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PLYMOUTH PLACE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
PLYMOUTH PLACE INC (EIN 36-2169165)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-20
IRS object ID
201402939349300335
Schema version
2013v3.0
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)
Return2014-10-20T13:23:58-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 W 22ND ST STE 1100AddressLine1
CityOAK BROOKCity
StateILState
ZIP Code60523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362169165EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PLYMOUTH PLACE INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlPLYMBusinessNameControlTxt
Phone7083540340PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 N LAGRANGE ROADAddressLine1
CityLAGRANGE PARKCity
StateILState
ZIP Code60526ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDALE LILBURNPersonNm
Person TitleCEOPersonTitleTxt
Phone7083540340PhoneNum
Signature2014-10-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGREGORY S ADAMSPreparerPersonNm
PTINP00095597PTIN
Phone6305738600PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDALE LILBURNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 N LAGRANGE ROADAddressLine1
CityLAGRANGE PARKCity
StateILState
ZIP Code60526ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$30,627,071GrossReceiptsAmt
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 Employee405TotalEmployeeCnt
Total Volunteers45TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,366,140PYContributionsGrantsAmt
CY Contributions Grants$2,214,687CYContributionsGrantsAmt
PY Program Service Revenue$23,877,777PYProgramServiceRevenueAmt
CY Program Service Revenue$27,768,454CYProgramServiceRevenueAmt
PY Investment Income$527,393PYInvestmentIncomeAmt
CY Investment Income$643,930CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$26,771,310PYTotalRevenueAmt
CY Total Revenue$30,627,071CYTotalRevenueAmt
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$9,591,694PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,754,739CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,115,419PYOtherExpensesAmt
CY Other Expenses$18,007,485CYOtherExpensesAmt
PY Total Expenses$27,707,113PYTotalExpensesAmt
CY Total Expenses$27,762,224CYTotalExpensesAmt
PY Revenues Less Expenses-$935,803PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,864,847CYRevenuesLessExpensesAmt
Total Assets BOY$142,116,481TotalAssetsBOYAmt
Total Assets EOY$143,631,593TotalAssetsEOYAmt
Total Liabilities BOY$165,671,275TotalLiabilitiesBOYAmt
Total Liabilities EOY$179,524,954TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$23,554,794NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$35,893,361NetAssetsOrFundBalancesEOYAmt
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$24,458,600ExpenseAmt
Revenue$27,768,454RevenueAmt
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 23 RENOVATED COTTAGES.Desc
Total Program Service Expenses$24,458,600TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
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 Contri0DeductibleNonCashContriInd
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 Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee405EmployeeCnt
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 LILBURNBusinessNameLine1
FieldValueIRS element (for citing)
Phone7083540340PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 N LAGRANGE ROADAddressLine1
CityLAGRANGE PARKCity
StateILState
ZIP Code60526ZIPCode

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
ARMBRUSTER DR KENT
DIRECTOR1.00Yes (X)$0$0$0
CONLIN R DEAN
DIRECTOR1.00Yes (X)$0$0$0
GAGE JAMES
DIRECTOR6.00Yes (X)$0$0$0
BALDWIN MARVIN
DIRECTOR3.00Yes (X)$0$0$0
BRYANT DORIS
DIRECTOR2.00Yes (X)$0$0$0
FELSON RAY
DIRECTOR1.00Yes (X)$0$0$0
HORTON DR LOREN
DIRECTOR1.00Yes (X)$0$0$0
HAMBURGER DIANE
DIRECTOR1.50Yes (X)$0$0$0
BUSSE DR WALTER
DIRECTOR1.00Yes (X)$0$0$0
COATES WILLIAM
DIRECTOR2.00Yes (X)$0$0$0
SUTHERLAND NANCY
DIRECTOR5.00Yes (X)$0$0$0
ONION DAVID
DIRECTOR4.00Yes (X)$0$0$0
RITTER-JENKINS LESLIE
DIRECTOR1.00Yes (X)$0$0$0
VERGOWE HARRIET
DIRECTOR2.00Yes (X)$0$0$0
LILBURN DALE
CEO50.00$192,719$0$8,782Yes (X)
SLEEZER SHARON
DIRECTOR OF SALES40.00$110,756$0$8,037Yes (X)
GILBERT MARGARET
SR LIVING COUNSELOR50.00$104,769$0$11,818Yes (X)
WEILER DANIEL
DIR OF ENV SERVICES50.00$104,288$0$2,761Yes (X)
STANTON LISA
SR. LIVING COUNSELOR50.00$101,709$0$12,662Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$614,241TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$44,060TotalOtherCompensationAmt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
SODEXO INC
PO BOX 70060CHICAGOIL60673DIETARY SERVICE$1,778,467
COMPREHENSIVE THERAPEUTICS LTD
3703 WEST LAKE AVEGLENVIEWIL60025NURSING THERAPY$1,345,375
PROVIDENCE MANAGEMENT
18601 NORTH CREEK DRIVETINLEY PARKIL60477MANAGEMENT$771,380
OMNICARE OF NORTHERN ILLINOIS
PO BOX 641805CINCINNATTIOH45264PHARMACY$609,771
NOVASTAFF
2021 MIDWEST RD 200OAK BROOKIL60523NURSING SERVICES$241,243
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,214,687AllOtherContributionsAmt
Total Contributions$2,214,687TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSENIOR HOUSING, ASSISTANCEDesc
Business623000BusinessCd
Total Revenue Column$27,768,454TotalRevenueColumnAmt
Related Or Exempt Func Income$27,768,454RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$27,768,454TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$643,930TotalRevenueColumnAmt
Exclusion$643,930ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,627,071TotalRevenueColumnAmt
Related Or Exempt Func Income$27,768,454RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$643,930ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$192,719TotalAmt
Management And General$192,719ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,517,886TotalAmt
Program Services$6,591,147ProgramServicesAmt
Management And General$926,739ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$83,466TotalAmt
Program Services$67,681ProgramServicesAmt
Management And General$15,785ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,396,100TotalAmt
Program Services$1,119,340ProgramServicesAmt
Management And General$276,760ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$564,568TotalAmt
Program Services$486,495ProgramServicesAmt
Management And General$78,073ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$837,043TotalAmt
Program Services$627,728ProgramServicesAmt
Management And General$209,315ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$35,996TotalAmt
Management And General$35,996ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$53,304TotalAmt
Management And General$53,304ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$994,610TotalAmt
Management And General$994,610ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,855TotalAmt
Management And General$7,855ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$162,946TotalAmt
Management And General$162,946ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,264,161TotalAmt
Program Services$1,264,161ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,932,990TotalAmt
Program Services$4,932,990ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,702,772TotalAmt
Program Services$3,702,772ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$201,563TotalAmt
Management And General$201,563ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$1,933,286$1,901,368$31,918
OTHER$1,595,752$1,479,711$116,041
NURSING - THERAP$1,306,761$1,306,761
NURSING - PHARMACY$506,369$506,369

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$472,077TotalAmt
Program Services$472,077ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$27,762,224TotalAmt
Program Services$24,458,600ProgramServicesAmt
Management And General$3,303,624ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,032,649BOYAmt
EOY$4,223,126EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,921,135BOYAmt
EOY$2,645,146EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$539,008BOYAmt
EOY$103,177EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$130,837,417LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,737,527LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$107,118,288BOYAmt
EOY$104,099,890EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,120,230BOYAmt
EOY$23,575,774EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,385,171BOYAmt
EOY$8,984,480EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$142,116,481BOYAmt
EOY$143,631,593EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,341,447BOYAmt
EOY$2,300,149EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$73,005,318BOYAmt
EOY$14,622,425EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$81,905,000BOYAmt
EOY$79,600,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,419,510BOYAmt
EOY$83,002,380EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$165,671,275BOYAmt
EOY$179,524,954EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$29,609,241BOYAmt
EOY-$42,775,662EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,838BOYAmt
EOY$207,505EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,039,609BOYAmt
EOY$6,674,796EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$23,554,794BOYAmt
EOY-$35,893,361EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$142,116,481BOYAmt
EOY$143,631,593EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,864,847ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$76,545NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$14,226,387PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$1,053,572OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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$1,208,665CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$757,704CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,573,526CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,366,140CurrentTaxYearMinus1YearAmt
Current Tax Year$2,214,687CurrentTaxYearAmt
Total$10,120,722TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,485,983CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,360,817CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,878,195CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,405,170CurrentTaxYearMinus1YearAmt
Current Tax Year$27,768,454CurrentTaxYearAmt
Total$114,898,619TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,694,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,118,521CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,451,721CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,771,310CurrentTaxYearMinus1YearAmt
Current Tax Year$29,983,141CurrentTaxYearAmt
Total$125,019,341TotalAmt

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$125,019,341PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$417,984CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$211,973CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$279,552CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$527,393CurrentTaxYearMinus1YearAmt
Current Tax Year$643,930CurrentTaxYearAmt
Total$2,080,832TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$417,984CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$211,973CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$279,552CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$527,393CurrentTaxYearMinus1YearAmt
Current Tax Year$643,930CurrentTaxYearAmt
Total$2,080,832TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,112,632CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,330,494CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,731,273CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,298,703CurrentTaxYearMinus1YearAmt
Current Tax Year$30,627,071CurrentTaxYearAmt
Total$127,100,173TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98360PublicSupportCY509Pct
Public Support PY5090.97440PublicSupportPY509Pct
Investment Income CY0.01640InvestmentIncomeCYPct
Investment Income PY0.03000InvestmentIncomePYPct
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$126,006,611OtherCostOrOtherBasisAmt
Depreciation$24,542,720DepreciationAmt
Book Value$101,463,891BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$398,258OtherCostOrOtherBasisAmt
Depreciation$141,105DepreciationAmt
Book Value$257,153BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,331,675OtherCostOrOtherBasisAmt
Depreciation$2,047,327DepreciationAmt
Book Value$2,284,348BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,455OtherCostOrOtherBasisAmt
Depreciation$6,375DepreciationAmt
Book Value$9,080BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$104,099,890TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DEFERRED FINANCING COSTS$1,837,043
DEFERRED MARKETING COSTS$472,641
BENEFICIAL INTEREST IN PERPETUAL TRUST$6,674,796
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,984,480TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
REFUNDABLE ENTRANCE FEES$77,553,156
ACCRUED DEVELOPER FEE$1,405,474
RESIDENT DEPOSITS$139,845
WAITING LIST DEPOSITS$76,500
UNAMORTIZED BOND DISCOUNT-$455,221
FUTURE SERVICE OBLIGATION$4,282,626
FieldValueIRS element (for citing)
Total Liability$83,002,380TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$29,650,044TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$76,545NetUnrealizedGainsInvstAmt
Other Revenue-$1,053,572OtherRevenueAmt
Revenue Not Reported-$977,027RevenueNotReportedAmt
Revenue Subtotal$30,627,071RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$30,627,071TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$27,762,224TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$27,762,224ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$27,762,224TotalExpensesPerForm990Amt

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, 2010-2012 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 635,187. LOSS ON REFINANCING -1,688,759.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
PersonLILBURN DALEPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$192,719BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$3,372DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$5,410NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$201,501TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A86109196745200BUB22005-12-08$1,920,000CONSTRUCT REPLACEMENT000
ILLINOIS FINANCE AUTHORITY
B86109196745200BUC02005-12-08$14,335,000CONSTRUCT REPLACEMENT000
ILLINOIS FINANCE AUTHORITY
C86109196745200BUD82005-12-08$38,485,000CONSTRUCT REPLACEMENT000
ILLINOIS FINANCE AUTHORITY
D86109196745200BUB22005-12-08$1,030,000CONSTRUCT REPLACEMENT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$935,000$1,920,000$1,452,500$47,643$1,743,182200800Yes (1)Yes (1)
B$14,335,000$1,087,228$359,157$12,899,383200800Yes (1)Yes (1)
C$38,485,000$2,920,050$963,861$34,636,227200800Yes (1)Yes (1)
D$1,030,000$256,454$918,229200800Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.00000000
B00000.000000.000000.00000000
C00000.000000.000000.00000000
D00000.000000.000000.00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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
A000Yes (1)00000
B000Yes (1)00000
C000Yes (1)00000
D000Yes (1)00000

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/10/2010 ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/10/2010 ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/10/2010 ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/10/2010ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN861091967BondIssuerEIN
CUSIP45203HQP0CUSIPNum
Bond Issued2013-05-15BondIssuedDt
Issue Price$24,765,000IssuePriceAmt
PurposeREFINANCING OF SERIES 2005 BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$24,765,000TotalProceedsAmt
In Reserve Fund$1,563,750InReserveFundAmt
Issuance Costs From Proceeds$976,061IssuanceCostsFromProceedsAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6THE VOLUNTEERS PERFORM MINIMAL TASKS IN ASSISTING THE RESIDENTS AT THE FACILITY.
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 11A DRAFT OF THE 990 IS PREPARED AND SUBMITTED TO THE CEO FOR INITIAL REVIEW. THE CEO PRESENTS TO THE AUDIT COMMITTEE A COPY OF THE 990 FOR THEIR REVIEW BEFORE FILING.
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 635,187. LOSS ON REFINANCING OF LONG-TERM DEBT -1,688,759.
FORM 990, PART XII, LINE 2C:THE OVERSIGHT PROCESS FOR THE AUDIT HAS NOT CHANGED IN THE PAST YEAR.