2015-02-16T16:49:33-06:00 2014-09-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 100 STOCKTON CA 952192303 990 2013-10-01 931179254 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS UNIV 8887246424 1515 SHASTA DRIVE DAVIS CA 95616 ALIKA CASTILLO ASSISTANT EXECUTIVE DIRECTOR 8887246424 2015-02-15 1 TRACY S PAGLIA P00366884 2099556100 2013 2016-03-07 17:11:31Z JACQUE BARTHOLOMEW 1 WEST MAIN SUITE 303 MEDFORD OR 97501 39216249 0 X WWW.RETIREMENT.ORG X 1995 CA TO PROVIDE CARE AND HOUSING FOR THE ELDERLY. 9 9 275 29 0 0 75006 109432 21509970 22185587 495292 806421 56817 54669 22137085 23156109 0 0 0 0 7473252 8240857 0 0 0 12038436 11801979 19511688 20042836 2625397 3113273 81812776 83666636 73229534 71440905 8583242 12225731 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS PROVIDES CONTINUING CARE, QUALITY SERVICES, AND DIVERSE OPPORTUNITIES THAT ENHANCE THE LIVES OF OUR RESIDENTS. 0 0 16756520 22185587 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS IS A CONTINUING CARE RETIREMENT COMMUNITY, DEDICATED TO ENHANCING OUR RESIDENTS QUALITY OF LIFE IN A STIMULATING, SECURE ENVIRONMENT. WE PROVIDE HIGH-QUALITY SERVICES INCLUDING HOUSING, NUTRITIOUS MEALS, NURSING, HOUSEKEEPING, MAINTENANCE, AND OTHER SUPPORT TO THOSE WE SERVE. OUR LEVELS OF SERVICE INCLUDE INDEPENDENT LIVING, ASSISTED LIVING, AND SKILLED NURSING. 16756520 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 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 1 1 0 0 0 1 58 0 1 275 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X SHERI LOYA 5418577644 1 WEST MAIN SUITE 303 MEDFORD OR 97501 X BETTY PEARSON DIRECTOR 1.00 X 0 0 0 BOB KERR DIRECTOR 1.00 X 0 0 0 DAVID HEARD DIRECTOR 1.00 X 0 0 0 DENNIS LINDSAY VICE CHAIR/TREASURER 1.00 X X 0 0 0 JACQUE BARTHOLOMEW CHAIR 1.00 1.00 X X 0 0 0 LOIS CROSS DIRECTOR 1.00 X 0 0 0 PAUL HART SECRETARY 1.00 1.00 X X 0 0 0 STEVE YOUNG DIRECTOR 1.00 X 0 0 0 WAYNE SCHRADER DIRECTOR 1.00 X 0 0 0 MATTHEW NEAL EXECUTIVE DIRECTOR 40.00 X 183793 0 17756 ALIKA CASTILLO HC ADMINISTRATOR 40.00 X 128042 0 26163 TROY MARTIN REGIONAL DIRECTOR OF SALES 40.00 X 122604 0 10713 TAMALA L VAALER DIRECTOR OF HR 40.00 X 102462 0 20662 KAREN PERRONE MARKETING COUNSELOR 40.00 X 116104 0 6626 JERRE FRANK HERTEL JR DIRECTOR OF DINING SERVICES 40.00 X 100706 0 20466 753711 0 102386 6 0 1 0 PACIFIC RETIREMENT SERVICES 1 WEST MAIN SUITE 303 MEDFORD OR 97501 MANAGEMENT SERVICES 1651177 CNL CONSTRUCTION INC 895 EMBARCADERO DRIVE SUITE 206 EL DORADO HILLS CA 95762 CONSTRUCTION 754145 CONSONUS REHAB PO BOX 4800 UNIT 12 PORTLAND OR 97208 THERAPY SERVICES 752477 NORCAL BUILDING SERVICES INC PO BOX 981593 WEST SACRAMENTO CA 95798 CONSTRUCTION 377345 4 61155 48277 109432 SERVICE FEES 623000 12582190 12582190 HEALTH SERVICE REVENUE 623000 4529315 4529315 ENTRANCE FEES 623000 4307069 4307069 DIETARY 623000 291399 291399 ALL OTHER 623000 278850 278850 196764 196764 22185587 737584 737584 5 5 54669 0 54669 54669 54669 16128972 16060140 68832 68832 68832 23156109 22185587 0 861090 196812 196812 5867522 5267184 600338 303419 256119 47300 1427468 1313197 114271 445636 391730 53906 1333717 1333717 40226 40226 61699 61699 78502 78502 463599 335543 128056 234821 5011 229810 407803 349065 58738 76978 76978 1704612 1704612 67921 13570 54351 22337 11607 10730 1590984 1590984 2867456 2867456 165014 74167 90847 DIETARY EXPENSE 1091009 1091009 HEALTH CENTER EXPENSE 1024314 1024314 FACILITY SERVICES 394585 305962 88623 ASSET DISPOSAL 154990 154990 21412 21412 20042836 16756520 3286316 0 2510024 1786384 2459537 670527 487479 33591 55718 288789 259615 78973096 29029442 50630008 49943654 24694815 30666746 525485 467040 81812776 83666636 1761806 2374164 33443264 31890745 33708000 32828000 4316464 4347996 73229534 71440905 X 8547242 12194514 36000 31217 8583242 12225731 81812776 83666636 X 3113273 614067 -84851 X 0 1 X 1 0 X 75006 109432 184438 17710533 18453933 19634762 21509970 22185587 99494785 17710533 18453933 19634762 21584976 22295019 99679223 30447 30447 21709 77887 99596 21709 77887 30447 130043 99549180 701071 383383 338928 440625 792258 2656265 701071 383383 338928 440625 792258 2656265 2055 2055 18411604 18839371 19973690 22025601 23087277 102337543 0.97280 0.97090 0.02600 0.02790 X SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 20042836 20042836 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 250000 250000 250000 250000 1000000 1500000 2250000 2250000 69887624 25822484 44065140 4540707 2655443 1885264 2294765 551515 1743250 49943654 REFUNDABLE DEPOSITS 190400 DUE TO AFFILIATES 93953 SWAP AGREEMENT 4063643 4347996 X PART X, LINE 2: THE CORPORATION 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 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 CORPORATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT SEPTEMBER 30, 2014 AND 2013, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. 0 0 0 0 0 0 0 0 0 MATTHEW NEAL EXECUTIVE DIRECTOR 153793 0 30000 0 0 0 2200 0 15556 0 201549 0 0 0 ALIKA CASTILLO HC ADMINISTRATOR 118042 0 10000 0 0 0 12241 0 13922 0 154205 0 0 0 PART I, LINE 3 COMPENSATION WAS RECOMMENDED BY PACIFIC RETIREMENT SERVICES, INC. AND APPROVED BY UNIVERSITY RETIREMENT COMMUNITY AT DAVIS BOARD AS PART OF THE ANNUAL BUDGET PROCESS. A CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 2013-08-29 33708000 IMPROVEMENTS TO SENIOR LIVING FACILITIES AND REFUNDING OF BOND ISSUES 0 0 0 A 880000 33708000 501878 1776291 31429831 2013 1 0 0 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 PART I, LINE A(F)- THE BONDS REFUND THE ISSUERS SERIES 2008 BONDS, ISSUED ON 4/7/2008, AND THE ISSUER'S SERIES 2010A BONDS, ISSUED ON 9/15/2010. PART III, LINE 7- AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2C - THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. FORM 990, PART VI, SECTION A, LINE 3 URCAD DELEGATES MANAGEMENT TO PACIFIC RETIREMENT SERVICES. FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING ARE THE SIGNIFICANT CHANGES MADE TO THE FORMER 10/28/13 URC BYLAWS: 1. DELETE THE FIRST SENTENCE IN SECTION 2.4 REGARDING THE ELECTION AND TENURE OF DIRECTORS, RESULTING IN THE RESIDENT DIRECTOR HAVING THE SAME TENURE OF OFFICE AS ALL OTHER DIRECTORS; AND 2. AMEND SECTION 1.14(D) TO INCREASE THE $50,000 THRESHOLD FOR CONTRACTS REQUIRING APPROVAL BY PRS TO $100,000. FORM 990, PART VI, SECTION A, LINE 6 URCAD HAS ONE MEMBER, PACIFIC RETIREMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A PACIFIC RETIREMENT SERVICES, INC. HAS THE AUTHORITY TO ELECT THE ORGANIZATION'S DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B SOME DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY PACIFIC RETIREMENT SERVICES, AS OUTLINED IN ARTICLE II, SECTION 2 OF THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS CURRENTLY BEING REVIEWED BY THE CFO, ASSISTANT CONTROLLER AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE ARE SENT TO ALL BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY. THERE ARE TWO POLICIES RELATED TO CONFLICTS OF INTEREST: 1) BOARD OF DIRECTORS; 2) KEY EMPLOYEES, WHICH IDENTIFY THE PURPOSE, DEFINITIONS, AND PROCEDURES. IF A CONFLICT IS SELF-IDENTIFIED BY A BOARD MEMBER OR KEY EMPLOYEE IN THE QUESTIONNAIRE AND/OR MEETING, PROCEDURES ARE FOLLOWED AND DOCUMENTED ACCORDING TO THE POLICY. FORM 990, PART VI, SECTION B, LINE 15A A COMPENSATION COMMITTEE OF THE PRS BOARD EXISTS TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR OF EACH COMMUNITY. THIS COMMITTEE IS COMPRISED OF THE OFFICERS OF THE PRS BOARD OF DIRECTORS. THE COMMITTEE HAS A CHARTER THAT OUTLINES ITS DUTIES AND RESPONSIBILITIES. IT ALSO HAS AGENDA ELEMENTS THAT DESCRIBE THE ACTIVITIES THAT THE COMMITTEE UNDERTAKES DURING THE YEAR. THE VP OF HUMAN RESOURCES PROVIDED SALARY STUDIES FROM THE FOLLOWING RESOURCES TO THE COMMITTEE RELATIVE TO EXECUTIVE DIRECTOR COMPENSATION: SALARY.COM, PAYSCALE.COM, 990 REVIEW (LIKE SIZE ORGANIZATIONS), CEMO (CHIEF EXECUTIVE OFFICERS OF MULTI-FACILITY ORGANIZATIONS) SALARY STUDY RESULTS, AND INDUSTRY STATE ASSOCIATION SALARY STUDY RESULTS BASED ON GEOGRAPHICAL LOCATION. THE RECOMMENDATION FOR BASE COMPENSATION AND BONUS ARE PROVIDED BY THE ED'S DIRECT SUPERVISOR (COO OR VP OF OPERATIONS). FORM 990, PART VI, SECTION C, LINE 19 ALL REQUESTS GO THROUGH THE CORPORATE COUNSEL. FORM 990, PART VII, SECTION A: NOTE THAT MATTHEW NEAL AND ALIKA CASTILLO ARE LEASED EMPLOYEES OF PACIFIC RETIREMENT SERVICES, INC. AND PERFORM SERVICES ON BEHALF OF UNIVERSITY RETIREMENT COMMUNITY AT DAVIS PURSUANT TO A MANAGEMENT SERVICES AGREEMENT BETWEEN UNIVERSITY RETIREMENT COMMUNITY AT DAVIS AND PACIFIC RETIREMENT SERVICES, INC. UNDER THE MANAGEMENT SERVICES AGREEMENT, THEIR COMPENSATION IS REIMBURSED BY UNIVERSITY RETIREMENT COMMUNITY AT DAVIS. THEIR COMPENSATION IS REPORTED IN PART VII SECTION A IN ORDER TO HIGHLIGHT AMOUNTS PAID BY UNIVERSITY RETIREMENT COMMUNITY AT DAVIS, NOTWITHSTANDING THAT THEY ARE LEASED EMPLOYEES OF PACIFIC RETIREMENT SERVICES, INC. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT -81,154. CHANGE IN INTEREST IN NET ASSETS OF URCF -3,697. PACIFIC RETIREMENT SERVICES INC 1 WEST MAIN SUITE 303 MEDFORD OR 97501 931067253 SUPPORTING ORGANIZATION OR 501(C)(3) LINE 11C, III-FI N/A 0 ROGUE VALLEY MANOR 1 WEST MAIN SUITE 303 MEDFORD OR 97501 930453216 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 THE CUMBERLAND REST INC 1 WEST MAIN SUITE 303 MEDFORD OR 97501 750891470 SENIOR HOUSING TX 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 CASCADE MANOR INC 1 WEST MAIN SUITE 303 MEDFORD OR 97501 930557803 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 HOLLADAY PARK PLAZA 1 WEST MAIN SUITE 303 MEDFORD OR 97501 930513697 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 CAPITOL LAKES INC 1 WEST MAIN SUITE 303 MEDFORD OR 97501 391412320 SENIOR HOUSING WI 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 UNIVERSITY RETIREMENT COMMUNITY FOUNDATION INC 1 WEST MAIN SUITE 303 MEDFORD OR 97501 931301816 PUBLIC FOUNDATION CA 501(C)(3) LINE 7 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS 1 MIRABELLA 1 WEST MAIN SUITE 303 MEDFORD OR 97501 342030255 SENIOR HOUSING WA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA AT SOUTH WATERFRONT 1 WEST MAIN SUITE 303 MEDFORD OR 97501 711016384 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 COMMUNITY VOUNTEER NETWORK 1 WEST MAIN SUITE 303 MEDFORD OR 97501 930892261 COMM SRVCS OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM EAGLE POINT HOUSING CORPORATION 1 WEST MAIN SUITE 303 MEDFORD OR 97501 943191447 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM KLAMATH FALLS HOUSING CORPORATION 1 WEST MAIN SUITE 303 MEDFORD OR 97501 943196455 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM MEDFORD II HOUSING CORPORATION 1 WEST MAIN SUITE 303 MEDFORD OR 97501 943212537 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM LIVELY OAKS HOUSING CORPORATION 1 WEST MAIN SUITE 303 MEDFORD OR 97501 943194409 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM REEDSPORT HOUSING CORPORATION 1 WEST MAIN SUITE 303 MEDFORD OR 97501 943212538 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM YREKA HOUSING CORPORATION 1 WEST MAIN SUITE 303 MEDFORD OR 97501 943212540 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM EUGENE HOUSING CORPORATION 1 WEST MAIN SUITE 303 MEDFORD OR 97501 943247154 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM BEND II HOUSING CORPORATION 1 WEST MAIN SUITE 303 MEDFORD OR 97501 943260016 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM MANSFIELD HOUSING CORPORATION 1 WEST MAIN SUITE 303 MEDFORD OR 97501 900292647 SENIOR HOUSING TX 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 PACIFIC RETIREMENT SERVICES FOUNDATION INC 1 WEST MAIN SUITE 303 MEDFORD OR 97501 472352652 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 CREST PARK 1 WEST MAIN SUITE 303 MEDFORD OR 97501 931169683 HOTEL OR N/A C 0 PRS MANAGEMENT INC 1 WEST MAIN SUITE 303 MEDFORD OR 97501 931328250 MANAGEMENT COMPANY OR N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 UNIVERSITY RETIREMENT COMMUNITY FOUNDATION INC C 61155 CASH