2024-11-04T16:36:04-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2023-01-01 381366932 CLARK RETIREMENT COMMUNITY INC CLAR 6164521568 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 ROGER E WEIDEMAN II DIRECTOR & CFO 6164521568 2024-11-01 1 0 AMY CIMINELLO P00796388 2695674500 2024-11-01 2023 2024-10-15 13:58:12Z ROGER E WEIDEMAN II 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 23980760 0 X CLARKRETIREMENT.ORG X 1906 MI TO PROVIDE RETIREMENT HOUSING, HEALTHCARE, AND RELATED SERVICES TO RESIDENTS AND CLIENTS. 6 2 274 52 0 0 2037477 360950 21219350 21843356 60166 491672 1452748 1284782 24769741 23980760 0 0 0 0 10868716 10248786 0 0 0 22161159 17240211 33029875 27488997 -8260134 -3508237 96787228 93013448 92260240 91994697 4526988 1018751 TO CREATE A COMMUNITY OF DIGNITY, COMPASSION AND RESPECT CENTERED ON THE LIVES OF OLDER ADULTS AND THOSE WHO CARE FOR THEM. 0 0 22828015 21843356 CLARK RETIREMENT COMMUNITY IS THE FIRST ORGANIZATION IN THE UNITED STATES TO RECEIVE ACCREDITATION FOR DEMENTIA SERVICES BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES - CONTINUING CARE ACCREDITATION COMMITTEE (CARF-CCAC).IN FISCAL YEAR 2023, CLARK PROVIDED OVER $567,000 IN BENEVOLENT CARE GRANTS TO RESIDENTS WHO HAVE OUTLIVED THEIR PERSONAL FINANCIAL RESOURCES. 22828015 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 14 0 1 274 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 0 MI X JIM STAHL 5137822687 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 JOHN DATTILO DIRECTOR & CEO 2.00 56.00 X X 0 404814 47927 ROGER WEIDEMAN II DIRECTOR & CFO 2.00 56.00 X X 0 358586 46241 BRIAN PANGLE DIRECTOR & PRESIDENT 1.00 39.00 X X 0 314668 35313 JAY RUMBACH DIRECTOR & SECRETARY 2.00 56.00 X X 0 225269 11072 FORREST HOPPE DIRECTOR 1.00 1.00 X 0 0 0 MARK MILLER DIRECTOR 1.00 1.00 X 0 0 0 JOANN ABRAHAM VP DEVELOPMENT/FOUNDATION EXECUTIVE 40.00 0.00 X 133015 0 14670 LAUANN SHAWVER VP SALES, MARKETING & COMMUNICATIONS 40.00 0.00 X 135516 0 23329 BRIAN MORRILL DIRECTOR OF INFORMATION TECHNOLOGY 40.00 0.00 X 114077 0 0 DEBORAH HOWELL DIRECTOR OF CLINICAL SERVICES 40.00 0.00 X 121147 0 7681 503755 1303337 186233 4 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 DINING SERVICES 5215668 HURST MECHANICAL 5800 SAFETY DR NE BELMONT MI 49306 HVAC SERVICES 413477 TENDER LAWN CARE 3838 E PARIS AVE SE GRAND RAPIDS MI 49512 LAWN CARE 358786 CENTURY FLOORSPACE 217 CESAR E CHAVEZ AVE SW GRAND RAPIDS MI 49503 FLOORING 261078 MAXIM STAFFING SOLUTIONS 6612 E 75TH ST INDIANAPOLIS IN 46250 STAFFING 244035 13 136946 224004 360950 RESIDENT SERVICES 623000 21809969 21809969 RELATED PARTY RENT 623000 25130 25130 ANCILLARY SERVICES 623000 8257 8257 21843356 491672 491672 45686 0 45686 45686 45686 PROPERTY TAX REVENUE 623990 617181 617181 BARBER SHOP REVENUE 623990 73791 73791 HOUSEKEEPING/MAINTENANCE 623990 56541 56541 491583 491583 1239096 23980760 21843356 0 1776454 X 8481896 7391048 1090848 59153 59153 1081287 939278 142009 626450 535043 91407 216000 216000 41380 41380 116931 116931 6557655 6462263 95392 94498 94498 213939 1631 212308 925838 925838 45018 8218 36800 9387 4878 4509 3278241 3278241 3480920 3480920 448876 448876 PROPERTY TAXES 846333 846333 SUPPLIES 572041 548752 23289 REPAIRS AND MAINTENANCE 337356 61615 275741 SPECIAL PROGRAMS 11606 11606 44192 10024 34168 27488997 22828015 4660982 0 1094795 2336840 13918 13622 3145244 637016 118481 118481 621423 47170 89831269 6479043 85491249 83352226 6302118 6508093 96787228 93013448 4493991 2950373 27711678 28153520 57960000 57235000 2094571 3655804 92260240 91994697 X 4526988 1018751 4526988 1018751 96787228 93013448 -3508237 0 X X 0 1 X 1 0 X 3999355 3384975 3791838 2037477 360950 13574595 17513442 15629700 15867368 21219350 21843356 92073216 21512797 19014675 19659206 23256827 22204306 105647811 3633157 836152 1044696 325524 136946 5976475 0 3633157 836152 1044696 325524 136946 5976475 99671336 242643 46960 133629 100380 537358 1060970 242643 46960 133629 100380 537358 1060970 607642 677717 716092 1412534 1239096 4653081 22363082 19739352 20508927 24769741 23980760 111361862 0.89500 0.89200 0.00950 0.00520 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2019 AMOUNT: $ 607,642. 2020 AMOUNT: $ 677,717. 2021 AMOUNT: $ 716,092. 2022 AMOUNT: $ 1,412,534. 2023 AMOUNT: $ 1,239,096. PART III, SHORT YEAR EXPLANATION: BECAUSE OF THE SHORT YEAR-END FILING, THE COLUMNS IN SCHEDULE A PART III CORRESPOND TO THE FOLLOWING TAX YEARS: 2019 = FYE 4/30/20 2020 = FYE 4/30/21 2021 = FYE 4/30/22 2022 = FYE 12/31/22 2023 = FYE 12/31/23 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4760000 4760000 79655339 5549133 74106206 4052502 825678 3226824 1363428 104232 1259196 83352226 ASSETS LIMITED AS TO USE 6264518 DUE FROM AFFILIATES 243575 6508093 DUE TO AFFILIATES 3563786 OTHER LIABILITIES 92018 3655804 0 1 0 0 0 0 0 0 0 JOHN DATTILO DIRECTOR & CEO 0 364814 0 40000 0 0 0 17549 0 30378 0 452741 0 0 ROGER WEIDEMAN II DIRECTOR & CFO 0 323586 0 35000 0 0 0 16268 0 29973 0 404827 0 0 BRIAN PANGLE DIRECTOR & PRESIDENT 0 313168 0 1500 0 0 0 14012 0 21301 0 349981 0 0 JAY RUMBACH DIRECTOR & SECRETARY 0 215269 0 10000 0 0 0 9558 0 1514 0 236341 0 0 LAUANN SHAWVER VP SALES, MARKETING & COMMUNICATIONS 127294 0 8222 0 0 0 6401 0 16928 0 158845 0 0 0 PART I, LINE 3 METHODS USED TO DETERMINE COMPENSATION: COMPENSATION PAID BY BHI RETIREMENT COMMUNITIES IS DETERMINED BY THE REVIEW AND APPROVAL OF THE BHI SENIOR LIVING BOARD WHICH INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: A 457(F) DEFERRED COMPENSATION PLAN WAS SET UP FOR JOHN DATILLO AND ROGER WEIDEMAN IN APRIL OF 2019. JOHN DATILLO'S PLAN BEGINS VESTING IN 2031 AND ROGER WEIDEMAN'S PLAN BEGINS VESTING IN 2034. A SEE PART VI 521701965 38625KAD2 2019-12-10 63243485 SEE PART VI 0 0 0 A 10590000 67146095 4166969 3902610 1222604 38639429 19214483 2021 1 1 1 1 A 0 0 1 1 0 0.00500 0.00000 0.00500 0 0 0 A 0 1 0 0 0 0 0 0 0 A 1 SCHEDULE K, PART I, LINE A, COLUMN F: FINANCE KELLER LAKE CAMPUS 2019 CAPITAL PROJECT AND REFUND MICHIGAN STRATEGIC FUND BOND ISSUED ON JUNE 9, 2006 AND FINANCE 2019 CAPITAL PROJECT. SCHEDULE K, PART II, LINE 3, COLUMN A: THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS DUE TO INVESTMENT EARNINGS. FORM 990, PART VI, SECTION A, LINE 6 BHI RETIREMENT COMMUNITIES, INC. IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A BHI RETIREMENT COMMUNITIES, INC., THE SOLE MEMBER, HAS THE ABILITY TO APPOINT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS OF THE ORGANIZATION ARE RESERVED TO BHI RETIREMENT COMMUNITIES, INC., THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE ORGANIZATION'S FORM 990 PRIOR TO THE FILING OF THE RETURN IS MADE BY AN OFFICER OF THE MANAGING AGENT OF THE ORGANIZATION. THE FORM 990 IS ALSO REVIEWED BY THE BOARD OF DIRECTORS AND AN INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DOCUMENT. THESE DOCUMENTS ARE REVIEWED ANNUALLY TO ENSURE COMPLIANCE. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST WITH CLARK RETIREMENT COMMUNITY CANNOT INFLUENCE IN ANY WAY AND MUST ABSTAIN FROM VOTING ON ANY OUTCOME RELATED TO THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15B AN ANNUAL REVIEW IS CONDUCTED BY THE EMPLOYERS ASSOCIATION ALONG WITH HR GENERATING COMPARISONS TO LOCAL, REGIONAL AND NATIONAL INDUSTRY DATA. A COPY OF THE REVIEW IS PROVIDED TO THE BOARD FOR APPROVAL. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS IN FISCAL YEAR 2023. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, PORTIONS OF THE FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL DISCLOSURE STATEMENT. FORM 990, PART IX, LINE 11G LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 126,038. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,038. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 31,396. MANAGEMENT AND GENERAL EXPENSES 95,392. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,788. MEDICARE CONSULTANT: PROGRAM SERVICE EXPENSES 60,801. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,801. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 26,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,550. FOOD SERVICES: PROGRAM SERVICE EXPENSES 5,062,210. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,062,210. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 59,292. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,292. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 834,831. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 834,831. NURSING SERVICES: PROGRAM SERVICE EXPENSES 89,520. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,520. ACTIVITY SERVICES: PROGRAM SERVICE EXPENSES 29,350. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,350. BEAUTY SERVICES: PROGRAM SERVICE EXPENSES 63,414. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,414. CHAPLAIN SERVICES: PROGRAM SERVICE EXPENSES 78,861. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,861. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM THE PRIOR YEAR. CLARK RETIREMENT COMMUNITY FOUNDATION 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 383236052 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I CLARK RETIREMENT COMMUNITY INC 1 CLARK RETIREMENT SERVICES COMPANY 1551 FRANKLIN STREET SE GRAND RAPIDS MI 495063331 842692761 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II BHI SENIOR LIVING INC 1 BHI FOUNDATION 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 351680796 SENIOR LIVING IN 501(C)(3) LINE 12A, I BHI SENIOR LIVING INC 1 BHI RETIREMENT COMMUNITIES INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 260262903 SENIOR LIVING IN 501(C)(3) LINE 12A, I BHI SENIOR LIVING INC 1 WESLEY MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 351020934 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 PRAIRIE LANDING COMMUNITY INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 262053830 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 FOUR SEASONS VILLAS INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011187 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 HOOSIER MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011190 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 BHI SENIOR LIVING INC 8330 ALLISON POINTE TRAIL SUITE 300 INDIANAPOLIS IN 46250 350931432 SENIOR LIVING IN 501(C)(3) LINE 10 N/A 0 MAPLE KNOLL COMMUNITIES INC 11100 SPRINGFIELD DRIVE CINCINNATI OH 45246 310544277 SENIOR LIVING OH 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 MAPLE KNOLL FOUNDATION 11100 SPRINGFIELD DRIVE CINCINNATI OH 45246 881290177 SENIOR LIVING OH 501(C)(3) LINE 7 BHI RETIREMENT COMMUNITIES INC 1 WESLEY MANOR SOUTHSIDE LP 1555 N MARKET STREET FRANKFORT IN 46041 RETIRE LIVING IN N/A 0 1 SLDEVELOPMENT INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 452664455 GOLF COURSE IN N/A C 1 BHI HOME CARE INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 475160712 HOME CARE IN N/A C 1 1546 SHERMAN STREET LLC 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 843920830 INVESTMENT COMPANY MI N/A C 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 CLARK RETIREMENT COMMUNITY FOUNDATION C 136946 CASH CLARK RETIREMENT COMMUNITY FOUNDATION A 25130 ACTUAL RENT