STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

WEST VALLEY NURSING HOMES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WEST VALLEY NURSING HOMES INC (EIN 91-0679851)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-09
IRS object ID
201222229349301767
Schema version
2011v1.2
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)
Timestamp2012-08-09T18:44:37-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1610 NORTH 39TH AVENUEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code98902ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910679851EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WEST VALLEY NURSING HOMES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone5099655245Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13801 SUMMITVIEW AVENUEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code989022794ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameED STEVENSONName
TitleBOARD CHAIRMANTitle
Phone5099655245Phone
Date Signed2012-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRALPH A CONNER CPAName
PTINP00185729PTIN
Phone5098232910Phone
Date Prepared2012-08-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCALVIN GROENENBERGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13801 SUMMITVIEW AVENUEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code989022794ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11161653GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.LIVINGCARECENTERS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionA NOT-FOR-PROFIT, CHRISTIAN BASED, NON-DENOMINATIONAL RETIREMENT COMMUNITY THAT PROVIDES A VARIETY OF QUALITY HOUSING AND CARE SERVICES FOR SENIORSActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees266TotalNbrEmployees
Total Nbr Volunteers116TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12529ContributionsGrantsPriorYear
Contributions Grants Current Year49200ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11040201ProgramServiceRevenuePriorYear
Program Service Revenue CY11032933ProgramServiceRevenueCY
Investment Income Prior Year106069InvestmentIncomePriorYear
Investment Income Current Year79520InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11158799TotalRevenuePriorYear
Total Revenue Current Year11161653TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6101585SalariesEtcPriorYear
Salaries Etc Current Year6293625SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year127498TotalFundrsngExpCurrentYear
Other Expense Prior Year4155568OtherExpensePriorYear
Other Expenses Current Year4028751OtherExpensesCurrentYear
Total Expenses Prior Year10260153TotalExpensesPriorYear
Total Expenses Current Year10322376TotalExpensesCurrentYear
Revenues Less Expenses Prior Year898646RevenuesLessExpensesPriorYear
Revenues Less Expenses CY839277RevenuesLessExpensesCY
Total Assets BOY26141697TotalAssetsBOY
Total Assets EOY26626058TotalAssetsEOY
Total Liabilities BOY13432852TotalLiabilitiesBOY
Total Liabilities EOY13077936TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12708845NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13548122NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionA NOT-FOR-PROFIT, CHRISTIAN BASED, NON-DENOMINATIONAL RETIREMENT COMMUNITY THAT PROVIDES A VARIETY OF QUALITY HOUSING AND CARE SERVICES FOR SENIORS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5018448Expense
Revenue5936004Revenue
DescriptionSKILLED NURSING SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 26,588 DAYS OF 24-HOUR NURSING CARE TO RESIDENTS IN SUMMITVIEW HEALTHCARE CENTER, OUR SKILLED NURSING FACILITY. RESIDENTS RECEIVED ASSISTANCE WITH ACTIVITIES OF DAILY LIVING INCLUDING BATHING, DRESSING AND EATING. LICENSED NURSES MONITORED EACH RESIDENT'S HEALTH CONDITION, WROTE INDIVIDUALIZED CARE PLANS AND PROVIDED SKILLED SERVICES INCLUDING MEDICATIONS, TREATMENTS AND ASSESSMENTS. LICENSED THERAPISTS PROVIDED SERVICES SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. RESIDENTS PARTICIPATED IN A WIDE VARIETY OF ACTIVITES AND WERE PROVIDED SOCIAL SERVICE ASSISTANCE AND CHAPLAINCY SERVICES. HOUSEKEEPING, MAINTENANCE AND LAUNDRY SERVICES WERE PROVIDED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1615843Expense
Revenue1743269Revenue
DescriptionASSISTED LIVING SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 14,305 DAYS OF ASSISTED LIVING SERVICES TO OUR RESIDENTS IN HILLCREST AT SUMMITVIEW AN ASSISTED LIVING FACILITY. SERVICES INCLUDED THREE MEALS DAILY, 24-HOUR HEALTH AND MEDICATION MONITORING, ASSISTANCE WITH BATHING, DRESSING, HOUSKEEPING AND LAUNDRY. RESIDENTS PARTICIPATED IN A WIDE VARIETY OF ACTIVITES AND WERE PROVIDED SOCIAL SERVICE ASSISTANCE AND CHAPLAINCY SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3024247Expense
Revenue3378105Revenue
DescriptionRETIREMENT APARTMENT SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 65,518 DAYS OF SERVICES TO RESIDENTS IN OUR RETIREMENT APARTMENTS. SERVICES INCLUDED THE DAILY EVENING MEAL, WEEKLY HOUSEKEEPING, MAINTENANCE AND EMERGENCY ASSISTANCE. RESIDENTS PARTICIPATED IN A WIDE VARIETY OF ACTIVITES AND WERE PROVIDED CHAPLAINCY SERVICES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionASSISTED LIVING SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 13,994 DAYS OF ASSISTED LIVING SERVICES TO OUR RESIDENTS IN HILLCREST AT SUMMITVIEW AN ASSISTED LIVING FACILITY. SERVICES INCLUDED THREE MEALS DAILY, 24-HOUR HEALTH AND MEDICATION MONITORING, ASSISTANCE WITH BATHING, DRESSING, HOUSEKEEPING, AND LAUNDRY. RESIDENTS PARTICIPATED IN A WIDE VARIETY OF ACTIVITIES AND WERE PROVIDED SOCIAL SERVICE ASSISTANCE AND CHAPLAINCY SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense9658538TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees266NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
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 FiledWAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DENNIS MALGESINIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5099655245TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13801 SUMMITVIEW AVENUEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code989022794ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
LEE STUCK
DIRECTOR3.00X000
ROGER PHILLIPS
VICE CHAIR3.00X000X
ROBERT CHENEY
DIRECTOR3.00X000
RAY NOVOBIELSKI
SECRETARY3.00X000X
ED STEVENSON
CHAIRMAN4.00X000X
KAREN FRESHWATER
DIRECTOR3.00X000
MARK HAMPTON
TREASURER3.00X000X
BERNALYN MCGAUGHEY
DIRECTOR3.00X000
WES SCHUT
DIRECTOR1.00X000
ROD KNIPPER
DIRECTOR1.00X000
CALVIN GROENENBERG
EXECUTIVE DIRECTOR50.00106873018344X
FieldValueIRS element (for citing)
Total Reportable Comp From Org106873TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation18344TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INFINITY REHAB
M/S 24 PO BOX 5700PORTLANDOR97228THERAPY SERVICES419878
SODEXO INC
PO BOX 43283LOS ANGELASCA900883283DIETARY MANAGEMENT SERVICES228053
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions49200AllOtherContributions
Total Contributions49200TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROOM REVENUE62300049363494936349
FEES AND CONTRACTS FRO62300042516964251696
PATIENT REVENUE62300016333401633340
SERVICE REVENUE623000211548211548
FieldValueIRS element (for citing)
Total Program Service Revenue11032933TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column79520TotalRevenueColumn
Exclusion$79,520ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11161653TotalRevenueColumn
Related Or Exempt Function Income11032933RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$79,520ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total125217Total
Program Services62608ProgramServices
Management And General56348ManagementAndGeneral
Fundraising6261Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4755549Total
Program Services4368889ProgramServices
Management And General298794ManagementAndGeneral
Fundraising87866Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total85661Total
Program Services85661ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total863473Total
Program Services834313ProgramServices
Management And General29160ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total463725Total
Program Services425807ProgramServices
Management And General37918ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total252481Total
Program Services252481ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1436Total
Management And General1436ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26963Total
Program Services8363ProgramServices
Management And General18600ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total509020Total
Program Services497323ProgramServices
Management And General11697ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total84418Total
Program Services72997ProgramServices
Management And General225ManagementAndGeneral
Fundraising11196Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total59748Total
Management And General42933ManagementAndGeneral
Fundraising16815Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total40157Total
Program Services26027ProgramServices
Management And General13725ManagementAndGeneral
Fundraising405Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total719912Total
Program Services719912ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total21368Total
Program Services9759ProgramServices
Management And General7544ManagementAndGeneral
Fundraising4065Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6502Total
Program Services2588ProgramServices
Management And General3024ManagementAndGeneral
Fundraising890Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total976174Total
Program Services976174ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total63159Total
Program Services63159ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD613152613152
PROGRAM SUPPLIES497473497473
PRESCRIPTION MEDICATION9169691696
SUBSCRIPTIONS, DUES AND650925015614936

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10322376Total
Program Services9658538ProgramServices
Management And General536340ManagementAndGeneral
Fundraising127498Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1225BOY
EOY1225EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1253083BOY
EOY1468763EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY614661BOY
EOY472815EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY566501BOY
EOY550112EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY31252BOY
EOY34694EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY119570BOY
EOY80459EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis29780419LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11543141LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18901488BOY
EOY18237278EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1161872BOY
EOY836062EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3492045BOY
EOY4944650EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26141697BOY
EOY26626058EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY883431BOY
EOY884908EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY33250BOY
EOY34200EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY6171BOY
EOY3828EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY12510000BOY
EOY12155000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13432852BOY
EOY13077936EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12708845BOY
EOY13548122EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12708845BOY
EOY13548122EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26141697BOY
EOY26626058EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses839277ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years27218CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years244620CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12692CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12529CurrentTaxYearMinus1Year
Current Tax Year49200CurrentTaxYear
Total346259Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9596166CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10292167CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10943471CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11040021CurrentTaxYearMinus1Year
Current Tax Year11032933CurrentTaxYear
Total52904758Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9623384CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10536787CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10956163CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11052550CurrentTaxYearMinus1Year
Current Tax Year11082133CurrentTaxYear
Total53251017Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50953251017PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years156247CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years114583CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106069CurrentTaxYearMinus1Year
Current Tax Year79520CurrentTaxYear
Total555468Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years156247CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years114583CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106069CurrentTaxYearMinus1Year
Current Tax Year79520CurrentTaxYear
Total555468Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9779631CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10651370CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11055212CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11158619CurrentTaxYearMinus1Year
Current Tax Year11161653CurrentTaxYear
Total53806485Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98970PublicSupportPercentage509
Prior Year Support Percentage0.98800PriorYearSupportPercentage
Investment Income Percentage0.01030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01200PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1245289OtherCostOrOtherBasis
Book Value1245289BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24517164OtherCostOrOtherBasis
Depreciation8645580Depreciation
Book Value15871584BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4017966OtherCostOrOtherBasis
Depreciation2897561Depreciation
Book Value1120405BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18237278TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
PATIENT TRUST FUND3829
ASSETS LIMITED AS TO USE343497
CONSTRUCTION IN PROGRESS161185
ACCRUED INTEREST RECEIVABLE3446
DAMAGE DEPOSITS80087
CERTIFICATE OF DEPOSIT4352606
FieldValueIRS element (for citing)
Total Book Value Other Assets4944650TotalBookValueOtherAssets
Total Revenue11161653TotalRevenue
Total Expenses10322376TotalExpenses
Excess Or Deficit For Year839277ExcessOrDeficitForYear
Excess Or Deficit Per FS839277ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11161653TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal11161653RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011161653TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10322376TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10322376ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010322376TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART IV, LINE 1B:WE ARE REQUIRED BY STATE LAW TO PROVIDE ALL RESIDENTS WITH THE OPTION OF KEEPING MONEY ON THEIR BEHALF FOR INCIDENTAL PURCHASES. ANY AMOUNTS OVER $50 HAVE TO BE KEPT IN AN INTEREST BEARING ACCOUNT. ANY BANK CHARGES FOR THE ACCOUNT CANNOT BE CHARGED TO THE RESIDENTS, BUT MUST BE PAID BY THE FACILITY. WE KEEP ALL THE MONEY IN AN INTEREST BEARING CHECKING ACCOUNT AND HAVE THE FEES CHARGED TO THE COMPANY BANK ACCOUNT. BECAUSE THIS ISN'T OUR MONEY, WE ARE ONLY HOLDING IT IN "TRUST" WE CARRY THE ASSET AND OFF-SETTING LIABILITY ON OUR BOOKS.
PART IV, LINE 2B:SEE ABOVE.
THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOMES TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES (AMUSEMENT GAMES AND CONCESSION SALES). MANAGEMENT EVALUATED THE ORGANIZATIONS TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE, OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2008.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11LINE 11A EXPLANATION - THE 990 FORM WILL BE COMPLETED BY ITS STAFF AND PUBLIC ACCOUNTANT, AND COPIES WILL BE DISTRIBUTED ANNUALLY TO EACH BOARD MEMEBER. THE BOARD WILL REVIEW, DISCUSS, AND APPROVE THE 990 FORM PRIOR TO ITS FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDISCLOSURE REQUIREMENTS A. AT THE ANNUAL MEETING OF THE CORPORATION OF LIVING CARE AT WHICH DIRECTORS ARE ELECTED, MEMBERS OF THE BOARD OF DIRECTORS SHALL COMPLETE AND SUBMIT A QUESTIONNAIRE PRESCRIBED BY THE BOARD OF DIRECTORS WHEREIN ANY POTENTIAL CONFLICT OF INTEREST SHALL BE DISCLOSED. B. IN THE EVENT THAT ANY PERSON NOMINATED TO BE OR IS ELECTED TO THE BOARD OF DIRECTORS, UPON SUCH NOMINATION, ELECTION, SUCH PERSON SHALL BE SUPPLIED WITH THE QUESTIONNAIRE PRESCRIBED BY THE BOARD OF DIRECTORS TO COMPLETE AND SUBMIT TO THE BOARD. C. IN ADDITION TO THE ANNUAL WRITTEN DISCLOSURE DESCRIBED ABOVE, AT ANY TIME THAT THE BOARD OF DIRECTORS IS CONSIDERING A MATTER IN WHICH A MEMBER OF THE BOARD HAS AN INTEREST, SUCH PERSON SHALL AGAIN MAKE DISCLOSURE OF SUCH CONFLICT OF INTEREST, AND SUCH DISCLOSURES SHALL BE NOTED IN THE MINUTES OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD CONDUCTS AN ANNUAL, FORMAL REVIEW OF THE EXECUTIVE DIRECTOR'S PERFORMANCE. THEY MEET IN EXECUTIVE SESSION TO REVIEW IT TOGETHER AND THEN THE BOARD CHAIR PRESENTS THE RESULTS TO THE EXECUTIVE DIRECTOR. THE BOARD REVIEWS A LIST SHOWING THE COMPENSATION OF OTHER EXECUTIVE DIRECTOR'S OF NON-PROFIT RETIREMENT COMMUNITIES IN WASHINGTON STATE. THE EXECUTIVE DIRECTOR PROPOSES THE COMPENSATION OF THE NURSING HOME ADMINISTRATOR BASED ON DATA REVIEWED FROM THE ANNUAL WAGE & COMPENSATION SURVEY CONDUCTED BY THE STATE ASSOCIATION, AGING SERVICES OF WASHINGTON. THIS SURVEY IS ALSO UTILIZED FOR OTHER EMPLOYEES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST.