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COVENANT LIVING OF THE GREAT LAKES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COVENANT LIVING OF THE GREAT LAKES (EIN 38-3244636)
Tax period
2012-02-01 to 2013-01-31
Filed
2013-12-11
IRS object ID
201303459349300235
Schema version
2012v2.1
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)
Timestamp2013-12-11T13:58:25-06:00Timestamp
Tax Period End Date2013-01-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383244636EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Covenant Retirement Communities of theBusinessNameLine1
Business Name Line2Great Lakes ConferenceBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCOVENameControl
Phone6167354541Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12520 Lake Michigan Drive NWAddressLine1
CityGrand RapidsCity
StateMIState
ZIP Code49504ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameElizabeth BuikemaName
TitleVP of Finance/CFOTitle
Phone7738782294Phone
Date Signed2013-12-11DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonElizabeth BuikemaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1c/o CRC - 5700 Old Orchard RdAddressLine1
CitySkokieCity
StateILState
ZIP Code60077ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13317561GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number2650GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.covenantretirement.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionCare for senior adults.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees301TotalNbrEmployees
Total Nbr Volunteers146TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year50889ContributionsGrantsPriorYear
Contributions Grants Current Year54440ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12255211ProgramServiceRevenuePriorYear
Program Service Revenue CY12470181ProgramServiceRevenueCY
Investment Income Prior Year132081InvestmentIncomePriorYear
Investment Income Current Year348429InvestmentIncomeCurrentYear
Other Revenue Prior Year356596OtherRevenuePriorYear
Other Revenue Current Year425807OtherRevenueCurrentYear
Total Revenue Prior Year12794777TotalRevenuePriorYear
Total Revenue Current Year13298857TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4958535SalariesEtcPriorYear
Salaries Etc Current Year5537371SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year80391TotalFundrsngExpCurrentYear
Other Expense Prior Year10126764OtherExpensePriorYear
Other Expenses Current Year10969900OtherExpensesCurrentYear
Total Expenses Prior Year15085299TotalExpensesPriorYear
Total Expenses Current Year16507271TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2290522RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3208414RevenuesLessExpensesCY
Total Assets BOY47515178TotalAssetsBOY
Total Assets EOY45532700TotalAssetsEOY
Total Liabilities BOY68477642TotalLiabilitiesBOY
Total Liabilities EOY69674411TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-20962464NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-24141711NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAs 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)MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6418122Expense
Revenue5608818Revenue
DescriptionResidential Living: The number of persons who benefited from the services we provided for the year ended January 31, 2013 were as follows:There were a total of 232 residents, occupying 174 apartments at 01/31/2013. Residency for the fiscal year totaled 82,194 resident days.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2692642Expense
Revenue3163198Revenue
DescriptionAssisted Living: The number of persons who benefited from the services we provided for the year ended January 31, 2013 were as follows:There were a total of 56 assisted living residents at 01/31/2013. Assisted living residency for the fiscal year totaled 22,316 patient days.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3419800Expense
Revenue4131471Revenue
DescriptionSkilled Nursing: The number of persons who benefited from the services we provided for the year ended January 31, 2013 were as follows:There were a total of 29 skilled care patients at 01/31/2013.Skilled care residency for the fiscal year totaled 10,658 patient days.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionThe organization was involved in various community benefits programwhich includes the following:- Staff members voluntered a total of 625 hours (equivalent to$38,350). This included the following: as a CARF surveyor, various volunteer opportunities at Grand Valley State University, spoke and worked with interns at a Gerontology Informational Expo, participated in Relay for Life and leadership training for seniors with arthritis, and others.- Residents volunteered a total of 2,079 hours through the followingorganizations/events: Habitat for Humanity, local churches and hospitals, mentoring local students, rolled bandages for medical mission in Congo, Grand Rapids Election, Kent County Meidcal Reserve Corp, Aging Conference at GVSU, Plymouth Arms food pantry, Second Blessings Thrift Shop and others.- Provided student internship program for Grand Valley Statte Universtity students (equivalent to $2,550.00)- Provided space for meetings and events for small groups (under 35people) to large groups (75+ people) such as Covenant Enabling Residences, Mary Elizabeth Circle, Rotary Club, Faith House, Hope House, First Covenant Prayer Group, Parkinsons Group, River City Camera Club, Swedish American Heritage Society, Antique Auto Club, Area Piano Recital, Dementia Best Practice Task Force, Small Business Breakfast Club, Widowed Persons Group, Blood Drive and others (equivalent to $391,000)- Monetary Donations to Urban League Breakfast and Inner City Christian Federation and awarded scholarships to employees ( $14,448 in total)- In-Kind Donations of Brighton District Library ($500 in estimated value)- Hosted Diversity programs such as the Diversity breakfast club and Grand Rapids Urban League Breakfast (equivalent to $27,625 and 545 staff hours)- Usage of property by Covenant Enabling Residences: Faith House and Hope House (equivalent to $17,000)- Hosted small (under 35 people) to large (75+ people) scale communityevents such as various sessions called Medical Mondays on topics affecting seniors, Parkinsons' Support, Antique Auto Club, Health Fairs for Grand Rapids Community College, Festival of Faith, National Memory Screening Day with Alzheimer Foundation, All Day Flu Clinic, Second Blessing Thrift Shop Annual Garage Sale, Relay for Life for American Cancer Society, Senior Health and Fitness, Senior Odyssey of the Mind and Swedish American Society events. (equivalent to $909,000)Description
FieldValueIRS element (for citing)
Total Program Service Expense12530564TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109641NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees301NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Elizabeth BuikemaBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7738782294TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1C/O CRC 5700 Old Orchard RdAddressLine1
CitySkokieCity
StateILState
ZIP Code60077ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Jon P Aagaard MD
Director1.001.00X000
Curtis B Anderson
Director1.001.00X000
Rev Richard B Berry
Director1.001.00X000
Pamela Christensen
Director1.001.00X000
Wendell Danielson
Director1.001.00X000
Rev Harvey Drake
Director1.001.00X000
Mark C Eastburg
Director1.001.00X000
James Elving
Director1.001.00X000
Marc E Espinosa
Director1.001.00X000
Carol A Findling
Director1.001.00X000
Lorene G Flewellen
Director1.001.00X000
Rhoda Friesen
Director1.001.00X000
Thomas F Heywood
Director1.001.00X000
Donald Hodgkinson
Director1.001.00X000
Jody Holt
Director1.001.00X000
Cletus J Moll
Director1.001.00X000
Joyce Peterson
Director1.001.00X000
Walter Schiller
Director1.001.00X000
Marlene Stante
Director1.001.00X000
Anne Vining
Director1.001.00X000
David A Dwight
Ex-Officio1.0040.00X0581280129403
Rick K Fisk
Ex-Officio/President1.0040.00X059426561092X
Scott MacDonald
Ex-Officio1.001.00X000
Gary Walter
Ex-Officio1.0040.00X0157472117568
Steven P Anderson
Senior VP/Asst Secretary1.0040.0002932512327X
Elizabeth B Buikema
Senior VP/CFO/Treasurer1.0040.00027655662425X
Moraine M Byrne
Senior VP/Asst Secretary1.0040.0007335247422X
Terri S Cunliffe
EVP of Oper/Asst Sec1.0040.00026639887577X
John R Harriff
Senior VP/Asst Secretary1.0040.00023600710277X
David G Erickson
VP/Asst Secretary1.0040.00021031344208X
Kathleen Jenkins
Dir Admin Srvcs/Asst Secretary1.0040.00013285655436X
Richard D Kline
Executive Director40.000.00114000039213X
FieldValueIRS element (for citing)
Total Reportable Comp From Org114000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2557824TotalReportableCompFrmRltdOrgs
Total Other Compensation666948TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sodexo Inc & Affiliates
4880 Paysphere CircleChicagoIL60674Dining Services332514
Aegis Therapies Inc
Mail Drop 2761 - 10001 Fianna WayFort SmithAR72919Therapy Services274508
Elizabeth Jane McCulloch
1414 Ridgewood Ave SEGrand RapidsMI49506Moving Services124061
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events19240FundraisingEvents
All Other Contributions35200AllOtherContributions
Total Contributions54440TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Routine Services62300078686517868651
Entrance Fee62300023024772302477
Ancillary Services62300017395151739515
Medicare/Medicaid623000420921420921
Meals623000138617138617
FieldValueIRS element (for citing)
Total Program Service Revenue12470181TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column274968TotalRevenueColumn
Exclusion$274,968ExclusionAmount

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real7499Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-7499Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-7499TotalRevenueColumn
Exclusion-$7,499ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities73461Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities73461Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column73461TotalRevenueColumn
Exclusion$73,461ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events11205GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events19240CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses11205FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Support Services623000363723363723
Services to Residents6230001805218052

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column51531TotalRevenueColumn
Related Or Exempt Function Income51531RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue433306TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13298857TotalRevenueColumn
Related Or Exempt Function Income12903487RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$340,930ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4450269Total
Program Services3609163ProgramServices
Management And General826252ManagementAndGeneral
Fundraising14854Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total115796Total
Program Services92877ProgramServices
Management And General22573ManagementAndGeneral
Fundraising346Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total583589Total
Program Services481013ProgramServices
Management And General102561ManagementAndGeneral
Fundraising15Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total387717Total
Program Services267126ProgramServices
Management And General119455ManagementAndGeneral
Fundraising1136Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total95923Total
Program Services95923ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total23307Total
Management And General23307ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1623Total
Management And General1623ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1017527Total
Program Services718491ProgramServices
Management And General298822ManagementAndGeneral
Fundraising214Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total254134Total
Management And General254134ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total648559Total
Program Services525595ProgramServices
Management And General118900ManagementAndGeneral
Fundraising4064Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total141750Total
Management And General141750ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total749277Total
Program Services749277ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total16597Total
Program Services8809ProgramServices
Management And General7788ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20692Total
Program Services7360ProgramServices
Management And General13332ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2605783Total
Program Services1974402ProgramServices
Management And General599330ManagementAndGeneral
Fundraising32051Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1492847Total
Program Services1131496ProgramServices
Management And General343355ManagementAndGeneral
Fundraising17996Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total182542Total
Program Services182542ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Admin & General1730099167878651313
Related Party Activity6372226312016021
Dining Services625444625444
Resident Care265801265801

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total460773Total
Program Services116459ProgramServices
Management And General340620ManagementAndGeneral
Fundraising3694Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16507271Total
Program Services12530564ProgramServices
Management And General3896316ManagementAndGeneral
Fundraising80391Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18830BOY
EOY10561EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1867481BOY
EOY776514EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY43607BOY
EOY43795EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1068268BOY
EOY1333453EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3154BOY
EOY1525EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY87982BOY
EOY23291EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis48402200LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12534467LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY36538492BOY
EOY35867733EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5571674BOY
EOY5705588EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY545014BOY
EOY490782EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1770676BOY
EOY1279458EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY47515178BOY
EOY45532700EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY623671BOY
EOY611054EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY9612642BOY
EOY8349461EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY45088938BOY
EOY45844857EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY106694BOY
EOY41371EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13045697BOY
EOY14827668EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY68477642BOY
EOY69674411EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-21061172BOY
EOY-24269587EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY98708BOY
EOY127876EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-20962464BOY
EOY-24141711EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY47515178BOY
EOY45532700EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3208414ReconcilationRevenueExpenses
Reconcilation Other Changes29167ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34671CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years122087CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36489CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50889CurrentTaxYearMinus1Year
Current Tax Year54440CurrentTaxYear
Total298576Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10572695CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11442695CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11738487CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12255211CurrentTaxYearMinus1Year
Current Tax Year12470181CurrentTaxYear
Total58479269Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10607366CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11564782CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11774976CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12306100CurrentTaxYearMinus1Year
Current Tax Year12524621CurrentTaxYear
Total58777845Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50958777845PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47742CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years767460CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years354711CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year132081CurrentTaxYearMinus1Year
Current Tax Year348429CurrentTaxYear
Total1650423Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47742CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years767460CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years354711CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year132081CurrentTaxYearMinus1Year
Current Tax Year348429CurrentTaxYear
Total1650423Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10655108CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12332242CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12129687CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12438181CurrentTaxYearMinus1Year
Current Tax Year12873050CurrentTaxYear
Total60428268Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97270PublicSupportPercentage509
Prior Year Support Percentage0.96930PriorYearSupportPercentage
Investment Income Percentage0.02730InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis791493OtherCostOrOtherBasis
Book Value791493BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis43936938OtherCostOrOtherBasis
Depreciation10002570Depreciation
Book Value33934368BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2970555OtherCostOrOtherBasis
Depreciation2474117Depreciation
Book Value496438BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis703214OtherCostOrOtherBasis
Depreciation57780Depreciation
Book Value645434BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings35867733TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Deferred Revenue Subject to Refund$7,330,219
Refundable Contract Liabilities$2,815,197
Accrued Taxes & Employee Benefits$26,497
Inter-company Advance Accounts$4,563,400
Other Liabilities$92,355
FieldValueIRS element (for citing)
Total Of Amounts14827668TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 X, Line 2:Part X, Line 2: A FIN 48 footnote was included in the consolidated audited financial statements of Covenant Retirement Communities, Inc. and affiliates which states: "Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Retirement Communities and recognize a tax liability if the Retirement Communities have taken an uncertain position that more likely than not would not be sustained upon examination by the IRS or other applicable taxing authorities. Management has analyzed the tax positions taken by the Retirement Communities and has concluded that as of January 31, 2013, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the consolidated financial statements. The Retirement communities are subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Retirement Communities believe they are no longer subject to U.S. federal, state, and local, or non-U.S. income tax examinations by tax authorities for years before 2010."Description of Uncertain Tax Positions Under FIN 48:

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Benevolence GalaNameOfEvent1
Gross Receipts Event130445GrossReceiptsEvent1
Charitable Contributions Event119240CharitableContributionsEvent1
Gross Revenue Event111205GrossRevenueEvent1
Non Cash Prizes Event1653NonCashPrizesEvent1
Food And Beverage Event13423FoodAndBeverageEvent1
Entertainment Event12719EntertainmentEvent1
Other Direct Expenses Event14410OtherDirectExpensesEvent1
Gross Receipts Total30445GrossReceiptsTotal
Charitable Contributions Total19240CharitableContributionsTotal
Gross Revenue Total Events11205GrossRevenueTotalEvents
Non Cash Prizes Total Events653NonCashPrizesTotalEvents
Food And Beverage Total Events3423FoodAndBeverageTotalEvents
Entertainment Total Events2719EntertainmentTotalEvents
Other Direct Expenses Total Events4410OtherDirectExpensesTotalEvents
Direct Expense Summary Events11205DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
David A Dwight
Ex-Officio0503155000781250102125027278071068300
Rick K Fisk
Ex-Officio/President0412768091770089727038852022240065535700
Gary Walter
Ex-Officio01574720000028402089166027504000
Elizabeth B Buikema
Senior VP/CFO/Treasurer0212825031980031751035157030947034266000
Terri S Cunliffe
EVP of Oper/Asst Sec0198566032000035832072711017477035658600
John R Harriff
Senior VP/Asst Secretary047175016064017276806320122560248895024946
David G Erickson
VP/Asst Secretary0155845029129025339023153026818026028400
Kathleen Jenkins
Dir Admin Srvcs/Asst Secretary082597075000427590370650210410190962011185
Richard D Kline
Executive Director9827408075076510175310248810156412000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aHealth club dues paid for one (1) senior-level employee. This is treated as a taxable benefit.
Part I, Line 3See Schedule O explanation for Form 990 Part VI Section B Line 15 for the methods used to determine CEO compensation.
Part I, Lines 4a-bPart I, Line 4a: John R. Harriff, an officer and Senior Vice President of Covenant Retirement Communities, Inc. (CRC) until February 2012 received $132,525 severance payment from CRC. Part I, Line 4b: Executive 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 Compensation Committee of CMB's Board 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 following listed individuals participated in the Executive Benefit Plan: David Dwight - $78,482.61 Rick Fisk - $61,269.96 Elizabeth Buikema - $24,608.58 Steven P. Anderson - $19,987.26 John R. Harriff - $11,783.44 Terri Cunliffe - $21,899.90 David Erickson - $21,270.98 Kathleen Jenkins - $10,789.45 Moraine Byrne - $18,560.00 Richard Kline - $15,554.00
Part I, Line 7Part I, Line 7: The following applies to certain individuals listed on Part VII whose compensation is paid from related organizations: The Executive Compensation Committee (the "Committee") follows a prescribed method for calculating bonuses. 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. Refer to additional information on the Committee included in Schedule O.
Part IIIPart II, Column B (i): Base compensation for certain individuals may include payments from deferred compensation plans. Part II, Column B (ii): Bonus and incentive compensation - Certain key persons employed by CRC are eligible for incentive compensation as determined by the CRC Board Compensation Committee. Incentives paid in 2012 relate to the achievement of targets for the fiscal year ended 1/31/2012. Part II, Column C: Deferred compensation includes an estimate of the contribution made to an employer sponsored defined benefit pension plan. Part II, Column D: Nontaxable benefits include health insurance premiums paid by the employer and employee.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Mission Statement:Form 990 - Part III - Line 1As 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 Retirement Communities of the Great Lakes provided $36,387 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 VI, Section A, line 3Covenant Retirement Communities of the Great Lakes Conference 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 Communties, 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 Covenant Retirement Communities, Inc. (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 President of CRC, the Vice President of Finance/CFO and the Vice President of Legal Affairs. Board Review: Prior to filing, key provisions of the Form were discussed 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.
Covenant 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 18Form 990, Part VI, Section C, Line 18: A 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 19Form 990, Part VI, Section C, Line 19: The governing documents, conflict of interest policy and financial statements are available upon request by contacting the CRC accounting department at 773-878-5744.
Contact Info for Directors & Officers:Form 990 - Part VI - Line 9All of the organization's directors and officers can be contacted at this address: Covenant Retirement Communities, Inc. - 5700 Old Orchard Road, Skokie, IL 60077.
Related Organization:Form 990 - Part VII - Section A Column BOfficers 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.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 9:Change in Temporarily Restricted Net Assets not included on Income Stmnt 29,167.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Evangelical Covenant Church
8303 West Higgins RoadChicagoIL60631362167730ChurchIL501(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 AvenueChicagoIL60625205055155Supporting Organization of SCHIL501(c)(3)Line 70Swedish Covenant Hospital
SC Insurance Company
6970 E Chauncey Lane Suite 100PhoenixAZ85054273312053InsuranceAZ501(c)(3)Line 11a, I0Swedish Covenant Hospital

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Coast Asset Management LLC
2450 Colorado Ave Suite 100 E TowerSanta MonicaCA90404954763400Hedge Fund InvestmentCAN/AN/A00
Covenant Village of Portland LP
420 NE Mason StPortlandOR97211364356838Assisted Living CommunityORN/AN/A00
Swedish Covenant Surgery LLC
5215 N California AvenueChicagoIL60625272485300Outpatient Medical ServicesILN/AN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntity
Covenant International Insurance Company Ltd
Crawford House 50 Cedar AvenueHamiltonBDInsuranceBDN/A0
Covenant Trust Company
Financial ServicesN/A05215 Old Orchard Road Suite 725SkokieIL60077363583163ILC
Swedish Covenant Management Services Inc (SCMS)
Physician Practice ManagementN/A05145 North California AvenueChicagoIL60625364073303ILC
Swedish Covenant Managed Care Alliance (SCMCA)
Physician - Hospital OrganizationN/A02740 West Foster Avenue Suite 409ChicagoIL60625364118659ILC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Covenant Retirement Communities IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionType
Amount Involved434178AmountInvolved