SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

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OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
WASHINGTON AND JANE SMITH COMMUNITY -
ORLAND PARK
Employer identification number

36-4333423
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS AN AGREEMENT WITH WASHINGTON AND JANE SMITH HOME TO OVERSEE ITS GENERAL OPERATIONS. THE INITIAL TERM OF THIS AGREEMENT WAS FOR A PERIOD OF ONE (1) YEAR. THIS AGREEMENT RENEWS ANNUALLY THEREAFTER UNLESS TERMINATED IN ACCORDANCE WITH OTHER TERMS AND CONDITIONS CONTAINED THEREIN. FURTHERMORE, CERTAIN SUBORDINATION AND DEFERRAL PROVISIONS APPLY IN CONNECTION WITH PAYMENT OF COMPENSATION TO WASHINGTON AND JANE SMITH HOME. UNDER THE TERMS OF THE AGREEMENT, THE ORGANIZATION MUST COMPENSATE WASHINGTON AND JANE SMITH HOME FOR SERVICES RENDERED. THE AGREEMENT ALSO CONTAINS A PROVISION TO COMPENSATE WASHINGTON AND JANE SMITH HOME FOR SUPPLEMENTAL SERVICES IT MAY PROVIDE ABOVE AND BEYOND THOSE ENUMERATED IN THE AGREEMENT. IN ADDITION, THE ORGANIZATION MUST PAY WASHINGTON AND JANE SMITH HOME AN ADDITIONAL SUM ON A MONTHLY BASIS AS REIMBURSEMENT FOR WASHINGTON AND JANE SMITH HOME'S OVERHEAD EXPENSES RELATED TO THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6 WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK HAS A SINGLE CLASS OF VOTING MEMBERS AND THE SOLE MEMBER OF THAT CLASS IS WASHINGTON AND JANE SMITH HOME , A RELATED ILLINOIS TAX-EXEMPT ORGANIZATION, WHICH SHALL CONTINUE FROM YEAR-TO-YEAR AS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION MUST HAVE APPROVAL OF ITS SOLE MEMBER, WASHINGTON AND JANE SMITH HOME, BEFORE ELECTING OR REMOVING ANY OF THE ORGANIZATION'S TRUSTEES OR OFFICERS.
FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION SHALL NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OF THE SOLE MEMBER: (1) ELECTION AND REMOVAL OF TRUSTEES AND OFFICERS. (2) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE ORGANIZATION. (3) AMENDMENT OF THE BYLAWS OF THE ORGANIZATION. (4) MERGER, CONSOLIDATION OR DISSOLUTION OF THE ORGANIZATION. (5) THE CREATION OF ANY SUBSIDIARIES OR AFFILIATES OF THE ORGANIZATION. (6) ADOPTION OF THE BUSINESS PLAN APPROVED ANNUALLY BY THE BOARD OF TRUSTEES OF THE ORGANIZATION. (7) ADOPTION OF THE ANNUAL BUDGET APPROVED BY THE ORGANIZATION AND ANY ACTIONS TAKEN BY THE ORGANIZATIONN WHICH WOULD OR COULD INVOLVE EXPENDITURES WHICH EXCEED ONE HUNDRED AND TEN PERCENT (110%) OF THE APPROVED BUDGETED AMOUNTS FOR SUCH EXPENDITURES. (8) THE SELECTION OF BANKING AFFILIATIONS, ACCOUNTING FIRMS OR LEGAL COUNSEL, AS WELL AS APPROVAL OF THE ENGAGEMENT OF ANY CONSULTANTS NOT SPECIFICALLY PROVIDED IN AN APPROVED BUDGET. (9) THE SELECTION AND RETENTION OF THE EXECUTIVE DIRECTOR OF THE ORGANIZATION. (10) THE MAKING OF CAPITAL EXPENDITURES OR SALE OF ANY CAPITAL ASSETS BY THE ORGANIZATION IN EXCESS OF FIFTY THOUSAND DOLLARS ($50,000) UNLESS PROVIDED IN THE ANNUAL BUDGET. (11) THE SELECTION OF THE MANNER AND LOCATION OF INVESTMENT OF ANY FUNDS. (12) THE EXTENSION OF ANY LOANS BY OR ANY BORROWING BY THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S INTERNAL MANAGEMENT AND THE FINANCE COMMITTEE REVIEWS THE RETURN WITH ITS PAID TAX PREPARER. AFTER REVIEW, COPIES OF THE FULL FORM 990 ARE MADE AVAILABLE TO ALL TRUSTEES PRIOR TO FILING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL TRUSTEES, CORPORATE OFFICERS, EXECUTIVE AND KEY PERSONNAL ARE REQUIRED TO COMPLETE A DISCLOSURE FOR CONFLICTS OF INTEREST. THE DISCLOSURES ARE SUMMARIZED BY THE CFO AND REVIEWED BY THE GOVERNANCE COMMITTEE WHO DETERMINES IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS THE TRUSTEE IS REQUIRED TO RECUSE THEMSELVES FROM ANY VOTING, DELIBERATION, OR DECISION ON THE TRANSACTION AT THE BOARD LEVEL. FURTHERMORE, ALL VENDOR PAYMENT ACTIVITY IS REVIEWED BY THE CFO FOR VENDORS THAT MAY BE RELATED TO THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION RELIES ON WASHINGTON AND JANE HOME A RELATED TAX-EXEMPT ORGANIZATION TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS. THE COMPENSATION COMMITTEE OF WASHINGTON AND JANE SMITH HOME EVALUATES AND ESTABLISHES COMPENSATION AND REVIEWS PROTOCOL FOR THE ORGANIZATION'S CEO AND CFO. ANNUAL COMPENSATION COMPARISONS TO INDUSTRY PROFESSIONALS ARE GATHERED AND REVIEWED ON AN ANNUAL BASIS. DECISIONS ARE DOCUMENTED IN THE COMPENSATION COMMITTEE MEETING MINUTES. THE LAST COMPENSATION REVIEW WAS COMPLETED IN OCTOBER 2021. THE CEO OF WASHINGTON AND JANE SMITH HOME DETERMINES THE ANNUAL COMPENSATION OF ALL OTHER OFFICERS, WITH THE EXCEPTION OF THE CFO, BY COMPARING THE COMPENSATION OF EACH OFFICER AND KEY EMPLOYEES TO PROFESSIONALS PERFORMING SIMILAR SERVICES IN SIMILAR INDUSTRIES ON AN ANNUAL BASIS. THE LAST COMPENSATION REVIEW WAS COMPLETED IN JULY 2021.
FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104, AND ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PART IX, LINE 11G NURSING MANAGEMENT, PHARMACY, OTHER CONSULTING: PROGRAM SERVICE EXPENSES 1,473,123. MANAGEMENT AND GENERAL EXPENSES 14,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,487,406. DINING SERVICES: PROGRAM SERVICE EXPENSES 2,178,313. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,178,313. REHABILITATION SERVICES: PROGRAM SERVICE EXPENSES 1,764,436. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,764,436. MARKETING SERVICES: PROGRAM SERVICE EXPENSES 84,285. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,285. NURSE AGENCY: PROGRAM SERVICE EXPENSES 1,406,290. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,406,290.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2022


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