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Nonprofiteer
← COVENANT LIVING WEST

Form 990 for tax year 2022

Filed by COVENANT LIVING WEST.

Totals

Total revenue
$136,714,805
Total expenses
$128,477,391
Contributions and grants received
$2,412,337
Grants paid
$10,548
Program service revenue
$121,625,795
Investment income
$10,673,027
Other revenue
$2,003,646
Total assets, end of year
$406,388,231
Total liabilities, end of year
$239,893,248
Net assets or fund balances, end of year
$166,494,983
Program services expenses (Part IX)
$96,716,925
Management and general expenses
$31,395,707
Fundraising expenses
$364,759
Program service expenses (Part III)
$96,716,925

Program services were 75.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $108,657

  • 1e · Government grants (contributions)

    $499,904

  • 1f · All other contributions, gifts and grants

    $1,803,776

  • 2a · Program service revenue: ROUTINE SERVICES

    total $63,161,373 · related or exempt $63,161,373

  • 2b · Program service revenue: MEDICARE/MEDICAID

    total $30,959,027 · related or exempt $30,959,027

  • 2c · Program service revenue: ENTRANCE FEES

    total $16,274,423 · related or exempt $16,274,423

  • 2d · Program service revenue: ANCILLARY SERVICES

    total $10,399,472 · related or exempt $10,399,472

  • 2e · Program service revenue: MEALS

    total $831,500 · related or exempt $831,500

  • 3 · Investment income

    total $8,936,272 · excluded $8,936,272

  • 6a · Gross rents

    real property $271,924

  • 6b · Less rental expenses

    real property $102,364

  • 6c · Rental income or loss

    real property $169,560

  • 6d · Net rental income or loss

    total $169,560 · excluded $169,560

  • 7a · Gross sales of assets other than inventory

    securities $1,790,955

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $54,200

  • 7c · Gain or loss

    securities $1,790,955 · other assets -$54,200

  • 7d · Net gain or loss

    total $1,736,755 · excluded $1,736,755

  • 8a · Fundraising events: gross income

    $5,969

  • 8b · Fundraising events: direct expenses

    $5,969

  • 8c · Net income from fundraising events

    total $0

  • 11a · Other revenue: SUPPORT SERVICES

    total $1,292,196 · related or exempt $1,292,196

  • 11b · Other revenue: APARTMENT UPGRADES

    total $349,684 · related or exempt $349,684

  • 11c · Other revenue: SERVICES TO RESIDENTS

    total $117,651 · related or exempt $117,651

  • 11d · All other revenue

    total $74,555 · related or exempt $74,555

  • 11e · Other revenue, total

    $1,834,086

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $10,548 · program services $10,548

  • 5 · Compensation of officers, directors and key employees

    total $1,025,760 · management and general $1,025,760

  • 7 · Other salaries and wages

    total $46,712,465 · program services $39,657,118 · management and general $7,015,033 · fundraising $40,314

  • 8 · Pension plan contributions

    total $728,808 · program services $564,466 · management and general $150,520 · fundraising $13,822

  • 9 · Other employee benefits

    total $5,604,906 · program services $4,393,871 · management and general $1,169,487 · fundraising $41,548

  • 10 · Payroll taxes

    total $3,715,740 · program services $3,156,423 · management and general $527,802 · fundraising $31,515

  • 11a · Fees: management

    total $630,297 · program services $630,297

  • 11b · Fees: legal

    total $161,146 · management and general $161,146

  • 11c · Fees: accounting

    total $58,329 · management and general $58,329

  • 11d · Fees: lobbying

    total $9,668 · management and general $9,668

  • 11g · Fees: other

    total $12,539,336 · program services $12,068,676 · management and general $470,045 · fundraising $615

  • 12 · Advertising and promotion

    total $678,350 · program services $2,622 · management and general $671,995 · fundraising $3,733

  • 13 · Office expenses

    total $5,378,301 · program services $4,504,030 · management and general $858,842 · fundraising $15,429

  • 14 · Information technology

    total $2,413,331 · program services $6,953 · management and general $2,406,378

  • 16 · Occupancy

    total $7,198,775 · program services $6,788,214 · management and general $410,561

  • 17 · Travel

    total $141,429 · program services $65,677 · management and general $70,890 · fundraising $4,862

  • 19 · Conferences, conventions and meetings

    total $292,279 · program services $22,389 · management and general $268,218 · fundraising $1,672

  • 20 · Interest

    total $4,455,073 · program services $3,353,792 · management and general $1,088,633 · fundraising $12,648

  • 22 · Depreciation, depletion and amortization

    total $16,356,196 · program services $12,312,993 · management and general $3,996,768 · fundraising $46,435

  • 23 · Insurance

    total $1,434,930 · program services $1,434,930

  • 24a · Other expenses: RELATED PARTY ACTIVITY

    total $8,996,293 · management and general $8,884,393 · fundraising $111,900

  • 24b · Other expenses: DINING SERVICES

    total $4,550,318 · program services $4,550,318

  • 24c · Other expenses: MAINT. FOR RESIDENTS

    total $2,257,922 · program services $2,257,922

  • 24d · Other expenses: LICENSES AND PERMITS

    total $604,983 · program services $28,006 · management and general $576,977

  • 24e · All other expenses

    total $2,522,208 · program services $907,680 · management and general $1,574,262 · fundraising $40,266

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $31,782 · end of year $156,679

  • 2 · Savings and temporary cash investments

    beginning of year $13,917 · end of year $8,377

  • 3 · Pledges and grants receivable

    beginning of year $1,541,991 · end of year $1,625,978

  • 4 · Accounts receivable

    beginning of year $7,357,352 · end of year $6,702,312

  • 9 · Prepaid expenses and deferred charges

    beginning of year $315,557 · end of year $400,789

  • 10a · Land, buildings and equipment: cost or other basis

    $345,365,123

  • 10b · Land, buildings and equipment: accumulated depreciation

    $191,437,525

  • 10c · Land, buildings and equipment, net

    beginning of year $153,179,863 · end of year $153,927,598

  • 11 · Investments: publicly traded securities

    beginning of year $61,768,536 · end of year $61,489,733

  • 12 · Investments: other securities

    beginning of year $52,613,808 · end of year $53,215,393

  • 15 · Other assets

    beginning of year $117,884,252 · end of year $128,861,372

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,336,373 · end of year $1,339,329

  • 19 · Deferred revenue

    beginning of year $82,805,798 · end of year $83,639,927

  • 20 · Tax-exempt bond liabilities

    beginning of year $73,580,330 · end of year $67,286,251

  • 21 · Escrow or custodial account liability

    beginning of year $664,361 · end of year $832,770

  • 25 · Other liabilities

    beginning of year $80,705,073 · end of year $86,794,971

  • 27 · Net assets without donor restrictions

    beginning of year $149,667,488 · end of year $160,540,149

  • 28 · Net assets with donor restrictions

    beginning of year $5,947,635 · end of year $5,954,834

Mission and programs · 2022

Mission

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. (SEE SCHEDULE O)

Activities or mission (Part I)

CARE FOR SENIOR ADULTS

  • RESIDENTIAL LIVING:THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED SEPTEMBER 30, 2023 WERE AS FOLLOWS:THERE WERE 1,085 RESIDENTS OCCUPYING 839 APARTMENTS AS OF 9/30/23. THE RESIDENCY FOR THE FISCAL YEAR TOTALED 392,475 RESIDENT DAYS.

    Expenses $38,058,435 · Grants $10,548 · Revenue $56,179,831

  • ASSISTED LIVING: THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED SEPTEMBER 30, 2023 WERE AS FOLLOWS:THERE WERE A TOTAL OF 159 ASSISTED LIVING RESIDENTS AT 09/30/2023. ASSISTED LIVING RESIDENCY FOR THE FISCAL YEAR TOTALED 54,739 RESIDENT DAYS.ASSISTED LIVING MEMORY SUPPORT: THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED SEPTEMBER 30, 2023 WERE AS FOLLOWS: THERE WERE A TOTAL OF 26 ASSISTED LIVING MEMORY SUPPORT RESIDENTS AT 09/30/2023. ASSISTED LIVING MEMORY SUPPORT RESIDENCY FOR THE FISCAL YEAR TOTALED 11,784 RESIDENT DAYS.

    Expenses $12,354,146 · Revenue $14,796,623

  • SKILLED NURSING:THE NUMBER OF PERSONS WHO BENEFITED FROM THE SERVICES WE PROVIDED FOR THE YEAR ENDED SEPTEMBER 30, 2023 WERE AS FOLLOWS:THERE WERE A TOTAL OF 325 SKILLED CARE RESIDENTS AT 09/30/23. SKILLED CARE RESIDENCY FOR THE FISCAL YEAR TOTALED 120,819 RESIDENT DAYS.

    Expenses $46,304,344 · Revenue $52,483,427

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Terri S Cunliffe

    DIRECTOR/CLCS PRESIDENT/CEO

    Total calculated
    $969,233
    From this org
    $0
    From related orgs
    $934,218
    Other
    $35,015
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $572,627 related
    Bonus
    $0 + $184,727 related
    Other
    $0 + $176,864 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $25,982 related
    Filer's total
    $0 + $969,350 related
  • Jean E Justie

    CFO/TREASURER/ASST SECRETARY

    Total calculated
    $492,891
    From this org
    $0
    From related orgs
    $410,044
    Other
    $82,847
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $289,279 related
    Bonus
    $0 + $58,752 related
    Other
    $0 + $62,013 related
    Deferred
    $0 + $48,359 related
    Nontaxable benefits
    $0 + $42,790 related
    Filer's total
    $0 + $501,193 related
  • David G Erickson

    SR VP & GEN COUNSEL/ASST SECRETARY

    Total calculated
    $491,537
    From this org
    $0
    From related orgs
    $388,258
    Other
    $103,279
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $329,475 related
    Bonus
    $0
    Other
    $0 + $58,783 related
    Deferred
    $0 + $69,031 related
    Nontaxable benefits
    $0 + $40,985 related
    Filer's total
    $0 + $498,274 related
  • William Rabe

    SR VP ENTERPRISE OPS/ASST SECRETARY

    Total calculated
    $471,649
    From this org
    $0
    From related orgs
    $414,211
    Other
    $57,438
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $268,100 related
    Bonus
    $0 + $62,715 related
    Other
    $0 + $83,396 related
    Deferred
    $0 + $44,342 related
    Nontaxable benefits
    $0 + $18,757 related
    Filer's total
    $0 + $477,310 related
  • Amy Lacroix

    FORMER SVP COMMUNITY OPS

    Total calculated
    $397,970
    From this org
    $0
    From related orgs
    $348,336
    Other
    $49,634
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $229,927 related
    Bonus
    $0 + $55,080 related
    Other
    $0 + $63,329 related
    Deferred
    $0 + $35,170 related
    Nontaxable benefits
    $0 + $20,269 related
    Filer's total
    $0 + $403,775 related
  • Peter Milbourn

    ASSOCIATE VO, OPERATIONS

    Total calculated
    $339,164
    From this org
    $0
    From related orgs
    $282,825
    Other
    $56,339
    Hours/week
    5 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,143 related
    Bonus
    $0 + $17,193 related
    Other
    $0 + $46,489 related
    Deferred
    $0 + $38,203 related
    Nontaxable benefits
    $0 + $18,521 related
    Filer's total
    $0 + $339,549 related
  • Todd Slechta

    DIRECTOR/ EX-OFFICIO

    Total calculated
    $336,198
    From this org
    $0
    From related orgs
    $288,273
    Other
    $47,925
    Hours/week
    0.1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $240,108 related
    Bonus
    $0 + $17,175 related
    Other
    $0 + $30,990 related
    Deferred
    $0 + $24,368 related
    Nontaxable benefits
    $0 + $24,636 related
    Filer's total
    $0 + $337,277 related
  • Tanderia Brown

    SVP OF HUMAN RESOURCES

    Total calculated
    $272,415
    From this org
    $0
    From related orgs
    $224,975
    Other
    $47,440
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $194,086 related
    Bonus
    $0
    Other
    $0 + $30,889 related
    Deferred
    $0 + $29,447 related
    Nontaxable benefits
    $0 + $18,079 related
    Filer's total
    $0 + $272,501 related
  • Ryan Hust

    EXECUTIVE DIRECTOR

    Total calculated
    $265,132
    From this org
    $217,577
    From related orgs
    $0
    Other
    $47,555
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $169,007
    Bonus
    $19,332
    Other
    $29,238
    Deferred
    $21,161
    Nontaxable benefits
    $26,672
    Filer's total
    $265,410
  • Cory Stern

    FORMER INTERIM FINANCE LEAD/TREAS.

    Total calculated
    $257,294
    From this org
    $0
    From related orgs
    $226,287
    Other
    $31,007
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $150,599 related
    Bonus
    $0 + $15,548 related
    Other
    $0 + $60,140 related
    Deferred
    $0 + $22,098 related
    Nontaxable benefits
    $0 + $9,215 related
    Filer's total
    $0 + $257,600 related
  • Linda Perez

    EXECUTIVE DIRECTOR

    Total calculated
    $248,772
    From this org
    $210,136
    From related orgs
    $0
    Other
    $38,636
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,144
    Bonus
    $6,667
    Other
    $18,325
    Deferred
    $19,378
    Nontaxable benefits
    $19,538
    Filer's total
    $249,052
  • Daniel Scansen

    EXECUTIVE DIRECTOR

    Total calculated
    $232,891
    From this org
    $184,907
    From related orgs
    $0
    Other
    $47,984
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,258
    Bonus
    $0
    Other
    $26,649
    Deferred
    $20,596
    Nontaxable benefits
    $27,662
    Filer's total
    $233,165
  • Scott Bigler

    HEALTHCARE ADMINISTRATOR

    Total calculated
    $228,127
    From this org
    $189,970
    From related orgs
    $0
    Other
    $38,157
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $124,789
    Bonus
    $17,665
    Other
    $47,516
    Deferred
    $10,769
    Nontaxable benefits
    $27,606
    Filer's total
    $228,345
  • Brian McBee

    EXECUTIVE DIRECTOR

    Total calculated
    $225,874
    From this org
    $191,362
    From related orgs
    $0
    Other
    $34,512
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,693
    Bonus
    $5,936
    Other
    $26,733
    Deferred
    $34,512
    Nontaxable benefits
    $261
    Filer's total
    $226,135
  • Cristin Whittaker

    HEALTHCARE ADMINISTRATOR

    Total calculated
    $194,912
    From this org
    $177,041
    From related orgs
    $0
    Other
    $17,871
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,418
    Bonus
    $16,306
    Other
    $317
    Deferred
    $6,000
    Nontaxable benefits
    $12,111
    Filer's total
    $195,152
  • Darla Lorenzen

    HEALTHCARE ADMINISTRATOR

    Total calculated
    $162,657
    From this org
    $138,513
    From related orgs
    $0
    Other
    $24,144
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $120,561
    Bonus
    $9,866
    Other
    $8,086
    Deferred
    $11,597
    Nontaxable benefits
    $12,738
    Filer's total
    $162,848
  • Tracy Skaer-Henry

    ASSOCIATE EXECUTIVE DIRECTOR

    Total calculated
    $157,169
    From this org
    $135,514
    From related orgs
    $0
    Other
    $21,655
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $130,816
    Bonus
    $0
    Other
    $4,698
    Deferred
    $9,784
    Nontaxable benefits
    $12,074
    Filer's total
    $157,372
  • Lisa Fuller

    DIRECTOR OF SALES

    Total calculated
    $151,568
    From this org
    $145,841
    From related orgs
    $0
    Other
    $5,727
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $90,737
    Bonus
    $49,100
    Other
    $6,004
    Deferred
    $4,401
    Nontaxable benefits
    $1,468
    Filer's total
    $151,710
  • Tammy Swanson-Draheim

    DIRECTOR/ EX-OFFICIO

    Total calculated
    $108,160
    From this org
    $0
    From related orgs
    $62,214
    Other
    $45,946
    Hours/week
    0.1 + 42 related
  • Emily Warnygora

    ASSISTANT SECRETARY

    Total calculated
    $98,313
    From this org
    $0
    From related orgs
    $92,734
    Other
    $5,579
    Hours/week
    1 + 59 related
  • Jay Prince

    SVP, COMMUNITY OPS/ASST SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 59 related
  • Janet Creaney

    DIRECTOR/ CHAIR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Lorene Flewellen

    DIRECTOR/ VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Janet Goelz Hoffman

    DIRECTOR/ SECRETARY

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Sarah Bentley

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Kathy Buettner

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Pamela Christensen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Arthur Derooy

    DIRECTOR/ EX-OFFICIO

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • John Fredrickson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Kurt Kincanon

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Robert Martin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Jennifer Means

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Loann Peterson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Susan Poston

    DIRECTOR/ EX-OFFICIO

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Dixie Reppe

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Andrew Vanover

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related
  • Mary Palmer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
THE FOLLOWING BENEFITS WERE TREATED AS TAXABLE COMPENSATION AND WERE DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE (OF COVENANT LIVING'S BOARD) TO BE REASONABLE: - HEALTH CLUB DUES PAID FOR ONE (1) SENIOR-LEVEL EMPLOYEE.
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: DANIEL SCANSEN LINDA PEREZ BRIAN MCBEE RYAN HUST DARLA LORENZEN SCOTT BIGLER CHRISTIN WHITTAKER TRACY SKAER-HENRY TERRI CUNLIFFE TODD SLECHTA DAVID ERICKSON JEAN JUSTIE WILLIAM RABE CORY STERN AMY LACROIX TANDERIA BROWN PETER MILBOURN IN 2022, THESE INDIVIDUALS VESTED IN THE PLAN IN THE FOLLOWING AMOUNTS: TERRI CUNLIFFE - $112,308 DAVID ERICKSON - $32,820 CORY STERN - $14,048 WILLIAM RABE - $26,335 DARLA LORENZEN - $3,825 LINDA PEREZ - $2,361 PETER MILBOURN - $12,226 RYAN HUST - $12,692 SCOTT BIGLER - $3,243 IN 2022, THESE INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE PLAN IN THE FOLLOWING AMOUNTS: DAVID ERICKSON - $12,779 PETER MILBOURN - $7,947
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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • COVENANT INTERNATIONAL INSURANCE COMPANY LTD

    C · INSURANCE · BD

  • COVENANT TRUST COMPANY

    C · FINANCIAL SERVICES · IL

  • COVENANT LIVING HOLDINGS THREE INC

    C · CONSULTING SERVICES · IL

Provenance

Return type
form_990
Tax year
2022
Filed
23 July 2024
IRS schema version
2022v5.0
Source object
202432139349300128

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