2012-08-09T18:44:37-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 610 NORTH 39TH AVENUE YAKIMA WA 98902 990 2011-01-01 910679851 WEST VALLEY NURSING HOMES INC WEST 5099655245 3801 SUMMITVIEW AVENUE YAKIMA WA 989022794 ED STEVENSON 5099655245 2012-08-09 1 RALPH A CONNER CPA P00185729 5098232910 2012-08-09 2011 2016-02-24 21:20:13Z CALVIN GROENENBERG 3801 SUMMITVIEW AVENUE YAKIMA WA 989022794 11161653 0 1 X WWW.LIVINGCARECENTERS.COM X 1958 WA A NOT-FOR-PROFIT, CHRISTIAN BASED, NON-DENOMINATIONAL RETIREMENT COMMUNITY THAT PROVIDES A VARIETY OF QUALITY HOUSING AND CARE SERVICES FOR SENIORS 9 9 266 116 0 0 12529 49200 11040201 11032933 106069 79520 0 0 11158799 11161653 3000 0 0 0 6101585 6293625 0 0 127498 4155568 4028751 10260153 10322376 898646 839277 26141697 26626058 13432852 13077936 12708845 13548122 X A NOT-FOR-PROFIT, CHRISTIAN BASED, NON-DENOMINATIONAL RETIREMENT COMMUNITY THAT PROVIDES A VARIETY OF QUALITY HOUSING AND CARE SERVICES FOR SENIORS. 0 0 5018448 5936004 SKILLED 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. 1615843 1743269 ASSISTED 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. 3024247 3378105 RETIREMENT 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. ASSISTED 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. 9658538 1 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 32 0 1 266 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X X DENNIS MALGESINI 5099655245 3801 SUMMITVIEW AVENUE YAKIMA WA 989022794 LEE STUCK 3.00 X 0 0 0 ROGER PHILLIPS 3.00 X X 0 0 0 ROBERT CHENEY 3.00 X 0 0 0 RAY NOVOBIELSKI 3.00 X X 0 0 0 ED STEVENSON 4.00 X X 0 0 0 KAREN FRESHWATER 3.00 X 0 0 0 MARK HAMPTON 3.00 X X 0 0 0 BERNALYN MCGAUGHEY 3.00 X 0 0 0 WES SCHUT 1.00 X 0 0 0 ROD KNIPPER 1.00 X 0 0 0 CALVIN GROENENBERG 50.00 X 106873 0 18344 106873 0 18344 1 0 0 0 INFINITY REHAB M/S 24 PO BOX 5700 PORTLAND OR 97228 THERAPY SERVICES 419878 SODEXO INC PO BOX 43283 LOS ANGELAS CA 900883283 DIETARY MANAGEMENT SERVICES 228053 2 49200 49200 ROOM REVENUE 623000 4936349 4936349 FEES AND CONTRACTS FRO 623000 4251696 4251696 PATIENT REVENUE 623000 1633340 1633340 SERVICE REVENUE 623000 211548 211548 11032933 79520 79520 11161653 11032933 0 79520 125217 62608 56348 6261 4755549 4368889 298794 87866 85661 85661 863473 834313 29160 463725 425807 37918 252481 252481 1436 1436 26963 8363 18600 509020 497323 11697 84418 72997 225 11196 59748 42933 16815 40157 26027 13725 405 719912 719912 21368 9759 7544 4065 6502 2588 3024 890 976174 976174 63159 63159 FOOD 613152 613152 PROGRAM SUPPLIES 497473 497473 PRESCRIPTION MEDICATION 91696 91696 SUBSCRIPTIONS, DUES AND 65092 50156 14936 10322376 9658538 536340 127498 1225 1225 1253083 1468763 614661 472815 566501 550112 31252 34694 119570 80459 29780419 11543141 18901488 18237278 1161872 836062 3492045 4944650 26141697 26626058 883431 884908 33250 34200 6171 3828 12510000 12155000 13432852 13077936 X 12708845 13548122 12708845 13548122 26141697 26626058 839277 0 X 0 1 1 X 0 X 27218 244620 12692 12529 49200 346259 9596166 10292167 10943471 11040021 11032933 52904758 9623384 10536787 10956163 11052550 11082133 53251017 0 0 0 53251017 156247 114583 99049 106069 79520 555468 156247 114583 99049 106069 79520 555468 9779631 10651370 11055212 11158619 11161653 53806485 0.98970 0.98800 0.01030 0.01200 X 0 1 1245289 1245289 24517164 8645580 15871584 4017966 2897561 1120405 18237278 PATIENT TRUST FUND 3829 ASSETS LIMITED AS TO USE 343497 CONSTRUCTION IN PROGRESS 161185 ACCRUED INTEREST RECEIVABLE 3446 DAMAGE DEPOSITS 80087 CERTIFICATE OF DEPOSIT 4352606 4944650 11161653 10322376 839277 839277 11161653 0 11161653 0 11161653 10322376 0 10322376 0 10322376 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. FORM 990, PART VI, SECTION B, LINE 11 LINE 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 12C DISCLOSURE 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 15 THE 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 19 AVAILABLE UPON REQUEST.