2024-07-31T14:18:07-05:00 2023-09-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2022-10-01 272480652 COVENANT LIVING SERVICES INC COVE 7738782294 5700 OLD ORCHARD ROAD SKOKIE IL 60077 JEAN E JUSTIE CFO 7738782294 2024-07-31 1 1 SAMANTHA L BECKER P01344887 3122071040 2024-07-31 2022 2024-08-08 14:25:15Z DAVID ERICKSON 5700 OLD ORCHARD ROAD SKOKIE IL 60077 2042642 0 X WWW.COVLIVING.ORG X 2010 IL CARE & SERVICES TO SENIOR ADULTS IN SUPPORT OF THE MISSION OF COVENANT LIVING & ITS AFFILIATES 19 16 0 16 0 0 0 0 2639550 1390352 0 0 -82883 15120 2556667 1405472 0 0 0 0 586166 651795 0 0 0 670963 484768 1257129 1136563 1299538 268909 4631934 4078144 4082780 3260081 549154 818063 X COVENANT LIVING SERVICES IS AN AFFILIATE OF COVENANT LIVING COMMUNITIES AND SERVICES AND CARRIES OUT THE COVENANT LIVING MISSION STATEMENT. (SEE SCHEDULE O) 0 0 659773 347392 SAIDO LEARNING:SAIDO LEARNING IS A COGNITIVE EXERCISE PROGRAM DEVELOPED BY DR. RYUTA KOWASHIMA AND THE KUMON INSTITUTE OF EDUCATION IN JAPAN. SAIDO IS DEPLOYED THROUGH 1:2 INTERACTIONS BETWEEN TRAINED STAFF MEMBERS OR VOLUNTEERS. THE INTERACTION INVOLVES ENGAGING IN A SERIES OF PRECISE, YET SIMPLE READING, WRITING AND ARITHMETIC EXERCISES SPECIFIC TO THEIR LEVEL OF ABILITY, PERFORMED IN 30-MINUTE SESSIONS FOUR TO FIVE TIMES PER WEEK. SAIDO FOCUSES ON WHAT THE PARTICIPANT CAN DO VS WHAT THEY CANNOT BUILDING CONFIDENCE AND INDEPENDENCE. SAIDO IS A SIGNATURE PROGRAM OF COVENANT LIVING AND SUPPORTS OUR COMMON PURPOSE. 261334 1042960 COVENANT LIVING SERVICES:PROVIDES MANAGEMENT SERVICES TO SUPPORTED ORGANIZATIONS, INCLUDING COVENANT HOME SERVICES, COVENANT LIVING OF BIXBY, TULSA HILLS COMMUNITY INC, COVENANT LIVING OF GENEVA, THREE CROWNS PARK, AND THREE CROWNS FOUNDATION. SUCH ORGANIZATIONS INCLUDE CONTINUING CARE RETIREMENT COMMUNITIES WITH RESIDENTIAL, ASSISTED LIVING, AND SKILLED NURSING FACILITIES AND HOME HEALTH AND COMMUNITY BASED SERVICES FOR SENIOR ADULTS, AMONG OTHER ACTIVITIES. 921107 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 16 0 0 0 0 1 0 1 1 1 1 0 1 1 1 1 1 1 0 0 0 X JEAN E JUSTIE 7738782294 C/O CLCS 5700 OLD ORCHARD ROAD SKOKIE IL 60077 TERRI S CUNLIFFE DIRECTOR/CLCS PRESIDENT/CEO 1.00 59.00 X X 0 934218 35015 JAY HIBBARD SR. VP OF MARKETING 22.50 22.50 X 0 529541 85668 FRAN PALMA SR. VP OF MARKETING 22.50 22.50 X 0 479009 74013 JEAN E JUSTIE CFO/TREASURER/ASST SECRETARY 1.00 59.00 X 0 410044 82847 DAVID G ERICKSON SR VP & GEN COUNSEL/ASST SECRETARY 1.00 59.00 X 0 388258 103279 WILLIAM RABE SR VP ENTERPRISE OPS/ASST SECRETARY 1.00 59.00 X 0 414211 57438 AMY LACROIX FORMER SVP COMMUNITY OPS 0.00 0.00 X 0 348336 49634 TODD SLECHTA DIRECTOR/ EX-OFFICIO 0.10 42.00 X 0 288273 47925 TANDERIA BROWN SVP OF HUMAN RESOURCES 1.00 59.00 X 0 224975 47440 CORY STERN FORMER INTERIM FINANCE LEAD/TREAS. 0.00 0.00 X 0 226287 31007 TAMMY SWANSON-DRAHEIM DIRECTOR/ EX-OFFICIO 0.10 42.00 X 0 62214 45946 EMILY WARNYGORA ASSISTANT SECRETARY 1.00 59.00 X 0 92734 5579 JAY PRINCE SVP, COMMUNITY OPS/ASST SECRETARY 1.00 59.00 X 0 0 0 JANET CREANEY DIRECTOR/ CHAIR 0.10 2.00 X X 0 0 0 LORENE FLEWELLEN DIRECTOR/ VICE CHAIR 0.10 2.00 X X 0 0 0 JANET GOELZ HOFFMAN DIRECTOR/ SECRETARY 0.10 2.00 X X 0 0 0 SARAH BENTLEY DIRECTOR 0.10 2.00 X 0 0 0 KATHY BUETTNER DIRECTOR 0.10 2.00 X 0 0 0 PAMELA CHRISTENSEN DIRECTOR 0.10 2.00 X 0 0 0 ARTHUR DEROOY DIRECTOR/ EX-OFFICIO 0.10 2.00 X 0 0 0 JOHN FREDRICKSON DIRECTOR 0.10 2.00 X 0 0 0 KURT KINCANON DIRECTOR 0.10 2.00 X 0 0 0 ROBERT MARTIN DIRECTOR 0.10 2.00 X 0 0 0 JENNIFER MEANS DIRECTOR 0.10 2.00 X 0 0 0 LOANN PETERSON DIRECTOR 0.10 2.00 X 0 0 0 SUSAN POSTON DIRECTOR/ EX-OFFICIO 0.10 2.00 X 0 0 0 DIXIE REPPE DIRECTOR 0.10 2.00 X 0 0 0 ANDREW VANOVER DIRECTOR 0.10 2.00 X 0 0 0 MARY PALMER DIRECTOR 0.10 2.00 X 0 0 0 0 4398100 665791 0 1 1 0 0 SUPPORT SERVICES 623000 1042960 1042960 CONSULTING REVENUE 541900 347392 347392 1390352 652290 637170 15120 15120 15120 1405472 1390352 0 15120 X 643404 471479 171925 8391 8391 26039 26039 2685 2685 149283 148627 656 127937 127937 6916 6608 308 49255 49255 43178 43178 8137 8137 LICENSES AND PERMITS 64586 64586 RELATED PARTY ACTIVITY 6752 6752 1136563 921107 215456 0 875459 1029391 256236 20879 1375 1375 4970463 1969211 3126307 3001252 372557 25247 4631934 4078144 24470 31234 4000000 0 58310 3228847 4082780 3260081 X 549154 818063 549154 818063 4631934 4078144 268909 0 X X 0 1 X 1 1 1 X X 5 COVENANT HOME SERVICES 260744025 10 1 0 0 COVENANT LIVING OF KEENE 873525712 10 1 0 0 COVENANT LIVING OF BIXBY 320419173 10 1 0 0 COVENANT LIVING OF GENEVA 843227613 10 1 0 0 TULSA HILLS COMMUNITY INC 842854729 10 1 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 846000 846000 3874268 1729463 2144805 228702 220054 8648 21493 19694 1799 3001252 ACCRUED PROPERTY TAXES 26626 OTHER LIABILITIES 27878 INTER-COMPANY ADVANCE ACCOUNTS 3174343 3228847 0 1 0 0 0 0 0 1 0 TERRI S CUNLIFFE DIRECTOR/CLCS PRESIDENT/CEO 0 572627 0 184727 0 176864 0 9150 0 25982 0 969350 0 20847 JAY HIBBARD SR. VP OF MARKETING 0 350683 0 87000 0 91858 0 55680 0 37248 0 622469 0 47392 FRAN PALMA SR. VP OF MARKETING 0 252566 0 111228 0 115215 0 46625 0 33362 0 558996 0 42270 JEAN E JUSTIE CFO/TREASURER/ASST SECRETARY 0 289279 0 58752 0 62013 0 48359 0 42790 0 501193 0 0 DAVID G ERICKSON SR VP & GEN COUNSEL/ASST SECRETARY 0 329475 0 0 0 58783 0 69031 0 40985 0 498274 0 32820 WILLIAM RABE SR VP ENTERPRISE OPS/ASST SECRETARY 0 268100 0 62715 0 83396 0 44342 0 18757 0 477310 0 26335 AMY LACROIX FORMER SVP COMMUNITY OPS 0 229927 0 55080 0 63329 0 35170 0 20269 0 403775 0 0 TODD SLECHTA DIRECTOR/ EX-OFFICIO 0 240108 0 17175 0 30990 0 24368 0 24636 0 337277 0 0 TANDERIA BROWN SVP OF HUMAN RESOURCES 0 194086 0 0 0 30889 0 29447 0 18019 0 272441 0 0 CORY STERN FORMER INTERIM FINANCE LEAD/TREAS. 0 150599 0 15548 0 60140 0 22098 0 9215 0 257600 0 14048 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. THE REVIEW AND APPROVAL PROCESS IS DESIGNED TO SATISFY AND QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958. PART I, LINE 4B EXECUTIVE BENEFIT PLAN: COVENANT MINISTRIES OF BENEVOLENCE (CMB), A RELATED ORGANIZATION, 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 EXECUTIVE COMPENSATION COMMITTEE OF CMB'S BOARD ("COMMITTEE") 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 ARE PARTICIPANTS IN THE PLAN: TERRI CUNLIFFE DAVID ERICKSON WILLIAM RABE CORY STERN JEAN JUSTIE AMY LACROIX FRAN PALMA JAY HIBBARD TODD SLECHTA TANDERIA BROWN IN 2022, THESE INDIVIDUALS VESTED IN THE PLAN IN THE FOLLOWING AMOUNTS: TERRI CUNLIFFE - $112,308 CORY STERN - $14,048 DAVID ERICKSON - $32,820 JAY HIBBARD - $47,392 WILLIAM RABE - $26,335 FRAN PALMA - $42,270 IN 2022, THESE INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE PLAN IN THE FOLLOWING AMOUNTS: DAVID ERICKSON - $12,779 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 (OF CMB'S BOARD) FOLLOWS A PRESCRIBED METHOD FOR CALCULATING INCENTIVE COMPENSATION AWARDS. 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 OR ON FACTORS THAT WILL ASSURE THAT FINAL INCENTIVE COMPENSATION AWARDS ARE IN THE BEST INTEREST OF THE ORGANIZATION AND APPROPRIATELY REFLECT THE PERFORMANCE OF THE ORGANIZATION. REFER TO ADDITIONAL INFORMATION ON THE COMMITTEE INCLUDED IN SCHEDULE O. PART II, COLUMN B (II): BONUS AND INCENTIVE COMPENSATION - CERTAIN KEY PERSONS EMPLOYED BY COVENANT LIVING AND CMB ARE ELIGIBLE FOR INCENTIVE COMPENSATION AS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF EITHER THE COVENANT LIVING OR CMB'S BOARD BASED ON WHERE THESE INDIVIDUALS ARE EMPLOYED. INCENTIVES RELATED TO THE ACHIEVEMENT OF TARGETS FOR THE TWELVE MONTHS ENDED 9/30/21 WERE PAID OUT IN 2022 FOR CLCS AND RELATED ENTITIES. INCENTIVES RELATED TO CMB'S ACHIEVEMENT OF TARGETS FOR THE TWELVE-MONTHS ENDED 9/30/22 WERE PAID OUT IN 2022. PART II, COLUMN D: NONTAXABLE BENEFITS INCLUDE HEALTH INSURANCE PREMIUMS PAID BY THE EMPLOYER AND EMPLOYEE. FORM 990, PART III, LINE 1: COVENANT LIVING SERVICES IS AN AFFILIATE OF COVENANT LIVING COMMUNITIES AND SERVICES AND CARRIES OUT THE COVENANT LIVING MISSION STATEMENT, WHICH STATES: "AS A MINISTRY OF THE EVANGELICAL COVENANT CHURCH, COVENANT LIVING COMMUNITIES AND SERVICES 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." COVENANT LIVING SERVICES IS ORGANIZED AND OPERATED FOR THE BENEFIT OF, AND TO PLAN AND SUPPORT THE CHARITABLE PURPOSES OF, SEVERAL ORGANIZATIONS INCLUDING CONTINUING CARE RETIREMENT COMMUNITIES WITH RESIDENTIAL, ASSISTED LIVING, AND SKILLED NURSING FACILITIES AND HOME HEALTH AND COMMUNITY BASED SERVICES FOR SENIOR ADULTS, AMONG OTHER ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS COVENANT LIVING COMMUNTIIES AND SERVICES. FORM 990, PART VI, SECTION A, LINE 7B S 2.4 OF BYLAWS INCLUDE RESERVED POWERS TO THE [INDIVIDUAL] MEMBERS SUCH AS APPOINTMENT OF PRESIDENT OF COVENANT LIVING SERVICES, 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 11B MANAGEMENT REVIEW: THE DRAFT FORM 990 WAS REVIEWED BY MULTIPLE LEVELS OF MANAGEMENT INCLUDING THE CHIEF FINANCIAL OFFICER AND OTHER KEY EXECUTIVES. BOARD REVIEW: PRIOR TO FILING, THE 990 PROCESS WAS REVIEWED 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 LIVING SERVICES 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. THE COVENANT LIVING SERVICES POLICY IS DISTRIBUTED ANNUALLY TO COVENANT LIVING SERVICES 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 COVENANT LIVING SERVICE'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 COVENANT LIVING'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 COVENANT LIVING'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 COVENANT LIVING'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) COMPENSATION SURVEY OR STUDY; 3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. 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 COVENANT LIVING SERVICES FINANCE DEPARTMENT AT 773-878-2294. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 148,627. MANAGEMENT AND GENERAL EXPENSES 656. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 149,283. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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