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JOSEPHINE CARING COMMUNITY: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
JOSEPHINE CARING COMMUNITY (EIN 91-0570870)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-07
IRS object ID
201412809349301251
Schema version
2013v3.0
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)
Return2014-10-07T17:51:12-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 A STREET SUITE 600AddressLine1
CityTACOMACity
StateWAState
ZIP Code984024205ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910570870EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOSEPHINE SUNSET HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlJOSEBusinessNameControlTxt
Phone3606292126PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19901 272ND PLACE NWAddressLine1
CitySTANWOODCity
StateWAState
ZIP Code98292ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRY ROBERTSONPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone3606292126PhoneNum
Signature2014-10-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNANCY J SCHAUERPreparerPersonNm
PTINP01326437PTIN
Phone2535724100PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1JOSEPHINEBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerTERRY ROBERTSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19901 272ND PLACE NWAddressLine1
CitySTANWOODCity
StateWAState
ZIP Code98292ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$19,989,110GrossReceiptsAmt
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 SERVICE MINISTRY OF THE ELCA PROVIDING AFTER-HOSPITAL REHAB, LOVING LONG-TERM CARE, ASSISTED LIVING, CHILDCAREAND EARLY LEARNING SERVICES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee369TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$284,611PYContributionsGrantsAmt
CY Contributions Grants$296,079CYContributionsGrantsAmt
PY Program Service Revenue$17,161,187PYProgramServiceRevenueAmt
CY Program Service Revenue$17,052,104CYProgramServiceRevenueAmt
PY Investment Income$48,894PYInvestmentIncomeAmt
CY Investment Income$20,550CYInvestmentIncomeAmt
PY Other Revenue$4,082PYOtherRevenueAmt
CY Other Revenue$2,141CYOtherRevenueAmt
PY Total Revenue$17,498,774PYTotalRevenueAmt
CY Total Revenue$17,370,874CYTotalRevenueAmt
PY Grants And Similar Paid$9,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$16,326CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,471,610PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,577,361CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$27,573CYTotalFundraisingExpenseAmt
PY Other Expenses$5,829,680PYOtherExpensesAmt
CY Other Expenses$5,965,078CYOtherExpensesAmt
PY Total Expenses$16,310,290PYTotalExpensesAmt
CY Total Expenses$16,558,765CYTotalExpensesAmt
PY Revenues Less Expenses$1,188,484PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$812,109CYRevenuesLessExpensesAmt
Total Assets BOY$16,720,286TotalAssetsBOYAmt
Total Assets EOY$17,508,105TotalAssetsEOYAmt
Total Liabilities BOY$7,008,497TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,923,431TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,711,789NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,584,674NetAssetsOrFundBalancesEOYAmt
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$12,063,130ExpenseAmt
Grant$12,826GrantAmt
Revenue$14,300,832RevenueAmt
Desc*BETTER BUSINESS ACCREDITED CHARITY *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 5 STAR RATING.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$1,341,656ExpenseAmt
Grant$0GrantAmt
Revenue$1,678,816RevenueAmt
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$1,001,184ExpenseAmt
Grant$3,500GrantAmt
Revenue$767,378RevenueAmt
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$75,344ExpenseAmt
Grant$0GrantAmt
Revenue$305,078RevenueAmt
DescCARE TEAM MINISTRYCARE TEAM MINISTRY RESPONDS FREE OF CHARGE, TO THE NON-MEDICAL "QUALITY OF LIFE" NEEDS OF INDIVIDUALS NOTROUTINELY PROVIDED BY EXISTING SOCIAL SERVICE PROGRAMS. CARE TEAMS, STAFFED BY LAY VOLUNTEERS FROM AREACHURCHES, PROVIDE RESPITE CARE FOR OVERBURDENED HOME CARE GIVERS AND SOCIALIZATION. CHORES FOR FRAIL ELDERLYLIVING AT HOME AND INDIVIDUALIZED SUPPORT FOR ANYONE WITH SPECIAL NEEDS ARE ALSO PROVIDED. THROUGHJOSEPHINE, CARE TEAMS RECEIVE COMPREHENSIVE ORIENTATIONS, AND CLIENT SPECIFIC TRAINING DEALING WITH TOPICSSUCH AS ALZHEIMER'S DISEASE, STROKE, AGING, GRIEF, AND LOSS. IN ADDITION, JOSEPHINE WORKS CLOSELY WITH TEAM LEADERS TO PROVIDE THEM WITH THE TOOLS THEY NEED TO MANAGE THEIR TEAMS EFFECTIVELY. CARE TEAM MINISTRYFURTHERS JOSEPHINE'S MISSION BY PROVIDING INNOVATIVE, INDIVIDUALIZED CARE THAT COMPLEMENTS EXISTING SOCIALSERVICE, ENSURING THAT THE NEEDS OF THE WHOLE PERSON - BODY, MIND AND SPIRIT - ARE BEING MET.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$75,344TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$305,078TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$14,481,314TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee369EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 OFFICERBusinessNameLine1
FieldValueIRS element (for citing)
Phone3606292126PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19901 272ND PLACE NWAddressLine1
CitySTANWOODCity
StateWAState
ZIP Code98292ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
HARVEY WOLDEN
BOARD MEMBER1.00Yes (X)$0$0$0
KIMBERLY GEARIETY
BOARD MEMBER1.00Yes (X)$0$0$0
JERRY VAN VLIET
BOARD MEMBER1.00Yes (X)$0$0$0
THOR MCILRATH
BOARD MEMBER 2/1 - 7/311.00Yes (X)$0$0$0
LANA HANSON
BOARD MEMBER 4/1 - 5/311.00Yes (X)$0$0$0
CARL GABRIELSON
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
TOM LUCAS
BOARD MEMBER 2/1 - 12/311.00Yes (X)$0$0$0
BEN RICHARDS
TREASURER2.00Yes (X)$0$0$0Yes (X)
SCOTT BRENTS
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
NANCY SLIND
SECRETARY2.00Yes (X)$0$0$0Yes (X)
ANN STILES
BOARD MEMBER 1/1 - 4/301.00Yes (X)$0$0$0
DONN HOLLENBECK
BOARD MEMBER1.00Yes (X)$0$0$0
STEVE HOAG
BOARD MEMBER 10/1 - 12/311.00Yes (X)$0$0$0
TERRY ROBERTSON
CHIEF EXECUTIVE OFFICER40.00$155,046$0$41,320Yes (X)
KAREN JACOBSON
DIRECTOR OF NURSING40.00$108,168$0$3,242Yes (X)
GRETCHEN PIGOTT
CONTROLLER40.00$120,296$0$12,187Yes (X)
TERI LINDGREN
NURSING HOME ADMINISTRATOR40.00$103,387$0$7,381Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$486,897TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$64,130TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
AEGIS THERAPIES INC
PO BOX 8103FORT SMITHAR72902PHYSICAL, SPEECH & OCCUPATIONAL THERAPIE$1,216,107
SNF SOLUTIONS
10506 420TH AVE SENORTH BENDWA98045BILLING SERVICES - SKILLED NURSING FACIL$179,549
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$241,453GovernmentGrantsAmt
All Other Contributions$54,626AllOtherContributionsAmt
Total Contributions$296,079TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING HOME-MEDICAID623000$7,505,664$7,505,664
NURSING HOME-MEDICARE623000$4,950,922$4,950,922
NURSING HOME-PRIVATE623000$1,844,246$1,844,246
ASSISTED LIVING REVENUE623000$1,678,816$1,678,816
CHILD CARE REVENUE624410$767,378$767,378

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$305,078TotalRevenueColumnAmt
Related Or Exempt Func Income$305,078RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$17,052,104TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,285TotalRevenueColumnAmt
Related Or Exempt Func Income$39,285RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,300RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,448RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$148RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$148TotalRevenueColumnAmt
Exclusion-$148ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,586,517SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,586,517SecuritiesAmt
Other$18,735OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$18,735OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$18,735TotalRevenueColumnAmt
Exclusion-$18,735ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$12,825GrossSalesOfInventoryAmt
Cost Of Goods Sold$10,536CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,289TotalRevenueColumnAmt
Exclusion$2,289ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,370,874TotalRevenueColumnAmt
Related Or Exempt Func Income$17,091,389RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$16,594ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$16,326TotalAmt
Program Services$16,326ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$197,317TotalAmt
Management And General$197,317ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,586,668TotalAmt
Program Services$8,006,779ProgramServicesAmt
Management And General$559,790ManagementAndGeneralAmt
Fundraising$20,099FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$97,851TotalAmt
Program Services$84,000ProgramServicesAmt
Management And General$13,851ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$756,339TotalAmt
Program Services$716,428ProgramServicesAmt
Management And General$37,509ManagementAndGeneralAmt
Fundraising$2,402FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$939,186TotalAmt
Program Services$882,348ProgramServicesAmt
Management And General$54,791ManagementAndGeneralAmt
Fundraising$2,047FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,267TotalAmt
Management And General$14,267ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$254,790TotalAmt
Management And General$254,790ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,428,998TotalAmt
Program Services$1,371,380ProgramServicesAmt
Management And General$57,618ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$59,038TotalAmt
Management And General$59,038ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$429,472TotalAmt
Program Services$159,722ProgramServicesAmt
Management And General$268,196ManagementAndGeneralAmt
Fundraising$1,554FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$122,909TotalAmt
Management And General$122,909ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$455,760TotalAmt
Program Services$438,235ProgramServicesAmt
Management And General$17,525ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$68,025TotalAmt
Program Services$45,258ProgramServicesAmt
Management And General$22,767ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$64,703TotalAmt
Program Services$28,761ProgramServicesAmt
Management And General$35,842ManagementAndGeneralAmt
Fundraising$100FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$307,916TotalAmt
Program Services$295,400ProgramServicesAmt
Management And General$12,516ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$673,920TotalAmt
Program Services$615,221ProgramServicesAmt
Management And General$57,328ManagementAndGeneralAmt
Fundraising$1,371FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$81,078TotalAmt
Program Services$4,715ProgramServicesAmt
Management And General$76,363ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD AND SUPPLEMENTS$510,648$510,648
MEDICARE/HMO ANCILLARY$455,062$455,062
MEDICAL SUPPLIES AND SM$419,692$419,692
MISCELLANEOUS$199,000$65,218$133,782

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$419,800TotalAmt
Program Services$366,121ProgramServicesAmt
Management And General$53,679ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,558,765TotalAmt
Program Services$14,481,314ProgramServicesAmt
Management And General$2,049,878ManagementAndGeneralAmt
Fundraising$27,573FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,038,359BOYAmt
EOY$921,356EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,127,483BOYAmt
EOY$2,489,508EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,441,217BOYAmt
EOY$2,472,579EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$67,103BOYAmt
EOY$56,447EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$124,743BOYAmt
EOY$130,589EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,248,199LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,555,499LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,270,283BOYAmt
EOY$7,692,700EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$433,456BOYAmt
EOY$677,622EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$86,629BOYAmt
EOY$348,880EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$131,013BOYAmt
EOY$2,718,424EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,720,286BOYAmt
EOY$17,508,105EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,023,006BOYAmt
EOY$1,013,871EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$49,742BOYAmt
EOY$87,894EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,921,188BOYAmt
EOY$5,665,188EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,561BOYAmt
EOY$156,478EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,008,497BOYAmt
EOY$6,923,431EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,222,728BOYAmt
EOY$10,084,109EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$40,330BOYAmt
EOY$51,674EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$448,731BOYAmt
EOY$448,891EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,711,789BOYAmt
EOY$10,584,674EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,720,286BOYAmt
EOY$17,508,105EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$812,109ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$60,776NetUnrlzdGainsLossesInvstAmt
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$343,881CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$322,043CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$317,853CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$284,611CurrentTaxYearMinus1YearAmt
Current Tax Year$296,079CurrentTaxYearAmt
Total$1,564,467TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,931,142CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,973,059CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,493,738CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,161,187CurrentTaxYearMinus1YearAmt
Current Tax Year$17,052,104CurrentTaxYearAmt
Total$80,611,230TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,275,023CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,295,102CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,811,591CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,445,798CurrentTaxYearMinus1YearAmt
Current Tax Year$17,348,183CurrentTaxYearAmt
Total$82,175,697TotalAmt

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$82,175,697PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,407CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,738CurrentTaxYearMinus1YearAmt
Current Tax Year$41,585CurrentTaxYearAmt
Total$237,526TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,407CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,738CurrentTaxYearMinus1YearAmt
Current Tax Year$41,585CurrentTaxYearAmt
Total$237,526TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,315,369CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,349,509CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,862,041CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,496,536CurrentTaxYearMinus1YearAmt
Current Tax Year$17,389,768CurrentTaxYearAmt
Total$82,413,223TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99710PublicSupportCY509Pct
Public Support PY5090.99670PublicSupportPY509Pct
Investment Income CY0.00290InvestmentIncomeCYPct
Investment Income PY0.00330InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$460,129BeginningYearBalanceAmt
Contributions$160ContributionsAmt
Investment Earnings Or Losses$15,331InvestmentEarningsOrLossesAmt
Administrative Expenses$897AdministrativeExpensesAmt
End Year Balance$474,723EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$362,708BeginningYearBalanceAmt
Contributions$60,111ContributionsAmt
Investment Earnings Or Losses$9,746InvestmentEarningsOrLossesAmt
Other Expenditures$353OtherExpendituresAmt
Administrative Expenses$83AdministrativeExpensesAmt
End Year Balance$432,129EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.94600PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.05400TermEndowmentBalanceEOYPct
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$8,844,131OtherCostOrOtherBasisAmt
Depreciation$6,153,211DepreciationAmt
Book Value$2,690,920BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,716,704OtherCostOrOtherBasisAmt
Depreciation$3,344,260DepreciationAmt
Book Value$3,372,443BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,098,518OtherCostOrOtherBasisAmt
Depreciation$2,058,028DepreciationAmt
Book Value$1,040,490BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Book Value$120,293BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,692,700TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
LOAN ISSUANCE FEES, NET$120,670
LAND HELD FOR FUTURE DEVELOPMENT$2,597,754
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,718,424TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
FUNDS HELD FOR RESIDENTS$17,602
CAPITAL LEASE$138,876
FieldValueIRS element (for citing)
Total Liability$156,478TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$17,373,322TotalRevEtcAuditedFinclStmtAmt
Other Revenue$2,448OtherRevenueAmt
Revenue Not Reported$2,448RevenueNotReportedAmt
Revenue Subtotal$17,370,874RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$17,370,874TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,561,213TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,448OtherExpensesIncludedAmt
Expenses Not Reported$2,448ExpensesNotReportedAmt
Expenses Subtotal$16,558,765ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,558,765TotalExpensesPerForm990Amt

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)(1)(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, 2013, THE ORGANIZATION HAD NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL OR DISCLOSURE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 2,448.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 2,448.

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
Recipient18RecipientCnt
Cash Grant$16,326CashGrantAmt

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$150,745BaseCompensationFilingOrgAmt
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$33,839DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$7,481NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$196,366TotalCompensationFilingOrgAmt
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 12/27/2012 TO MAKE VOLUNTARY SALARY DEFERRAL PAYMENTS DURING 2013 TOTALING OF $27,752. ENTIRE ACCRUED BENEFIT IS SUBJECT TO VESTING SCHEDULE: 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 COMMISSIONBusinessNameLine1
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 Due0NoRebateDueInd
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

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K SUPPLENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationBOND ISSUES - DESCRIPTION OF PURPOSE REMODEL/EXPANSION; REFUND OF PRIOR BOND - 1995 LOW INCOME HOUSING ASSISTANCE REVENUE BOND ISSUED BY HOUSING AUTHORITY OF SNOHOMISH COUNTY.ExplanationTxt

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 SUNSET HOME AND WHOSE APPLICATION HAS BEEN APPROVED BY THE BOARD OF DIRECTORS OF JOSEPHINE SUNSET HOME. 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 SUNSET HOME. A DULY ENDORSED COVENANT STATEMENT OF THE CONGREGATION'S COMMITMENT TO THE MISSION OF JOSEPHINE SUNSET HOME 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 SUNSET HOME, THE MEMBERSHIP OF ANY SUCH CONGREGATION SHALL BE ESTABLISHED AND THE NAME OF THE CORPORATION ENTERED UPON THE ROLLS OF JOSEPHINE SUNSET HOME 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 SUNSET HOME 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 11PRESENTED TO BOARD FROM GOVERNANCE COMMITTEE WITH MOTION TO ACCEPT/DECLINE.
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 THE 75TH PERCENTILE 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 THE 75TH PERCENTILE 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 24EREPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 154,859. MANAGEMENT AND GENERAL EXPENSES 30,272. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 185,131. DIETARY/HOUSEKEEPING/LAUNDRY SUPPLIES: PROGRAM SERVICE EXPENSES 68,508. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,508. CHILD PROGRAM SUPPLIES: PROGRAM SERVICE EXPENSES 62,124. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,124. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 33,746. MANAGEMENT AND GENERAL EXPENSES 23,407. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,153. SAFETY NET ASSESSMENT: PROGRAM SERVICE EXPENSES 46,884. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,884.