2012-12-06T11:17:37-06:00 2012-01-31 990 2011-02-01 363478388 Covenant Retirement Communities Inc COVE 7738782294 5700 Old Orchard Rd Skokie IL 60077 Elizabeth Buikema 7738782294 2012-12-06 2011 2016-02-24 21:20:13Z Elizabeth Buikema c/o CRC 5700 Old Orchard Rd Skokie IL 60077 28187094 0 2650 X www.covenantretirement.org X 1980 IL Care for senior adults. 21 17 110 20 0 0 2379 12945 21719257 19227728 9165695 7906364 1813970 1003567 32701301 28150604 26250 13000 0 0 8173441 7475067 0 0 3304540 17705632 58007100 25905323 65495167 6795978 -37344563 140802070 118898146 99074796 113255955 41727274 5642191 X As 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) 0 0 49634772 13000 17063026 The 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, 2012 were as follows:Residential & Catered Living: There were a total of 3,312 residents, occupying 2,533 apartments at 01/31/2012. Residency for the fiscal year totaled 1,208,925 resident days.Assisted Living: There were a total of 629 assisted living residents at 01/31/2012. Assisted living residency for the fiscal year totaled 233,760 patient days.Skilled Nursing: There were a total of 772 skilled care patients at 01/31/2012. Skilled care residency for the fiscal year totaled 284,050 patient days. 1634963 3145459 Estates of Windsor Park:The number of persons who benefited from the services we provided for the year ended January 31, 2012 were as follows:There were a total of 90 residents, occupying 60 apartments at 01/31/2012. Residency for the fiscal year totaled 32,875 resident days. The organization was involved in various community benefits projectswhich include the following:- Monetary Donations to a various organizations/events such North ParkUniversity's Golf for Kids and Axelson Center Symposium, Sharing and Caring Hands, Covenant Harbor's Golf for Kids, Evangelical Covenant Church's Department of Compassion, Mercy, and Justice and Swedish Covenant Hospital (total of $14,500)- In-Kind Donations of sweaters, mittens/gloves, scarves and other winter clothing to the North Park Friendship Center ($800 in estimated value) 51269735 1 1 0 0 0 0 0 0 1 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 0 1 93 0 1 110 1 0 1 BD 0 0 0 0 0 0 0 0 X 21 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X Elizabeth Buikema 7738782294 C/O CRC 5700 Old Orchard Rd Skokie IL 60077 X Jon P Aagaard MD 1.00 X 0 0 0 Curtis B Anderson 1.00 X 0 0 0 Rev Richard B Berry 1.00 X 0 0 0 Wendell Danielson 1.00 X 0 0 0 Rev Harvey Drake 1.00 X 0 0 0 James Elving 1.00 X 0 0 0 Marc E Espinosa 1.00 X 0 0 0 Lorene G Flewellen 1.00 X 0 0 0 Rhoda Friesen 1.00 X 0 0 0 Mary Miller 1.00 X 0 0 0 Cletus J Moll 1.00 X 0 0 0 Joyce Peterson 1.00 X 0 0 0 Norton Richards 1.00 X 0 0 0 Walter Schiller 1.00 X 0 0 0 Marlene Stante 1.00 X 0 0 0 Jean A Stebinger 1.00 X 0 0 0 Robert K Johnston 1.00 X 0 0 0 David A Dwight 1.00 X 0 848677 95681 Rick K Fisk 40.00 X X 0 897465 84268 Scott MacDonald 1.00 X 0 0 0 Gary Walter 1.00 X 0 151985 115788 Steven P Anderson 40.00 X 252774 0 70881 Elizabeth B Buikema 40.00 X 358640 0 55395 Moraine M Byrne 40.00 X 202945 0 47866 Terri S Cunliffe 40.00 X 350896 0 72409 John R Harriff 40.00 X 273526 0 47657 David G Erickson 40.00 X 226176 0 40285 Kathleen Jenkins 40.00 X 176448 0 70348 Sneha Patel 40.00 X 258394 0 40355 Thomas V Pluta 40.00 X 195030 0 26672 Rebecca N Townsend 40.00 X 269348 0 34651 Robert J Wall 40.00 X 289751 0 39809 Jane Westerfield 40.00 X 176688 0 46614 3030616 1898127 888679 22 0 1 0 Mullen & Henzell LLP 112 East Victoria Street Post Offic Santa Barbara CA 93102 Consultants 498172 Deloitte & Touche LLP PO Box 7247-6446 Philadelphia PA 191706446 Audit 404075 Moving Station LLC 100 N LaSalle St Suite 300 Chicago IL 60602 Home Purchase Program 356155 H Todd Kilburn 1661 East Olive Way Suite 200 Seattle WA 98102 Consultants 183326 Erickson Papanek Peterson Rose 1625 Shermer Road Northbrook IL 60062 Legal Consultants 166221 8 12945 12945 Management Fees 561000 16124706 16124706 Routine Services 623000 1903751 1903751 Entrance Fee 623000 1198256 1198256 Ancillary Service 623000 1015 1015 19227728 5013850 5013850 59300 36490 22810 22810 22810 2884104 8410 0 0 2884104 8410 2892514 2892514 Services to Residents 623000 3357 3357 Support Services 623000 2641 2641 974759 974759 980757 28150604 20208485 0 7929174 X 13000 13000 2107416 2107416 3949960 3685777 134701 129482 306604 291941 8596 6067 788716 747527 17817 23372 322371 303589 9029 9753 73571 73571 210585 208087 2498 32177 28441 3736 498462 498462 1519183 1499483 1597 18103 124674 84578 27834 12262 270969 247628 22059 1282 2943396 2943396 287442 287442 826359 795083 145 31131 44549 41328 2193 1028 1022045 557628 449700 14717 2186195 1664763 271997 249435 83726 83726 Related Party Payments 2963110 1885531 103915 973664 Admin & General 683804 682631 1173 Taxes 276467 17336 259131 Resident Care Services 184881 184881 43775505 32336490 9604771 1834244 65495167 51269735 10920892 3304540 755823 101 6910142 8518778 13253 16132 1695163 574154 7467 7267 2482069 2808824 43735634 10127455 43512765 33608179 34517045 21725557 13896966 11498834 37011377 40140320 140802070 118898146 9302328 10712550 11271325 10852498 17631461 23150017 14420 6710 60855262 68534180 99074796 113255955 X 37195688 1289848 626822 344838 3904764 4007505 41727274 5642191 140802070 118898146 X -37344563 1259480 X 0 1 1 X 0 X X X 0 0 0 Colonial Acres Home Inc 418041150 9 1 1 1 350000 Bethany Covenant Home 410706103 9 1 1 1 0 Covenant Village of Florida 521115870 9 1 1 1 300000 Covenant Home Illinois 362643638 9 1 1 1 0 Covenant Healthcare Centers Inc 521115873 9 1 1 1 0 The Holmstad 362835154 9 1 1 1 0 Covenant Home of Chicago 363095932 9 1 1 1 0 Covenant Home Inc Connecticut 131740015 9 1 1 1 300000 Covenant Retirement Communities West 953472345 9 1 1 1 21876 Covenant Village of Colorado 841084331 9 1 1 1 0 Windsor Park 363385581 9 1 1 1 0 Covenant Retirement Communities of the Great Lakes Conference 383244636 9 1 1 1 0 Covenant Home Services 260744025 9 1 1 1 0 Covenant Retirement Services 272480652 11 1 1 1 0 14 971876 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 3904764 123480 -20739 4048983 3478405 446318 -19959 3904764 2752445 752986 -27026 3478405 3527337 -729844 45048 2752445 0 0 9201158 9201158 24431548 4320229 20111319 8959957 5769194 3190763 1142971 38032 1104939 33608179 Mortgages 392879 F Domestic Equity 1295184 F International Equity 2111187 F Hedge Funds & Derivatives 5396198 F Private Equity 1477020 F International Real Estate 826366 F 11498834 Self Insurance Reserve - Workers Compensation 45377 Unamortized Debt & Related Expenses 688785 Other Investments 18798891 Inter-company Advance Accounts 20607267 40140320 Refundable Contract Liabilities 2325188 Accrued Taxes & Employee Benefits 998390 Inter-company Advance Accounts 6097942 Other Liabilities 59112660 68534180 28150604 65495167 -37344563 1259480 1259480 -36085083 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. Description of Intended Use of Endowment Funds: Part V, Line 4: The Brandel Endowment Fund is used for resident care at one of the CRC campuses. Description of Uncertain Tax Positions Under FIN 48: Part X: A FIN 48 footnote was not included in the consolidated audited financial statements of Covenant Retirement Communities, Inc. and affiliates. A FIN 48 analysis was completed for Covenant Retirement Communities, Inc. and affiliates and it did not have a material impact on the financial position or results of operations. Part XI, Line 8 - Other Adjustments: Change in Temporarily Restricted Net Assets not included on Income Stmnt -281,984. Change in Permanently Restricted Net Assets not included on Income Stmnt 102,741. Change in Nets Assets (Cov Sol, Holdings I & II) not include this year 1,438,723. Total to Schedule D, Part XI, Line 8: 1,259,480. 1 North Park University 3225 Foster Avenue Chicago IL 60625 501(c)(3) 8000 Annual Symposium and other sponsorship Swedish Covenant Hospital 5145 N California Ave Chicago IL 60625 501(c)(3) 5000 Benefit Gala Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule 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. X X 1 1 0 1 0 0 0 0 0 1 0 David A Dwight 0 505032 0 0 0 343645 0 67314 0 28367 0 944358 0 0 Rick K Fisk 0 401500 0 109285 0 386680 0 67384 0 23717 0 988566 0 18009 Gary Walter 0 151985 0 0 0 0 0 27623 0 88165 0 267773 0 0 Steven P Anderson 146862 0 21837 0 84075 0 52698 0 24166 0 329638 0 5634 0 Elizabeth B Buikema 213636 0 38071 0 106933 0 34666 0 23948 0 417254 0 10768 0 Moraine M Byrne 160778 0 21538 0 20629 0 33590 0 17108 0 253643 0 8210 0 Terri S Cunliffe 169582 0 29138 0 152176 0 57714 0 17075 0 425685 0 0 0 John R Harriff 128946 0 15355 0 129225 0 37805 0 16193 0 327524 0 0 0 David G Erickson 149595 0 32240 0 44341 0 20060 0 23450 0 269686 0 0 0 Kathleen Jenkins 80036 0 7500 0 88912 0 52257 0 20314 0 249019 0 11125 0 Sneha Patel 127528 0 6000 0 124866 0 21427 0 21091 0 300912 0 0 0 Thomas V Pluta 126658 0 0 0 68372 0 19568 0 12580 0 227178 0 0 0 Rebecca N Townsend 131374 0 24850 0 113124 0 19660 0 16581 0 305589 0 24452 0 Robert J Wall 114076 0 5000 0 170675 0 32211 0 10479 0 332441 0 6058 0 Jane Westerfield 77968 0 3350 0 95370 0 23516 0 28066 0 228270 0 0 0 Part I, Line 1a Part I, Line 1a: The following are available benefits and are treated as taxable compensation: - Travel for companion paid for four (4) senior-level employees. - Health club dues paid for six (6) senior-level employees. Part I, Line 3 Part 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, 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 - $78,250.81 Rick Fisk - $62,656.27 Elizabeth Buikema - $22,523.08 Steven P. Anderson - $19,775.86 John R. Harriff - $21,225.06 Terri Cunliffe - $18,594.60 David Erickson - $20,085.18 Kathleen Jenkins - $11,814.81 Moraine Byrne - $17,884.00 Rebecca Neth Townsend - $10,311.00 Sneha Patel - $14,999.00 Thomas Pluta - $18,184.83 Robert Wall - $15,355.00 Jane Westerfield - $14,670.81 Pension Restoration Plan As certain individuals' pension benefits may be limited by tax code maximums on both eligible compensation and benefits, Covenant Ministries of Benevolence (CMB) provides a Pension Restoration Plan which entitles the individuals listed below to a pension benefit based on total cash compensation. David A. Dwight - $6,814 Rick K. Fisk - $25,517 Part I, Line 7 Part 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. Supplemental Information Part III Part 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 2011 relate to the achievement of targets for the fiscal year ended 1/31/2011. Part II, Column B (iii): Other Reportable Compensation - During the 2010 calendar year, Covenant Ministries of Benevolence (CMB) discontinued its sponsorship of a particular deferred benefit program that included employer contributions to split dollar life insurance arrangements for certain employees, including some individuals whose compensation is disclosed on this Form 990 Part VII and in Schedule J. While the sponsorship and employer contributions to the split dollar life insurance arrangements were discontinued in 2010, federal tax law rules prevented CMB from transferring the insurance policies to the affected employees, and fully terminating these arrangements, for 12 months following the Board action to end its sponsorship and contributions. As a result, affected employees were taxed on the value of those split dollar life insurance policies in 2011, when the policies or the value of them was actually transferred to the employees. Although these benefits were earned over many years of employment, the full value of the benefits must be treated as taxable compensation in the year that the employee receives the policy or the benefit. In prior years, the premiums paid for the life insurance arrangements were reported in Part II Column B(iii) as non-taxable benefits in the years they were paid. The portions of reportable compensation that were due to this acceleration treatment are as follows: David Dwight - $283,443.23 Rick Fisk - $274,538.58 Elizabeth Buikema - $75,181.58 Steven P. Anderson - $67,348.01 John R. Harriff - $92,164.41 Terri Cunliffe - $119,770.13 David Erickson - $19,001.89 Kathleen Jenkins - $45,430.60 Rebecca Neth Townsend - $103,533.68 Sneha Patel - $93,791.79 Thomas Pluta - $41,262.65 Robert Wall - $146,272.79 Jane Westerfield - $62,941.21 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. Illinois Finance Authority 861091967 000000000 2011-12-14 59165000 See Part VI 0 0 0 Colorado Health Facilities Authority 840752932 196474ZS9 2005-08-05 148620000 See Part VI 0 0 0 59165000 800459 3656154 51963598 2744789 1 0 0 1 22915000 145281773 12300610 2429078 129090405 1461680 2009 0 0 1 1 0 0 1 1 0 0.00000 0.00000 0.00000 1 0 0 1 1 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 0 0 0 0 0 0 0 Part I, Row A, Column F Description 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 four wholly owned subsidiaries of CRC. Part I, Row B, Column F Description 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. Part II Line 3 Column B Total Proceeds of Issue: The amount in Line 3 does not equal the amount in Part I, Row B, Col E because CRC retired $12,650,000 of the bonds, which reduced the amount required to be held in reserve. Part II Line 16 Column A Final Allocation of Proceeds: The final allocation of proceeds to wholly owned subsidiaries of CRC has not been made as of January 31, 2012. Part V Procedures to Undertake Corrective Action: CRC does not have a established written procedures but is in the process of developing documentation. Grant Erickson See Part V 166221 See Part V 0 Michael Peoples See Part V 86495 See Part V 0 Sch L Part IV (b) and (d) Business Transactions Involving Interested Persons a) Name of Person: Grant Ericksonb) Relationship Between Interested Person and Organization: Familymember of David Erickson (Vice President & Assistant Secretary)c) Amount of Transaction: $166,221d) Description of Transaction: Partner in a law firm that provideslegal counsel to the organization.a) Name of Person: Michael Peoplesb) Relationship Between Interested Person and Organization: Familymember of Rick Fisk (Director/Ex-Officio and President of CRC)c) Amount of Transaction: $86,495d) Description of Transaction: Employee of MHC Software, a company that provides software product and support to CRC. Mission Statement: Form 990 - Part III - Line 1 As 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 6 The members are the individual members of the Board of Benevolence. Form 990, Part VI, Section A, line 7a The individual members of the Board of Benevolence elect the CRC Board of Directors. Form 990, Part VI, Section A, line 7b S 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 11 Management 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 12c Covenant 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 15 CRC'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 18 Form 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 19 Form 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 Officers and Directors devote less than 1 hour per week to related organizations. All Other Expenses: Form 990 - Part IX - Line 24e Expenses included in this line: - $ 9,769,798 - Unrealized Losses on Investments - $33,878,678 - Unrealized Losses in Derivative Instruments - $ 54,401 - Miscellaneous Expenses Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Change in Temporarily Restricted Net Assets not included on Income Stmnt -281,984. Change in Permanently Restricted Net Assets not included on Income Stmnt 102,741. Change in Nets Assets (Cov Sol, Holdings I & II) not include this year 1,438,723. Total to Form 990, Part XI, Line 5: 1,259,480. Estates of Windsor Park 5700 Old Orchard Road Skokie IL 60077 363478388 Residential Senior Services IL 3247809 23610818 N/A Evangelical Covenant Church 8303 West Higgins Road Chicago IL 60631 362167730 Church IL 501(c)(3) Line 1 N/A 0 Swedish Covenant Faculty Group (SCFG) 5145 North California Avenue Chicago IL 60625 363686216 Patient Treatment/Education IL 501(c)(3) Line 11a, I Swedish Covenant Hospital 0 Swedish Covenant Hospital 5145 North California Avenue Chicago IL 60625 362179813 Hospital IL 501(c)(3) Line 3 Covenant Ministries of Benevolence 0 Swedish Covenant Hospital Foundation (SCHF) 5145 North California Avenue Chicago IL 60625 205055155 Supporting Organization of SCH IL 501(c)(3) Line 7 Swedish Covenant Hospital 0 SC Insurance Company 6970 E Chauncey Lane Suite 100 Phoenix AZ 85054 273312053 Insurance AZ 501(c)(3) Line 11a, I Swedish Covenant Hospital 0 Cardiovascular Performance Group LLC 5145 N California Avenue Chicago IL 60625 203587272 Management Services IL N/A N/A 0 0 Coast Asset Management LLC 2450 Colorado Ave Suite 100 E Tower Santa Monica CA 90404 954763400 Hedge Fund Investment CA N/A N/A 0 0 Covenant Village of Portland LP 420 NE Mason St Portland OR 97211 364356838 Assisted Living Community OR N/A N/A 0 0 Swedish Covenant Surgery LLC 5215 N California Avenue Chicago IL 60625 272485300 Outpatient Medical Services IL N/A N/A 0 0 Covenant International Insurance Company Ltd Crawford House 50 Cedar Avenue Hamilton BD Insurance BD N/A 0.50000 Covenant Trust Company 5215 Old Orchard Road Suite 725 Skokie IL 60077 363583163 Financial Services IL N/A C Swedish Covenant Management Services Inc (SCMS) 5145 North California Avenue Chicago IL 60625 364073303 Physician Practice Management IL N/A C Swedish Covenant Managed Care Alliance (SCMCA) 2740 West Foster Avenue Suite 409 Chicago IL 60625 364118659 Physician - Hospital Organization IL N/A C 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 Colonial Acres Home Inc O 3029431 Colonial Acres Home Inc P 417138 Colonial Acres Home Inc B 350000 Bethany Covenant Home O 428697 Bethany Covenant Home P 235479 Covenant Village of Florida O 300169 Covenant Village of Florida P 318657 Covenant Village of Florida B 300000 Windsor Park O 2557819 Windsor Park P 1037144 Covenant Village of Colorado P 1802425 Covenant Home Illinois O 2157570 Covenant Home Illinois P 38962 The Holmstad O 1778076 The Holmstad P 240367 Covenant Healthcare Centers P 1945991 Covenant Healthcare Centers O 411212 Covenant Home of Chicago P 537258 Covenanat Home Inc O 5788638 Covenanat Home Inc P 147175 Covenanat Home Inc B 300000 Covenant Retirement Communities West O 1187945 Covenant Retirement Communities West P 7099709 Covenant Retirement Communities of the Great Lakes Conference P 2539232 Covenant Retirement Services O 2285239 Covenant Retirement Services P 98082 Covenant Housing Corporation O 30020 Covenant Home Services O 2970317 Covenant Home Services P 638264 Covenant Ministries of Benevolence L 2013000 Covenant Ministries of Benevolence K 100585 Covenant Ministries of Benevolence P 114660 Covenant Ministries of Benevolence O 3658238 Covenant Ministries of Benevolence R 17336314