Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 20,419 | 1,145,148 | 8,683,454 | 441,504 | 473,877 | 10,764,402 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 26,489,206 | 22,892,220 | 23,267,144 | 26,470,154 | 30,023,174 | 129,141,898 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 26,509,625 | 24,037,368 | 31,950,598 | 26,911,658 | 30,497,051 | 139,906,300 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 139,906,300 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 26,509,625 | 24,037,368 | 31,950,598 | 26,911,658 | 30,497,051 | 139,906,300 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 56,085 | 15,912 | 12,141 | 341,854 | 357,715 | 783,707 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 56,085 | 15,912 | 12,141 | 341,854 | 357,715 | 783,707 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 812,478 | 224,946 | 522,432 | 91,244 | 65,545 | 1,716,645 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 27,378,188 | 24,278,226 | 32,485,171 | 27,344,756 | 30,920,311 | 142,406,652 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THROUGHOUT THE YEAR, KARI RENNIE, MENTIONED IN PART VII, WAS EMPLOYED BY LIFE CARE SERVICES, LLC AND CONTRACTED TO BURCHAM HILLS TO SERVE AS THE EXECUTIVE DIRECTOR, PROVIDING MANAGEMENT SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BY-LAWS OF BURCHAM HILLS RETIREMENT CENTER II SPECIFY THAT THE NOMINATION OF MEMBERS TO THE BOARD OF TRUSTEES IS MANAGED BY A NOMINATING COMMITTEE APPOINTED BY THE PRESIDENT. THIS COMMITTEE PRESENTS A LIST OF QUALIFIED NOMINEES TO THE BOARD OF TRUSTEES, WHO THEN ELECT NEW TRUSTEES AT THE ANNUAL MEETING. THE CORPORATION DOES NOT HAVE MEMBERS OR STOCKHOLDERS, AND ALL GOVERNANCE DECISIONS ARE MADE BY THE BOARD OF TRUSTEES, WITH CERTAIN COMMITTEES DESIGNATED TO ASSIST IN MANAGEMENT BUT LIMITED IN THEIR AUTHORITY TO MAKE MAJOR DECISIONS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF TRUSTEES MAY DESIGNATE SUCH COMMITTEES AS IT DEEMS APPROPRIATE FOR THE CONDUCT OF THE ACTIVITIES OF THE CORPORATION. EACH SUCH COMMITTEE SHALL HAVE AND MAY EXERCISE ALL POWERS AND AUTHORITY OF THE BOARD OF TRUSTEES IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION, AS AUTHORIZED AND DIRECTED BY THE BOARD OF TRUSTEES, EXCEPT THAT NO COMMITTEE SHALL HAVE THE POWER OR AUTHORITY TO (A) AMEND THE ARTICLES OF INCORPORATION, (B) ADOPT A PLAN OF MERGER OF CONSOLIDATION, ( C) APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY AND ASSETS OF THE CORPORATION, ( D) APPROVE A VOLUNTARY DISSOLUTION OF THE CORPORATION OR A REVOCATION THEREOF, OR (E) AMEND THE BY-LAWS OF THE CORPORATION. THE DESIGNATION OF ANY SUCH COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF TRUSTEES, OR ANY MEMBER THEREOF, OF ANY RESPONSIBILITY IMPOSED BY LAW. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING THE FORM 990, A THOROUGH REVIEW PROCESS IS CONDUCTED TO ENSURE ACCURACY AND COMPLIANCE. THE TREASURER IS RESPONSIBLE FOR CONDUCTING THE INITIAL REVIEW, WHILE AN ELECTRONIC COPY OF THE RETURN IS SENT TO THE BOARD FOR THEIR REVIEW. ADDITIONALLY, THE DIRECTOR OF FINANCIAL SERVICES AND EXECUTIVE DIRECTOR ALSO CONDUCT A COMPREHENSIVE REVIEW OF THE RETURN BEFORE IT IS FILED. THIS MULTI-LEVEL REVIEW PROCESS ENSURES THAT THE RETURN IS ACCURATE AND COMPLIANT WITH ALL REGULATIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | UPON HIRE, AND THEN ANNUALLY THEREAFTER EACH BOARD OF TRUSTEE MEMBER, EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER, CERTAIN OTHER "ADMINISTRATIVE" STAFF AS DESIGNATED BY THE EXECUTIVE DIRECTOR OR PRESIDENT, AND CERTAIN VOLUNTEERS OF BURCHAM HILLS RETIREMENT CENTER II SHALL COMPLETE THE DESIGNATED DISCLOSURE STATEMENT. THEY SHALL FULLY AND COMPLETELY DISCLOSE THE MATERIAL FACTS ABOUT ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. AN ADDITIONAL DISCLOSURE STATEMENT SHALL BE FILED AT SUCH TIME AS AN ACTUAL OR POTENTIAL CONFLICT ARISES. |
| FORM 990, PART VI, SECTION B, LINE 15 | IN PREPARING THE BUDGET, THE EXECUTIVE DIRECTOR AND FINANCE DIRECTOR DETERMINE WHAT PERCENTAGE TO INCREASE EMPLOYEE COMPENSATION. AS PART OF THIS PROCESS, THEY ALSO RECOMMEND PERCENTAGE INCREASES FOR THE DIRECTORS' COMPENSATION. THE BUDGET IS REVIEWED BY LIFECARE SERVICES AND APPROVED BY THE BOARD. LIFECARE SERVICES CONDUCTS PERFORMANCE REVIEWS OF THE EXECUTIVE DIRECTOR, AND THE EXECUTIVE DIRECTOR REVIEWS THE FINANCE DIRECTOR'S PERFORMANCE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION WILL CONSIDER REQUESTS TO REVIEW INFORMATION THAT IS NOT REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VI, SECTION A, LINE 3 | DURING THE YEAR, THE FOLLOWING INDIVIDUAL LISTED ON PART VII, WAS AN EMPLOYEE OF LIFECARE SERVICES CONTRACTED TO BURCHAM HILLS TO PROVIDE MANAGEMENT SERVICES AS AN EXECUTIVE DIRECTOR. KARI RENNIE: BASE COMPENSATION: $162,555 BONUS: $22,617 DEFERRED COMPENSATION: $11,273 OTHER NON-TAXABLE BENEFITS: $21,972 |
| FORM 990, PART IX, LINE 11G | SPEECH THERAPY: PROGRAM SERVICE EXPENSES 157,477. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 157,477. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 627,455. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 627,455. RESPIRATORY THERAPY: PROGRAM SERVICE EXPENSES 58,728. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,728. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 517,929. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 517,929. CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 1,788,395. MANAGEMENT AND GENERAL EXPENSES 388,611. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,177,006. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 40,845. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,845. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 21,782. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,782. CONSULTING FEES: PROGRAM SERVICE EXPENSES 169,526. MANAGEMENT AND GENERAL EXPENSES 16,446. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 185,972. OUTSOURCED BILLING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 19,684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,684. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATION -26,386. |
| Software ID: | |
| Software Version: |