2019-05-29T17:56:59-05:00 2018-12-31 910189318 MOSS ADAMS LLP PO BOX 22650 YAKIMA WA 989072650 990 2018-01-01 910679851 WEST VALLEY NURSING HOMES INC WEST 5099655245 3801 SUMMITVIEW AVENUE YAKIMA WA 989022794 SUE UHLMAN CHAIR 5099655245 2019-05-21 1 EMINA O CRESSWELL CPA P01217304 5092487750 2019-05-13 12.129.7.100 2019-05-21 19:01:11 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 C96F15E91551BFB057D7740D910768FE520FD508 2018 2019-02-21 02:37:17Z LIVING CARE RETIREMENT COMMUNITY CALVIN GROENENBERG 3801 SUMMITVIEW AVENUE YAKIMA WA 989022794 12714410 0 X WWW.LIVINGCARECOMMUNITY.COM X 1958 WA A NOT-FOR-PROFIT, CHRISTIAN BASED, NON-DENOMINATIONAL RETIREMENT COMMUNITY THAT PROVIDES A VARIETY OF QUALITY HOUSING AND CARE SERVICES FOR SENIORS. 9 9 285 125 0 0 34990 89863 12141366 12357488 162505 212959 -9930 -34679 12328931 12625631 3000 3500 0 0 6834752 7116401 0 0 16244 4494820 4718669 11332572 11838570 996359 787061 29170183 29608583 10601542 10542947 18568641 19065636 LIVING CARE RETIREMENT COMMUNITY IS A CHARITABLE NOT-FOR-PROFIT FELLOWSHIP OF EVANGELICAL CHRISTIANS THAT EXISTS TO MEET THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF SENIORS BY PROVIDING MINISTRY, HOUSING AND AGING SERVICES. 0 0 5586125 3500 5811074 SKILLED NURSING SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 22,059 DAYS OF 24-HOUR NURSING CARE TO RESIDENTS IN SUMMITVIEW HEALTHCARE CENTER, OUR SKILLED NURSING FACILITY RESIDENTS RECEIVED ASSISTANCE WITH ACTIVITIES OF DAILY LIVING INCLUDING BATHING, DRESSING AND EATING. LICENSED NURSES MONITORED EACH RESIDENT'S HEALTH CONDITION, WROTE INDIVIDUALIZED CARE PLANS AND PROVIDED SKILLED SERVICES INCLUDING MEDICATIONS, TREATMENTS AND ASSESSMENTS. LICENSED THERAPIST PROVIDED SERVICES SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. RESIDENTS PARTICIPATED IN A WIDE VARIETY OF ACTIVITIES AND WERE PROVIDED SOCIAL SERVICE ASSISTANCE AND CHAPLAINCY SERVICES. HOUSEKEEPING, MAINTENANCE AND LAUNDRY SERVICES WERE PROVIDED. 1982066 2052340 ASSISTED LIVING SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 15,119 DAYS OF ASSISTED LIVING SERVICES TO OUR RESIDENTS IN HILLCREST AT SUMMITVIEW AN ASSISTED LIVING FACILITY. SERVICES INCLUDED THREE MEALS DAILY, 24-HOUR HEALTH AND MEDICATION MONITORING, ASSISTANCE WITH BATHING, DRESSING, HOUSEKEEPING AND LAUNDRY. RESIDENTS PARTICIPATED IN A WIDE VARIETY OF ACTIVITIES AND WERE PROVIDED SOCIAL SERVICE ASSISTANCE AND CHAPLAINCY SERVICES. 3564096 4494074 RETIREMENT APARTMENT SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 69,505 DAYS OF SERVICES TO RESIDENTS IN OUR RETIREMENT APARTMENTS. SERVICES INCLUDED THE DAILY EVENING MEAL, WEEKLY HOUSEKEEPING, MAINTENANCE AND EMERGENCY ASSISTANCE. RESIDENTS PARTICIPATED IN A WIDE VARIETY OF ACTIVITIES AND WERE PROVIDED CHAPLAINCY SERVICES. 11132287 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 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 0 0 0 0 1 34 0 1 285 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DENNIS MALGESINI 5099655245 3801 SUMMITVIEW AVENUE YAKIMA WA 989022794 JEFF JOHNSON DIRECTOR 3.00 X 0 0 0 ROD KNIPPER DIRECTOR 3.00 X 0 0 0 JOE PARK DIRECTOR 3.00 X 0 0 0 DAVE CONNELL DIRECTOR 3.00 X 0 0 0 JAY SENTZ DIRECTOR 3.00 X 0 0 0 MARK BALDWIN VICE CHAIR 3.00 X X 0 0 0 SUE UHLMAN CHAIR 4.00 X X 0 0 0 WES SCHUT TREASURER 3.00 X X 0 0 0 DICK MYERS SECRETARY 3.00 X X 0 0 0 CALVIN GROENENBERG EXECUTIVE DIRECTOR 46.40 X 162050 0 12584 DENNIS MALGESINI ADMINISTRATOR 42.50 X 124728 0 10004 286778 0 22588 2 0 1 0 VK POWELL CONSTRUCTION LLC PO BOX 10295 YAKIMA WA 98909 CONSTRUCTION SERVICES 627347 INFINITY REHAB 25117 SW PARKWAY SUITE D WILSONVILLE OR 97070 THERAPY SERVICES 403133 SODEXO INC & AFFILIATES PO BOX 43283 LOS ANGELES CA 900883283 DIETARY DEPT MANAGEMENT SERVICE 288651 KDA ARCHITECTURE INC 1310 NORTH 16TH AVE YAKIMA WA 989021354 ARCHITECTURAL SERVICES 258963 4 89863 89863 ROOM REVENUE 623000 6320749 6320749 FEE AND CONTRACTS 623000 4219189 4219189 PATIENT REVENUE 623000 1564382 1564382 SERVICE REVENUE 623000 253168 253168 12357488 212624 212624 54100 88779 -34679 -34679 -34679 335 0 335 335 335 12625631 12357488 0 178280 3500 3500 174634 87317 87317 5542526 5264863 277663 99794 99794 830200 830200 469247 433476 35771 312355 312355 11854 11854 42776 42776 50614 50614 710755 635714 73631 1410 94196 58539 21869 13788 657145 630174 25925 1046 71341 45706 25635 849805 849805 21769 14345 7424 18567 17147 1420 895472 895472 69516 69516 FOOD 689659 688204 1455 PRESCRIPTION MEDICATION 109765 109765 DUES AND SUBSCRIPTIONS 66285 39600 26685 BAD DEBT 46795 46795 11838570 11132287 690039 16244 1800 2087 7325670 7514799 597338 487606 490337 473545 42023 48513 96053 110235 35035202 17660718 16723049 17374484 3715952 3418335 177961 178979 29170183 29608583 875284 1323473 53100 69700 9575000 9055000 5932 6898 92226 87876 10601542 10542947 X 18265019 18729027 303622 336609 18568641 19065636 29170183 29608583 787061 -290065 0 X 0 1 X 1 0 X 66733 52300 65613 34990 89863 309499 11347212 11565975 11775950 12141367 12357487 59187991 11413945 11618275 11841563 12176357 12447350 59497490 13406 14038 3305 3373 16000 50122 0 13406 14038 3305 3373 16000 50122 59447368 118836 162170 175420 232383 266724 955533 118836 162170 175420 232383 266724 955533 11532781 11780445 12016983 12408740 12714074 60453023 0.98340 0.98710 0.01580 0.01230 X 0 1 X 1495527 1901743 3397270 389098 20568107 12186100 8771105 15160 6865681 4369294 2511547 3799886 1105324 2694562 17374484 DAMAGE DEPOSITS 70950 ACCRUED INSURANCE BENEFIT PAYABLE 16926 87876 X 12373731 -290065 88779 -201286 12575017 50614 50614 12625631 11876735 88779 88779 11787956 50614 50614 11838570 PART IV, LINE 2B: THE ORGANIZATION IS REQUIRED TO MAKE AVAILABLE TO ALL RESIDENTS OF THE STATE LICENSED NURSING HOME AND THE STATE LICENSED ASSISTED LIVING THE OPTION OF KEEPING MONEY ON THEIR BEHALF FOR INCIDENTAL PURCHASES. ANY AMOUNT OVER $50 IS KEPT IN AN INTEREST BEARING ACCOUNT, ANY BANK CHARGES FOR THE ACCOUNT CANNOT BE CHARGED TO THE RESIDENTS AND MUST BE PAID BY THE ORGANIZATION. THE ORGANIZATION KEEPS ALL THE MONEY IN AN INTEREST BEARING CHECKING ACCOUNT AND ALL FEES ARE CHARGED TO THE COMPANY'S BANK ACCOUNT. THEREFORE, THE ORGANIZATION IS ONLY HOLDING THE MONEY IN "TRUST AND RECORDS THE ASSET AND OFF-SETTING LIABILITY ON THE BOOKS. PART X, LINE 2: THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES (AMUSEMENT GAMES AND CONCESSION SALES). MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NOT REPORTED ON PART IX 88,779. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NOT REPORTED ON PART IX 88,779. X X X X 0 0 0 0 0 0 0 1 0 CALVIN GROENENBERG EXECUTIVE DIRECTOR 156050 0 6000 0 0 0 4431 0 8153 0 174634 0 0 0 PART I, LINE 7 BONUSES ARE AVAILABLE TO OFFICERS AND HIGHLY COMPENSATED EMPLOYEES. THE DISCRETIONARY AMOUNTS ARE BASED ON A POSITIVE PERFORMANCE EVALUATION. A WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 939783NXO 2004-06-01 14510000 CONSTRUCTION OF ASSISTED LIVING FACILITY 0 0 0 A 86667 14510000 14510000 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE COMPLETED BY ITS STAFF AND PUBLIC ACCOUNTANT, AND COPIES WILL BE DISTRIBUTED ANNUALLY TO EACH BOARD MEMBER. THE BOARD WILL REVIEW, DISCUSS, AND APPROVE THE 990 FORM PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE REQUIREMENTS - A) AT THE ANNUAL MEETING OF THE CORPORATION OF LIVING CARE AT WHICH DIRECTORS ARE ELECTED, MEMBERS OF THE BOARD OF DIRECTORS SHALL COMPLETE AND SUBMIT A QUESTIONNAIRE PRESCRIBED BY THE BOARD OF DIRECTORS WHEREIN ANY POTENTIAL CONFLICT OF INTEREST SHALL BE DISCLOSED. B) IN THE EVENT THAT ANY PERSON NOMINATED TO BE OR IS ELECTED TO THE BOARD OF DIRECTORS, UPON SUCH NOMINATION, ELECTION, SUCH PERSON SHALL BE SUPPLIED WITH THE QUESTIONNAIRE PRESCRIBED BY THE BOARD OF DIRECTORS TO COMPLETE AND SUBMIT TO THE BOARD. C) IN ADDITION TO THE ANNUAL WRITTEN DISCLOSURE DESCRIBED ABOVE, AT ANY TIME THAT THE BOARD OF DIRECTORS IS CONSIDERING A MATTER IN WHICH A MEMBER OF THE BOARD HAS AN INTEREST, SUCH PERSON SHALL AGAIN MAKE DISCLOSURE OF SUCH CONFLICT OF INTEREST, AND SUCH DISCLOSURES SHALL BE NOTED IN THE MINUTES OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD CONDUCTS AN ANNUAL, FORMAL REVIEW OF THE EXECUTIVE DIRECTOR'S PERFORMANCE. THEY MEET IN EXECUTIVE SESSION TO REVIEW IT TOGETHER AND THEN THE BOARD CHAIR PRESENTS THE RESULTS TO THE EXECUTIVE DIRECTOR. THE BOARD REVIEWS A LIST SHOWING THE COMPENSATION OF OTHER EXECUTIVE DIRECTORS OF NON-PROFIT RETIREMENT COMMUNITIES IN WASHINGTON STATE. THE EXECUTIVE DIRECTOR PROPOSES THE COMPENSATION FOR THE NURSING HOME ADMINISTRATOR BASED ON DATA REVIEWED FROM THE ANNUAL WAGE & COMPENSATION SURVEY CONDUCTED BY THE STATE ASSOCIATION AGING SERVICES OF WASHINGTON AND THE SAME LIST OF EARNINGS OF OTHER RETIREMENT COMMUNITY EXECUTIVES IN THE STATE. THIS SURVEY IS ALSO UTILIZED FOR OTHER EMPLOYEES OF THE ORGANIZATION. THE PERFORMANCE EVALUATION INSTRUMENT WAS SENT TO BOARD MEMBERS IN DECEMBER 2018. RESULTS WERE COLLATED AND REVIEWED BY THE FINANCE COMMITTEE IN JANUARY 2019. THE FINANCE COMMITTEE REVIEWED THE EVALUATION WITH THE FULL BOARD IN FEBRUARY 2019 AND MADE A RECOMMENDATION TO THE FULL BOARD REGARDING THE EXECUTIVE DIRECTOR'S SALARY ADJUSTMENT. THE BOARD ACCEPTED THE FINANCE COMMITTEE'S RECOMMENDATION AT THIS SAME MEETING AND FOLLOWING THE MEETING SHARED THIS INFORMATION WITH THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (BYLAWS AND ARTICLES OF INCORPORATION), CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.