CUMBERLAND REST HOME TRINITY TERRACE: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CUMBERLAND REST HOME TRINITY TERRACE (EIN 75-0891470)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201222289349302732
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T13:30:57-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 WEST MARCH LANE SUITE 100 | AddressLine1 |
| City | STOCKTON | City |
| State | CA | State |
| ZIP Code | 952192303 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 750891470 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CUMBERLAND REST INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CUMB | NameControl |
| Phone | 8887246424 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 TEXAS ST | AddressLine1 |
| City | FORT WORTH | City |
| State | TX | State |
| ZIP Code | 761023434 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRIAN MCLEMORE | Name |
| Title | CEO | Title |
| Phone | 8887246424 | Phone |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TRACY S PAGLIA | Name |
| Phone | 2099556100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | DOUG WILSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 965 ELLENDALE DRIVE | AddressLine1 |
| City | MEDFORD | City |
| State | OR | State |
| ZIP Code | 97504 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 44263503 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RETIREMENT.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1943 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE COMPREHENSIVE CARE AND HOUSING FOR THE ELDERLY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 216 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7789 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 16572145 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17444437 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 335610 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2994784 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 145832 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 16907755 | TotalRevenuePriorYear |
| Total Revenue Current Year | 20592842 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5626363 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6305324 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12021400 | OtherExpensePriorYear |
| Other Expenses Current Year | 12386307 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 17647763 | TotalExpensesPriorYear |
| Total Expenses Current Year | 18691631 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -740008 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1901211 | RevenuesLessExpensesCY |
| Total Assets BOY | 95337346 | TotalAssetsBOY |
| Total Assets EOY | 100613772 | TotalAssetsEOY |
| Total Liabilities BOY | 95850841 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 97747519 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -513495 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2866253 | NetAssetsOrFundBalancesEOY |
| Mission Description | NONE | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 15583931 | Expense |
| Grants | 0 | Grants |
| Revenue | 17444437 | Revenue |
| Description | CUMBERLAND REST, INC. IS A CONTINUING CARE RETIREMENT COMMUNITY, DEDICATED TO ENHANCING OUR RESIDENTS QUALITY OF LIFE IN A STIMULATING, SECURE ENVIRONMENT. WE PROVIDE HIGH-QUALITY SERVICES INCLUDING HOUSING, NUTRITIOUS MEALS, NURSING, HOUSEKEEPING, MAINTENANCE, AND OTHER SUPPORT TO THOSE WE SERVE. OUR LEVELS OF SERVICE INCLUDE INDEPENDENT LIVING, ASSISTED LIVING, AND SKILLED NURSING. | Description |
| Total Program Service Expense | 15583931 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 49 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 216 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SHERI DRESSLER | NamePerson |
| Telephone Number | 5418577644 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 965 ELLENDALE DRIVE | AddressLine1 |
| City | MEDFORD | City |
| State | OR | State |
| ZIP Code | 97504 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DOUG WILSON | |||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| JIM WHITTON | |||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| GRETCHEN SMITH | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| MICHAEL HYATT | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| ALLAN BARR | |||||||
| PAST CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| LARRY ANFIN | |||||||
| DIRECTOR (THROUGH 5/11) | 1.00 | X | 0 | 0 | 0 | ||
| JIM AUSTIN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DONALD MILLS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| FREDDY JONES | |||||||
| DIRECTOR (THROUGH 2/11) | 1.00 | X | 0 | 0 | 0 | ||
| CARLELA VOGEL | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| REV KARL TRAVIS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| HARRY E KNIGHT | |||||||
| DIRECTOR (THROUGH 11/10) | 1.00 | X | 0 | 3000 | 0 | ||
| LEE PATTERSON | |||||||
| EXECUTIVE DIRECTOR | 1.00 | 104164 | 0 | 22607 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 104164 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3000 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 22607 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LONE STAR CLASSIC CONSTRUCTION | |||||
| 3750 KELLY ROAD | ALEDO | TX | 76008 | CONSTRUCTION | 1447612 |
| PACIFIC RETIREMENT SERVICES | |||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | MANAGEMENT SERVICES | 1260530 |
| EBMS INC | |||||
| PO BOX 1400 | PORTLAND | OR | 97207 | EMPLOYEE BENEFITS | 756756 |
| CONSONUS REHAB | |||||
| PO BOX 4800 | PORTLAND | OR | 97208 | THERAPY | 477861 |
| DB CONSTRUCTORS INC | |||||
| 2400 GREAT SOUTHWEST PARKWAY | FORT WORTH | TX | 76106 | CONSTRUCTION | 277422 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| All Other Contributions | 7789 | AllOtherContributions |
| Total Contributions | 7789 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| SERVICE FEES | 623000 | 10270326 | 10270326 |
| HEALTH CENTER REVENUE | 623000 | 3506978 | 3506978 |
| ENTRANCE FEES | 623000 | 3132158 | 3132158 |
| DINING REVENUE | 623000 | 201474 | 201474 |
| LEVEL OF CARE SVCS | 623000 | 149118 | 149118 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 184383 | TotalRevenueColumn |
| Related Or Exempt Function Income | 184383 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17444437 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 659265 | TotalRevenueColumn |
| Exclusion | $659,265 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 145832 | TotalRevenueColumn |
| Exclusion | $145,832 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 26004269 | Securities |
| Other | 1911 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 23452382 | Securities |
| Other | 218279 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2551887 | Securities |
| Other | -216368 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2335519 | TotalRevenueColumn |
| Exclusion | $2,335,519 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20592842 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17444437 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $3,140,616 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4907648 | Total |
| Program Services | 4174093 | ProgramServices |
| Management And General | 733555 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135856 | Total |
| Program Services | 87214 | ProgramServices |
| Management And General | 48642 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 891577 | Total |
| Program Services | 757586 | ProgramServices |
| Management And General | 133991 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 370243 | Total |
| Program Services | 316434 | ProgramServices |
| Management And General | 53809 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1055046 | Total |
| Management And General | 1055046 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239665 | Total |
| Management And General | 239665 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 146451 | Total |
| Management And General | 146451 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50696 | Total |
| Management And General | 50696 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1988 | Total |
| Management And General | 1988 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265840 | Total |
| Program Services | 3345 | ProgramServices |
| Management And General | 262495 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 304689 | Total |
| Program Services | 232042 | ProgramServices |
| Management And General | 72647 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110473 | Total |
| Management And General | 110473 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1603434 | Total |
| Program Services | 1603434 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49043 | Total |
| Program Services | 13576 | ProgramServices |
| Management And General | 35467 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18769 | Total |
| Program Services | 10011 | ProgramServices |
| Management And General | 8758 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2710519 | Total |
| Program Services | 2710519 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3537843 | Total |
| Program Services | 3537843 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 224223 | Total |
| Program Services | 224223 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DIETARY EXPENSES | 781961 | 781961 | |
| HEALTH CENTER EXPENSES | 661646 | 661646 | |
| CONTRACT SERVICES | 349883 | 280571 | 69312 |
| FACILITY SERVICE EXPENS | 268524 | 189433 | 79091 |
| PROGRAM FUND EXPENSES | 5614 | 5614 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18691631 | Total |
| Program Services | 15583931 | ProgramServices |
| Management And General | 3107700 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2823215 | BOY |
| EOY | 2770051 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 418674 | BOY |
| EOY | 1708497 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 389479 | BOY |
| EOY | 228959 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39730 | BOY |
| EOY | 41676 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143474 | BOY |
| EOY | 167268 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 88792143 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 32398755 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58155482 | BOY |
| EOY | 56393388 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27342840 | BOY |
| EOY | 30048881 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6024452 | BOY |
| EOY | 9255052 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95337346 | BOY |
| EOY | 100613772 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1841857 | BOY |
| EOY | 2257749 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40542532 | BOY |
| EOY | 42995868 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47610000 | BOY |
| EOY | 46675000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5856452 | BOY |
| EOY | 5818902 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95850841 | BOY |
| EOY | 97747519 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -9014530 | BOY |
| EOY | -9352774 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4850179 | BOY |
| EOY | 7084937 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3650856 | BOY |
| EOY | 5134090 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -513495 | BOY |
| EOY | 2866253 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95337346 | BOY |
| EOY | 100613772 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1901211 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1478537 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1960 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3270 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2016 | CurrentTaxYearMinus2Years |
| Current Tax Year | 7789 | CurrentTaxYear |
| Total | 15035 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11957794 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13735929 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14372299 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16572145 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17444437 | CurrentTaxYear |
| Total | 74082604 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11959754 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13739199 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14374315 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16572145 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17452226 | CurrentTaxYear |
| Total | 74097639 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 74097639 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 442322 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 637217 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 254467 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 637846 | CurrentTaxYearMinus1Year |
| Current Tax Year | 805097 | CurrentTaxYear |
| Total | 2776949 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 442322 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 637217 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 254467 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 637846 | CurrentTaxYearMinus1Year |
| Current Tax Year | 805097 | CurrentTaxYear |
| Total | 2776949 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12402076 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14376416 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14628782 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17209991 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18257323 | CurrentTaxYear |
| Total | 76874588 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.96390 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97090 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.03610 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02910 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule C IRS990ScheduleC
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 18691631 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 18691631 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 1000000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $1,500,000 | LobbyingCeilingAmount |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 250000 | CurrentYear |
| Total | 250000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $375,000 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 703023 | OtherCostOrOtherBasis |
| Book Value | 703023 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 77474600 | OtherCostOrOtherBasis |
| Depreciation | 28474944 | Depreciation |
| Book Value | 48999656 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9588051 | OtherCostOrOtherBasis |
| Depreciation | 3545260 | Depreciation |
| Book Value | 6042791 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1026469 | OtherCostOrOtherBasis |
| Depreciation | 378551 | Depreciation |
| Book Value | 647918 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 56393388 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BOND ISSUE COSTS | 1056005 |
| INTEREST IN NET ASSETS OF TRINITY TERRACE FOUNDATION | 27952 |
| OIL AND GAS MINERAL RIGHTS | 8171095 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9255052 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| REFUNDABLE DEPOSITS | $287,520 |
| SWAP AGREEMENT | $5,436,326 |
| DUE TO AFFILIATES | $95,056 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5818902 | TotalOfAmounts |
| Total Revenue | 20592842 | TotalRevenue |
| Total Expenses | 18691631 | TotalExpenses |
| Excess Or Deficit For Year | 1901211 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -2913655 | NetUnrealizedGLOnInvestments |
| Other | $4,392,192 | OtherAmount |
| Total Adjustments | 1478537 | TotalAdjustments |
| Excess Or Deficit Per FS | 3379748 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 22237052 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -2913655 | NetUnrealizedGainsInvestments |
| Other Revenues | 4608561 | OtherRevenues |
| Revenue Not Rptd F990 | 1694906 | RevenueNotRptdF990 |
| Revenue Subtotal | 20542146 | RevenueSubtotal |
| Investment Expenses Not Included | 50696 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 50696 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 20592842 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 18857303 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 216368 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 216368 | ExpensesNotRptdF990 |
| Expenses Subtotal | 18640935 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 50696 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 50696 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 18691631 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE CORPORATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE CORPORATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSE. AT SEPTEMBER 30, 2011 AND 2010, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | SWAP LOSS -83,132. CHANGE IN INTEREST IN NET ASSETS OF TRINITY FOUNDATION 7,872. CHANGE IN FAIR VALUE OF SPLIT INTEREST TRUST 4,467,452. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SWAP LOSS -83,133. CHANGE IN INTEREST OF NET ASSETS 7,872. CHANGE IN FAIR VALUE OF SPLIT INTEREST TRUST 4,467,454. LOSS ON DISPOSAL OF ASSETS 216,368. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF ASSETS 216,368. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TARRANT COUNTY HEALTH FACILITIES DEVELOPMENT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 751881060 | IssuerEIN |
| CUSIP Number | 87638LCJ3 | CUSIPNumber |
| Date Issued | 2006-12-07 | DateIssued |
| Issue Price | 55000000 | IssuePrice |
| Description Of Purpose | EXPANSION AND RENOVATION OF FACILITY | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 8325000 | AmountRetired |
| Total Proceeds | 58376812 | TotalProceeds |
| Capitalized Interest | 2044429 | CapitalizedInterest |
| Issuance Costs From Proceeds | 1051721 | IssuanceCostsFromProceeds |
| Credit Enhancement | 1827547 | CreditEnhancement |
| Working Capital Expenditures | 1043462 | WorkingCapitalExpenditures |
| Capital Expenditures | 49822199 | CapitalExpenditures |
| Other Spent Proceeds | 2587453 | OtherSpentProceeds |
| Year Of Subst Completion | 2008 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 1 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 1 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00100 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00100 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 1 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORGAN STANLEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 29.600000000000 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 1 | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PALLAS CAPITAL CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 1.900000000000 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | 0 | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | 1 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE CUMBERLAND REST, INC. (AKA TRINITY TERRACE) BOARD DELEGATES MANAGEMENT TO PACIFIC RETIREMENT SERVICES. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE CUMBERLAND REST, INC. (AKA TRINITY TERRACE) HAS ONE MEMBER, PACIFIC RETIREMENT SERVICES, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | PACIFIC RETIREMENT SERVICES, INC. HAS THE AUTHORITY TO ELECT ALL DIRECTORS FROM NOMINEES SELECTED BY THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | SOME DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY PACIFIC RETIREMENT SERVICES, AS OUTLINED IN ARTICLE III, SECTION 2 OF THE BYLAWS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED BY THE CONTROLLER AND THE BOARD OF DIRECTORS. | |
| THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE ARE SENT TO ALL BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY. THERE ARE TWO POLICIES RELATED TO CONFLICTS OF INTEREST: 1) BOARD OF DIRECTORS; 2) KEY EMPLOYEES, WHICH IDENTIFY THE PURPOSE, DEFINITIONS, AND PROCEDURES. IF A CONFLICT IS SELF-IDENTIFIED BY A BOARD MEMBER OR KEY EMPLOYEE IN THE QUESTIONNAIRE AND/OR MEETING, PROCEDURES ARE FOLLOWED AND DOCUMENTED ACCORDING TO THE POLICY. THE VP OF HUMAN RESOURCES PROVIDED SALARY STUDIES FROM THE FOLLOWING RESOURCES TO THE COMMITTEE RELATIVE TO EXECUTIVE DIRECTOR COMPENSATION: SALARY.COM, PAYSCALE.COM, 990 REVIEW (LIKE SIZE ORGANIZATIONS), CEMO (CHIEF EXECUTIVE OFFICERS OF MULTI-FACILITY ORGANIZATIONS) SALARY STUDY RESULTS, AND INDUSTRY STATE ASSOCIATION SALARY STUDY RESULTS BASED ON GEOGRAPHICAL LOCATION. THE RECOMMENDATION FOR BASE COMPENSATION AND BONUS ARE PROVIDED BY THE ED'S DIRECT SUPERVISOR (COO OR VP OF OPERATIONS). | FORM 990, PART VI, SECTION B, LINE 12C | |
| A COMPENSATION COMMITTEE OF THE PRS BOARD EXISTS TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR OF EACH COMMUNITY. THIS COMMITTEE IS COMPRISED OF THE OFFICERS OF THE PRS BOARD OF DIRECTORS. THE COMMITTEE HAS A CHARTER THAT OUTLINES ITS DUTIES AND RESPONSIBILITIES. IT ALSO HAS AGENDA ELEMENTS THAT DESCRIBE THE ACTIVITIES THAT THE COMMITTEE UNDERTAKES DURING THE YEAR. THE VP OF HUMAN RESOURCES PROVIDED SALARY STUDIES FROM THE FOLLOWING RESOURCES TO THE COMMITTEE RELATIVE TO EXECUTIVE DIRECTOR COMPENSATION: SALARY.COM, PAYSCALE.COM, 990 REVIEW (LIKE SIZE ORGANIZATIONS), CEMO (CHIEF EXECUTIVE OFFICERS OF MULTI-FACILITY ORGANIZATIONS) SALARY STUDY RESULTS, AND INDUSTRY STATE ASSOCIATION SALARY STUDY RESULTS BASED ON GEOGRAPHICAL LOCATION. THE RECOMMENDATION FOR BASE COMPENSATION AND BONUS ARE PROVIDED BY THE ED'S DIRECT SUPERVISOR (COO OR VP OF OPERATIONS). | FORM 990, PART VI, SECTION B, LINE 15A | |
| ALL REQUESTS GO THROUGH THE CORPORATE COUNSEL. | FORM 990, PART VI, SECTION C, LINE 19 | |
| HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: | - LEE PATTERSON DEVOTES 40 HOURS PER WEEK TO PACIFIC RETIREMENT SERVICES. - HARRY E. KNIGHT DEVOTES 1 HOUR PER WEEK EACH TO PACIFIC RETIREMENT SERVICES, ROGUE VALLEY MANOR, AND UNIVERSITY RETIREMENT COMMUNITY AT DAVIS. - DOUG WILSON, GRETCHEN SMITH, ALLAN BARR, LARRY ANFIN, AND CARLELA VOGEL DEVOTE 1 HOUR PER WEEK TO TRINITY TERRACE FOUNDATION. | PART VII, SECTION A: |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -2,913,655. SWAP LOSS -83,132. CHANGE IN INTEREST IN NET ASSETS OF TRINITY FOUNDATION 7,872. CHANGE IN FAIR VALUE OF SPLIT INTEREST TRUST 4,467,452. TOTAL TO FORM 990, PART XI, LINE 5: 1,478,537. | FORM 990, PART XI, LINE 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (46 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PACIFIC RETIREMENT SERVICES INC | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 931067253 | SUPPORTING ORGANIZATION | OR | 501(C)(3) | LINE 11C, III-FI | N/A | 0 | |
| ROGUE VALLEY MANOR | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 930453216 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| CASCADE MANOR INC | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 930557803 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| UNIVERSITY RETIREMENT COMMUNITY AT DAVIS | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 931179254 | SENIOR HOUSING | CA | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| HOLLADAY PARK PLAZA | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 930513697 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| CAPITOL LAKES INC | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 391412320 | SENIOR HOUSING | WI | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| ROGUE VALLEY MANOR FOUNDATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 930712867 | PUBLIC FOUNDATION | OR | 501(C)(3) | LINE 7 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| UNIVERSITY RETIREMENT COMMUNITY AT DAVIS FOUNDATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 931301816 | PUBLIC FOUNDATION | CA | 501(C)(3) | LINE 7 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| TRINITY TERRACE FOUNDATION INC | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 912162130 | PUBLIC FOUNDATION | TX | 501(C)(3) | LINE 7 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| HOLLADAY PARK PLAZA FOUNDATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 264529118 | PUBLIC FOUNDATION | OR | 501(C)(3) | LINE 7 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| MIRABELLA WASHINGTON FOUNDATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 450574348 | PUBLIC FOUNDATION | WA | 501(C)(3) | LINE 7 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| CASCADE MANOR FOUNDATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 931330100 | PUBLIC FOUNDATION | OR | 501(C)(3) | LINE 7 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| CAPITOL LAKES FOUNDATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 383781089 | PUBLIC FOUNDATION | OR | 501(C)(3) | LINE 7 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| MIRABELLA | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 342030255 | SENIOR HOUSING | WA | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| MIRABELLA AT SOUTH WATERFRONT | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 711016384 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| MIRABELLA SAN FRANCISCO BAY | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 200428927 | SENIOR HOUSING | CA | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM COMMUNITY SERVICES INC | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 930892261 | COMM SRVCS | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 930864466 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM ASHLAND HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 930942933 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM GRANTS PASS HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943136037 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM ROSEBURG HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943179782 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM MYRTLE CREEK HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943162074 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM BEND HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943163349 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM EAGLE POINT HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943191447 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM KLAMATH FALLS HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943196455 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM MEDFORD II HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943212537 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM LIVELY OAKS HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943194409 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM REEDSPORT HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943212538 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM YREKA HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943212540 | SENIOR HOUSING | CA | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM EUGENE HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943247154 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM FORT WORTH I HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 311520436 | SENIOR HOUSING | TX | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM BEND II HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 943260016 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM FORT WORTH II HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 311587415 | SENIOR HOUSING | TX | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM MEDFORD III HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 311587418 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM ROSEBURG II HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 311587420 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM GRANTS PASS II HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 311662259 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM DAVIS HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 311662208 | SENIOR HOUSING | CA | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM MYRTLE CREEK II HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 311715321 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM PORTLAND HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 311780332 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM PORTLAND II HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 300037898 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM CENTRAL POINT HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 300315618 | SENIOR HOUSING | OR | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| RVM MANSFIELD HOUSING CORPORATION | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 900292647 | SENIOR HOUSING | TX | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| CORBINTON RETIREMENT | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 262987036 | SENIOR HOUSING | NC | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| MIRABELLA MARIN | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 263800433 | SENIOR HOUSING | CA | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| MIRABELLA AT MORRISON | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 271016196 | SENIOR HOUSING | NC | 501(C)(3) | LINE 9 | 0 | PACIFIC RETIREMENT SERVICES INC | |
| HOLLADAY PARK PLAZA ENDOWMENT FUND | |||||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 930776291 | ASSISTANCE TRUST | OR | 501(C)(3) | LINE 7 | 0 | HOLLADAY PARK PLAZA | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| CREST PARK INC | ||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 931169683 | HOTEL | OR | N/A | C |
| RETIREMENT SERVICES INC | ||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 931328250 | MANAGEMENT COMPANY | OR | N/A | C |
| PRS SCHOOL OF AGING SERVICES INC | ||||||||
| 965 ELLENDALE DRIVE | MEDFORD | OR | 97504 | 262477424 | SCHOOL | OR | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |