2016-04-25T12:14:18-05:00 2015-12-31 420732909 RYUN GIVENS & COMPANY PLC 2900 100TH STREET SUITE 301 URBANDALE IA 50322 990 2015-01-01 420713662 THE UNITED PRESBYTERIAN HOME OF WASHINGTON IOWA UNIT 3196535473 1203 EAST WASHINGTON STREET WASHINGTON IA 523532198 MICHAEL D MOORE CEO 3196535473 2016-04-19 1 CURTIS E BRAND CPA P00299230 5152253141 2015 2016-09-27 15:27:22Z MICHAEL D MOORE 1203 EAST WASHINGTON STREET WASHINGTON IA 523532198 6252800 0 X UPHOME.ORG X 1947 IA THE MISSION OF UNITED PRESBYTERIAN HOME, GUIDED BY CHRISTIAN COMPASSION, CONCERN AND STEWARDSHIP, IS TO PROVIDE SENIORS WITH QUALITY SERVICES, CARE AND HOUSING. 13 13 129 90 0 0 66900 54306 6092201 6161441 56986 37053 0 0 6216087 6252800 0 0 0 0 3742136 3945166 0 0 0 2894205 2809882 6636341 6755048 -420254 -502248 11836735 11567371 8454337 8759663 3382398 2807708 THE MISSION OF UNITED PRESBYTERIAN HOME, GUIDED BY CHRISTIAN COMPASSION, CONCERN AND STEWARDSHIP, IS TO PROVIDE SENIORS WITH QUALITY SERVICES, CARE AND HOUSING. 0 0 6122947 5906037 HOLISTIC APPROACH TO LONG-TERM CARE FOR THE ELDERLY TO MAINTAININDIVIDUAL AT HIGHEST PRACTICAL LEVEL OF FUNCTIONING. 6122947 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 17 0 1 129 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL D MOORE 3196535473 1203 EAST WASHINGTON STREET WASHINGTON IA 523532198 JAMES E LLOYD CHAIR 2.00 X X 0 0 0 JIM CUDDEBACK TREASURER 2.00 X X 0 0 0 DAVID MAUPIN DIRECTOR 2.00 X 0 0 0 REV FORREST KRUMMEL DIRECTOR 2.00 X 0 0 0 BRUCE WALKER DIRECTOR 2.00 X 0 0 0 JOHN C THORNE DIRECTOR 2.00 X 0 0 0 JOHN H STALEY DIRECTOR 2.00 X 0 0 0 JOANN TORPEY DIRECTOR 2.00 X 0 0 0 NANCY ROSS DIRECTOR 2.00 X 0 0 0 RICHARD K SCHMIDT DIRECTOR 2.00 X 0 0 0 SANDY DUNLAP DIRECTOR 2.00 X 0 0 0 BILL STEWART DIRECTOR 2.00 X 0 0 0 LONNIE LITCHFIELD DIRECTOR 2.00 X 0 0 0 ERIN DRAHOTA COO/ADMINISTRATOR 40.00 X 60065 0 19604 MICHAEL D MOORE CEO 50.00 X 143341 0 10162 203406 0 29766 1 0 1 0 MORRISON MANAGEMENT SPECIALIST 5801 PEACHTREE DUNWOODY RD ATLANTA GA 30342 FOOD MANAGEMENT CONTRACTOR 916187 AEGIS THERAPIES INC 7160 DALLAS PARKWAY STE 400 PLANO TX 75024 THERAPY CONTRACTOR 248492 HYDROWOX INTERNATIONAL 1420 STONERIDGE DRIVE MIDDLETOWN PA 17057 THERAPY POOL 125353 HORTY ELVING & ASSOCIATES 505 EAST GRANT STREET MINNEAPOLIS MN 55404 ARCHITECTURAL 109070 4 54306 54306 RESIDENT SERVICES 623000 4088656 4088656 MEDICAID/MEDICARE PAYM 623000 1817381 1817381 MEALS 623000 133570 133570 DAY CARE 623000 121834 121834 6161441 37053 37053 6252800 5906037 0 292457 233172 233172 3219776 3063156 156620 73408 65121 8287 217571 193010 24561 201239 178522 22717 52554 52554 19175 19175 12332 12332 17504 6618 10886 44430 42029 2401 697665 608727 88938 14929 14929 99719 99719 725143 725143 18367 18367 SUPPLIES AND EQUIPMENT 401874 401874 FOOD AND SUPPLEMENTS 305601 305601 MEDICARE COSTS 281946 281946 MISCELLANEOUS 50415 50415 68228 68228 6755048 6122947 632101 0 38659 31525 457873 51577 306250 268651 29852 28008 675 678 25304859 15238805 9823826 10066054 590567 528655 589033 592223 11836735 11567371 407902 527378 4206706 4440779 3492292 3338268 143335 167215 204102 286023 8454337 8759663 X 2333108 1779462 467500 446456 581790 581790 3382398 2807708 11836735 11567371 X -502248 -41557 -30885 X 0 1 X 1 0 X 152344 1868173 45067 66900 54306 2186790 5685851 5640884 5694846 5878748 5906037 28806366 176232 211721 205329 213453 255404 1062139 6014427 7720778 5945242 6159101 6215747 32055295 49835 56425 37909 109156 79782 333107 0 49835 56425 37909 109156 79782 333107 31722188 23309 22590 50152 58326 37053 191430 23309 22590 50152 58326 37053 191430 6037736 7743368 5995394 6217427 6252800 32246725 0.98370 0.98580 0.00590 0.00530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 581790 581790 581790 581790 581790 581790 575819 6389 418 581790 581790 -5554 417 575819 1.00000 1 0 116913 116913 21746229 13390384 8355845 3091154 1848421 1242733 350563 350563 10066054 DEFERRED BOND COSTS 39144 ENDOWMENTS RECEIVABLE 106622 CONTRIBUTION RECEIVABLE FROM REMAIN 446457 592223 REFUNDABLE ENDOWMENTS LIABILITY 228189 RESIDENT LOANS PAYABLE 57834 286023 X 6190199 -41557 -21044 -62601 6252800 0 6252800 6764889 0 6764889 -9841 -9841 6755048 PART V, LINE 4: THE ENDOWMENT FUNDS ARE TO BE USED FOR BENEVOLENT AND CHARITABLE CARE FOR RESIDENTS, EMPLOYEE RECOGNITION AND EDUCATION, AND OPERATIONS. PART X, LINE 2: THE UNITED PRESBYTERIAN HOME OF WASHINGTON, IOWA IS EXEMPT UNDER CODE SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES IS PRESENTED IN THESE FINANCIAL STATEMENTS. THE ORGANIZATION HAS ADOPTED THE ACCOUNTING STANDARD REGARDING "ACCOUNTING FOR UNCERTAIN TAX POSITIONS." THIS STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE ENTITY'S FINANCIAL STATEMENTS. IT REQUIRES AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE ADOPTION OF THIS STANDARD HAD NO MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOW. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGES IN VALUE OF CHARITABLE REMAINDER TRUSTS -21,044. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS -9,841. 0 0 0 0 0 0 0 0 0 MICHAEL D MOORE CEO 143341 0 0 0 0 0 0 0 10162 0 153503 0 0 0 MARION CUDDEBACK BOARD MEMBER'S MOTHER 4698 MONTHLY RESIDENT FEES PAID TO UPH 0 BILL STEWART BOARD MEMBER 75084 MONTHLY RESIDENT FEES PAID TO UPH 0 FORM 990, PART VI, SECTION B, LINE 11 THE POLICY OF THE BOARD OF DIRECTORS IS TO PRESENT THE FORM 990 TO THE FULL BOARD OF DIRECTORS INCLUDING SIGNIFICANT SCHEDULES. EACH MEMBER OF THE BOARD OF DIRECTORS WILL RECEIVE A COPY OF THE FORM 990 PRIOR TO SUBMISSION OF THE FORM TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO READ AND UNDERSTAND THE CONFLICTS OF INTEREST POLICY, AND ALL BOARD MEMBERS ARE REQUIRED, ON AN ANNUAL BASIS, TO COMPLETE AND SIGN AN ANNUAL STATEMENT OF COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 WHEN HIRING THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES, AND THEREAFTER ON AN ANNUAL BASIS, THE BOARD WILL PERFORM A THOROUGH REVIEW TO DETERMINE SUITABLE COMPENSATION. THE PROCESS INCLUDES A REVIEW OF COMPARABILITY DATA BY THE BOARD OF DIRECTORS OR AN INDEPENDENT COMPENSATION CONSULTANT. EACH YEAR THE BOARD WILL REVIEW THE COST OF LIVING INDEX, LEADINGAGE IOWA WAGE AND BENEFITS SURVEY, YEARS OF SERVICE AND THE LEADINGAGE NATIONAL WAGE AND BENEFIT SURVEY. THE BOARD WILL RETAIN DOCUMENTATION OF THE DELIBERATION AND FINAL DECISION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE IN WASHINGTON, IOWA. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF CHARITABLE TRUST RECEIVABLE -21,044. LOSS ON ASSETS -9,841.