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MENNONITE HOME OF ALBANY INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MENNONITE HOME OF ALBANY INC (EIN 93-0473211)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-02-14
IRS object ID
201100459349301910
Schema version
2009v1.7
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)
Timestamp2011-02-14T18:48:13-08:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Hansen Hunter & Company PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18930 SW Gemini DriveAddressLine1
CityBeavertonCity
StateORState
ZIP Code97008ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930473211EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mennonite Home of Albany IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMENNNameControl
Phone5419287232Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15353 Columbus Street SEAddressLine1
CityAlbanyCity
StateORState
ZIP Code97322ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHESTER PATTERSONName
TitleCFOTitle
Date Signed2011-02-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameCynthia J HeubergerName
Phone5032442134Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRonald LitwillerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15353 COLUMBUS STREET SEAddressLine1
CityALBANYCity
StateORState
ZIP Code97322ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22462829GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteWWW.MENNONITEVILLAGE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH CARE AND HOUSING FOR THE ELDERLY AND THOSE WITH ALZHIEMER'S AND DEMENTIA.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees549TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year50854ContributionsGrantsPriorYear
Contributions Grants Current Year548884ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20954193ProgramServiceRevenuePriorYear
Program Service Revenue CY21659912ProgramServiceRevenueCY
Investment Income Prior Year275405InvestmentIncomePriorYear
Investment Income Current Year245054InvestmentIncomeCurrentYear
Other Revenue Prior Year9402OtherRevenuePriorYear
Other Revenue Current Year8979OtherRevenueCurrentYear
Total Revenue Prior Year21289854TotalRevenuePriorYear
Total Revenue Current Year22462829TotalRevenueCurrentYear
Grants And Similar Amnts CY12930GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12059198SalariesEtcPriorYear
Salaries Etc Current Year12021336SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year124227TotalFundrsngExpCurrentYear
Other Expense Prior Year8557612OtherExpensePriorYear
Other Expenses Current Year9144510OtherExpensesCurrentYear
Total Expenses Prior Year20616810TotalExpensesPriorYear
Total Expenses Current Year21178776TotalExpensesCurrentYear
Revenues Less Expenses Prior Year673044RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1284053RevenuesLessExpensesCY
Total Assets BOY43155945TotalAssetsBOY
Total Assets EOY47255345TotalAssetsEOY
Total Liabilities BOY28505922TotalLiabilitiesBOY
Total Liabilities EOY30951893TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14650023NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16303452NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH CARE AND HOUSING FOR THE ELDERLY AND THOSE WITH ALZHIEMER'S AND DEMENTIA.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18366763Expense
Grants12930Grants
Revenue21659912Revenue
DescriptionMENNONITE HOME OF ALBANY PROVIDES ELDERLY ASSISTED LIVING CARE, IN-HOME CARE, RETIREMENT LIVING AND HIGH QUALITY HEALTH CARE TO ALZHEIMERS AND DEMENTIA PATIENTS.Description
Total Program Service Expense18366763TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees549NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonChester Patterson CFONamePerson
Telephone Number5419287232TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15353 COLUMBUS STREET SEAddressLine1
CityALBANYCity
StateORState
ZIP Code97322ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
TIM ROTH
Director2.00X000
LOWELL KROPF
Director2.00X000
NANCY FRIESEN
Director2.00X000
Ronald Litwiller
President & CEO60.0019094609621X
CHESTER PATTERSON
CFO55.0012604209621X
ROBERT JOHNSON
COO55.0011120609621X
DONNA MILLER
Secretary2.00X000X
DAVE MILLER
Director2.00X000
ELLIS STUTZMAN
Director2.00X000
GINA UMBLE
Director2.00X000
WELDON BURKHOLDER
Board ViceChair2.00X000X
WILL BARNHART
Board Chair3.00X000X
RANDY FRIESEN
Director2.00X000
ROB HAYS
ADMINISTRATOR50.0010620409621X
FieldValueIRS element (for citing)
Total Reportable Comp From Org534398TotalReportableCompFromOrg
Total Other Compensation38484TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MENNONITE MANAGEMENT SERVICES
5353 COLUMBUS ST SEALBANYOR97322MANAGEMENT SERVICES747623
CONSONUS REHAB
4560 SE INTERNATIONAL WAYMILWAUKIEOR97222THERAPY SERVICES1144150
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations534829RelatedOrganizations
All Other Contributions14055AllOtherContributions
Total Contributions548884TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEES6230006607066070
RESIDENT RESTAURANT623000418641418641
ENTRANCE FEE AMORT.62300011746801174680
Fees & Contracts Gov Agencies62300069290646929064
RESIDENT SERVICES6230001307145713071457
FieldValueIRS element (for citing)
Total Program Service Revenue21659912TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column244428TotalRevenueColumn
Exclusion$244,428ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real8979Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real8979Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column8979TotalRevenueColumn
Exclusion$8,979ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other626Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other626Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column626TotalRevenueColumn
Exclusion$626ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22462829TotalRevenueColumn
Related Or Exempt Function Income21659912RelatedOrExemptFunctionIncome
Exclusion$254,033ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total12930Total
Program Services12930ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total457057Total
Management And General457057ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8814193Total
Program Services8404607ProgramServices
Management And General341281ManagementAndGeneral
Fundraising68305Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total147716Total
Program Services125120ProgramServices
Management And General16515ManagementAndGeneral
Fundraising6081Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1638573Total
Program Services1518464ProgramServices
Management And General112339ManagementAndGeneral
Fundraising7770Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total963797Total
Program Services862672ProgramServices
Management And General95629ManagementAndGeneral
Fundraising5496Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total747623Total
Management And General747623ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total22318Total
Management And General22318ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25966Total
Management And General25966ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total26584Total
Management And General26584ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1552333Total
Program Services1450827ProgramServices
Management And General101356ManagementAndGeneral
Fundraising150Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total153287Total
Program Services23971ProgramServices
Management And General127808ManagementAndGeneral
Fundraising1508Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total821994Total
Program Services807101ProgramServices
Management And General14893ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total76852Total
Program Services54071ProgramServices
Management And General22774ManagementAndGeneral
Fundraising7Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total62553Total
Program Services36095ProgramServices
Management And General26055ManagementAndGeneral
Fundraising403Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total641606Total
Program Services629981ProgramServices
Management And General11625ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1438390Total
Program Services1235178ProgramServices
Management And General203212ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total320035Total
Program Services296082ProgramServices
Management And General23953ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
TELEPHONE501864880437031603
PROPERTY TAXES2342742300294245
EQUIPMENT RENTAL & maintenance31264829467617972
FOOD COSTS982813982813
SUPPLIES14501471339297110850

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total224901Total
Program Services57969ProgramServices
Management And General134028ManagementAndGeneral
Fundraising32904Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21178776Total
Program Services18366763ProgramServices
Management And General2687786ManagementAndGeneral
Fundraising124227Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-11972BOY
EOY17603EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6075693BOY
EOY5630156EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1605898BOY
EOY1441416EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY24979BOY
EOY35803EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY153016BOY
EOY167179EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis47513880LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17517843LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26479405BOY
EOY29996037EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7602474BOY
EOY8101684EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1226452BOY
EOY1865467EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY43155945BOY
EOY47255345EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1729888BOY
EOY1733327EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY9366274BOY
EOY10094863EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY11811246BOY
EOY11995353EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY14257BOY
EOY6506EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY1272931EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5584257BOY
EOY5848913EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28505922BOY
EOY30951893EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14650023BOY
EOY16303452EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14650023BOY
EOY16303452EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43155945BOY
EOY47255345EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years213536CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years90577CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68336CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50854CurrentTaxYearMinus1Year
Current Tax Year548884CurrentTaxYear
Total972187Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17495835CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19423947CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20019198CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20954193CurrentTaxYearMinus1Year
Current Tax Year21659912CurrentTaxYear
Total99553085Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17709371CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19514524CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20087534CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21005047CurrentTaxYearMinus1Year
Current Tax Year22208796CurrentTaxYear
Total100525272Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509100525272PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years297126CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years303182CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years366250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year335153CurrentTaxYearMinus1Year
Current Tax Year253407CurrentTaxYear
Total1555118Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years297126CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years303182CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years366250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year335153CurrentTaxYearMinus1Year
Current Tax Year253407CurrentTaxYear
Total1555118Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total102080390Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98480PublicSupportPercentage509
Prior Year Support Percentage0.98400PriorYearSupportPercentage
Investment Income Percentage0.01520InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01600PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5291812OtherCostOrOtherBasis
Book Value5291812BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis35818939OtherCostOrOtherBasis
Depreciation13353762Depreciation
Book Value22465177BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3195718OtherCostOrOtherBasis
Depreciation1907910Depreciation
Book Value1287808BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3207411OtherCostOrOtherBasis
Depreciation2256171Depreciation
Book Value951240BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29996037TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ENTRANCE FEES$5,819,358
VILLAGE UNIT DESPOSITS$29,555
FieldValueIRS element (for citing)
Total Of Amounts5848913TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart IV, Line 2bIdentifier
Return ReferencePart IV, Line 2b: Explanation of escrow account liabilityReturnReference
ExplanationThe organization maintains funds for the convenience of its residents. These amounts are listed as both an asset and a liabiltiy on the organization's balance sheet.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
No Grant More Than5000XNoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonRonald LitwillerNamePerson
Base Compensation Filing Org190946BaseCompensationFilingOrg
Nontaxable Benefits Filing Org9621NontaxableBenefitsFilingOrg
Total Compensation Filing Org200567TotalCompensationFilingOrg

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Hospital Facility AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN936002114IssuerEIN
CUSIP Number012508AR8CUSIPNumber
Date Issued2004-09-30DateIssued
Issue Price8470000IssuePrice
Description Of PurposeRefunding/Congregate Care FacilityDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds8823310TotalProceeds
Amount In Reserve Fund231296AmountInReserveFund
Amount Defeased6043907AmountDefeased
Issuance Costs From Proceeds313383IssuanceCostsFromProceeds
Capital Expenditures2234725CapitalExpenditures
Year Of Subst Completion2005YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonKaren LitwillerNamePerson
FieldValueIRS element (for citing)
RelationshipEmployeeRelationship
Amount Of Transaction87621AmountOfTransaction
Description Of TransactionWagesDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThese documents are made available to the public by request at the organization's place of business.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsConflicts of interest are disclosed at each meeting of the board of directors and/or meetings of the standing board committees. Known conflicts are addressed at each meeting by the board chair. An annual conflict of interest statement is signed by all members.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe form and supporting schedules are reviewed by the finance committee of the board of directors prior to being filed. Each board member receives a complete copy of Form 990 and schedules.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyMennonite Health Services, the organization's sponsor, apopints all board members.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtRandy Friesen and Nancy Friesen have a family relationship.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Mennonite Management Services
5353 Columbus St SEAlbanyOR97322743192567Management ServicesOR501(c)39N/A
Mennonite Health Services
234 South Main StGoshenIN46526231421919Health ServicesIN501(c)39N/A
Albany Mennonite HOmeVillage Foundation
5353 Columbus St SEAlbanyOR97322931049860Support Mennonite Home of AlbanyOR501(c)39N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Mennonite Management Services
l747623
Albany Mennonite HOmeVillage Foundation
c534829