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JOSEPHINE CARING COMMUNITY: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
JOSEPHINE CARING COMMUNITY (EIN 91-0570870)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-10-02
IRS object ID
201532759349300318
Schema version
2014v5.0
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)
Return2015-10-02T11:53:22-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Line11301 A STREET SUITE 600AddressLine1Txt
CityTACOMACityNm
State AbbreviationWAStateAbbreviationCd
ZIP984024205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910570870EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL LUTHERAN CHURCH IN AMERICABusinessNameLine1Txt
Business Name Line2JOSEPHINE SUNSET HOME INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlEVANBusinessNameControlTxt
Phone3606292126PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19901 272ND PLACE NWAddressLine1Txt
CitySTANWOODCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98292ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRY ROBERTSONPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone3606292126PhoneNum
Signature2015-09-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNANCY SCHAUERPreparerPersonNm
PTINP01326437PTIN
Phone2535724100PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1JOSEPHINEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTERRY ROBERTSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19901 272ND PLACE NWAddressLine1Txt
CitySTANWOODCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98292ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,544,878GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JOSEPHINENET.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1925FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionA SOCIAL MINISTRY ORGANIZATION OF THE ELCA PROVIDING AFTER-HOSPITAL REHAB, LOVING LONG-TERM CARE, ASSISTED LIVING, CHILDCARE AND EARLY LEARNING SERVICES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee388TotalEmployeeCnt
Total Volunteers80TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$296,079PYContributionsGrantsAmt
CY Contributions Grants$329,745CYContributionsGrantsAmt
PY Program Service Revenue$17,052,104PYProgramServiceRevenueAmt
CY Program Service Revenue$16,815,339CYProgramServiceRevenueAmt
PY Investment Income$20,550PYInvestmentIncomeAmt
CY Investment Income$32,791CYInvestmentIncomeAmt
PY Other Revenue$2,141PYOtherRevenueAmt
CY Other Revenue$6,009CYOtherRevenueAmt
PY Total Revenue$17,370,874PYTotalRevenueAmt
CY Total Revenue$17,183,884CYTotalRevenueAmt
PY Grants And Similar Paid$16,326PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,750CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,577,361PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,560,120CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,455CYTotalFundraisingExpenseAmt
PY Other Expenses$5,965,078PYOtherExpensesAmt
CY Other Expenses$5,997,344CYOtherExpensesAmt
PY Total Expenses$16,558,765PYTotalExpensesAmt
CY Total Expenses$16,567,214CYTotalExpensesAmt
PY Revenues Less Expenses$812,109PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$616,670CYRevenuesLessExpensesAmt
Total Assets BOY$17,508,105TotalAssetsBOYAmt
Total Assets EOY$18,018,666TotalAssetsEOYAmt
Total Liabilities BOY$6,923,431TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,754,186TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,584,674NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,264,480NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION: JOSEPHINE IS A CAREGIVING COMMUNITY FOR ALL GENERATIONS.OUR VISION: TO BE THE COMMUNITY OF CHOICE WHERE NO ONE IS LEFT UNCARED FOR.OUR VALUES: JOSEPHINE, ROOTED IN GOD'S LOVE BELIEVES IN:1)EXCELLENCE OF CAREALL PEOPLE ARE WORTHY OF EXCEPTIONAL AND COMPASSIONATE CARE IN MIND, BODY, AND SPIRIT.2)A PIONEERING SPIRIT AND COURAGEHONORING OUR PAST WHILE RESPONDING TO CHANGING NEEDS AND MOVING INTO THE FUTURE.3)RESPONSIBLE STEWARDSHIPBEING PROACTIVE STEWARDS OF ALL POSSIBLE RESOURCES, LEVERAGING THEM TO ENSURE A SUSTAINABLE FUTURE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$12,135,308ExpenseAmt
Grant$7,250GrantAmt
Revenue$14,035,240RevenueAmt
Desc*LISTED IN US NEWS & WORLD REPORT AS A BEST NURSING HOME *LISTED AS A TOP 30 NON PROFIT IN SNOHOMISH COUNTY BY THE EVERETT HERALD *RECOGNIZED WITH SENATE RESOLUTION 8741 BY THE WASHINGTON STATE SENATE FOR PROVIDING OVER 100 YEARS OF CARE FOR THE ELDERLY AND CHILDREN. *VOTED BEST RETIREMENT FACILITY BY THE STANWOOD-CAMANO NEWS POLL FOUR YEARS IN A ROW *RECEIVED THE HIGHEST RATING FOR A NURSING HOME BY THE FEDERAL GOVERNMENT WITH A "4-5 STAR RATING FOR THE LAST 4 YEARS." SKILLED NURSING - AFTER-HOSPITAL REHABILITATION: IN OUR MEDICARE CERTIFIED REHABILITATION UNIT WE OFFER NURSING AND THERAPY TREATMENT PLANS WHICH RETURN OUR PATIENTS HOME SAFE AND AS QUICKLY AS POSSIBLE AFTER THEIR HOSPITAL STAY. WE OFFER INTENSIVE PHYSICAL,OCCUPATIONAL AND SPEECH THERAPY IN CONJUNCTION WITH REGISTERED NURSE MEDICAL TREATMENT UNDER PHYSICIAN SUPERVISION.LONG-TERM CARE: IN THE NURSING HOME, WE FOCUS ON MEANINGFUL DAYS. BINGO,FOOT MASSAGES AND QUILTING ARE A FEW OF THE ONSITE ACTIVITIES. OUTINGS TO A LOCAL BEACH OR DINING IN A PREFERRED RESTAURANT ARE REGULARLY SCHEDULED. MEALS ARE THOUGHTFULLY PREPARED AND SERVED WITH A HOME COOKED FLAIR. LARGE AND SMALL WORSHIP SERVICES ARE AVAILABLE THROUGHOUT THE WEEK.JOSEPHINE IS UNIQUE AMONG NURSING HOMES FOR ITS INTERGENERATIONAL EMPHASIS. CHILD CARE AND PRESCHOOL TAKE PLACE THROUGHOUT OUR 160 BED NURSING HOME. DAILY INTERACTION BRINGS ENRICHMENT TO THE LIVES OF BOTH RESIDENTS AND CHILDREN.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,429,570ExpenseAmt
Grant$1,500GrantAmt
Revenue$1,845,105RevenueAmt
DescTHE "SUITES" VIBRANT ASSISTED LIVING -RESIDENTS OF JOSEPHINE'S 57 ASSISTED LIVING APARTMENTS RECEIVE COMPREHENSIVE INDIVIDUAL RESIDENTIAL CARE INCLUDING MEALS, HOUSEKEEPING, LAUNDRY SERVICES, ACTIVITIES AND OUTINGS. CERTIFIED NURSING ASSISTANTS ARE STAFFED 24 HOURS A DAY TO PROVIDE PERSONAL CARE ASSISTANCE AS NEEDED. A REGISTERED NURSE IS ALSO AVAILABLE 24 HOURS PER DAY. WE STRIVE TO CREATE AN ENVIRONMENT THAT MEETS THE UNIQUE NEEDS OF EACH INDIVIDUAL, IN A SAFE AND RESPECTFUL MANNER.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$977,743ExpenseAmt
Grant$1,000GrantAmt
Revenue$797,938RevenueAmt
DescCHILDCARE AND EARLY LEARNING -JOSEPHINE PROVIDES CHILD CARE, PRESCHOOL AND AFTER SCHOOL PROGRAMS FOR MORE THAN 250 INFANT TO SCHOOL AGE CHILDREN. THIRTY SIX CHILDREN ARE ENROLLED IN THE EARLY CHILDHOOD EDUCATION & ASSISTANCE PROGRAM (ECEAP) FOR UNDERPRIVILEGED CHILDREN. MONTESSORI KINDERGARTEN AND PRESCHOOL CLASSES ARE ALSO OFFERED. OUR CHILD CARE PROGRAMS ARE INTEGRATED THROUGHOUT JOSEPHINE'S FACILITY - GIVING CHILDREN AND NURSING HOME RESIDENTS DAILY OPPORTUNITIES FOR INTERGENERATIONAL ACTIVITIES AND LEARNING.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$54,233ExpenseAmt
Revenue$137,056RevenueAmt
DescADDITIONAL SOURCES OF PROGRAM REVENUE WERE GENERATED FROM THE FOLLOWING:1) PARTICIPATION IN COST SAVINGS PROGRAMS SUCH AS LABOR & INDUSTRIES GROUP RETRO AND INCENTIVE PROGRAMS WHICH RESULT IN REBATES BASED UPON EFFECTIVE CLAIMS MANAGEMENT.2) FEES FOR TRANSPORTATION PROVIDED TO PRIVATE PAY RESIDENTS.3) QUALITY ASSURANCE DIVIDENDS FOR ADMINISTERING MEDICARE-APPROVED PROGRAM THAT ALLOWS LONG TERM CARE RESIDENTS TO BE SAFELY AND EFFECTIVELY TREATED WITHIN OUR FACILITY RATHER THAN INCURRING A HOSPITAL STAY.OTHER PROGRAM EXPENSES INCLUDED EXPENDITURES FROM JOSEPHINE'S GOOD SAMARITAN FUND ON BEHALF OF RESIDENTS IN FINANCIAL NEED FOR SUCH THINGS AS DENTAL & VISION EXAMS, DENTURE REPLACEMENT, OUTINGS, CLOTHING AND SUBSCRIPTIONS. JOSEPHINE ALSO PARTNERED WITH THE DEPARTMENT OF LABOR & INDUSTRIES TO PRODUCE A CAREGIVER SAFETY VIDEO ENTITLED "GOOD BODY MECHANIC & SAFE TRANSFER TECHNIQUES".Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$54,233TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$137,056TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$14,596,854TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 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 IndividualsYes (1)GrantsToIndividualsInd
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee388EmployeeCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
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 FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY ROBERTSON CHIEF EXECUTIVE OFFICERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3606292126PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19901 272ND PLACE NWAddressLine1Txt
CitySTANWOODCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98292ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BEN RICHARDS
TREASURER 1/1-4/25, BM 4/25-12/312.00Yes (X)Yes (X)$0$0$0
CARL GABRIELSON
PRESIDENT 1/1-4/252.00Yes (X)Yes (X)$0$0$0
CHRIS GUSTAFSON
BM 3/1 - 12/311.00Yes (X)$0$0$0
DONN HOLLENBECK
BM 1/1-4/25, VICE CHAIR 4/25-12/312.00Yes (X)Yes (X)$0$0$0
ERNIE FOSSE
BM 5/27-12/311.00Yes (X)$0$0$0
HARVEY WOLDEN
BM 1/1-4/25, SECRETARY 4/25-12/312.00Yes (X)Yes (X)$0$0$0
IRENE NELSON
BM 4/25-12/311.00Yes (X)$0$0$0
JERRY VAN VLIET
BOARD MEMBER (BM)1.00Yes (X)$0$0$0
KIMBERLY GEARIETY
BM 1/1-4/25, CHAIR 4/25-12/312.00Yes (X)Yes (X)$0$0$0
NANCY SLIND
SECRETARY 1/1-4/252.00Yes (X)Yes (X)$0$0$0
SCOTT BRENTS
VP 1/1-4/25, BM 4/25-12-312.00Yes (X)Yes (X)$0$0$0
STEVE HOAG
BOARD MEMBER (BM)1.00Yes (X)$0$0$0
TOM LUCAS
BM 1/1-4/25, TREASURER 5/25-12/312.00Yes (X)Yes (X)$0$0$0
GRETCHEN PIGOTT
CONTROLLER40.00$107,721$0$12,279Yes (X)
KAREN JACOBSON
DIRECTOR OF NURSING40.00$111,787$0$3,242Yes (X)
TERI LINDGREN
NURSING HOME ADMINISTRATOR40.00$108,293$0$8,248Yes (X)
TERRY ROBERTSON
CHIEF EXECUTIVE OFFICER40.00$153,140$0$58,164Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$480,941TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$81,933TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AEGIS THERAPIES INC
PO BOX 8103FORT SMITHAR72902PHYSICAL, SPEECH & OCCUPATIONAL THERAPIE$828,246
INFINITY REHAB
25117 SW PARKWAY STE DWILSONVILLEOR97070THERAPY-PHYSICAL, OCCUPATIONAL, SPEECH$291,175
SNF SOLUTIONS
10506 420TH AVE SENORTH BENDWA98045BILLING SERVICES - SKILLED NURSING FACIL$107,150
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$244,173GovernmentGrantsAmt
All Other Contributions$85,572AllOtherContributionsAmt
Total Contributions$329,745TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING HOME-MEDICAID623000$7,561,925$7,561,925
NURSING HOME-MEDICARE623000$4,662,367$4,662,367
ASSISTED LIVING REVENUE623000$1,845,105$1,845,105
NURSING HOME-PRIVATE623000$1,810,948$1,810,948
CHILD CARE REVENUE624410$797,938$797,938

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$137,056TotalRevenueColumnAmt
Related Or Exempt Func Income$137,056RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$16,815,339TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,603TotalRevenueColumnAmt
Exclusion$44,603ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,950RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,365RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$585RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$585TotalRevenueColumnAmt
Exclusion$585ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,339,568SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,339,568SecuritiesAmt
Other$11,812OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$11,812OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,812TotalRevenueColumnAmt
Exclusion-$11,812ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$12,673GrossSalesOfInventoryAmt
Cost Of Goods Sold$7,249CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,424TotalRevenueColumnAmt
Exclusion$5,424ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,183,884TotalRevenueColumnAmt
Related Or Exempt Func Income$16,815,339RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$38,800ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$9,750TotalAmt
Program Services$9,750ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$212,668TotalAmt
Management And General$212,668ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,646,376TotalAmt
Program Services$8,066,903ProgramServicesAmt
Management And General$576,990ManagementAndGeneralAmt
Fundraising$2,483FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$113,236TotalAmt
Program Services$97,959ProgramServicesAmt
Management And General$15,277ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$684,885TotalAmt
Program Services$648,651ProgramServicesAmt
Management And General$36,234ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$902,955TotalAmt
Program Services$834,787ProgramServicesAmt
Management And General$67,796ManagementAndGeneralAmt
Fundraising$372FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$23,000TotalAmt
Management And General$23,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$181,129TotalAmt
Management And General$181,129ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,450TotalAmt
Management And General$4,450ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,391,928TotalAmt
Program Services$1,331,430ProgramServicesAmt
Management And General$60,498ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$79,799TotalAmt
Management And General$79,799ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$373,371TotalAmt
Program Services$121,183ProgramServicesAmt
Management And General$250,987ManagementAndGeneralAmt
Fundraising$1,201FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$145,835TotalAmt
Management And General$145,835ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$793,730TotalAmt
Program Services$769,769ProgramServicesAmt
Management And General$23,961ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$60,235TotalAmt
Program Services$39,611ProgramServicesAmt
Management And General$20,624ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$52,418TotalAmt
Program Services$14,488ProgramServicesAmt
Management And General$37,930ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,542TotalAmt
Management And General$8,542ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$789,774TotalAmt
Program Services$721,476ProgramServicesAmt
Management And General$67,899ManagementAndGeneralAmt
Fundraising$399FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$56,429TotalAmt
Management And General$56,429ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICARE/HMO ANCILLARY$555,000$555,000
FOOD AND SUPPLEMENTS$528,256$528,256
MEDICAL SUPPLIES AND SM$409,175$409,175
REPAIRS AND MAINTENANCE$183,627$155,619$28,008

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$360,646TotalAmt
Program Services$292,797ProgramServicesAmt
Management And General$67,849ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,567,214TotalAmt
Program Services$14,596,854ProgramServicesAmt
Management And General$1,965,905ManagementAndGeneralAmt
Fundraising$4,455FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$921,356BOYAmt
EOY$3,044,746EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,489,508BOYAmt
EOY$1,240,941EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,472,579BOYAmt
EOY$1,805,319EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$56,447BOYAmt
EOY$67,824EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$130,589BOYAmt
EOY$132,535EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,500,273LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,089,551LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,692,700BOYAmt
EOY$7,410,722EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$677,622BOYAmt
EOY$1,544,388EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$348,880BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,718,424BOYAmt
EOY$2,772,191EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,508,105BOYAmt
EOY$18,018,666EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,013,871BOYAmt
EOY$1,093,474EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$87,894BOYAmt
EOY$69,040EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,665,188BOYAmt
EOY$5,397,188EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$156,478BOYAmt
EOY$194,484EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,923,431BOYAmt
EOY$6,754,186EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,084,109BOYAmt
EOY$10,751,538EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$51,674BOYAmt
EOY$64,051EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$448,891BOYAmt
EOY$448,891EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,584,674BOYAmt
EOY$11,264,480EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,508,105BOYAmt
EOY$18,018,666EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$616,670ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$63,137NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$322,043CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$317,853CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$284,611CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$296,079CurrentTaxYearMinus1YearAmt
Current Tax Year$329,745CurrentTaxYearAmt
Total$1,550,331TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,973,059CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,493,738CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,161,187CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,052,104CurrentTaxYearMinus1YearAmt
Current Tax Year$16,815,339CurrentTaxYearAmt
Total$82,495,427TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,295,102CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,811,591CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,445,798CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,348,183CurrentTaxYearMinus1YearAmt
Current Tax Year$17,145,084CurrentTaxYearAmt
Total$84,045,758TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$84,045,758PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$54,407CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,450CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,738CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,585CurrentTaxYearMinus1YearAmt
Current Tax Year$47,553CurrentTaxYearAmt
Total$244,733TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$54,407CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,450CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,738CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,585CurrentTaxYearMinus1YearAmt
Current Tax Year$47,553CurrentTaxYearAmt
Total$244,733TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,349,509CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,862,041CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,496,536CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,389,768CurrentTaxYearMinus1YearAmt
Current Tax Year$17,192,637CurrentTaxYearAmt
Total$84,290,491TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99710PublicSupportCY509Pct
Public Support PY5090.99710PublicSupportPY509Pct
Investment Income CY0.00290InvestmentIncomeCYPct
Investment Income PY0.00290InvestmentIncomePYPct
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$1,100DirectContactLegislatorsAmt
Rallies DemonstrationsYes (1)RalliesDemonstrationsInd
Rallies Demonstrations$1,200RalliesDemonstrationsAmt
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$2,300TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1FormAndLineReferenceDesc
ExplanationMET WITH LEGISLATORS TO EDUCATE THEM ON OUTCOMES OF PENDING BILLS AND FUNDING. STAFF, BOARD MEMBERS, VOLUNTEERS ATTEND LEGISLATIVE DAYS IN OLYMPIA.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$474,723BeginningYearBalanceAmt
Investment Earnings Or Losses$17,121InvestmentEarningsOrLossesAmt
Administrative Expenses$989AdministrativeExpensesAmt
End Year Balance$490,855EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$460,129BeginningYearBalanceAmt
Contributions$160ContributionsAmt
Investment Earnings Or Losses$15,331InvestmentEarningsOrLossesAmt
Administrative Expenses$897AdministrativeExpensesAmt
End Year Balance$474,723EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$452,122BeginningYearBalanceAmt
Investment Earnings Or Losses$12,478InvestmentEarningsOrLossesAmt
Other Expenditures$3,649OtherExpendituresAmt
Administrative Expenses$822AdministrativeExpensesAmt
End Year Balance$460,129EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$459,572BeginningYearBalanceAmt
Contributions$50ContributionsAmt
Investment Earnings Or Losses-$564InvestmentEarningsOrLossesAmt
Other Expenditures$6,211OtherExpendituresAmt
Administrative Expenses$725AdministrativeExpensesAmt
End Year Balance$452,122EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$432,129BeginningYearBalanceAmt
Contributions$23,755ContributionsAmt
Investment Earnings Or Losses$12,721InvestmentEarningsOrLossesAmt
Other Expenditures$8,507OtherExpendituresAmt
Administrative Expenses$526AdministrativeExpensesAmt
End Year Balance$459,572EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.91500PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.08500TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$468,554OtherCostOrOtherBasisAmt
Book Value$468,554BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,844,134OtherCostOrOtherBasisAmt
Depreciation$6,369,212DepreciationAmt
Book Value$2,474,922BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,132,772OtherCostOrOtherBasisAmt
Depreciation$3,707,653DepreciationAmt
Book Value$3,425,119BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,054,813OtherCostOrOtherBasisAmt
Depreciation$2,012,686DepreciationAmt
Book Value$1,042,127BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,410,722TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
LOAN ISSUANCE FEES, NET$110,327
LAND HELD FOR FUTURE DEVELOPMENT$2,597,754
NQDCP$64,110
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,772,191TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
FUNDS HELD FOR RESIDENTS$10,937
CAPITAL LEASE$115,010
NQDCP$68,537
FieldValueIRS element (for citing)
Total Liability$194,484TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$17,249,386TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$63,137NetUnrealizedGainsInvstAmt
Other Revenue$2,365OtherRevenueAmt
Revenue Not Reported$65,502RevenueNotReportedAmt
Revenue Subtotal$17,183,884RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$17,183,884TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,569,580TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,366OtherExpensesIncludedAmt
Expenses Not Reported$2,366ExpensesNotReportedAmt
Expenses Subtotal$16,567,214ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,567,214TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENT FUND WAS ESTABLISHED TO SUPPORT AND FURTHER THE MISSION AND MINISTRY OF THE HOME. DISTRIBUTIONS FROM THE ENDOWMENT FUND SHALL BE TO SUPPORT CAPITAL IMPROVEMENTS WITHIN THE PROPERTY, GROUNDS, BUILDINGS AND PROGRAMS OF JOSEPHINE.
PART X, LINE 2:THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. EXEMPTION HAS ALSO BEEN GIVEN BY SNOHOMISH COUNTY (THE "COUNTY") FROM ALL PERSONAL PROPERTY TAXES. IN ADDITION, THE COUNTY HAS GRANTED EXEMPTION FOR REAL PROPERTY ASSOCIATED WITH THE NURSING HOME, BOARDING HOME, AND CHILD CARE PROGRAMS. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(L)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND WAS REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2014, THE ORGANIZATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL OR DISCLOSURE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 2,365.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 2,366.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEDUCATIONAL SCHOLARSHIPSGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$9,750CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationJOSEPHINE HAS A SCHOLARSHIP FUND THAT SUPPORTS STAFF MEMBERS IN PURSUING EDUCATION IN THE FIELD OF HUMAN SERVICES. ANY JOSEPHINE EMPLOYEE, IN GOOD STANDING, WISHING TO FURTHER THEIR EDUCATION IN A FIELD WHICH BENEFITS JOSEPHINE, AND HAS WORKED AT JOSEPHINE FOR AT LEAST 1 YEAR BY THE START DATE OF THE QUARTER FOR WHICH THEY ARE APPLYING FOR A SCHOLARSHIP, MAY APPLY FOR A SCHOLARSHIP. THE SCHOLARSHIP COMMITTEE CONSIDERS THE FOLLOWING CRITERIA IN AWARDING EDUCATION SCHOLARSHIPS: APPLICANT'S CAREER GOALS, ACCREDITATION OF INSTITUTION, COURSE OF STUDY, FULL OR PART-TIME STATUS, REFERENCES AND GRADES. IF EMPLOYMENT IS TERMINATED PRIOR TO COMPLETION OF COURSE WORK, OR IF EMPLOYMENT IS TERMINATED PRIOR TO ONE YEAR FROM THE SCHOLARSHIP AWARD DATE, THE FULL AMOUNT OF THE SCHOLARSHIP FUNDS AWARDED MAY BE DEDUCTED FROM THE EMPLOYEE'S PAYCHECK(S).ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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)
PersonTERRY ROBERTSONPersonNm
TitleCHIEF EXECUTIVE OFFICERTitleTxt
Base Compensation Filing Org$148,839BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$101BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$4,200OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$49,839DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$8,325NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$211,304TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationA NON-QUALIFIED DEFERRED COMPENSATION PLAN (TOP HAT PLAN) HAS BEEN ESTABLISHED FOR JOSEPHINE'S CEO TERRY ROBERTSON. CEO TERRY ROBERTSON ELECTED ON 12/31/2013 TO MAKE VOLUNTARY SALARY DEFERRAL PAYMENTS DURING 2014 TOTALING $30,000. THE BOARD OF DIRECTORS ALSO HAS ESTABLISHED A CORPORATE OWNED LIFE INSURANCE POLICY AND HAS PROMISED TO MAKE A $12,000 CONTRIBUTION TO THIS POLICY FOR A DURATION OF SEVEN YEARS STARTING IN 2014, DEPENDENT UPON CONTINUED EMPLOYMENT AND SATISFACTORY EVALUATIONS. THIS DEFERRED COMPENSATION ARRANGEMENT IS UNFUNDED, UNSECURED AND SUBJECT TO THE FOLLOWING VESTING SCHEDULE THAT BEGINS WHEN THE EMPLOYEE REACHES 62 YEARS OF AGE. AGE 62 20% AGE 63 40% AGE 64 60% AGE 65 80% AGE 66 100% EXCEPTION: 100% IF SEPARATION FROM SERVICE RESULTED FROM DEATH OR DISABILITY.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON STATE HOUSING FINANCE COMMISSIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN911874730BondIssuerEIN
Bond Issued2005-08-04BondIssuedDt
Issue Price$7,293,188IssuePriceAmt
PurposeSEE SCHEDULE OPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Issuance Costs From Proceeds$143,000IssuanceCostsFromProceedsAmt
Capital Expenditures$7,150,188CapitalExpendituresAmt
Substantial Completion2006SubstantialCompletionYr
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
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 Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: WASHINGTON STATE HOUSING FINANCE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/04/2005
SCHEDULE K SUPPLENTAL INFORMATIONBOND ISSUES - DESCRIPTION OF PURPOSE REMODEL/EXPANSION; REFUND OF PRIOR BOND - 1995 LOW INCOME HOUSING ASSISTANCE REVENUE BOND ISSUED BY HOUSING AUTHORITY OF SNOHOMISH COUNTY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MEMBERSHIP SHALL BE OPEN TO EACH CHURCH CONGREGATION IN SNOHOMISH, ISLAND, SKAGIT AND WHATCOM COUNTIES WHO HAVE EXPRESSED A COMMITMENT TO THE MISSION OF JOSEPHINE AND WHOSE APPLICATION HAS BEEN APPROVED BY THE BOARD OF DIRECTORS OF JOSEPHINE. AT ALL TIMES THE MAJORITY OF CONGREGATIONS HOLDING CORPORATE MEMBERSHIP SHALL BE LUTHERAN. BYLAW 5.0.1-ANY CONGREGATION DESCRIBED IN ARTICLE V MAY, ACCORDING TO ITS CONSTITUTION AND BYLAWS WITH THE APPROVAL OF ANY HIGHER DISCIPLINE TO WHICH IT MAY BE RESPONSIBLE, ELECT TO APPLY FOR MEMBERSHIP IN THE CORPORATION. BYLAW 5.0.2-SUCH CONGREGATIONS SHALL SEND A FORMAL LETTER OF APPLICATION TO THE BOARD OF DIRECTORS OF JOSEPHINE. A DULY ENDORSED COVENANT STATEMENT OF THE CONGREGATION'S COMMITMENT TO THE MISSION OF JOSEPHINE SHALL ACCOMPANY THE LETTER OF APPLICATION. BYLAW 5.0.3-THE COVENANT STATEMENT SHALL BE RENEWED ANNUALLY AS A REQUISITE TO CONTINUED MEMBERSHIP IN THE CORPORATION. BYLAW 5.0.4-UPON APPROVAL OF THE APPLICATION FOR MEMBERSHIP BY THE BOARD OF DIRECTORS OF JOSEPHINE, THE MEMBERSHIP OF ANY SUCH CONGREGATION SHALL BE ESTABLISHED AND THE NAME OF THE CORPORATION ENTERED UPON THE ROLLS OF JOSEPHINE AS A VOTING MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A6.1-MEMBER CONGREGATIONS WILL BE REPRESENTED BY DELEGATES AT REGULAR AND SPECIAL MEETINGS OF THE CORPORATION. 6.2-THE NUMBER OF DELEGATES PER MEMBER SHALL BE SET FORTH IN THE BYLAWS. BYLAW 6.2.1-IN ADDITION TO A PASTOR OF THE MEMBER CONGREGATION, EACH CONGREGATION SHALL DESIGNATE ANNUALLY TWO (2) DELEGATES TO REPRESENT THE CONGREGATION IN THE CORPORATION. BYLAW 6.2.2-IN THE EVENT A PASTOR OF THE MEMBER CONGREGATION CANNOT OR CHOOSES NOT TO BE A DELEGATE, THE MEMBER CONGREGATION MAY ELECT AN ALTERNATE DELEGATE. 6.3-DELEGATES WILL EXERCISE THE VOTING RIGHTS OF THE MEMBER AND REPORT PERTINENT INFORMATION TO THE MEMBER. BYLAW 6.3.1-IN THE EVENT THAT A MEMBER CONGREGATION MUST SEND A PROXY VOTER TO THE ANNUAL CORPORATION MEETING SUCH PERSON OR PERSONS MUST BE IDENTIFIED TO THE SECRETARY OF JOSEPHINE PRIOR TO THE BEGINNING OF THE MEETING. 6.4-ELECTION OR APPOINTMENT OF DELEGATES WILL BE DETERMINED BY EACH MEMBER CONGREGATION. BYLAW 6.4.1-EACH MEMBER CONGREGATION SHALL FORWARD ITS LIST OF DELEGATES WITH ADDRESSES AND TELEPHONE NUMBERS TO THE SECRETARY OF THE CORPORATION BY FEBRUARY 15TH EACH YEAR TO PROVIDE SUFFICIENT TIME FOR CORRESPONDENCE PRIOR TO THE ANNUAL MEETING.
FORM 990, PART VI, SECTION B, LINE 11THE 2014 FORM 990 WAS SENT BY EMAIL TO ALL BOARD MEMBERS ON 9/17/2015. ALL IN ATTENDANCE (8 OF 10 DIRECTORS) AT THE 9/22/15 REGULAR BOARD MEETING ACKNOWLEDGED RECEIPT OF THE FORM 990. THE OTHER TWO BOARD MEMBERS ACKNOWLEDGED RECEIPT VIA EMAIL TO THE BOARD CHAIR THEREAFTER.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST ISSUES BROUGHT TO A BOARD MEMBER ARE REVIEWED BY THE BOARD FOR RESOLUTION TO DETERMINE IF PENDING/PRIOR ACTION IS MATERIAL/IMMATERIAL AND IF/WHAT MANNER OF RECUSAL IS TO BE TAKEN BY BOARD MEMBER OR KEY EMPLOYEE.
FORM 990, PART VI, SECTION B, LINE 15BOARD REVIEWED COMPARATIVE DATA FOR SIMILAR ORGANIZATIONS AND KEY POSITIONS COMPILED FROM: AMERICAN ASSOCIATION OF HOMES FOR THE AGING-NURSING HOME SALARY & BENEFITS REPORT; AGING SERVICES OF WASHINGTON LONG TERM CARE & SENIOR HOUSING EMPLOYEE COMPENSATION SURVEY AND GUIDESTAR. COMPENSATION OFFERED TO CEO, EXECUTIVE DIRECTOR AND OTHER TOP MANAGEMENT PERSONNEL WAS NO MORE THAN PAID FOR SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. OFFICERS (BOARD MEMBERS) ARE UNPAID. KEY EMPLOYEES - BOARD REVIEWED COMPARATIVE DATA FOR SIMILAR ORGANIZATIONS AND KEY POSITIONS COMPILED FROM: AMERICAN ASSOCIATION OF HOMES FOR THE AGING-NURSING HOME SALARY & BENEFITS REPORT; AGING SERVICES OF WASHINGTON LONG TERM CARE & SENIOR HOUSING EMPLOYEE COMPENSATION SURVEY & GUIDESTAR. COMPENSATION OFFERED TO KEY EMPLOYEES WAS NO MORE THAN PAID FOR SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 18THE FORM 990 IS AVAILABLE UPON REQUEST AND TO BE FILED WITH STATE OF WASHINGTON CHARITIES PROGRAM. THE FORM 1023 IS NOT AVAILABLE BECAUSE OF A GROUP EXEMPTION THROUGH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING/ORGANIZING DOCUMENTS ARE AVAILABLE ON REQUEST FROM THE EXECUTIVE DIRECTOR. CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, PUBLISHED IN THE ANNUAL REPORT, AND DISTRIBUTED AT THE ANNUAL MEETING.
FORM 990, PART IX, LINE 24EMISCELLANEOUS: PROGRAM SERVICE EXPENSES 89,733. MANAGEMENT AND GENERAL EXPENSES 45,769. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 135,502. DIETARY/HOUSEKEEPING/LAUNDRY SUPPLIES: PROGRAM SERVICE EXPENSES 111,920. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,920. CHILD PROGRAM SUPPLIES: PROGRAM SERVICE EXPENSES 45,777. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,777. SAFETY NET ASSESSMENT: PROGRAM SERVICE EXPENSES 45,367. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,367. L&I RETRO FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 22,080. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,080.