2017-06-13T09:42:14-05:00 2016-12-31 910189318 MOSS ADAMS LLP PO BOX 22650 YAKIMA WA 989072650 990 2016-01-01 910679851 WEST VALLEY NURSING HOMES INC WEST 5099655245 3801 SUMMITVIEW AVENUE YAKIMA WA 989022794 MARK HAMPTON CHAIRMAN 5099655245 2017-05-15 1 HANNA KORESKI P01362850 5092487750 2017-05-05 12.129.7.100 2017-05-15 11:56:41 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AA717B20FE897A4B0E1D52EF0F2D94481E501AFF 2016 2021-01-29 14:40:06Z LIVING CARE RETIREMENT COMMUNITY CALVIN GROENENBERG 3801 SUMMITVIEW AVENUE YAKIMA WA 989022794 17851771 0 X WWW.LIVINGCARECENTERS.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 9 282 100 0 0 52300 65613 11565975 11775950 104632 127833 6589 -6604 11729496 11962792 -7547 -850 0 0 6654297 6524454 0 0 7118 4249953 4501340 10896703 11024944 832793 937848 27657315 28319092 11538803 11098765 16118512 17220327 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 5234515 -850 5821568 SKILLED 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. 1678826 1983724 ASSISTED 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. 3501232 3970658 RETIREMENT 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. 10414573 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 27 0 1 282 1 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 MARK BALDWIN DIRECTOR 3.00 X 0 0 0 JAY SENTZ DIRECTOR 3.00 X 0 0 0 ROD KNIPPER DIRECTOR 3.00 X 0 0 0 DAVE CONNELL DIRECTOR 3.00 X 0 0 0 MARK HAMPTON CHAIR 4.00 X X 0 0 0 WES SCHUT TREASURER 3.00 X X 0 0 0 DICK MEYER SECRETARY 3.00 X X 0 0 0 SUE UHLMAN VICE CHAIR 3.00 X X 0 0 0 JOE PARK DIRECTOR 3.00 X 0 0 0 CALVIN GROENENBERG EXECUTIVE DIRECTOR 46.70 X 147488 0 13801 DENNIS MALGESINI ADMINISTRATOR 43.00 X 106076 0 12032 253564 0 25833 2 0 1 0 INFINITY REHAB 25117 SW PARKWAY SUITE D WILSONVILLE OR 97070 THERAPY SERVICES 435774 SODEXO INC & AFFILIATES PO BOX 43283 LOS ANGELES CA 900883283 DIETARY DEPT MANAGEMENT SERVICE 287620 2 65613 65613 ROOM REVENUE 623000 5759011 5759011 FEE AND CONTRACTS FRO 623000 4116545 4116545 PATIENT REVENUE 623000 1682291 1682291 SERVICE REVENUE 623000 218103 218103 11775950 128065 128065 47355 53959 -6604 -6604 -6604 5834788 5835020 -232 -232 -232 11962792 11775950 0 121229 -850 -850 158956 79478 79478 5043808 4787875 254126 1807 85704 85704 786133 786133 449853 416774 33079 304851 304851 49582 49582 44908 23170 21738 29049 29049 669189 620958 46593 1638 74180 65420 5851 2909 700796 687879 12423 494 61553 31856 29697 750753 750753 10145 3356 6789 18581 13330 4981 270 4151 1491 2660 942445 942445 56775 56775 FOOD 622708 619180 3528 PRESCRIPTION MEDICATION 99855 99855 SUBSCRIPTIONS, DUES AND 61819 38140 23679 11024944 10414573 603253 7118 1275 1275 3081115 1690900 799905 782089 510100 498970 49878 42598 87636 77448 33246327 16147098 17708761 17099229 5307125 8022355 111520 104228 27657315 28319092 963811 994279 31150 32850 10530000 10065000 13842 6636 11538803 11098765 X 15868482 16930140 250030 290187 16118512 17220327 27657315 28319092 937848 163967 0 X X 0 1 X 1 0 X 46351 122892 66733 52300 65613 353889 11132741 11317183 11347212 11565975 11775950 57139061 51015 51015 11179092 11491090 11413945 11618275 11841563 57543965 13406 14038 3305 30749 0 13406 14038 3305 30749 57513216 133335 42857 118836 162170 175420 632618 133335 42857 118836 162170 175420 632618 11312427 11533947 11532781 11780445 12016983 58176583 0.98860 0.99020 0.01090 0.00940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1342827 1901743 3244570 195032 21198245 11403169 9990108 12028 6023303 3764898 2270433 2573149 979031 1594118 17099229 X 12151669 163967 53959 217926 11933743 29049 29049 11962792 11049854 53959 53959 10995895 29049 29049 11024944 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. X X X X 0 0 0 0 0 0 0 0 0 CALVIN GROENENBERG EXECUTIVE DIRECTOR 147488 0 0 0 0 0 4643 0 9158 0 161289 0 0 0 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 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 19 AVAILABLE UPON REQUEST FORM 990, PART XII, LINE 2C: SAME AS PRIOR YEAR.