Civic Intelligence

Pilgrim Manor Foundation

990 • Fiscal year 2016 • EIN 38-3410416

Jan 01, 2016 to Dec 31, 2016 • Filed on Jun 16, 2017

2000 Leonard NEGrand Rapids, MI 49505-5894

(616) 458-1133

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

25th percentile

0.01x

Higher debt load relative to assets than 25% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

35th percentile

0.05x

Higher debt load relative to revenue than 35% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

80th percentile

19%

Higher net margin than 80% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

98th percentile

$498,209

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 153.5% of source-year revenue.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

60th percentile

4.4%

Faster asset growth than 60% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

11th percentile

-31%

Faster revenue growth than 11% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Assets

Up

$1,636,344

Up $68,356 (+4.4%) from 2015

Net Assets

Up

$1,620,459

Up $68,702 (+4.4%) from 2015

Liabilities

Down

$15,885

Down $346 (-2.1%) from 2015

Revenue

Down

$324,512

Down $142,961 (-31%) from 2015

Expenses

Up

$261,308

Up $21,367 (+8.9%) from 2015

Net Income

Down

$63,204

Down $164,328 (-72%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$3.0M$2.0M$1.0M$0Assets 2010: $2,016,949Liabilities 2010: $46,664Net Assets 2010: $1,970,2852010Assets 2011: $2,442,521Liabilities 2011: $55,505Net Assets 2011: $2,387,0162011Assets 2012: $2,548,208Liabilities 2012: $71,643Net Assets 2012: $2,476,5652012Assets 2013: $2,342,357Liabilities 2013: $26,815Net Assets 2013: $2,315,5422013Assets 2014: $1,364,727Liabilities 2014: $9,128Net Assets 2014: $1,355,5992014Assets 2015: $1,567,988Liabilities 2015: $16,231Net Assets 2015: $1,551,7572015Assets 2016: $1,636,344Liabilities 2016: $15,885Net Assets 2016: $1,620,4592016Assets 2017: $1,304,469Liabilities 2017: $23,938Net Assets 2017: $1,280,5312017Assets 2018: $1,174,171Liabilities 2018: $14,505Net Assets 2018: $1,159,6662018Assets 2019: $1,093,788Liabilities 2019: $4,287Net Assets 2019: $1,089,5012019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2016

Assets$1,636,344
Liabilities$15,885
Net Assets$1,620,459

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0M$1.0M$0-$1.0MExpenses 2010: $448,3932010Revenue 2011: $951,770Expenses 2011: $507,700Net Income 2011: $444,0702011Expenses 2012: $692,6582012Revenue 2013: $191,704Expenses 2013: $408,890Net Income 2013: -$217,1862013Revenue 2014: $252,823Expenses 2014: $1,222,706Net Income 2014: -$969,8832014Revenue 2015: $467,473Expenses 2015: $239,941Net Income 2015: $227,5322015Revenue 2016: $324,512Expenses 2016: $261,308Net Income 2016: $63,2042016Revenue 2017: $219,090Expenses 2017: $219,465Net Income 2017: -$3752017Revenue 2018: $226,209Expenses 2018: $212,179Net Income 2018: $14,0302018Revenue 2019: $114,437Expenses 2019: $230,171Net Income 2019: -$115,7342019Revenue 2020: $58,385Expenses 2020: $103,324Net Income 2020: -$44,9392020

Highlighted filing

2016

Revenue$324,512
Expenses$261,308
Net Income$63,204
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Jun 16, 2017
Return Version
2016v3.0
Gross Receipts
$349,936
Mission and Program Overview

Mission

None

To Receive and Administer Funds on behalf ofPilgrim Manor, Inc for the Operations of a Nursing Home and Residential Housing for the Elderly.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$687,868$817,310▲ $129,442
Cash and Non-Interest-Bearing Accounts$667,652$746,009▲ $78,357
Investments Other Securities$81,598--
Pledges and Grants Receivable$129,637$73,025▼ $56,612
Prepaid Expenses and Deferred Charges$1,219--
Land, Buildings, and Equipment, Net$14--
Total Assets$1,567,988$1,636,344▲ $68,356
Liabilities
Accounts Payable and Accrued Expenses$16,231$15,885▼ $346
Total Liabilities$16,231$15,885▼ $346
Net Assets / Fund Balance
Unrestricted Net Assets$571,140$700,553▲ $129,413
Temporarily Rstr Net Assets$637,528$576,814▼ $60,714
Permanently Rstr Net Assets$343,089$343,092▲ $3
Total Net Assets Fund Balance$1,551,757$1,620,459▲ $68,702
Total Liabilities and Net Assets / Fund Balance$1,567,988$1,636,344▲ $68,356

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings-$3,135$3,135

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$343,089---$343,089
2015$350,324-▼ $7,235-$343,089
2014$352,398-▼ $2,074-$350,324
2013$314,108-▲ $38,290-$352,398
2012$310,511-▲ $3,597-$314,108
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
Rev Kenneth DanielPresident/CEO-$498,209$498,209
Rev Kenneth Daniel-$459,621$68,587$498,208
John RennerSr. VP of Finance & Bus. Strategy-$343,057$343,057
John Renner-$267,230$45,147$327,377
Gloria HurwitzVP of Advancement & Comm.-$193,547$193,547
Gloria Hurwitz-$166,182$12,365$193,547

Board Members and Trustees

NameTitle
Cathy GreenBoard Chair United Church Homes
Phil BalkemaDirector
Rev Bruce RollerDirector
Rev Ruth FitzgeraldDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$247,539
Program Service Revenue
$0
Investment Income
$8,642
Other Revenue
$68,331
All Other Contributions
$239,367
Change in Net Assets
$63,204

Audited Revenue Reconciliation

Revenue per Audited Statements
$329,345
Revenue Not Reported on Financial Statements
$-4,833
Revenue Not Reported on Form 990
$16,177
Other Revenue Adjustments
$-4,833
Total Revenue per Audited Statements
$345,522
Total Revenue per Form 990
$324,512
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$150,000
Total Fundraising Expense$101,197
Salaries, Compensation, and Employee Benefits$65,349
Other Expenses$45,959
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$150,000--$150,000
Other Salaries and Wages$0$0$53,972$53,972
Other Employee Benefits$0$0$5,942$5,942
Fees for Services Accounting$0$5,000$0$5,000
Payroll Taxes$0$0$3,866$3,866
Other Expenses$0$0$3,410$3,410
Information Technology$0$0$2,926$2,926
Office Expenses$0$0$2,367$2,367
Pension Plan Contributions$0$0$1,569$1,569
Fees for Services Other$0$0$1,118$1,118
All Other Expenses$0$0$270$270
Payments to Affiliates$0$0$250$250
Depreciation Depletion$0$14$0$14
Total Functional Expenses$150,000$10,111$101,197$261,308

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$266,141
Total Expenses per Form 990$261,308
Total Expenses per Audited Statements$241,141
Expenses Not Reported on Financial Statements$-4,833
Other Expense Adjustments$-4,833
Expenses Not Reported on Form 990$-25,000
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
United Church Homesdba Pilgrim ManorGrand Rapids, MI-Resident Rent & Outings$150,000
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$89,755
Fundraising Direct Expenses$21,424
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala$78,955$77,755$4,855$72,900
Table Host$18,972$12,000$473$11,527
Total Events$97,927$89,755$21,424$68,331
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes
Filing and Contact Details

Filer

Filer Name
Pilgrim Manor Foundation
EIN
38-3410416
Phone
6164581133
Address
2000 Leonard NE, Grand Rapids, MI 49505-5894

Signing Officer

Name
John K Renner
Title
Sr. VP of Finance & Business Strate
Phone
6164581133
Signed
2017-06-16

Organization Details

Principal Officer
John K Renner
Formed
1998
Legal Domicile
Mi
Voting Board Members
7
Independent Board Members
3
Employees
0
Volunteers
1
Supplemental Narrative

Additional Explanations

Pt VI, Line 3

Effective as of October 31, 2016 the separate corporate existence of Pilgrim Manor Inc. (38-1651383) ceased and the Merger between United Church Homes Inc. (34-4429276) and Pilgrim Manor was effective. UCH became the sole member and management company to Pilgrim Manor and Pilgrim Manor Foundation.

Pt VI, Line 4

On November 10, 2016, The Board of Directors of United Church Homes, Inc. (UCH), an Ohio not for profit corporation, took the following action for the purpose of approving the appointment of four persons to UCH's wholly owned entity, Pilgrim Manor Foundation, upon the receipt of an affirmative vote of a majority of the Board of Directors.

Pt VI, Line 6

United Church Homes Inc. is the sole member to the Pilgrim Manor Foundation.

Pt VI, Line 7A

On november 10, 2016, the board of directors of united church homes, inc., an ohio not for profit corporation, took the following action, for the purpose of approving the appointment of four persons to uch's wholly owned entity, pilgrim manor foundation, upon the receipt of an affirmative vote of a majority of the board of directors. The amended and restated bylaws of the corporation were prepared and incorporated into the agreement to memorialize certain covenants of uch in the governance of the corporation for a period of three (3) years from and after the effective date (the "covenant period"), specifically, as follows: during the covenant period, the corporation's board will be made up of seven (7) members, three (3) of which members will be selected by pm ("pm directors") and four (4) of which members will be selected by uch ("uch directors"). The term of these seven (7) directors shall be for three (3) years. In the event, there are any vacancies on the corporation's board during the covenant period, the remaining pm directors, or uch directors shall fill the unexpired term of the director(s) that was vacated. The amended and restated bylaws of pilgrim manor foundation, the uch board hereby appoints the four (4) persons holding/performing the following positions at uch as the four members of the corporation's board to be selected by uch:1.the chairperson of the board of directors of uch;2.the president/ceo of uch;3.the sr. Vice president of finance and business strategy/cfo of uch;4.the vice president of advancement of uch.these appointments are effective as of the effective date of the merger.

Pt VI, Line 11B

The review process is as follows: the 990 is prepared by the Parent and Management Company. It is reviewed by staff and approved by the CFO prior to filing the return.

Pt VI, Line 12C

The organization regularly and consistently monitors and enforces compliance with its conflict of interest policy as follows:the parent organization, united church homes, regularly and consistently monitors and enforces compliance with its conflict of interest policy as follows:1.the organization's corporate bylaws require that each of the board of director members disclose annually, in writing, interests that could be construed as a conflict of interest.2.uch has adopted a corporate compliance policy and program applicable to directors, officers, key employees, and all other employees, which is inclusive of a conflict of interest policy. The purpose of the corporate compliance policy provides that the organization is committed to conducting its business ethically and in conformance with all applicable laws, regulations, rules and standards. The policy contains internal requirements related to gifts/gratuities, outside business or professional interests, personal beliefs and abuse of the employee or volunteer relationship. The policy is enforced and monitored on an ongoing basis via management, self, or confidential third party disclosure via a secure hotline.3.the organization has also adopted as part of its corporate compliance program a standards of conduct. The standards of conduct provide that the organization's staff members, independent contractors, volunteers, and board members are expected to refrain from and avoid conflicts or the appearance of conflicts between their private interests and those of the organization.4.although most allegations of misconduct are most appropriately addressed by the corporate compliance officer(cco) or human resources, occasionally issues arise that should be addressed under direction of legal counsel. This policy provides guidance for the compliance office to determine when and how issues should be turned over to legal counsel. Furthermore, it provides guidance for both the compliance office and legal counsel to conduct compliance inquiries and investigations. For purposes of this policy, the term legal counsel refers to either inside or outside counsel.5.if a potential conflict of interest arises, the remaining board members or executive committee will determine if in fact a conflict of interest exists.

Pt X

Net Asset Adjustment related to merger and inter-company transfer changes and reporting policy changes.

Form 990, Part IX, Line 24E

Dues, Subscriptions 270. 0. 0. 270.

Financial Statement Notes

Pt V, Line 4

The endowment funds are used to support Pilgrim Manor's resident needs. There was no change from prior year.

Pt XI, Line 2D

Reclass of inter-company transfer to cover salary expenses

Pt XI, Line 4B

Adjust In-kind donation/policy change

Pt XII, Line 2D

Reclass of inter-company transfer to cover salary expenses

Pt XII, Line 4B

Adjust In-kind donation/policy change

Pt X, Line 2

The manor and the foundation are not-for-profit corporations described in section 501(c)3 of the Internal Revenue Code and are exempt from federal income tax on related income pursuant to section 501(a) of the code. Contributions to the manor and the foundation are tax deductible within the limitations prescribed by the code. The manor and the foundation have been determined by the Internal Revenue Service not to be private foundations within the meaning of section 509(A) of the code. The foundation has been determined to be a publicly supported organization and not a private foundation. Accordingly, the foundation's net investment income and gifts made to the foundation are not subject to excise tax.

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IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt0343089
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt0343092
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt0129637
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt073025
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IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt01219
IRS990/PrincipalOfficerNm0JOHN K RENNER
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IRS990/PYContributionsGrantsAmt0389164
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Pilgrim Manor
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IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990ScheduleA/SupportSumAmt0150000
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
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IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0343089
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IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0352398
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IRS990ScheduleD/FootnoteTextInd0X
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IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt03135
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IRS990ScheduleD/RevenueSubtotalAmt0329345
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The endowment funds are used to support Pilgrim Manor's resident needs. There was no change from prior year.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Reclass of inter-company transfer to cover salary expenses
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2Adjust In-kind donation/policy change
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3Reclass of inter-company transfer to cover salary expenses
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt4Adjust In-kind donation/policy change
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt5The manor and the foundation are not-for-profit corporations described in section 501(c)3 of the Internal Revenue Code and are exempt from federal income tax on related income pursuant to section 501(a) of the code. Contributions to the manor and the foundation are tax deductible within the limitations prescribed by the code. The manor and the foundation have been determined by the Internal Revenue Service not to be private foundations within the meaning of section 509(A) of the code. The foundation has been determined to be a publicly supported organization and not a private foundation. Accordingly, the foundation's net investment income and gifts made to the foundation are not subject to excise tax.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt V, Line 4
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt XI, Line 2d
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt XI, Line 4b
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc3Pt XII, Line 2d
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc4Pt XII, Line 4b
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc5Pt X, Line 2
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IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0241141
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IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt0348
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0Gala
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0Table Host
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IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt068331
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt02241
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IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt05328
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt04855
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt0473
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt0150000
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0Resident Rent & Outings
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0United Church Homesdba Pilgrim Manor
IRS990ScheduleI/RecipientTable/RecipientEIN0344429276
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt02000 Leonard St NE
IRS990ScheduleI/RecipientTable/USAddress/CityNm0Grand Rapids
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0MI
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd049505
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0Grants are distributed to supported organization on a monthly basis.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt I Line 2
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IRS990ScheduleJ/CompensationSurveyInd0X

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