITS BOARD MEMBERS. THE SPECIFIC INDIVIDUALS AND AMOUNTS ARE INCLUDED ON FEDERAL FORM 990, PART VII, SECTION A. PART I, LINES 4B-C THE CEO HAS A BALANCE IN A 457 PLAN, BUT THERE WERE NO PAYMENTS TO THE PLAN IN 2013. A CITY OF URBANA CHAMPAIGN COUNTY ILLINOIS 376000524 NONEAVAIL 2004-05-20 5000000 IMPROVEMENTS TO HEALTHCARE FACILITY 0 0 0 A 1290661 5000000 100000 4900000 2005 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 1 A 1 SCHEDULE K, PART IV, LINE 2C THE ARBITRAGE REBATE COMPUTATION WAS PERFORMED FOR THE PERIOD MAY 20, 2004, THE DELIVERY DATE OF THE BONDS, TO MAY 20, 2009, THE COMPUTATION DATE. PER THE COMPUTATION, NO REBATE PAYMENT WAS REQUIRED. TOM BERNS BOARD CHAIRMAN 46404 CIVIL ENGINEERING FEES PAID TO BERNS, CLANCY & ASSOCIATES (BCA), OF WHICH MR. BERNS IS AN OFFICER AND STOCKHOLDER WITH BCA. 0 DEBRA REARDANZ PRESIDENT/CEO 18279 DUES PAID TO LIFE SERVICES NETWORK (LSN), ON WHICH MS. REARDANZ IS A BOARD MEMBER. 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD DIRECTS THAT AT LEAST ONE BOARD MEMBER, WHO SERVES ON THE FINANCE COMMITTEE, CONDUCT THE ANNUAL REVIEW OF THE FORM 990 AND PRESENT IT TO THE FULL BOARD PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD DIRECTS THAT OFFICERS, DIRECTOR, AND KEY EMPLOYEES ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR PREPARING QUARTERLY REPORTS TO THE BOARD FINANCE COMMITTEE THAT DISCLOSES ACTUAL, POTENTIAL OR PERCEIVED CONFLICTS OF INTEREST. IN THE EVENT THAT A CONFLICT EXISTS, THE PERSON IS REQUIRED TO RECUSE HIMSELF OR HERSELF FROM PARTICIPATING IN THE DECISION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD DIRECTS THAT THE PERSONNEL & POLICY COMMITTEE (P&PC) CONDUCT THE PRESIDENT'S ANNUAL PERFORMANCE REVIEW AND DEVELOP SALARY AND COMPENSATION RECOMMENDATIONS FOR FULL BOARD APPROVAL. A COMPARATIVE ANALYSIS OF THE PRESIDENT'S ANNUAL COMPENSATION IS REVIEWED BY THE P&PC USING SOURCES SUCH AS INDEPENDENT SALARY SURVEYS, REVIEW OF FORM 990S AND OTHER INFORMATION AS IT IS AVAILABLE. TO ENSURE THE INDEPENDENCE AND OBJECTIVITY OF THE COMPARATIVE REVIEW, THE DATA AND ANALYSIS IS PREPARED BY SOMEONE OTHER THAN THE PRESIDENT. IN REGARDS TO OTHER OFFICERS AND KEY EMPLOYEES, THE PRESIDENT PERFORMS A SIMILAR PROCESS USING INDEPENDENT SALARY SURVEY DATA TO DETERMINE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 CLARK-LINDSEY VILLAGE, INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. FORM 990, PART XII, LINE 2C THE PROCESS FOR REVIEW AND OVERSIGHT OF THE AUDIT PROCESS IS CONSISTENT WITH PRIOR YEARS.