PACIFIC RETIREMENT SERVICES INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
PACIFIC RETIREMENT SERVICES INC (EIN 93-1067253)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-15
IRS object ID
201712279349302466
Schema version
2015v3.0
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)
Return2017-08-15T12:46:13-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN931067253EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PACIFIC RETIREMENT SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPACIBusinessNameControlTxt
Phone8887246424PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 WEST MAIN STREET NO 303AddressLine1Txt
CityMEDFORDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97501ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN MCLEMOREPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone8887246424PhoneNum
Signature2017-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDOUG SCHMORPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 WEST MAIN STREET NO 303AddressLine1Txt
CityMEDFORDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97501ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,242,464GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RETIREMENT.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionPROVIDE EXCEPTIONAL LEADERSHIP TO OUR FAMILY OF ORGANIZATIONS TO ENHANCE THE AGING EXPERIENCE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee58TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$48,647TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$44,502NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$11,771CYContributionsGrantsAmt
PY Program Service Revenue$15,898,419PYProgramServiceRevenueAmt
CY Program Service Revenue$14,580,920CYProgramServiceRevenueAmt
PY Investment Income-$16,984PYInvestmentIncomeAmt
CY Investment Income$1,864,997CYInvestmentIncomeAmt
PY Other Revenue$20,440PYOtherRevenueAmt
CY Other Revenue-$53,693CYOtherRevenueAmt
PY Total Revenue$15,901,875PYTotalRevenueAmt
CY Total Revenue$16,403,995CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,495,364CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,939,913PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,424,220CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,902,246PYOtherExpensesAmt
CY Other Expenses$3,453,790CYOtherExpensesAmt
PY Total Expenses$10,842,159PYTotalExpensesAmt
CY Total Expenses$16,373,374CYTotalExpensesAmt
PY Revenues Less Expenses$5,059,716PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$30,621CYRevenuesLessExpensesAmt
Total Assets BOY$53,925,960TotalAssetsBOYAmt
Total Assets EOY$54,337,085TotalAssetsEOYAmt
Total Liabilities BOY$1,364,888TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,717,560TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$52,561,072NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$52,619,525NetAssetsOrFundBalancesEOYAmt
MissionPACIFIC RETIREMENT SERVICES PROVIDE EXCEPTIONAL LEADERSHIP TO OUR FAMILY OF ORGANIZATIONS, WORKING TOGETHER TO ENHANCE THE AGING EXPERIENCE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,941,016ExpenseAmt
Grant$3,495,364GrantAmt
Revenue$14,580,920RevenueAmt
DescPACIFIC RETIREMENT SERVICES, INC.'S VISION IS THAT EVERY PERSON DESERVES A STABLE RETIREMENT EXPERIENCE. WE PURSUE THIS VISION BY CREATING COMMUNITIES TO PROVIDE EACH RESIDENT WITH LIFESTYLE OPPORTUNITIES THAT FACILITATE HEALTHY AGING AND SUPPORTIVE SERVICES TO ENSURE STABILITY AND SECURITY AS RESIDENTS AGE.Desc
Total Program Service Expenses$15,941,016TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document57IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee58EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHERI LOYABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5418577644PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 WEST MAIN STREET SUITE 303AddressLine1Txt
CityMEDFORDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97501ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DOUG SCHMOR
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
LARRY BOECK
VICE CHAIR1.001.00Yes (X)Yes (X)$0$0$0
DOUG SPANI
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
CAROLYN LYN HENNION
ASSISTANT SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
LYNN JOHNSON
TREASURER1.002.00Yes (X)Yes (X)$0$0$0
JACQUE BARTHOLOMEW
DIRECTOR (THROUGH 11/2/15)1.001.00Yes (X)$0$0$0
MARC BAYLISS
DIRECTOR (THROUGH 10/2/15)1.001.00Yes (X)$0$0$0
JOHN HUBBARD
DIRECTOR1.002.00Yes (X)$0$0$0
EDWARD A JOLLY
DIRECTOR1.000.00Yes (X)$0$0$0
BOB KERR
DIRECTOR1.001.00Yes (X)$0$0$0
WILLIAM BILL LEEVER
DIRECTOR1.000.00Yes (X)$0$0$0
TODD MARTIN
DIRECTOR1.004.00Yes (X)$0$0$0
BOB MAYERS
DIRECTOR1.001.00Yes (X)$0$0$0
BILL VAN VACTOR
DIRECTOR1.002.00Yes (X)$0$0$0
DOUG WILSON
DIRECTOR1.000.00Yes (X)$0$0$0
BRIAN MCLEMORE
PRESIDENT/CEO38.0012.00Yes (X)$0$537,933$48,238
MARY SCHOEGGL
CFO38.0012.00Yes (X)$0$354,809$56,109
MICHAEL MORRIS
COO38.0012.00$0$375,087$41,240Yes (X)
DEBBIE RAYBURN
CHO38.0012.00$0$257,675$36,550Yes (X)
PAUL RIEPMA II
SENIOR VP OF MARKETING38.0012.00$0$240,716$27,010Yes (X)
STEPHEN L EICHEN
CIO38.0012.00$0$242,682$34,449Yes (X)
STEVEN RINKLE
GENERAL COUNSEL38.0012.00$0$268,563$37,228Yes (X)
TAMARA NORDIN
SENIOR VP OF HUMAN RESOURCES38.0012.00$0$229,549$40,922Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,507,014TotReportableCompRltdOrgAmt
Total Other Compensation$321,746TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K21IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PRS MANAGEMENT INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501MANAGEMENT SERVICES$6,994,470
MOSS ADAMS LLP
3121 WEST MARCH LANE SUITE 100STOCKTONCA95219AUDIT AND TAX SERVICES$758,389
MCDERMOTT WILL & EMERY LLP
444 WEST LAKE STREETCHICAGOIL60606LEGAL SERVICES$548,118
DAVIS WRIGHT TREMAINE LLP
1201 THIRD AVENUE SUITE 2200SEATTLEWA98101LEGAL SERVICES$107,907
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$11,771AllOtherContributionsAmt
Total Contributions$11,771TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEE REVENUE561000$10,316,134$10,316,134
ACCOUNTING FEES561000$1,320,097$1,320,097
INFO TECH SVC FEES561000$1,204,815$1,204,815
DEVELOPMENT FEES REVENUE561000$897,586$897,586
ADMINISTRATIVE REVENUE561000$521,411$521,411

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$320,877TotalRevenueColumnAmt
Related Or Exempt Func Income$272,230RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$48,647UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,580,920TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,094TotalRevenueColumnAmt
Exclusion$40,094ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$64,957RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$118,650RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$53,693RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$53,693TotalRevenueColumnAmt
Exclusion-$53,693ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$241,722SecuritiesAmt
Other$3,303,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$239,371SecuritiesAmt
Other$1,480,448OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,351SecuritiesAmt
Other$1,822,552OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,824,903TotalRevenueColumnAmt
Exclusion$1,824,903ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,403,995TotalRevenueColumnAmt
Related Or Exempt Func Income$14,532,273RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$48,647UnrelatedBusinessRevenueAmt
Exclusion$1,811,304ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,495,364TotalAmt
Program Services$3,495,364ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,371,433TotalAmt
Program Services$9,371,433ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$44,332TotalAmt
Program Services$44,332ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,073TotalAmt
Program Services$8,073ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$382TotalAmt
Program Services$382ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$213,161TotalAmt
Program Services$1ProgramServicesAmt
Management And General$213,160ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$102,816TotalAmt
Management And General$102,816ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,985TotalAmt
Management And General$2,985ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$476,322TotalAmt
Program Services$476,322ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$120,779TotalAmt
Program Services$120,779ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$216,457TotalAmt
Program Services$216,457ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$478,513TotalAmt
Program Services$478,513ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$482,021TotalAmt
Program Services$482,021ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$401,197TotalAmt
Program Services$401,197ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$60,510TotalAmt
Program Services$60,510ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$408,906TotalAmt
Program Services$408,906ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$55,479TotalAmt
Program Services$55,479ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER FACILITY SERVICE$426,947$318,860$108,087
INCOME TAXES$5,310$5,310
HEALTH CENTER EXPENSES$2,387$2,387

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,373,374TotalAmt
Program Services$15,941,016ProgramServicesAmt
Management And General$432,358ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,536,808BOYAmt
EOY$8,647,986EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,422,391BOYAmt
EOY$1,189,632EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$104,833BOYAmt
EOY$4,909EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$5,271,195BOYAmt
EOY$3,420,957EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$20,185BOYAmt
EOY$9,700EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$371,512BOYAmt
EOY$430,165EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,961,952LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,828,532LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,337,432BOYAmt
EOY$1,133,420EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,122,027BOYAmt
EOY$3,490,567EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,623,830BOYAmt
EOY$7,785,109EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$30,115,747BOYAmt
EOY$28,224,640EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$53,925,960BOYAmt
EOY$54,337,085EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,063,455BOYAmt
EOY$1,110,446EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$273,349EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$301,433BOYAmt
EOY$333,765EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,364,888BOYAmt
EOY$1,717,560EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$52,561,072BOYAmt
EOY$52,609,704EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$9,821EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,561,072BOYAmt
EOY$52,619,525EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$53,925,960BOYAmt
EOY$54,337,085EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$30,621ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$27,832NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations35SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (35 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
CAPITOL LAKES INC
3914123209Yes (1)$0$0
CASCADE MANOR INC
9305578039Yes (1)$0$0
HOLLADAY PARK PLAZA
9305136979Yes (1)$0$0
MIRABELLA
3420302559Yes (1)$0$0
MIRABELLA AT SOUTH WATERFRONT
7110163849Yes (1)$0$0
ROGUE VALLEY MANOR
9304532169Yes (1)$0$0
ROGUE VALLEY MANOR ASHLAND HOUSING CORPORATION
9309429339Yes (1)$0$0
ROGUE VALLEY MANOR BEND HOUSING CORPORATION
9431633499Yes (1)$1,231$0
ROGUE VALLEY MANOR BEND II HOUSING CORPORATION
9432600169Yes (1)$0$0
ROGUE VALLEY MANOR CENTRAL POINT HOUSING CORPORATION
3003156189Yes (1)$0$0
ROGUE VALLEY MANOR DAVIS HOUSING CORPORTION
3116622089Yes (1)$445$0
ROGUE VALLEY MANOR EAGLE POINT HOUSING CORPORATION
9431914479Yes (1)$0$0
ROGUE VALLEY MANOR EUGENE HOUSING CORPORATION
9432471549Yes (1)$2,584$0
ROGUE VALLEY MANOR FORT WORTH HOUSING CORPORATION
3115204369Yes (1)$0$0
ROGUE VALLEY MANOR FORT WORTH II HOUSING CORPORATION
3115874159Yes (1)$315$0
ROGUE VALLEY MANOR GRANTS PASS HOUSING CORPORATION
9431360379Yes (1)$0$0
ROGUE VALLEY MANOR GRANTS PASS II HOUSING CORPORATION
3116622599Yes (1)$0$0
ROGUE VALLEY MANOR HOUSING CORPORATION
9308644669Yes (1)$0$0
ROGUE VALLEY MANOR KLAMATH FALLS HOUSING CORPORATION
9431964559Yes (1)$655$0
ROGUE VALLEY MANOR LIVELY OAKS HOUSING CORPORATION
9431944099Yes (1)$1,652$0
ROGUE VALLEY MANOR MANSFIELD HOUSING CORPORATION
9002926479Yes (1)$0$0
ROGUE VALLEY MANOR MEDFORD II HOUSING CORPOTATION
9432125379Yes (1)$1,316$0
ROGUE VALLEY MANOR MEDFORD III HOUSING CORPORATION
3115874189Yes (1)$1,282$0
ROGUE VALLEY MANOR MYRTLE CREEK HOUSING CORPORATION
9431620749Yes (1)$2,136$0
ROGUE VALLEY MANOR MYRTLE II CREEK HOUSING CORPORATION
3117153219Yes (1)$0$0
ROGUE VALLEY MANOR PORTLAND HOUSING CORPORATION
3117803329Yes (1)$1,243$0
ROGUE VALLEY MANOR PORTLAND II HOUSING CORPORATION
3000378989Yes (1)$1,789$0
ROGUE VALLEY MANOR REEDSPORT HOUSING CORPORATION
9432125389Yes (1)$143$0
ROGUE VALLEY MANOR ROSEBURG HOUSING CORPORATION
9431797829Yes (1)$0$0
ROGUE VALLEY MANOR ROSEBURG II HOUSING CORPORATION
3115874209Yes (1)$0$0
ROGUE VALLEY MANOR YREKA HOUSING CORPORATION
9432125409Yes (1)$152$0
THE CUMBERLAND REST INC
7508914709Yes (1)$0$0
UNIVERSITY RETIREMENT COMMUNITY AT DAVIS
9311792549Yes (1)$0$0
COMMUNITY VOLUNTEER NETWORK
9308922619Yes (1)$4,813$0
PACIFIC RETIREMENT SERVICES FOUNDATION INC
4723526527Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total35SupportedOrganizationsTotalCnt
Support Sum$19,756SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgYes (1)OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (1)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION A, LINE 5A:PRS AMENDED ITS ARTICLES OF INCORPORATION IN FEBRUARY 2016 TO ADD PACIFIC RETIREMENT SERVICES FOUNDATION (EIN: 47-2352652) AND COMMUNITY VOLUNTEER NETWORK (EIN: 93-0892261) AS SUPPORTED ORGANIZATIONS. PACIFIC RETIREMENT SERVICES FOUNDATION IS A PUBLIC CHARITY UNDER SECTION 170(B)(1)(A)(VI) AND COMMUNITY VOLUNTEER NETWORK IS A PUBLIC CHARITY UNDER SECTION 509(A)(2). PRS' BOARD OF DIRECTORS VOTED TO APPROVE THE AMENDMENT IN ORDER TO DESIGNATE EACH ORGANIZATION AS A SUPPORTED ORGANIZATION.
PART IV, SECTION D, LINE 3:THE SUPPORTED ORGANIZATIONS OF PRS HAD A SIGNIFICANT VOICE IN THE PRS INVESTMENT POLICIES AND IN DIRECTING THE USE OF PRS' INCOME OR ASSETS AT ALL TIMES DURING THE TAX YEAR. EACH SUPPORTED ORGANIZATION HAS AT LEAST ONE DIRECTOR WHO ALSO SERVES ON THE PRS BOARD OF DIRECTORS (SOME ALSO SERVE AS OFFICERS AT PRS) AS SET FORTH IN 26 CFR 1.509(A)-4(I)(3)(II)(B), AS WELL AS REPRESENTATION ON THE PRS INVESTMENT SUBCOMMITTEE, AND AS SUCH CONTROLS THE INVESTMENT POLICIES OF PRS AND DETERMINE HOW THE INCOME AND ASSETS OF PRS ARE TO BE USED.
PART IV, SECTION E, LINE 3A:THE BYLAWS OF EACH OF THE PRS SUPPORTED ORGANIZATIONS PROVIDE THAT A MAJORITY OF THE SUPPORTED ORGANIZATION'S OFFICERS AND/OR DIRECTORS ARE ELECTED OR APPOINTED BY PRS ACTING THROUGH ITS GOVERNING BODY.
PART IV, SECTION E, LINE 3B:PRS EXERCISED A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATION. PRS EXERCISES AUTHORITY FOR REVIEWING AND APPROVING THE BUDGETS, STRATEGIC PLANS, UNBUDGETED CONTRACTS IN EXCESS OF STATED DOLLAR AMOUNTS, CHANGES TO GOVERNING DOCUMENTS, ETC. OF THE SUPPORTED ORGANIZATION. PRS ALSO PROVIDES MANAGEMENT SERVICES TO THE SUPPORTED ORGANIZATIONS.

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$16,373,374FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$16,373,374FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$968,669FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$242,167FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$620,109CurrentYearMinus3Amt
Current Year Minus2$645,057CurrentYearMinus2Amt
Current Year Minus1$692,108CurrentYearMinus1Amt
Current Year$968,669CurrentYearAmt
Total$2,925,943TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$4,388,915LobbyingCeilingAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$155,027CurrentYearMinus3Amt
Current Year Minus2$161,264CurrentYearMinus2Amt
Current Year Minus1$173,027CurrentYearMinus1Amt
Current Year$242,167CurrentYearAmt
Total$731,485TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,097,228GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$130,560OtherCostOrOtherBasisAmt
Book Value$130,560BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$360,740OtherCostOrOtherBasisAmt
Depreciation$9,515DepreciationAmt
Book Value$351,225BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,462,087OtherCostOrOtherBasisAmt
Depreciation$2,819,017DepreciationAmt
Book Value$643,070BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,565OtherCostOrOtherBasisAmt
Book Value$8,565BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,133,420TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$3,490,567BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$3,490,567TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN AFFILIATES - AFFORD. HOUS.$784,031F
CCIC CAPITAL INVESTMENT$1,301,078F
INVESTMENT IN PRS MANAGEMENT, INC.$5,700,000F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$7,785,109TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$26,830,601
OTHER NONCURRENT ASSETS$333,765
LINE OF CREDIT & GUARANTEES$1,060,274
FieldValueIRS element (for citing)
Total Book Value Other Assets$28,224,640TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LONG TERM LIABILITIESDesc
Amt$333,765Amt
FieldValueIRS element (for citing)
Total Liability$333,765TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION 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 ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT SEPTEMBER 30, 2016, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CAPITOL LAKES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 WEST MAIN STREETAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53703ZIPCd
FieldValueIRS element (for citing)
Recipient EIN391412320RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$3,495,364CashGrantAmt
Purpose Of GrantBANKRUPTCY ASSISTANCEPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ONLY GRANT WAS TO A SUBSIDIARY OF PRS. BOTH ORGANIZATIONS ARE MANAGED BY THE SAME EXECUTIVE TEAM, WHO ENSURED THAT THE TRANSFERRED FUNDS WERE USED FOR THE INTENDED PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN MCLEMORE
PRESIDENT/CEO$0$499,433$0$38,500$0$0$0$33,500$0$14,738$0$586,171$0$0
MARY SCHOEGGL
CFO$0$327,809$0$27,000$0$0$0$41,371$0$14,738$0$410,918$0$0
MICHAEL MORRIS
COO$0$345,087$0$30,000$0$0$0$26,500$0$14,740$0$416,327$0$0
DEBBIE RAYBURN
CHO$0$242,675$0$15,000$0$0$0$21,812$0$14,738$0$294,225$0$0
PAUL RIEPMA II
SENIOR VP OF MARKETING$0$220,716$0$20,000$0$0$0$19,509$0$7,501$0$267,726$0$0
STEPHEN L EICHEN
CIO$0$222,682$0$20,000$0$0$0$20,354$0$14,095$0$277,131$0$0
STEVEN RINKLE
GENERAL COUNSEL$0$246,163$0$22,400$0$0$0$22,490$0$14,738$0$305,791$0$0
TAMARA NORDIN
SENIOR VP OF HUMAN RESOURCES$0$210,649$0$18,900$0$0$0$28,656$0$12,266$0$270,471$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationTHE VP OF HUMAN RESOURCES PROVIDED SALARY STUDIES FROM THE FOLLOWING RESOURCES TO THE COMPENSATION COMMITTEE (A COMMITTEE OF THE PRS BOARD OF DIRECTORS) RELATIVE TO EXECUTIVE STAFF COMPENSATION: - SALARY.COM - PAYSCALE.COM - 990 REVIEW (LIKE-SIZE ORGANIZATIONS) - CEOM (CHIEF EXECUTIVE OFFICERS OF MULTI-FACILITY ORGANIZATIONS) SALARY STUDY RESULTS RECOMMENDATIONS FOR BASE COMPENSATION AND INCENTIVES ARE PROVIDED BY THE IMMEDIATE SUPERVISOR BASED ON STUDY FINDINGS AND PERFORMANCE FACTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CHAIR, VICE CHAIR, SECRETARY AND TREASURER OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE BOARD OF DIRECTORS ONLY ON THOSE MATTERS OF ROUTINE BUSINESS REQUIRING DECISIONS BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE IS ALSO RESPONSIBLE FOR ESTABLISHING EXECUTIVE COMPENSATION. THE EXECUTIVE COMMITTEE REPORTS ITS ACTIONS AT THE NEXT REGULAR MEETING OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 4THE ARTICLES OF INCORPORATION WERE AMENDED IN FEBRUARY 2016 TO ADD PACIFIC RETIREMENT SERVICES FOUNDATION AND COMMUNITY VOLUNTEER NETWORK AS SUPPORTED ORGANIZATIONS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS REVIEWED BY THE ASSISTANT CONTROLLER, CFO AND THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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.
FORM 990, PART VI, SECTION B, LINE 15A 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 VICE PRESIDENT 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 IMMEDIATE SUPERVISOR, BASED ON STUDY FINDING AND PERFORMANCE FACTORS.
FORM 990, PART VI, SECTION C, LINE 19ALL REQUESTS GO THROUGH THE CORPORATE COUNSEL.
FORM 990, PART VII, SECDTION B:THE INDEPENDENT CONTRACTORS REPORTED IN FORM 990, PART VII, SECTION B PROVIDE SERVICES TO PACIFIC RETIREMENT SERVICES, INC. ("PRS") AND TO ITS AFFILIATES. THE AMOUNTS REPORTED AS PAID TO THESE INDEPENDENT CONTRACTORS ARE THE TOTAL AMOUNTS PAID BY PRS FOR SERVICES TO PROVIDED TO PRS AND ITS AFFILIATES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PRS PROPERTY HOLDINGS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 WEST MAIN STREET SUITE 303AddressLine1Txt
CityMEDFORDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97501ZIPCd
FieldValueIRS element (for citing)
EIN931067253EIN
Primary ActivitiesOFFICE BUILDINGPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Total Income$1,770,626TotalIncomeAmt
End Of Year Assets$1,513,062EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PACIFIC RETIREMENT SERVICES INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (46 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
PACIFIC RETIREMENT SERVICES FOUNDATION INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501472352652PUBLIC FOUNDATIONOR501(C)(3)LINE 7PACIFIC RETIRMENT SERVICES INCYes (1)
ROGUE VALLEY MANOR
1 WEST MAIN STREET SUITE 303MEDFORDOR97501930453216SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
THE CUMBERLAND REST INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501750891470SENIOR HOUSINGTX501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
CASCADE MANOR INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501930557803SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
UNIVERSITY RETIREMENT COMMUNITY AT DAVIS INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501931179254SENIOR HOUSINGCA501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
HOLLADAY PARK PLAZA INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501930513697SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
CAPITOL LAKES INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501391412320SENIOR HOUSINGWI501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
ROGUE VALLEY MANOR FOUNDATION INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501930712867PUBLIC FOUNDATIONOR501(C)(3)LINE 7ROGUE VALLEY MANORYes (1)
UNIVERSITY RETIREMENT COMMUNITY FOUNDATION INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501931301816PUBLIC FOUNDATIONCA501(C)(3)LINE 7UNIVERSITY RETIREMENT COMMUNITY AT DAVISYes (1)
TRINITY TERRACE FOUNDATION INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501912162130PUBLIC FOUNDATIONTX501(C)(3)LINE 7THE CUMBERLAND REST INCYes (1)
HOLLADAY PARK PLAZA FOUNDATION INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501264529118PUBLIC FOUNDATIONOR501(C)(3)LINE 7HOLLADAY PARK PLAZA INCYes (1)
MIRABELLA WASHINGTON FOUNDATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501450574348PUBLIC FOUNDATIONWA501(C)(3)LINE 7MIRABELLAYes (1)
CASCADE MANOR FOUNDATION INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501931330100PUBLIC FOUNDATIONOR501(C)(3)LINE 7CASCADE MANOR INCYes (1)
CAPITOL LAKES FOUNDATION INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501383781089PUBLIC FOUNDATIONOR501(C)(3)LINE 7CAPITOL LAKES INCYes (1)
MIRABELLA
1 WEST MAIN STREET SUITE 303MEDFORDOR97501342030255SENIOR HOUSINGWA501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
MIRABELLA PORTLAND FOUNDATION INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501452508860PUBLIC FOUNDATIONOR501(C)(3)LINE 7MIRABELLA AT SOUTH WATERFRONTYes (1)
MIRABELLA AT SOUTH WATERFRONT
1 WEST MAIN STREET SUITE 303MEDFORDOR97501711016384SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
COMMUNITY VOLUNTEER NETWORK
1 WEST MAIN STREET SUITE 303MEDFORDOR97501930892261COMMUNITY SERVICESOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM ASHLAND HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501930942933SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM BEND HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943163349SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM CENTRAL POINT HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501300315618SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM DAVIS HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501311662208SENIOR HOUSINGCA501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM FORT WORTH I HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501311520436SENIOR HOUSINGTX501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM FORT WORTH II HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501311587415SENIOR HOUSINGTX501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM GRANTS PASS HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943136037SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM GRANTS PASS II HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501311662259SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501930864466SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM MEDFORD III HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501311587418SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM MYRTLE CREEK HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943162074SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM MYRTLE CREEK II HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501311715321SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM PORTLAND HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501311780332SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM PORTLAND II HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501300037898SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM ROSEBURG HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943179782SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM ROSEBURG II HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501311587420SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM EAGLE POINT HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943191447SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM KLAMATH FALLS HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943196455SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM MEDFORD II HOUSING CORPOTATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943212537SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM LIVELY OAKS HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943194409SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM REEDSPORT HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943212538SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM YREKA HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943212540SENIOR HOUSINGCA501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM EUGENE HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943247154SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM BEND II HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501943260016SENIOR HOUSINGOR501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
RVM MANSFIELD HOUSING CORPORATION
1 WEST MAIN STREET SUITE 303MEDFORDOR97501900292647SENIOR HOUSINGTX501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)
MIDDLETON GLEN INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501911859494SENIOR HOUSINGWI501(C)(3)LINE 9CAPITOL LAKES INCYes (1)
SENIOR HOUSING OF MIDDLETON INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501470825736SENIOR HOUSINGWI501(C)(3)LINE 9CAPITOL LAKES INCYes (1)
MIRABELLA AT ASU INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501813784956SENIOR HOUSINGAZ501(C)(3)LINE 9PACIFIC RETIRMENT SERVICES INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
CREST PARK INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501931169583REAL ESTATEORPACIFIC RETIREMENT SERVICES INCC$459,454$7,263,8421.000000
PRS MANAGEMENT INC
1 WEST MAIN STREET SUITE 303MEDFORDOR97501931328250MANAGEMENT COMPANYORPACIFIC RETIREMENT SERVICES INCC$18,089,705$4,382,1491.000000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PRS MANAGEMENT INC
A$48,647MARKET RATE
CAPITOL LAKES INC
B$3,495,364CASH
ROGUE VALLEY MANOR
L$2,223,004PERCENTAGE OF REVENUE TO CAP
THE CUMBERLAND REST INC
L$1,081,313PERCENTAGE OF REVENUE
CASCADE MANOR INC
L$453,673PERCENTAGE OF REVENUE
UNIVERSITY RETIREMENT COMMUNITY AT DAVIS INC
L$1,219,288PERCENTAGE OF REVENUE
HOLLADAY PARK PLAZA INC
L$986,041PERCENTAGE OF REVENUE
CAPITOL LAKES INC
L$766,833PERCENTAGE OF REVENUE
MIRABELLA
L$1,527,695PERCENTAGE OF REVENUE
MIRABELLA AT SOUTH WATERFRONT
L$1,239,728PERCENTAGE OF REVENUE
MIDDLETON GLEN INC
L$60,626PERCENTAGE OF REVENUE
UNIVERSITY RETIREMENT COMMUNITY AT DAVIS INC
L$60,000PERCENTAGE OF COST
CASCADE MANOR INC
L$74,638PERCENTAGE OF COST
THE CUMBERLAND REST INC
L$762,948PERCENTAGE OF COST
PRS MANAGEMENT INC
P$10,177,281COST ALLOCATION
ROGUE VALLEY MANOR
Q$501,996COST ALLOCATION
THE CUMBERLAND REST INC
Q$236,533COST ALLOCATION
CASCADE MANOR INC
Q$157,547COST ALLOCATION
UNIVERSITY RETIREMENT COMMUNITY AT DAVIS INC
Q$212,058COST ALLOCATION
HOLLADAY PARK PLAZA INC
Q$254,707COST ALLOCATION
CAPITOL LAKES INC
Q$410,489COST ALLOCATION
MIRABELLA
Q$295,646COST ALLOCATION
MIRABELLA AT SOUTH WATERFRONT
Q$305,039COST ALLOCATION
RVM EUGENE HOUSING CORPORATION
Q$72,632COST ALLOCATION
RVM DAVIS HOUSING CORPORATION
Q$54,523COST ALLOCATION

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