GARDEN VILLAGE: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
GARDEN VILLAGE (EIN 91-2090034)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-11
IRS object ID
202123169349300007
Schema version
2020v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-11T22:18:59-08:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN930891763PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HANSEN HUNTER & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17080 SW FIR LOOP SUITE 100AddressLine1Txt
CityTIGARDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97223ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN912090034EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Garden VillageBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGARDBusinessNameControlTxt
Phone5094534854PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1206 South 10th AvenueAddressLine1Txt
CityYakimaCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98902ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOUG BAULTPersonNm
Person TitleSecretaryPersonTitleTxt
Signature2021-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDOUGPersonFirstNm
Person LastBAULTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLou McCollumPreparerPersonNm
PTINP00209055PTIN
Phone5032442134PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerShawnie HaasPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1206 South 10th AvenueAddressLine1Txt
CityYakimaCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98902ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,145,170GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionValuing lives, accepting and supporting individuals through integrated behavioral and medical healthcare.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee183TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,100PYContributionsGrantsAmt
CY Contributions Grants$991,950CYContributionsGrantsAmt
PY Program Service Revenue$7,850,566PYProgramServiceRevenueAmt
CY Program Service Revenue$8,140,194CYProgramServiceRevenueAmt
PY Investment Income$7,697PYInvestmentIncomeAmt
CY Investment Income$7,978CYInvestmentIncomeAmt
CY Other Revenue$5,048CYOtherRevenueAmt
PY Total Revenue$7,861,363PYTotalRevenueAmt
CY Total Revenue$9,145,170CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,744,981PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,415,047CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,817,146PYOtherExpensesAmt
CY Other Expenses$2,793,037CYOtherExpensesAmt
PY Total Expenses$7,562,127PYTotalExpensesAmt
CY Total Expenses$8,208,084CYTotalExpensesAmt
PY Revenues Less Expenses$299,236PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$937,086CYRevenuesLessExpensesAmt
Total Assets BOY$3,908,964TotalAssetsBOYAmt
Total Assets EOY$5,808,777TotalAssetsEOYAmt
Total Liabilities BOY$805,087TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,767,814TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,103,877NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,040,963NetAssetsOrFundBalancesEOYAmt
MissionWe value lives, accept and support individuals through integrated behavioral and medical healthcare in a skilled nursing facility. Garden Village offers a community behavioral/medical alternative for residents when faced with their only other option in an acute-care-psychiatric hospital that is located 200 miles away.We also provide social support for individuals with advanced dementia or unstable mental illness as well as medical healthcare needs. all of these residents require a secure setting due to impaired cognitive functioning. We help people with complex mental health problems successfully live in our community.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,582,527ExpenseAmt
Revenue$8,760,007RevenueAmt
DescFounded in 2000, Garden Village provides a coordinated program that includes in-house behavioral treatment and medical, skilled nursing care and social services. All of these clinical care services are provided in a home-style, resident centered care environment that allows residents and their families to enjoy a quality of life focused on normal daily routines and comforts. Whether their needs are for short-term crisis stabilization and rehabilitation, or for longer-term residence and palliative care, each resident receives an individualized program that meets his or her unique needs.Garden Village has been recognized in the industry for their special programs for older adults and are a prior recipient of the National Council for Community Behavioral Healthcare Award of Excellence.Their staff has been through specialized training using the Mandt Program, and includes a medical director who is a Board Certified Geriatric Family Medicine Specialist and on site mental health professionals. The facility has effectively been able to help protect those with diminished capacity to understand and/or protect themselves from hazards. Since its inception, records show decreased admissions to the state hospital and local hospital psychiatric unit and decreased mental health Crisis Outreach Team contacts with elders in the community.Garden Village served a total of 133 individuals in 2020 for a total of 27,881 resident census days. Serving 25,415 Medicaid resident census days including 5,329 expanded community service days.Desc
Total Program Service Expenses$7,582,527TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee183EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGARDEN VILLAGEPersonNm
Phone5094534854PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1206 SOUTH 10TH AVENUEAddressLine1Txt
CityyakimaCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98902ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Doug Bault
Sec. & ADMIN40.000.00Yes (X)Yes (X)$152,726$0$30,655
Luke Hoisington
Vice President0.350.00Yes (X)Yes (X)$0$0$0
Shawnie Haas
President0.350.00Yes (X)Yes (X)$0$0$0
Matt Kollman
MEMBER0.080.00Yes (X)$0$0$0
Gail Weaver
Member0.080.00Yes (X)$0$0$0
Diahann Barrera
Treasurer0.290.00Yes (X)Yes (X)$0$0$0
Ron Gengler
Member0.080.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$152,726TotalReportableCompFromOrgAmt
Total Other Compensation$30,655TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
YAKIMA VALLEY MEMORIAL HOSPITAL
2811 Tienton DriveYakimaWA98902Contract NH Administrator$366,295
Ascend Network Corp
3711 W Woodside AveSpokaneWA99208Contract Health Services$189,290
PrimeTime Healthcare LLC
PO Box 3544OmahaNE68103Agency Nursing$189,737
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$639,503GovernmentGrantsAmt
All Other Contributions$352,447AllOtherContributionsAmt
Total Contributions$991,950TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FEES & CONTRACTS AGENCY623000$8,068,668$8,068,668
PVT R&B/MEDICAL CARE623000$71,526$71,526
FieldValueIRS element (for citing)
Total Program Service Revenue$8,140,194TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,978TotalRevenueColumnAmt
Exclusion$7,978ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEALS INCOME900099$4,182$4,182
MISCELLANEOUS900099$866$866
FieldValueIRS element (for citing)
Other Revenue Total$5,048OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,145,170TotalRevenueColumnAmt
Related Or Exempt Func Income$8,145,242RelatedOrExemptFuncIncomeAmt
Exclusion$7,978ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$183,381TotalAmt
Management And General$183,381ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$4,226,389TotalAmt
Program Services$4,226,389ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$673,681TotalAmt
Program Services$673,681ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$331,596TotalAmt
Program Services$331,596ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,203TotalAmt
Management And General$2,203ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$72,329TotalAmt
Management And General$72,329ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$931,541TotalAmt
Program Services$687,767ProgramServicesAmt
Management And General$243,774ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,824TotalAmt
Management And General$2,824ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$23,880TotalAmt
Program Services$22,706ProgramServicesAmt
Management And General$1,174ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$642,494TotalAmt
Program Services$610,902ProgramServicesAmt
Management And General$31,592ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,275TotalAmt
Program Services$3,275ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$167,479TotalAmt
Program Services$159,244ProgramServicesAmt
Management And General$8,235ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$67,452TotalAmt
Program Services$64,135ProgramServicesAmt
Management And General$3,317ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$355,066$333,203$21,863
FOOD COSTS$255,937$255,937
BAD DEBT EXPENSE$143,369$143,369
LICENSES, TAXES, FEES$47,831$3,513$44,318

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$77,357TotalAmt
Program Services$66,810ProgramServicesAmt
Management And General$10,547ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,208,084TotalAmt
Program Services$7,582,527ProgramServicesAmt
Management And General$625,557ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$599,286BOYAmt
EOY$1,713,966EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$265,270BOYAmt
EOY$265,334EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$803,355BOYAmt
EOY$873,535EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$86,758BOYAmt
EOY$99,731EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,134,117LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,940,230LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,146,939BOYAmt
EOY$1,193,887EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$347,730BOYAmt
EOY$955,567EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$659,626BOYAmt
EOY$706,757EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,908,964BOYAmt
EOY$5,808,777EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$648,393BOYAmt
EOY$653,472EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$60,003BOYAmt
EOY$105,885EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$939,310EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,691BOYAmt
EOY$69,147EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$805,087BOYAmt
EOY$1,767,814EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,103,877BOYAmt
EOY$4,040,963EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,103,877BOYAmt
EOY$4,040,963EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,908,964BOYAmt
EOY$5,808,777EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$937,086ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,382CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$3,100CurrentTaxYearMinus1YearAmt
Current Tax Year$991,950CurrentTaxYearAmt
Total$1,003,432TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,281,441CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,908,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,904,766CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,850,566CurrentTaxYearMinus1YearAmt
Current Tax Year$8,140,194CurrentTaxYearAmt
Total$39,085,675TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,289,823CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,908,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,904,766CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,853,666CurrentTaxYearMinus1YearAmt
Current Tax Year$9,132,144CurrentTaxYearAmt
Total$40,089,107TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$40,089,107PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,240CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,232CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,530CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,697CurrentTaxYearMinus1YearAmt
Current Tax Year$7,978CurrentTaxYearAmt
Total$36,677TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,240CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,232CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,530CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,697CurrentTaxYearMinus1YearAmt
Current Tax Year$7,978CurrentTaxYearAmt
Total$36,677TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$5,048CurrentTaxYearAmt
Total$5,048TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,299,063CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,914,940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,910,296CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,861,363CurrentTaxYearMinus1YearAmt
Current Tax Year$9,145,170CurrentTaxYearAmt
Total$40,130,832TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99900PublicSupportCY509Pct
Public Support PY5090.99900PublicSupportPY509Pct
Investment Income CY0.00090InvestmentIncomeCYPct
Investment Income PY0.00100InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$188GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$188TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationDUES PAID TO ORGANIZATION THAT LOBBIES ON BEHALF OF THIS ORGANIZATION.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,051,269OtherCostOrOtherBasisAmt
Depreciation$3,167,498DepreciationAmt
Book Value$883,771BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$432,132OtherCostOrOtherBasisAmt
Depreciation$409,726DepreciationAmt
Book Value$22,406BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,650,716OtherCostOrOtherBasisAmt
Depreciation$1,363,006DepreciationAmt
Book Value$287,710BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,193,887TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
CASH IN BANK PATIENT TRUST$105,885
FACILITY SECURITY DEPOSIT$500,000
UNEMPLOYMENT INSURANCE TRUST$100,872
FieldValueIRS element (for citing)
Total Book Value Other Assets$706,757TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE PAYABLEDesc
Amt$69,147Amt
FieldValueIRS element (for citing)
Total Liability$69,147TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IV, Line 2b: Explanation of escrow account liabilityFormAndLineReferenceDesc
ExplanationGARDEN VILLAGE MAINTAINS PATIENT TRUST ACCOUNTS FOR THE CONVENIENCE OF ITS PATIENTS. THESE AMOUNTS ARE INCLUDED AS BOTH AN ASSET AND A LIABILITY ON GARDEN VILLAGE'S BOOKS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonDoug BaultPersonNm
TitleSec. & ADMINTitleTxt
Base Compensation Filing Org$142,940BaseCompensationFilingOrgAmt
Bonus Filing Organization$9,786BonusFilingOrganizationAmount
Deferred Compensation Flng Org$11,619DeferredCompensationFlngOrgAmt
Nontaxable Benefits Filing Org$19,036NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$183,381TotalCompensationFilingOrgAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
YAKIMA VALLEY MEMORIAL
MEMBER$158,987PROF. SVCS/SUPPLIESfalse
Comprehensive Healthcare
MEMBER$978PROF. Servicesfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderYakima Valley Memorial Hospital Association, FORMERLY VIRGINIA MASON MEMORIAL HOSPITAL and Comprehensive Healthcare are the members.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyYakima Valley memorial Hospital Association and Comprehensive Healthcare each have the authority to appoint one half of the directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe members, in consultation with the board of directors, have the following powers:1) approve the annual operating and capital budgets, as well as any capital calls2) authority to dissolve the corporation3) adopt a plan of merger or consolidationIn addition, the following decisions must be approved by the members:1) to encumber, lease, sell, loan or otherwise transfer or obligate assets of the corporation greater than $25,000 in value2) to establish subsidiary, affiliated, or related corporations or entities3) to acquire or transfer real property4) to appoint the auditors of the financial statementsFinally, the members reserve the right to, by resolution, further limit the authority of the Board of Directors without need to amend the Bylaws, provided that no action by the members shall cause the corporation to take or suffer any prohibitted actions.
Form 990, Part VI, Line 11b: Form 990 Review ProcessIt is placed as an Agenda Item on the quarterly Board of Directors' meeting for review, discussion and approval or reviewed via email for reivew, discussion and approval. Any questions or changes are noted in the Board Minutes and monitored at subsequent Board meetings for compliance.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsProspective Board Members are asked to report any potential or actual conflicts prior to being appointed for Board membership. All business is conducted openly for review by all Board members including names and business contacts. The Finance Committee reviews all major business contracts prior to adoption. If any conflict of interest exists, the Board member is asked to refrain from participating in any discussions or decisions relating to the subject involved. Each board member annually signs a conflict of interest disclosure statement.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe Executive Committee comprised of the President and Vice President review Annual Salary and Compensation Surveys published by Aging Services Association for Long Term Care Companies in the state of Washington. Entire Board is informed of local and state wide salary studies and approves the compensation annually.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe Executive Committee comprised of the President and Vice President review Annual Salary and Compensation Surveys published by Aging Services Association for Long Term Care Companies in the state of Washington. Entire Board is informed of local and state wide salary studies and approves the compensation annually.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThey are available upon request at the organization's administrative office. The form 990 is available on Guide Star website.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
YAKIMA VALLEY MEMORIAL
2811 TIETON DRIVEYAKIMAWA98902910567263ACUTE CARE HOSPITALWA501(C)(3)3N/Afalse
Comprehensive Healthcare
402 S 4TH AVENUEYAKIMAWA98907911043304Community Mental Health AgencyWA501(C)(3)3N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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