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PORTER HILLS PRESBYTERIAN VILLAGE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PORTER HILLS PRESBYTERIAN VILLAGE INC (EIN 38-6141735)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201421349349301452
Schema version
2012v2.0
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)
Timestamp2014-05-14T08:14:10-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN386141735EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PORTER HILLS PRESBYTERIAN VILLAGEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPORTNameControl
Phone6169494975Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14450 Cascade RoadAddressLine1
CityGrand RapidsCity
StateMIState
ZIP Code49564ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCraig VandenbosName
TitleControllerTitle
Phone6169541799Phone
Date Signed2014-05-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSusan StoddardNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14450 Cascade RoadAddressLine1
CityGrand RapidsCity
StateMIState
ZIP Code49564ZIPCode
FieldValueIRS element (for citing)
Gross Receipts30239964GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.porterhills.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionAssisted Living, Nursing Care, Independent living for ElderlyActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees519TotalNbrEmployees
Total Nbr Volunteers299TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2421927ContributionsGrantsPriorYear
Contributions Grants Current Year585414ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17403914ProgramServiceRevenuePriorYear
Program Service Revenue CY18342395ProgramServiceRevenueCY
Investment Income Prior Year276597InvestmentIncomePriorYear
Investment Income Current Year443506InvestmentIncomeCurrentYear
Other Revenue Prior Year10046346OtherRevenuePriorYear
Other Revenue Current Year10868649OtherRevenueCurrentYear
Total Revenue Prior Year30148784TotalRevenuePriorYear
Total Revenue Current Year30239964TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11511025SalariesEtcPriorYear
Salaries Etc Current Year11215940SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17437322OtherExpensePriorYear
Other Expenses Current Year19454996OtherExpensesCurrentYear
Total Expenses Prior Year28948347TotalExpensesPriorYear
Total Expenses Current Year30670936TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1200437RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-430972RevenuesLessExpensesCY
Total Assets BOY76590525TotalAssetsBOY
Total Assets EOY75311959TotalAssetsEOY
Total Liabilities BOY97414604TotalLiabilitiesBOY
Total Liabilities EOY94416078TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-20824079NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-19104119NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide a continuum of high quality communities and services for older adults in accordance with Christian values.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense23236586Expense
Grants0Grants
Revenue29211044Revenue
DescriptionAssisted Living, nursing care, independent living facility for the elderly. Total days of care in 2012-13 was 176,287.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense23236586TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees519NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCraig VandenbosNamePerson
Telephone Number6169541799TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14450 Cascade RoadAddressLine1
CityGrand RapidsCity
StateMIState
ZIP Code49564ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Robert Daverman
Board member10X000
Cynthia Havard
Board Member10X000
Sharon Buursma
Board Member10X000
Martha Blandford
Board Member10X000
William Alt
Board Member10X000
Jon Pike
Board member10X000
James Williams
Board member10X000
Henry Capogna
Board Member10X000
Carol Hubbard
Board Member10X000
Willaim S Lawerence III
Board Member10X000
Mark Yost
First Vice Chair20000X
Daniel Terpsma
Treasurer20000X
Reed Vanderslik
COO500138800012620X
Jane Toot
Secretary20000X
Joseph Stojak
Chair20000X
Larry Yachcik
CEO50030568907370X
Ingrid Weaver
VP of Operations500138786012813X
Michelle Coberly
Executive Director500123646011562X
Susan Stoddard
VP of Finance5001480800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org721729TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation44365TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Creative Dining Services
One Royal Park DriveZeelandMI49464Food Service1429198
Mary Free Bed
235 Wealthy StreetGrand RapidsMI49503Therapy Services1139936
Omnicare
po Box 715268ColumbusOH43271Pharmacy329324
Salon PS
55 Public Square St 1180ClevelandOH44113Beauty salon154060
VCPI
111 W Michigan StMilwaukeeWI53203Computer hosting service316662
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations585414RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions0AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions585414TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Program ServicesDescription
Business Code623990BusinessCode
Total Revenue Column18342395TotalRevenueColumn
Related Or Exempt Function Income18342395RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue18342395TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column443506TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$443,506ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Life Lease Income623990174417817441780$0
Maintenance fees & Supplemental charges623990882110488211040$0
Gain on Joint Venture9000993033673033670$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue10868649TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30239964TotalRevenueColumn
Related Or Exempt Function Income29211044RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$443,506ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total821729Total
Program Services0ProgramServices
Management And General821729ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7541606Total
Program Services6961105ProgramServices
Management And General580501ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2332968Total
Program Services1963505ProgramServices
Management And General369463ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total519637Total
Program Services347328ProgramServices
Management And General172309ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total
Management And General0ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total92738Total
Management And General92738ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total34754Total
Management And General34754ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5552225Total
Program Services4513356ProgramServices
Management And General1038869ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total114430Total
Management And General114430ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total152970Total
Program Services77840ProgramServices
Management And General75130ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total547092Total
Program Services49159ProgramServices
Management And General497933ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2951345Total
Program Services2270346ProgramServices
Management And General680999ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total55639Total
Program Services2383ProgramServices
Management And General53256ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2360343Total
Program Services2172955ProgramServices
Management And General187388ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3130565Total
Program Services2915170ProgramServices
Management And General215395ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total181201Total
Program Services181201ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
bad debt307883078800
Corporate Overhead2463032024630320
Medical & Misc Supplies1737893173423036630
Dues and subscriptions4998117220327610

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total30670936Total
Program Services23236586ProgramServices
Management And General7434350ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY20402BOY
EOY122075EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1619742BOY
EOY1952180EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY790764BOY
EOY1824310EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY193496BOY
EOY206700EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis102497265LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec41924093LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY62315411BOY
EOY60573172EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10263172BOY
EOY8841098EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1387538BOY
EOY1792424EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY76590525BOY
EOY75311959EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7695587BOY
EOY8378403EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY69677087BOY
EOY68079318EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY4169606BOY
EOY3736042EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15872324BOY
EOY14222315EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY97414604BOY
EOY94416078EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-20824079BOY
EOY-19104119EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-20824079BOY
EOY-19104119EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY76590525BOY
EOY75311959EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-430972ReconcilationRevenueExpenses
Reconciliation Unrealized Invest283055ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes1867877ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1089872CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years641593CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years541126CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2421927CurrentTaxYearMinus1Year
Current Tax Year585414CurrentTaxYear
Total5279932Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23746234CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24992484CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25950039CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27020569CurrentTaxYearMinus1Year
Current Tax Year29211044CurrentTaxYear
Total130920370Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24836106CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25634077CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26491165CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29442496CurrentTaxYearMinus1Year
Current Tax Year29796458CurrentTaxYear
Total136200302Total
FieldValueIRS element (for citing)
Public Support Total509136200302PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years289473CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years899475CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1153076CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year706288CurrentTaxYearMinus1Year
Current Tax Year443506CurrentTaxYear
Total3491818Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years289473CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years899475CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1153076CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year706288CurrentTaxYearMinus1Year
Current Tax Year443506CurrentTaxYear
Total3491818Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25125579CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26533552CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27644241CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30148784CurrentTaxYearMinus1Year
Current Tax Year30239964CurrentTaxYear
Total139692120Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97500PublicSupportPercentage509
Prior Year Support Percentage0.97432PriorYearSupportPercentage
Investment Income Percentage0.02500InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02568PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$526OtherActivitiesAmount
Total Lobbying Expenditures IIB526TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationPorter Hills pays a membership fee to Leading Age services of Michigan and part of those membership fees are used to lobby.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis4907226InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value4907226BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis89702925InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation38292898Depreciation
Book Value51410027BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis7887114InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation3631195Depreciation
Book Value4255919BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings60573172TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Deferred Life Lease Income$10,783,870
Fair Market value of SWAP$3,380,581
Other Long Term Liabilities$57,864
FieldValueIRS element (for citing)
Total Of Amounts14222315TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt30523019TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments283055NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F990283055RevenueNotRptdF990
Revenue Subtotal30239964RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99030239964TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt30670936TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal30670936ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99030670936TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonLarry YachcikNamePerson
TitleCEOTitle
Base Compensation Filing Org258760BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org33751BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org13178OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org1941NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org307630TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L01aSchedule J, Part I, Line 1aPorter Hills Presbyterian Village pays a country club fee for the President of the company. The total cost is $14,755.
SchJ_P01_S00_L04Schedule J, Part I, Line 4The President of Porter Hills Presbyterian Village particiapates in a 457 plan. $15,000 was the employers contribution into the plan.
SchJ_P01_S00_L07Schedule J, Part I, Line 7Part of the compensation is variable and at the discretion of the Board of Directors.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Grand Rapids Charter TownshipBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN386005448IssuerEIN
CUSIP Number386211BA3CUSIPNumber
Date Issued2003-07-01DateIssued
Issue Price35565000IssuePrice
Description Of PurposeFinancing Cost of Advanced RefundingDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds0TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2003YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0PercentageOfPrvtBusinessReUBI
Total Private Business Use0TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test1BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1Wells Fargo and Huntington BankBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge30TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action0ProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6Westminster Presbyterian Church is the sole share holder of stock in Porter Hills Presbyterian Village.
F990_P06_S0A_L07aForm 990, Part VI, Section A, Line 7aWestminster Presbyterian Church can elect board members to Porter Hills Presybterian Village.
F990_P06_S0A_L07bForm 990, Part VI, Section A, Line 7bThe slate of Porter Hills Presbyterian Village Board members needs approval by Westminster Church's Board of Dirctors.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe form 990 was reviewed by the VP of Finance before it was filed.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cOfficers, Directors, Trustees and key employees are required to annually disclose whether or not they have any interest that may result in a conflict. The form which they sign reqiures them to promptly report any possible existence of a conflict of interest for themselves or anyone else subject to the policy. If a possible conflict was reported on the annual form or if notice was given after the annual disclosure, the information disclosed would be evaluated and if necessary, compliance would be enforced.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15For executive compensation a minimum of three sources are used. Each source is a third party organization specializing in compensation in the West Michigan Area. The information is then compiled by the HR department and used to make a recommendation on the salary for each person. The recommendation is reviewed and approved by an independent person.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19The financials and form 990 are available upon request.
F990_P09_S00_L11gForm 990, Part IX, Line 11gFood Service fees of $1,429,198, Therapy Charges for Medicare residents of $1,139,935, Agency for nursing staff of $157,530, State of Michigan for Quality Assurance Assesment of $438,972, Salon Charges for outsourcing beauty shop $154,060, and other misc charges.
F990_P11_S00_L09Form 990, Part XI, Line 9Change in Fair value of Interest swap agreements.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Porter Hills Foundation
4450 Cascade RoadGrand RapidsMI49564383243846Supporting OrganizationMI501 C 311APorter Hills Presbyterian Village
Meadowlark Retirement Home
4450 Cascade RoadGrand RapidsMI49564383373281Retirement HomeMI501 C 37Porter Hills Presbyterian Village0
Porter Hills Home Health West
4450 Cascade RoadGrand RapidsMI49564383384372Home CareMI501 C 39Porter Hills Presbyterian Village0
Gerontology Network
516 Cherry SEGrand RapidsMI49503382774701Health ServicesMI501 C 37Porter Hills Presbyterian Village
Walker Meadow Retirement
1101 Wilson AveGrand RadidsMI49534383283760Retirement HomeMI501 C 37Porter Hills Presbyterian Village0
Oak Ridge Retirement
3781 GiddingsGrand RapidsMI49508383382610Retirement HomeMI501 C 37Porter Hills Presbyterian Village0
Harvest Way Retirement
100 Ida RedSpartaMI49345383445251Retirement HomeMI501 C 37Porter Hills Presbyterian Village0
River Grove Retirement
5761 Jupiter AveBelmontMI49306383519530Retirement HomeMI501 C 37Porter Hills Presbyterian Village0
Baileys Retirement
5252 Baileys CenterKentwoodMI49512383643825Retirement HomeMI501 C 37Porter Hills Presbyterian Village0
Station Creek
10010 Crossroad CourtCaledoniaMI49316200771871Retirement HomeMI501 c 37Porter Hills Presbyterian Village0
Life Circles
560 Seminole RoadMuskegonMI49444260170498PACE programMI501 C 39Porter Hills Presbyterian Village0
Porter Hills Home Health East
4450 Cascade RoadGrand RapidsMI49546383358620Private Duty and Transportation CompanyMI501 c 3line 9Porter Hills Presbyterian Village0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Porter Hills Foundation
c585414donations from Porter Hills Foundation that has veen transferred from the foundation to Porter Hills Presbyterian Village for benevolent care and other restricted costs.
Porter Hills Home Health West
a-iv70800Porter Hills Presbyterian Village leases part of their facility to Porter Hills Home Health West.
Porter Hills Home Health East
m453576Porter Hills Home Health East provides residential services for Porter Hills Village's residents and the general public.
Life Circles
l350000Porter Hills Presbyterian Village receives a management fee from Life Circles for management services Performed.
Gerontology Network
l111834Gerontology Network pays a management and Accounting fee to Porter Hills Presbyterian Village for accounting and management services.
Walker Meadow Retirement
l34672Porter Hills Corporate offce receives a management and accounting fee from Walker Meadow Retirement for accounting and management services.
Oak Ridge Retirement
l44283Porter Hills Corporate receives a managment and accounting fee from Oak Ridge Retirement for accounting and management services.
Harvest Way Retirement
l44526Porter Hills Corporate office receives a management and accounting fee from Harvest Way Retirement for accounting and management services.
River Grove Retirement
l36387Porter Hills Corporate receives a management and accouting fee from River Grove Retirement for accounting and management services.
Station Creek
l45945Porter Hills Corporate receives a management and accounting fee from Station Creek Retirement for accounting and management services.
Baileys Retirement
l39391Porter Hills Corporate receives a management and accounting fee from Baileys Grove Retirement for accounting and management services.
Gerontology Network
d639118Porter Hills Presbyterian VIllage was a guarantee for Gerontology Networks line of credit.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
Explanationform 8868 was filed and approve for extension by the IRS.Explanation