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COVENANT RETIREMENT COMMUNITIES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COVENANT RETIREMENT COMMUNITIES INC (EIN 36-3478388)
Tax period
2012-02-01 to 2013-01-31
Filed
2013-12-11
IRS object ID
201343459349300329
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)
EIN363478388EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Covenant Retirement Communities IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOVENameControl
Phone7738782294Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15700 Old Orchard RdAddressLine1
CitySkokieCity
StateILState
ZIP Code60077ZIPCode

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 Receipts37233601GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number2650GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.covenantretirement.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionCare for senior adults.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees110TotalNbrEmployees
Total Nbr Volunteers16TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12945ContributionsGrantsPriorYear
Contributions Grants Current Year16894ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19227728ProgramServiceRevenuePriorYear
Program Service Revenue CY19025018ProgramServiceRevenueCY
Investment Income Prior Year7906364InvestmentIncomePriorYear
Investment Income Current Year16551319InvestmentIncomeCurrentYear
Other Revenue Prior Year1003567OtherRevenuePriorYear
Other Revenue Current Year1326901OtherRevenueCurrentYear
Total Revenue Prior Year28150604TotalRevenuePriorYear
Total Revenue Current Year36920132TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year13000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY12550GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7475067SalariesEtcPriorYear
Salaries Etc Current Year7716962SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year458138TotalFundrsngExpCurrentYear
Other Expense Prior Year58007100OtherExpensePriorYear
Other Expenses Current Year21453520OtherExpensesCurrentYear
Total Expenses Prior Year65495167TotalExpensesPriorYear
Total Expenses Current Year29183032TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-37344563RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7737100RevenuesLessExpensesCY
Total Assets BOY118898146TotalAssetsBOY
Total Assets EOY127258395TotalAssetsEOY
Total Liabilities BOY113255955TotalLiabilitiesBOY
Total Liabilities EOY113395186TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5642191NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13863209NetAssetsOrFundBalancesEOY
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
Expense25080383Expense
Grants12550Grants
Revenue17417471Revenue
DescriptionThe number of persons residing at the continuing care retirement communities, operated by Covenant Retirement Communities, Inc. (CRC), who benefited from the services we provided for the year ended January 31, 2013 were as follows:Residential & Catered Living: There were a total of 3,292 residents, occupying 2,518 apartments at 01/31/2013. Residency for the fiscal year totaled 1,203,607 resident days.Assisted Living: There were a total of 607 assisted living residents at 01/31/2013. Assisted living residency for the fiscal year totaled 227,805 patient days.Skilled Nursing: There were a total of 721 skilled care patients at 01/31/2013. Skilled care residency for the fiscal year totaled 263,853 patient days.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2922159Expense
Revenue2950666Revenue
DescriptionEstates of Windsor Park: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 92 residents, occupying 61 apartments at 01/31/2013. Residency for the fiscal year totaled 33,340 resident days.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionThe organization was involved in various community benefits projectswhich include the following:- Provided space usage for meetings & events for small (under 35people) groups including Illinois Future Problem Solvers, Rock of Hope Ministries Board (equivalent to $11,000)- Monetary Donations to a various organizations/events such as Evangelical Covenant Church, North Park University, Covenant Harbor and Swedish Covenant Hospital (total of $12,550)Description
FieldValueIRS element (for citing)
Total Program Service Expense28002542TotalProgramServiceExpense
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 Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds1InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109686NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees110NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
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 Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
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 CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
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 (36 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/President40.001.00X059426561092X
Scott MacDonald
Ex-Officio1.001.00X000
Gary Walter
Ex-Officio1.0040.00X0157472117568
Steven P Anderson
Senior VP/Asst Secretary40.001.0029325012327X
Elizabeth B Buikema
Senior VP/CFO/Treasurer40.001.00276556062425X
Moraine M Byrne
Senior VP/Asst Secretary40.001.0073352047422X
Terri S Cunliffe
EVP of Oper/Asst Sec40.001.00266398087577X
John R Harriff
Senior VP/Asst Secretary40.001.00236007010277X
David G Erickson
VP/Asst Secretary40.001.00210313044208X
Kathleen Jenkins
Dir Admin Srvcs/Asst Secretary40.001.00132856055436X
Sneha Patel
Chief Information Officer40.001.00186595036298X
Thomas V Pluta
Assoc VP of Financial Planning40.001.00167886029961X
Kalen Carlson
Controller40.001.00142120020274X
Elizabeth A Malzahn
Nat. Dir. - Healthcare40.001.00142167021131X
Robert J Wall
Dir. - IT Infrastructure40.001.00150231042381X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2013806TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1333017TotalReportableCompFrmRltdOrgs
Total Other Compensation777780TotalOtherCompensation
Number Individuals GT100 K20NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Deloitte & Touche LLP
PO Box 7247-6446PhiladelphiaPA191706446Audit458461
Erickson Papanek Peterson Rose
1625 Shermer RoadNorthbrookIL60062Legal Consultants161188
MD Reynolds Consulting
1719 Chardonnay LaneBrentwoodCA94513Consultants140000
PR Newswire Association LLC
350 Hudson Street Suite 300New YorkNY10014Marketing Consultants120052
Moving Station LLC
100 N LaSalle Street Suite 300ChicagoIL60602Home Purchase Program118214
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
All Other Contributions16894AllOtherContributions
Total Contributions16894TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Management Fees5610001683475516834755
Routine Services62300020074052007405
Entrance Fee623000181715181715
Ancillary Service62300011431143
FieldValueIRS element (for citing)
Total Program Service Revenue19025018TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column16525219TotalRevenueColumn
Exclusion$16,525,219ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real297251Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real313469Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-16218Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-16218TotalRevenueColumn
Exclusion-$16,218ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other26100Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other26100Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column26100TotalRevenueColumn
Exclusion$26,100ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Services to Residents62300023742374
Support Services62300022832283

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1338462TotalRevenueColumn
Related Or Exempt Function Income1338462RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1343119TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36920132TotalRevenueColumn
Related Or Exempt Function Income20368137RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$16,535,101ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total12550Total
Program Services12550ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total1378029Total
Program Services1378029ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4661844Total
Program Services4416140ProgramServices
Management And General102621ManagementAndGeneral
Fundraising143083Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total526501Total
Program Services504569ProgramServices
Management And General10556ManagementAndGeneral
Fundraising11376Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total805689Total
Program Services757510ProgramServices
Management And General10948ManagementAndGeneral
Fundraising37231Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total344899Total
Program Services327068ProgramServices
Management And General7326ManagementAndGeneral
Fundraising10505Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total69722Total
Program Services69722ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total147469Total
Program Services144073ProgramServices
Management And General3396ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total100882Total
Program Services100586ProgramServices
Management And General296ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total510142Total
Program Services510142ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1880584Total
Program Services1832665ProgramServices
Management And General3900ManagementAndGeneral
Fundraising44019Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total115765Total
Program Services79980ProgramServices
Fundraising35785Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total254883Total
Program Services238856ProgramServices
Management And General14207ManagementAndGeneral
Fundraising1820Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3675785Total
Program Services3675785ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total276153Total
Program Services276153ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total729231Total
Program Services697928ProgramServices
Fundraising31303Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total57760Total
Program Services55145ProgramServices
Management And General1730ManagementAndGeneral
Fundraising885Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total885090Total
Program Services699222ProgramServices
Management And General177017ManagementAndGeneral
Fundraising8851Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2422401Total
Program Services2252400ProgramServices
Management And General124737ManagementAndGeneral
Fundraising45264Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total82575Total
Program Services82575ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Related Party Activity83011288193561107567
Admin & General11829801182980
Taxes270334114404155930
Resident Care Services176327176327

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total314309Total
Program Services224172ProgramServices
Management And General2121ManagementAndGeneral
Fundraising88016Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29183032Total
Program Services28002542ProgramServices
Management And General722352ManagementAndGeneral
Fundraising458138Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY101BOY
EOY4115085EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8518778BOY
EOY468962EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY16132BOY
EOY19814EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY574154BOY
EOY614398EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY7267BOY
EOY7500EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2808824BOY
EOY3747281EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45349837LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11825371LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33608179BOY
EOY33524466EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY21725557BOY
EOY32007451EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY11498834BOY
EOY3201966EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY40140320BOY
EOY49551472EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY118898146BOY
EOY127258395EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10712550BOY
EOY10154029EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY10852498BOY
EOY10121029EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY23150017BOY
EOY37810712EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY6710BOY
EOY414080EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY68534180BOY
EOY54895336EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY113255955BOY
EOY113395186EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1289848BOY
EOY9026948EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY344838BOY
EOY378714EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4007505BOY
EOY4457547EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5642191BOY
EOY13863209EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY118898146BOY
EOY127258395EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7737100ReconcilationRevenueExpenses
Reconcilation Other Changes483918ReconcilationOtherChanges
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (14 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
Colonial Acres Home Inc
4180411509111$792,931
Bethany Covenant Home
4107061039111$0
Covenant Village of Florida
5211158709111$300,000
Covenant Home Illinois
3626436389111$0
Covenant Healthcare Centers Inc
5211158739111$0
The Holmstad
3628351549111$0
Covenant Home of Chicago
3630959329111$0
Covenant Home Inc Connecticut
1317400159111$300,000
Covenant Retirement Communities West
9534723459111$0
Covenant Village of Colorado
8410843319111$0
Windsor Park
3633855819111$0
Covenant Retirement Communities of the Great Lakes Conference
3832446369111$0
Covenant Home Services
2607440259111$0
Covenant Retirement Services
27248065211111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs14TotalNumberOfSupportedOrgs
Sum Of Amounts1392931SumOfAmounts

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance4007505BeginningOfYearBalance
Investment Earnings Or Losses463870InvestmentEarningsOrLosses
Grants Or Scholarships-21028GrantsOrScholarships
End Of Year Balance4450347EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3904764BeginningOfYearBalance
Investment Earnings Or Losses123480InvestmentEarningsOrLosses
Grants Or Scholarships-20739GrantsOrScholarships
End Of Year Balance4007505EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3478405BeginningOfYearBalance
Investment Earnings Or Losses446318InvestmentEarningsOrLosses
Grants Or Scholarships-19959GrantsOrScholarships
End Of Year Balance3904764EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2752445BeginningOfYearBalance
Investment Earnings Or Losses752986InvestmentEarningsOrLosses
Grants Or Scholarships-27026GrantsOrScholarships
End Of Year Balance3478405EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3527337BeginningOfYearBalance
Investment Earnings Or Losses-729844InvestmentEarningsOrLosses
Grants Or Scholarships45048GrantsOrScholarships
End Of Year Balance2752445EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis9201158OtherCostOrOtherBasis
Book Value9201158BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24437158OtherCostOrOtherBasis
Depreciation5012396Depreciation
Book Value19424762BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10498043OtherCostOrOtherBasis
Depreciation6760093Depreciation
Book Value3737950BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1213478OtherCostOrOtherBasis
Depreciation52882Depreciation
Book Value1160596BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33524466TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Unamortized Debt & Related Expenses560052
Other Investments20173765
Inter-company Advance Accounts28817655
FieldValueIRS element (for citing)
Total Book Value Other Assets49551472TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Refundable Contract Liabilities$2,325,188
Accrued Taxes & Employee Benefits$495,567
Other Liabilities$52,074,581
FieldValueIRS element (for citing)
Total Of Amounts54895336TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part IV, Line 2b: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 V, Line 4:The Brandel Endowment Fund is used for resident care at one of the CRC campuses.Description of Intended Use of Endowment Funds:
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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Swedish Covenant HospitalBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15145 N California AveAddressLine1
CityChicagoCity
StateILState
ZIP Code60625ZIPCode
FieldValueIRS element (for citing)
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant5000AmountOfCashGrant
Purpose Of GrantBenefit GalaPurposeOfGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Grants and donation requests and proposals are brought to Covenant Retirement Communities'(CRC) management. The management then brings requests and proposals deemed appropriate to the CRC Board for approval, if significant. A check goes out after the appropriate level of approval is received.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
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 (13 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/Treasurer2128250319800317510351570309470342660000
Terri S Cunliffe
EVP of Oper/Asst Sec1985660320000358320727110174770356586000
John R Harriff
Senior VP/Asst Secretary471750160640172768063201225602488950249460
David G Erickson
VP/Asst Secretary1558450291290253390231530268180260284000
Kathleen Jenkins
Dir Admin Srvcs/Asst Secretary825970750004275903706502104101909620111850
Sneha Patel
Chief Information Officer1499610500003163402363501507702253070149390
Thomas V Pluta
Assoc VP of Financial Planning133200050000296860224880134710203845000
Kalen Carlson
Controller112329050000247910119450116020165667000
Elizabeth A Malzahn
Nat. Dir. - Healthcare121167010000011000022670199140164348000
Robert J Wall
Dir. - IT Infrastructure110649000395820347850108630195879000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aPart I, Line 1a: The following are available benefits and are treated as taxable compensation: - Travel for companion paid for one (1) senior-level employee. - Health club dues paid for seven (7) senior-level employees.
Part I, Line 3Part I, Line 3: See 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, Lines 4a-b: Part 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 Sneha Patel - $15,593.50 Thomas Pluta - $19,065.33 Robert Wall - $15,753.50 Kalen Carlson - $13,578.10
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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Illinois Finance Authority
A8610919670000000002011-12-1459165000See Part VI000
Colorado Health Facilities Authority
B840752932196474ZS92005-08-05149845454See Part VI000
Colorado Health Facilities Authority
C84075293219648AZM02012-09-06154966180See Part VI000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundAmount UnspentAmountUnspent
A6400005916701280045964009435196359820121011
B2533500014929057724290781345474022009001112312088
C1547606642447778641424711759140010011490587813401361

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A001100.000000.000000.00000000
B001100.000000.000000.00000000
C001100.000000.000000.00000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000110000
B000100000
C010000000

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A0
B0
C0

Form990 Schedule K Part VI Form990ScheduleKPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Schedule K Part IV, Arbitrage, Line 2cDate Rebate Computation PerformedIssuer Name: Illinois Finance Authority Date the Rebate Computation was Performed: 12/31/2012 Issuer Name: Colorado Health Facilities Authority Date the Rebate Computation was Performed: 12/31/2010
Part I, Row A, Column FDescription of Purpose:Borrowings were used, along with other funds, to (1) retire $53,285,000 of other variable rate debt recorded on the balance sheets of wholly owned subsidiaries of CRC (2) to pay debt issuance costs of $800,459 and (3) to fund capital projects of $6,401,003 for certain wholly owned subsidiaries of CRC.
Part I, Row B, Column FDescription of Purpose:Borrowings were used to (1) construct and equip residential living buildings for six wholly owned subsidiaries of CRC (2) to pay debt issuance costs of $2,429,078 and to fund required bond reserves.
Part I, Row C, Column FDescription of Purpose:Borrowings were used, along with other funds, to (1) retire $131,220,000 of previously issued debt recorded on the balance sheets of wholly owned subsidiaries of CRC (2) to pay debt issuance costs of $2,447,778 and (3) construct and equip residential and healthcare facilities for certain wholly owned subsidiaries of CRC.
Part II, Line 3, Column ATotal Proceeds of Issue:The amount in Line 3 does not equal the amount in Part I, Row A, Col E because of investment earnings on reserves.
Part II Line 3 Column BTotal Proceeds of Issue:The amount in Line 3 does not equal the amount in Part I, Row B, Col E because CRC redeemed and retired $12,650,000 of the 2005 Bonds, which reduced the amount required to be held in the debt service reserve fund. The amount in excess of the reserve fund requirement was used to redeem and retire a portion of the 2005 Bonds. Additionally, investment earnings on the reserve fund were transferred to the bond sinking fund and bond interest fund to pay principal and interest on the 2005 Bonds.
Part II Line 3 Column CTotal Proceeds of Issue:The amount in Line 3 does not equal the amount in Part I, Row C, Col E because of unrealized investment losses on reserves.
Part II Line 16 Column CFinal Allocation of Proceeds:The final allocation of proceeds to wholly owned subsidiaries of CRC has not been made as of January 31, 2013.
Part III, Line 9 & Part IV. Line 7Written Procedures:CRC does not have established written procedures but is in the process of developing documentation.
Part IV, Line 2a, Column CRebate:A rebate calculation has not been completed as it is not due.
Part VProcedures to Undertake Corrective Action:CRC does not have a established written procedures regarding corrective action, but CRC has adequate practices in place to prevent a need for corrective action. CRC is working on developing written procedures.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonGrant EricksonNamePerson
FieldValueIRS element (for citing)
RelationshipSee Part VRelationship
Amount Of Transaction161188AmountOfTransaction
Description Of TransactionSee Part VDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSch L Part IV (b) and (d)Identifier
Return ReferenceBusiness Transactions Involving Interested PersonsReturnReference
Explanationa) Name of Person: Grant Ericksonb) Relationship Between Interested Person and Organization: Familymember of David Erickson (Vice President & Assistant Secretary)c) Amount of Transaction: $161,188d) Description of Transaction: Partner in a law firm that provideslegal counsel to the organization.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Mission Statement:Form 990 - Part III - Line 1As 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. 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. CRC, Inc. is organized and operated for the benefit of, and to plan and support the charitable purposes of, several continuing care retirement communities, all nonprofit organizations, consisting of residential living, assisted living facilities, and skilled nursing homes, as well as other senior services organizations and services. In addition to the program service accomplishments of each organization, Covenant Retirement Communities, Inc., provided $6,091,906 of 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 6The members are the individual members of the Board of Benevolence.
Form 990, Part VI, Section A, line 7aThe individual members of the Board of Benevolence elect the CRC Board of Directors.
Form 990, Part VI, Section A, line 7bS 2.4 of Bylaws include reserved powers to the 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.
Form 990, Part VI, Section B, line 15CRC's 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.
Related Organizations: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 33,876. Change in Permanently Restricted Net Assets not included on Income Stmnt 450,042.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Estates of Windsor ParkBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15700 Old Orchard RoadAddressLine1
CitySkokieCity
StateILState
ZIP Code60077ZIPCode
FieldValueIRS element (for citing)
EIN363478388EIN
Primary ActivitiesResidential Senior ServicesPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income3128025TotalIncome
EOY Assets26654037EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

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 NADirectControllingEntityNAPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntity
Covenant International Insurance Company Ltd
Crawford House 50 Cedar AvenueHamiltonBDInsuranceBDN/A0.500000
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 Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (36 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Colonial Acres Home Inc
P2087586
Colonial Acres Home Inc
Q528413
Colonial Acres Home Inc
B637208
Bethany Covenant Home
P66783
Bethany Covenant Home
Q107732
Covenant Village of Florida
P4707119
Covenant Village of Florida
Q448275
Covenant Village of Florida
B300000
Windsor Park
P4799683
Windsor Park
Q1227583
Covenant Home Illinois
P3527937
Covenant Home Illinois
Q11421
The Holmstad
P5457244
The Holmstad
Q324927
Covenant Healthcare Centers
P2806846
Covenant Healthcare Centers
A458726
Covenant Home of Chicago
Q287426
Covenant Home of Chicago
Q160868
Covenanat Home Inc
P1265928
Covenanat Home Inc
Q369722
Covenanat Home Inc
B300000
Covenant Retirement Communities West
P1372772
Covenant Retirement Communities West
Q3508465
Covenant Retirement Communities of the Great Lakes Conference
Q258833
Covenant Retirement Communities of the Great Lakes Conference
Q175345
Covenant Retirement Services
P758565
Covenant Retirement Services
Q263707
Covenant Retirement Services
A60000
Covenant Housing Corporation
P53194
Covenant Home Services
O2142897
Covenant Home Services
Q743732
Covenant Ministries of Benevolence
M2073060
Covenant Ministries of Benevolence
L80885
Covenant Ministries of Benevolence
Q98269
Covenant Ministries of Benevolence
P2503328
Covenant Ministries of Benevolence
S15080986