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WILLAMETTE VIEW MANOR INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
WILLAMETTE VIEW MANOR INC (EIN 93-0463816)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201813199349319061
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-15T18:16:49-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1805 SW BROADWAY STE 1200AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930463816EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLAMETTE VIEW INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWILLBusinessNameControlTxt
Phone5036546581PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113021 SE RIVER ROAD 1000AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97222ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN THOMPSONPersonNm
Person TitleCFOPersonTitleTxt
Phone5036546581PhoneNum
Signature2018-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY CAMPOSPreparerPersonNm
PTINP00448102PTIN
Phone5032421447PhoneNum
Preparation2018-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.129.7.100IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-15IPDt
IP Tm10:57:13IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdD054F4EF093A01A5BE70ECC55B3094991D2B5D96AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCRAIG VAN VALKENBURGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line113021 SE RIVER ROAD 1000AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97222ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,286,206GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWILLAMETTEVIEW.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1955FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionPROVIDES RESIDENTIAL AND NURSING CARE, WELLNESS AND THERAPY SERVICES THROUGH THE OPERATION OF CONTINUING CARE RETIREMENT COMMUNITY; AND PROVIDES IN-HOME CARE SERVICES TO RESIDENTS AND INDIVIDUALS IN THE GREATER COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee426TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$494,229PYContributionsGrantsAmt
CY Contributions Grants$1,930,027CYContributionsGrantsAmt
PY Program Service Revenue$25,095,058PYProgramServiceRevenueAmt
CY Program Service Revenue$26,625,444CYProgramServiceRevenueAmt
PY Investment Income$93,161PYInvestmentIncomeAmt
CY Investment Income$360,122CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue-$364,740CYOtherRevenueAmt
PY Total Revenue$25,682,448PYTotalRevenueAmt
CY Total Revenue$28,550,853CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,444,504PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,631,961CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$84,484CYTotalFundraisingExpenseAmt
PY Other Expenses$12,541,255PYOtherExpensesAmt
CY Other Expenses$13,379,761CYOtherExpensesAmt
PY Total Expenses$24,985,759PYTotalExpensesAmt
CY Total Expenses$26,011,722CYTotalExpensesAmt
PY Revenues Less Expenses$696,689PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,539,131CYRevenuesLessExpensesAmt
Total Assets BOY$75,558,048TotalAssetsBOYAmt
Total Assets EOY$146,029,760TotalAssetsEOYAmt
Total Liabilities BOY$70,234,356TotalLiabilitiesBOYAmt
Total Liabilities EOY$137,591,940TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,323,692NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,437,820NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDES RESIDENTIAL AND NURSING CARE, WELLNESS AND THERAPY SERVICES THROUGH THE OPERATION OF CONTINUING CARE RETIREMENT COMMUNITY; AND PROVIDES IN-HOME CARE SERVICES TO RESIDENTS AND INDIVIDUALS IN THE GREATER COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,179,391ExpenseAmt
Revenue$17,487,590RevenueAmt
DescWILLAMETTE VIEW, OPENED IN 1955, IS AN ENTRY FEE-BASED ACCREDITED NOT-FOR-PROFIT CCRC, CONTINUING CARE RETIREMENT COMMUNITY, OFFERING CAMPUS-STYLE LIVING TO 500 SENIORS, AGE 55 AND OLDER. WILLAMETTE VIEW IS NATIONALLY ACCREDITED BY CARF-CCAC, AND IS SITUATED ON 27 PARK-LIKE ACRES OVERLOOKING THE WILLAMETTE RIVER, JUST 8 MILES SOUTH OF DOWNTOWN PORTLAND, OREGON.WILLAMETTE VIEW IS CONSIDERED AN OPEN CAMPUS CCRC. AFTER APPROVAL OF A CONFIDENTIAL RESIDENCY APPLICATION, "APPROVED APPLICANTS" CAN ENTER ANY SERVICE OR CARE LEVEL DIRECTLY (INDEPENDENT, RCF, ALF, OR MEMORY CARE), WHEN AND IF THERE IS AN AVAILABILITY. AN ENTRY FEE IS APPLIED WHEN MOVING INTO "INDEPENDENT" LIVING.WILLAMETTE VIEW OFFERS:* FOUR TYPES OF RESIDENTIAL SERVICE LEVELS - 1) INDEPENDENT LIVING, 2) SUPPORTIVE LIVING IN THE RCF (RESIDENTIAL CARE FACILITY) SETTING, 3) LONG TERM NURSING CARE IN A LICENSED ALF (ASSISTED LIVING FACILITY) SETTING, AND 4) MEMORY CARE LICENSED AS RCF SETTING.* IN-HOME SERVICES, HEALTH AND PROFESSIONAL CARE TO RESIDENTS - MEDICAL AND NON-MEDICAL* WELLNESS, HOSPITALITY & PERSONAL SERVICES* CLINIC SERVICES, THERAPY SERVICES, SOCIAL WORKER AND COUNSELOR SERVICES* SHORT STAY "INFIRMARY" SERVICES AND MEDICARE CERTIFIED BEDS IN A LICENSED SKILLED NURSING FACILITY (SNF)IN ADDITION, THROUGH 'WILLAMETTE VIEW HOME CARE', IN-HOME PRIVATE DUTY HEALTH CARE SERVICES ARE OFFERED TO INDIVIDUALS NOT LIVING ON WILLAMETTE VIEW'S CAMPUS BUT IN THEIR OWN HOMES WITHIN THE PORTLAND METROPOLITAN AREA.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,755,666ExpenseAmt
Revenue$9,137,854RevenueAmt
DescTHE TERRACE AT WILLAMETTE VIEW OFFERS A SUPPORTIVE ENVIRONMENT AS A STATE-LICENSED RESIDENTIAL CARE FACILITY (RF). THE TERRACE PLAYS A VITAL ROLE IN THE CONTINUING CARE CONCEPT BY PROVIDING THE FIRST LEVELS OF SUPPORT TO RESIDENTS WHO FIND THEY NEED HELP WITH SOME OF THE ACTIVITIES OF DAILY LIVING (BATHING, DRESSING, GROOMING, ETC.). STAFF IS AVAILABLE TO ASSIST WITH MEDICATION MANAGEMENT, HOUSEKEEPING, PERSONAL LAUNDRY, SCHEDULED TRANSPORTATION, AND PERSONAL CARE SERVICES.THE HEALTH CENTER IS FOR RESIDENTS NEEDING THE HIGHEST LEVEL OF SERVICES. IT IS BASED ON A 'SOCIAL MODEL AND PERSON-CENTERED CARE APPROACH, WHICH ALLOWS RN-SUPERVISED STAFF TO CARE FOR RESIDENTS IN SMALL "NEIGHBORHOODS" - STUDIO APARTMENTS SURROUND A HOME-LIKE LIVING SPACE IN EACH NEIGHBORHOOD. THERE ARE FOUR NEIGHBORHOODS: THREE ARE LICENSED ALF CARE FOR RESIDENTS NEEDING LONG-TERM ASSISTANCE AND DEPENDENT NURSING CARE, AND ONE LICENSED RCF FOR MEMORY OR ALZHEIMER'S CARE. THERE IS A SEPARATE WING FOR SHORT STAY "INFIRMARY" ADMISSIONS AND MEDICARE CERTIFIED SKILLED CARE NURSING FOR POST-HOSPITALIZATION ADMISSIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$16,935,057TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document62IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee426EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KEITH BODNARBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5036546581PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113021 SE RIVER ROADAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97222ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
GREG FITZGERALD
BOARD CHAIR2.000.20Yes (X)Yes (X)$0$0$0
CRAIG IVERSON
BOARD VICE CHAIR2.000.20Yes (X)Yes (X)$0$0$0
MICHAEL FRASER
PAST CHAIR2.000.20Yes (X)Yes (X)$0$0$0
MIKE MIDDAL
SECRETARY/TREASURER2.000.20Yes (X)Yes (X)$0$0$0
JOHN HARTSOCK
DIRECTOR2.000.20Yes (X)$0$0$0
SONJA CONNOR
DIRECTOR2.000.20Yes (X)$0$0$0
PAUL BARBER
DIRECTOR2.000.20Yes (X)$0$0$0
PHIL MIRKES
DIRECTOR2.000.20Yes (X)$0$0$0
KATHLEEN HODAI
DIRECTOR2.000.20Yes (X)$0$0$0
LYNDA WARREN
DIRECTOR2.000.20Yes (X)$0$0$0
CRAIG VAN VALKENBURG
PRESIDENT & CEO45.000.20Yes (X)$234,231$0$15,893
BRIAN THOMPSON
CFO45.000.20Yes (X)$188,200$0$16,434
MARK HOLLIS
DIRECTOR OF SALES45.00$124,614$0$12,283Yes (X)
KIM BUCHHOLZ
ADMINISTRATOR45.00$138,605$0$5,669Yes (X)
JULIE DIMICK
PROPERTY DEVELOPMENT45.00$109,312$0$5,396Yes (X)
DAVID KOHNSTAMM
WELLNESS45.00$114,769$0$14,381Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$909,731TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$70,056TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OPSIS ARCHITECTURE LLP
920 NW 17TH AVEPORTLANDOR97209BUILDING DESIGN$993,688
INFINITY REHAB
25117 SW PARKWAYWILSONVILLEOR97070THERAPY$427,911
OMNICARE INC
PO BOX 78000DETROITMI48278PHARMACY$162,111
STAFFING PARTNERS
2888 CRESCENT AVEEUGENEOR97408TEMP LABOR$142,139
VISTA INTERIORS LLC
14865 SW 74TH AVETIGARDOR97224DRYWALL CONTRACTOR$107,987
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,930,027AllOtherContributionsAmt
Noncash Contributions$6,400NoncashContributionsAmt
Total Contributions$1,930,027TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT FEES623990$13,864,734$13,864,734
PATIENTS AND INFIRMARY623990$6,767,595$6,767,595
ENTRANCE FEES623990$4,412,225$4,412,225
DEPARTMENTAL623990$891,098$891,098
OTHER RESIDENT INCOME623990$689,792$689,792
FieldValueIRS element (for citing)
Total Program Service Revenue$26,625,444TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$220,071TotalRevenueColumnAmt
Exclusion$220,071ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,856,681SecuritiesAmt
Other$18,723OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,201,396SecuritiesAmt
Other$533,957OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$655,285SecuritiesAmt
Other-$515,234OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$140,051TotalRevenueColumnAmt
Exclusion$140,051ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLOSS ON BOND RETIREMENTDesc
Business623000BusinessCd
Total Revenue Column-$364,740TotalRevenueColumnAmt
Exclusion-$364,740ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$364,740OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,550,853TotalRevenueColumnAmt
Related Or Exempt Func Income$26,625,444RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$4,618ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$454,758TotalAmt
Program Services$276,892ProgramServicesAmt
Management And General$177,866ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,506,681TotalAmt
Program Services$7,647,026ProgramServicesAmt
Management And General$1,775,171ManagementAndGeneralAmt
Fundraising$84,484FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$258,782TotalAmt
Program Services$206,695ProgramServicesAmt
Management And General$52,087ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,451,977TotalAmt
Program Services$1,175,890ProgramServicesAmt
Management And General$276,087ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$959,763TotalAmt
Program Services$777,277ProgramServicesAmt
Management And General$182,486ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$30,846TotalAmt
Program Services$1,542ProgramServicesAmt
Management And General$29,304ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$71,080TotalAmt
Program Services$3,554ProgramServicesAmt
Management And General$67,526ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$154,647TotalAmt
Program Services$115,985ProgramServicesAmt
Management And General$38,662ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,896,014TotalAmt
Program Services$776,018ProgramServicesAmt
Management And General$1,119,996ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,922,971TotalAmt
Program Services$1,922,971ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$895,710TotalAmt
Management And General$895,710ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,349,138TotalAmt
Management And General$4,349,138ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$372,429TotalAmt
Program Services$372,429ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD COSTS$1,686,601$1,686,601
RESIDENT CARE$1,279,746$1,256,218$23,528
SUPPLIES$478,176$473,556$4,620
MAINTENANCE & REPAIR$242,403$242,403

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,011,722TotalAmt
Program Services$16,935,057ProgramServicesAmt
Management And General$8,992,181ManagementAndGeneralAmt
Fundraising$84,484FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,550BOYAmt
EOY$697,710EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,223,973BOYAmt
EOY$12,415,274EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,139,697BOYAmt
EOY$2,185,387EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$101,630BOYAmt
EOY$126,137EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$205,964BOYAmt
EOY$183,613EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$117,605,906LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$57,026,536LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$58,817,176BOYAmt
EOY$60,579,370EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$11,066,058BOYAmt
EOY$8,660,139EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$61,182,130EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$75,558,048BOYAmt
EOY$146,029,760EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,639,576BOYAmt
EOY$3,158,905EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$28,107,763BOYAmt
EOY$31,783,266EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,722,341BOYAmt
EOY$91,874,280EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,500,000BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,264,676BOYAmt
EOY$10,775,489EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$70,234,356BOYAmt
EOY$137,591,940EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,323,692BOYAmt
EOY$8,437,820EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,323,692BOYAmt
EOY$8,437,820EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$75,558,048BOYAmt
EOY$146,029,760EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,539,131ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$574,997NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$563,028CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$76,330CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$264,128CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$494,229CurrentTaxYearMinus1YearAmt
Current Tax Year$1,930,027CurrentTaxYearAmt
Total$3,327,742TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,214,625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,598,643CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,374,666CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,095,058CurrentTaxYearMinus1YearAmt
Current Tax Year$26,625,444CurrentTaxYearAmt
Total$124,908,436TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,777,653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,674,973CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,638,794CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,589,287CurrentTaxYearMinus1YearAmt
Current Tax Year$28,555,471CurrentTaxYearAmt
Total$128,236,178TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$445,688CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,083,698CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$852,330CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$683,275CurrentTaxYearMinus1YearAmt
Current Tax Year$986,365CurrentTaxYearAmt
Total$4,051,356TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$445,688CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,083,698CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$852,330CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$683,275CurrentTaxYearMinus1YearAmt
Current Tax Year$986,365CurrentTaxYearAmt
Total$4,051,356TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$124,184,822PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$607,775CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$176,334CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$205,162CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$228,951CurrentTaxYearMinus1YearAmt
Current Tax Year$220,071CurrentTaxYearAmt
Total$1,438,293TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$607,775CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$176,334CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$205,162CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$228,951CurrentTaxYearMinus1YearAmt
Current Tax Year$220,071CurrentTaxYearAmt
Total$1,438,293TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,385,428CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,851,307CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,843,956CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,818,238CurrentTaxYearMinus1YearAmt
Current Tax Year$28,775,542CurrentTaxYearAmt
Total$129,674,471TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95770PublicSupportCY509Pct
Public Support PY5090.96030PublicSupportPY509Pct
Investment Income CY0.01110InvestmentIncomeCYPct
Investment Income PY0.01260InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$669,936OtherCostOrOtherBasisAmt
Book Value$669,936BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,620,793OtherCostOrOtherBasisAmt
Depreciation$49,777,665DepreciationAmt
Book Value$49,843,128BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,526,973OtherCostOrOtherBasisAmt
Depreciation$3,492,897DepreciationAmt
Book Value$5,034,076BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,788,204OtherCostOrOtherBasisAmt
Depreciation$3,755,974DepreciationAmt
Book Value$5,032,230BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$60,579,370TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ASSETS WHOSE USE IS LIMITED$56,765,342
PROPERTY HELD FOR DEVELOPMENT$4,416,788
FieldValueIRS element (for citing)
Total Book Value Other Assets$61,182,130TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
APARTMENT DEPOSITS$509,934
REFUNDABLE ENTRANCE FEES$10,265,555
FieldValueIRS element (for citing)
Total Liability$10,775,489TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. NO PROVISION FOR INCOME TAXES IS MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS, AS THE ORGANIZATION HAS NO ACTIVITIES SUBJECT TO UNRELATED BUSINESS INCOME TAX. THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS, IF ANY, IN OTHER EXPENSE. THE ORGANIZATION HAD NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2017 OR 2016. NO INTEREST OR PENALTIES WERE ACCRUED FOR THE YEARS ENDED DECEMBER 31, 2017 OR 2016. THE ORGANIZATION FILES AN EXEMPT ORGANIZATION RETURN IN THE U.S. FEDERAL JURISDICTION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CRAIG VAN VALKENBURG
PRESIDENT & CEO$234,231$0$0$0$0$0$7,038$0$8,855$0$250,124$0$0$0
BRIAN THOMPSON
CFO$163,200$0$25,000$0$0$0$5,646$0$10,788$0$204,634$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationEXECUTIVE COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS AND DOCUMENTED IN THE EMPLOYMENT CONTRACT.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL FACILITY AUTHORITY OF CLACKAMAS COUNTY OREGONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN930847114BondIssuerEIN
CUSIP179027WR4CUSIPNum
Bond Issued2017-12-28BondIssuedDt
Issue Price$94,015,514IssuePriceAmt
PurposeFINANCE AND REIMBURSE PROJECT COSTS; REFUND 2010 SERIES A AND B BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$24,586,337RetiredAmt
Total Proceeds$69,429,177TotalProceedsAmt
In Reserve Fund$4,495,000InReserveFundAmt
Issuance Costs From Proceeds$1,880,310IssuanceCostsFromProceedsAmt
Capital Expenditures$63,053,867CapitalExpendituresAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE COMMITTEE, CFO AND PRESIDENT REVIEW FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS AND ALL EMPLOYEES SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY AND WHEN SERVICE FIRST BEGINS.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMPENSATION FOR THE CEO AND OTHER OFFICERS IS DETERMINED ANNUALLY BASED ON REVIEW AND APPROVAL BY INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS AND BASED ON A MARKET COMPENSATION STUDY. THE APPROVAL IS DOCUMENTED IN THE MINUTES AND THE AMOUNT OF COMPENSATION IS DOCUMENTED IN THE EMPLOYMENT CONTRACT. THIS PROCESS WAS LAST COMPLETED IN 2017.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990. PART XII, LINE 2CTHE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HILLSIDE SENIOR SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line113021 SE RIVER ROAD SUITE 1000AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97222ZIPCd
FieldValueIRS element (for citing)
EIN200176561EIN
Primary ActivitiesOPERATION OF ELDER CARE FACILITYPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 10PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd