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WEST VALLEY NURSING HOMES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
WEST VALLEY NURSING HOMES INC (EIN 91-0679851)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-06-13
IRS object ID
201721649349300112
Schema version
2016v3.0
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)
Return2017-06-13T09:42:14-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Line1PO BOX 22650AddressLine1Txt
CityYAKIMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP989072650ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910679851EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEST VALLEY NURSING HOMES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone5099655245PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13801 SUMMITVIEW AVENUEAddressLine1Txt
CityYAKIMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP989022794ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK HAMPTONPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone5099655245PhoneNum
Signature2017-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHANNA KORESKIPreparerPersonNm
PTINP01362850PTIN
Phone5092487750PhoneNum
Preparation2017-05-05PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.129.7.100IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-15IPDt
IP Tm11:56:41IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdAA717B20FE897A4B0E1D52EF0F2D94481E501AFFAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1LIVING CARE RETIREMENT COMMUNITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCALVIN GROENENBERGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13801 SUMMITVIEW AVENUEAddressLine1Txt
CityYAKIMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP989022794ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,851,771GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LIVINGCARECENTERS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionA NOT-FOR-PROFIT, CHRISTIAN BASED, NON-DENOMINATIONAL RETIREMENT COMMUNITY THAT PROVIDES A VARIETY OF QUALITY HOUSING AND CARE SERVICES FOR SENIORS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee282TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$52,300PYContributionsGrantsAmt
CY Contributions Grants$65,613CYContributionsGrantsAmt
PY Program Service Revenue$11,565,975PYProgramServiceRevenueAmt
CY Program Service Revenue$11,775,950CYProgramServiceRevenueAmt
PY Investment Income$104,632PYInvestmentIncomeAmt
CY Investment Income$127,833CYInvestmentIncomeAmt
PY Other Revenue$6,589PYOtherRevenueAmt
CY Other Revenue-$6,604CYOtherRevenueAmt
PY Total Revenue$11,729,496PYTotalRevenueAmt
CY Total Revenue$11,962,792CYTotalRevenueAmt
PY Grants And Similar Paid-$7,547PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid-$850CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,654,297PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,524,454CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$7,118CYTotalFundraisingExpenseAmt
PY Other Expenses$4,249,953PYOtherExpensesAmt
CY Other Expenses$4,501,340CYOtherExpensesAmt
PY Total Expenses$10,896,703PYTotalExpensesAmt
CY Total Expenses$11,024,944CYTotalExpensesAmt
PY Revenues Less Expenses$832,793PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$937,848CYRevenuesLessExpensesAmt
Total Assets BOY$27,657,315TotalAssetsBOYAmt
Total Assets EOY$28,319,092TotalAssetsEOYAmt
Total Liabilities BOY$11,538,803TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,098,765TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,118,512NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,220,327NetAssetsOrFundBalancesEOYAmt
MissionLIVING 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,234,515ExpenseAmt
Grant-$850GrantAmt
Revenue$5,821,568RevenueAmt
DescSKILLED NURSING SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 23,590 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,678,826ExpenseAmt
Revenue$1,983,724RevenueAmt
DescASSISTED LIVING SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 15,768 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,501,232ExpenseAmt
Revenue$3,970,658RevenueAmt
DescRETIREMENT APARTMENT SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 66,559 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$10,414,573TotalProgramServiceExpensesAmt
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 CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Bonds0TaxExemptBondsInd
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document27IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee282EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDENNIS MALGESINIPersonNm
Phone5099655245PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13801 SUMMITVIEW AVENUEAddressLine1Txt
CityYAKIMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP989022794ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARK BALDWIN
DIRECTOR3.00Yes (X)$0$0$0
JAY SENTZ
DIRECTOR3.00Yes (X)$0$0$0
ROD KNIPPER
DIRECTOR3.00Yes (X)$0$0$0
DAVE CONNELL
DIRECTOR3.00Yes (X)$0$0$0
MARK HAMPTON
CHAIR4.00Yes (X)$0$0$0Yes (X)
WES SCHUT
TREASURER3.00Yes (X)$0$0$0Yes (X)
DICK MEYER
SECRETARY3.00Yes (X)$0$0$0Yes (X)
SUE UHLMAN
VICE CHAIR3.00Yes (X)$0$0$0Yes (X)
JOE PARK
DIRECTOR3.00Yes (X)$0$0$0
CALVIN GROENENBERG
EXECUTIVE DIRECTOR46.70$147,488$0$13,801Yes (X)
DENNIS MALGESINI
ADMINISTRATOR43.00$106,076$0$12,032Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$253,564TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$25,833TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INFINITY REHAB
25117 SW PARKWAY SUITE DWILSONVILLEOR97070THERAPY SERVICES$435,774
SODEXO INC & AFFILIATES
PO BOX 43283LOS ANGELESCA900883283DIETARY DEPT MANAGEMENT SERVICE$287,620
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$65,613AllOtherContributionsAmt
Total Contributions$65,613TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROOM REVENUE623000$5,759,011$5,759,011
FEE AND CONTRACTS FRO623000$4,116,545$4,116,545
PATIENT REVENUE623000$1,682,291$1,682,291
SERVICE REVENUE623000$218,103$218,103
FieldValueIRS element (for citing)
Total Program Service Revenue$11,775,950TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,065TotalRevenueColumnAmt
Exclusion$128,065ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$47,355RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$53,959RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$6,604RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,604TotalRevenueColumnAmt
Exclusion-$6,604ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,834,788SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,835,020SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$232SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$232TotalRevenueColumnAmt
Exclusion-$232ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,962,792TotalRevenueColumnAmt
Related Or Exempt Func Income$11,775,950RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$121,229ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total-$850TotalAmt
Program Services-$850ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$158,956TotalAmt
Program Services$79,478ProgramServicesAmt
Management And General$79,478ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,043,808TotalAmt
Program Services$4,787,875ProgramServicesAmt
Management And General$254,126ManagementAndGeneralAmt
Fundraising$1,807FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$85,704TotalAmt
Program Services$85,704ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$786,133TotalAmt
Program Services$786,133ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$449,853TotalAmt
Program Services$416,774ProgramServicesAmt
Management And General$33,079ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$304,851TotalAmt
Program Services$304,851ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$49,582TotalAmt
Management And General$49,582ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$44,908TotalAmt
Program Services$23,170ProgramServicesAmt
Management And General$21,738ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$29,049TotalAmt
Management And General$29,049ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$669,189TotalAmt
Program Services$620,958ProgramServicesAmt
Management And General$46,593ManagementAndGeneralAmt
Fundraising$1,638FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$74,180TotalAmt
Program Services$65,420ProgramServicesAmt
Management And General$5,851ManagementAndGeneralAmt
Fundraising$2,909FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$700,796TotalAmt
Program Services$687,879ProgramServicesAmt
Management And General$12,423ManagementAndGeneralAmt
Fundraising$494FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$61,553TotalAmt
Program Services$31,856ProgramServicesAmt
Management And General$29,697ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$750,753TotalAmt
Program Services$750,753ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,145TotalAmt
Program Services$3,356ProgramServicesAmt
Management And General$6,789ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$18,581TotalAmt
Program Services$13,330ProgramServicesAmt
Management And General$4,981ManagementAndGeneralAmt
Fundraising$270FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$4,151TotalAmt
Program Services$1,491ProgramServicesAmt
Management And General$2,660ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$942,445TotalAmt
Program Services$942,445ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$56,775TotalAmt
Program Services$56,775ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$622,708$619,180$3,528
PRESCRIPTION MEDICATION$99,855$99,855
SUBSCRIPTIONS, DUES AND$61,819$38,140$23,679

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,024,944TotalAmt
Program Services$10,414,573ProgramServicesAmt
Management And General$603,253ManagementAndGeneralAmt
Fundraising$7,118FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,275BOYAmt
EOY$1,275EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,081,115BOYAmt
EOY$1,690,900EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$799,905BOYAmt
EOY$782,089EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$510,100BOYAmt
EOY$498,970EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$49,878BOYAmt
EOY$42,598EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$87,636BOYAmt
EOY$77,448EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$33,246,327LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,147,098LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,708,761BOYAmt
EOY$17,099,229EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,307,125BOYAmt
EOY$8,022,355EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$111,520BOYAmt
EOY$104,228EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,657,315BOYAmt
EOY$28,319,092EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$963,811BOYAmt
EOY$994,279EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$31,150BOYAmt
EOY$32,850EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,530,000BOYAmt
EOY$10,065,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$13,842BOYAmt
EOY$6,636EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,538,803BOYAmt
EOY$11,098,765EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,868,482BOYAmt
EOY$16,930,140EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$250,030BOYAmt
EOY$290,187EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,118,512BOYAmt
EOY$17,220,327EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,657,315BOYAmt
EOY$28,319,092EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$937,848ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$163,967NetUnrlzdGainsLossesInvstAmt
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)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$46,351CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$122,892CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,733CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$52,300CurrentTaxYearMinus1YearAmt
Current Tax Year$65,613CurrentTaxYearAmt
Total$353,889TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,132,741CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,317,183CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,347,212CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,565,975CurrentTaxYearMinus1YearAmt
Current Tax Year$11,775,950CurrentTaxYearAmt
Total$57,139,061TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$51,015CurrentTaxYearMinus3YearsAmt
Total$51,015TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,179,092CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,491,090CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,413,945CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,618,275CurrentTaxYearMinus1YearAmt
Current Tax Year$11,841,563CurrentTaxYearAmt
Total$57,543,965TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$13,406CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,038CurrentTaxYearMinus1YearAmt
Current Tax Year$3,305CurrentTaxYearAmt
Total$30,749TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$13,406CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,038CurrentTaxYearMinus1YearAmt
Current Tax Year$3,305CurrentTaxYearAmt
Total$30,749TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$57,513,216PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$133,335CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,857CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$118,836CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$162,170CurrentTaxYearMinus1YearAmt
Current Tax Year$175,420CurrentTaxYearAmt
Total$632,618TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$133,335CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,857CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$118,836CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$162,170CurrentTaxYearMinus1YearAmt
Current Tax Year$175,420CurrentTaxYearAmt
Total$632,618TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,312,427CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,533,947CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,532,781CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,780,445CurrentTaxYearMinus1YearAmt
Current Tax Year$12,016,983CurrentTaxYearAmt
Total$58,176,583TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98860PublicSupportCY509Pct
Public Support PY5090.99020PublicSupportPY509Pct
Investment Income CY0.01090InvestmentIncomeCYPct
Investment Income PY0.00940InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,342,827InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,901,743OtherCostOrOtherBasisAmt
Book Value$3,244,570BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$195,032InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$21,198,245OtherCostOrOtherBasisAmt
Depreciation$11,403,169DepreciationAmt
Book Value$9,990,108BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$12,028InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$6,023,303OtherCostOrOtherBasisAmt
Depreciation$3,764,898DepreciationAmt
Book Value$2,270,433BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,573,149OtherCostOrOtherBasisAmt
Depreciation$979,031DepreciationAmt
Book Value$1,594,118BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,099,229TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$12,151,669TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$163,967NetUnrealizedGainsInvstAmt
Other Revenue$53,959OtherRevenueAmt
Revenue Not Reported$217,926RevenueNotReportedAmt
Revenue Subtotal$11,933,743RevenueSubtotalAmt
Investment Expenses Not Incld$29,049InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$29,049RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,962,792TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,049,854TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$53,959OtherExpensesIncludedAmt
Expenses Not Reported$53,959ExpensesNotReportedAmt
Expenses Subtotal$10,995,895ExpensesSubtotalAmt
Investment Expenses Not Incld2$29,049InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$29,049ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,024,944TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION IS REQUIRED BY STATE LAW TO PROVIDE ALL RESIDENTS WITH 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 53,959.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES NOT REPORTED ON PART IX 53,959.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
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

FieldValueIRS element (for citing)
PersonCALVIN GROENENBERGPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$147,488BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$4,643DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$9,158NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$161,289TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CDISCLOSURE 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 15THE 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 DIRECTOR'S 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.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST
FORM 990, PART XII, LINE 2C:SAME AS PRIOR YEAR.