2014-05-14T08:14:10-07:00 2013-06-30 990 2012-07-01 386141735 PORTER HILLS PRESBYTERIAN VILLAGE PORT 6169494975 4450 Cascade Road Grand Rapids MI 49564 Craig Vandenbos 6169541799 2014-05-15 2012 2015-11-30 17:44:51Z Susan Stoddard 4450 Cascade Road Grand Rapids MI 49564 30239964 0 X www.porterhills.org X 1970 MI Assisted Living, Nursing Care, Independent living for Elderly 14 14 519 299 0 0 2421927 585414 17403914 18342395 276597 443506 10046346 10868649 30148784 30239964 0 0 0 0 11511025 11215940 0 0 0 17437322 19454996 28948347 30670936 1200437 -430972 76590525 75311959 97414604 94416078 -20824079 -19104119 To provide a continuum of high quality communities and services for older adults in accordance with Christian values. 0 0 23236586 0 29211044 Assisted Living, nursing care, independent living facility for the elderly. Total days of care in 2012-13 was 176,287. 0 0 0 23236586 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 17 0 1 519 1 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 MI X X Craig Vandenbos 6169541799 4450 Cascade Road Grand Rapids MI 49564 Robert Daverman 1 0 X 0 0 0 Cynthia Havard 1 0 X 0 0 0 Sharon Buursma 1 0 X 0 0 0 Martha Blandford 1 0 X 0 0 0 William Alt 1 0 X 0 0 0 Jon Pike 1 0 X 0 0 0 James Williams 1 0 X 0 0 0 Henry Capogna 1 0 X 0 0 0 Carol Hubbard 1 0 X 0 0 0 Willaim S Lawerence III 1 0 X 0 0 0 Mark Yost 2 0 X 0 0 0 Daniel Terpsma 2 0 X 0 0 0 Reed Vanderslik 50 0 X 138800 0 12620 Jane Toot 2 0 X 0 0 0 Joseph Stojak 2 0 X 0 0 0 Larry Yachcik 50 0 X 305689 0 7370 Ingrid Weaver 50 0 X 138786 0 12813 Michelle Coberly 50 0 X 123646 0 11562 Susan Stoddard 50 0 X 14808 0 0 721729 0 44365 7 0 1 0 Creative Dining Services One Royal Park Drive Zeeland MI 49464 Food Service 1429198 Mary Free Bed 235 Wealthy Street Grand Rapids MI 49503 Therapy Services 1139936 Omnicare po Box 715268 Columbus OH 43271 Pharmacy 329324 Salon PS 55 Public Square St 1180 Cleveland OH 44113 Beauty salon 154060 VCPI 111 W Michigan St Milwaukee WI 53203 Computer hosting service 316662 6 0 0 0 585414 0 0 0 585414 Net Program Services 623990 18342395 18342395 0 0 0 0 0 0 18342395 443506 0 0 443506 0 0 0 0 0 0 0 0 0 0 0 0 0 Life Lease Income 623990 1744178 1744178 0 0 Maintenance fees & Supplemental charges 623990 8821104 8821104 0 0 Gain on Joint Venture 900099 303367 303367 0 0 0 0 0 0 10868649 30239964 29211044 0 443506 X 821729 0 821729 7541606 6961105 580501 2332968 1963505 369463 519637 347328 172309 0 0 92738 92738 34754 34754 5552225 4513356 1038869 114430 114430 152970 77840 75130 547092 49159 497933 2951345 2270346 680999 55639 2383 53256 2360343 2172955 187388 3130565 2915170 215395 181201 181201 bad debt 30788 30788 0 0 Corporate Overhead 2463032 0 2463032 0 Medical & Misc Supplies 1737893 1734230 3663 0 Dues and subscriptions 49981 17220 32761 0 30670936 23236586 7434350 0 20402 122075 0 0 0 0 1619742 1952180 0 0 0 0 790764 1824310 0 0 193496 206700 102497265 41924093 62315411 60573172 10263172 8841098 0 1387538 1792424 76590525 75311959 7695587 8378403 0 0 0 0 0 0 0 0 0 0 69677087 68079318 4169606 3736042 15872324 14222315 97414604 94416078 X -20824079 -19104119 0 0 0 0 -20824079 -19104119 76590525 75311959 X -430972 283055 0 0 0 1867877 X 0 1 X 1 0 X 1089872 641593 541126 2421927 585414 5279932 23746234 24992484 25950039 27020569 29211044 130920370 24836106 25634077 26491165 29442496 29796458 136200302 136200302 289473 899475 1153076 706288 443506 3491818 289473 899475 1153076 706288 443506 3491818 25125579 26533552 27644241 30148784 30239964 139692120 0.97500 0.97432 0.02500 0.02568 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 526 526 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 Porter Hills pays a membership fee to Leading Age services of Michigan and part of those membership fees are used to lobby. 4907226 0 4907226 89702925 0 38292898 51410027 0 0 0 0 7887114 0 3631195 4255919 0 0 0 0 60573172 0 Deferred Life Lease Income 10783870 Fair Market value of SWAP 3380581 Other Long Term Liabilities 57864 14222315 30523019 283055 0 0 0 283055 30239964 0 0 0 30239964 30670936 0 0 0 0 0 30670936 0 0 0 30670936 X 1 1 X X X 0 1 0 0 0 0 0 1 0 Larry Yachcik 258760 0 33751 0 13178 0 0 0 1941 0 307630 0 0 0 SchJ_P01_S00_L01a Schedule J, Part I, Line 1a Porter Hills Presbyterian Village pays a country club fee for the President of the company. The total cost is $14,755. SchJ_P01_S00_L04 Schedule J, Part I, Line 4 The President of Porter Hills Presbyterian Village particiapates in a 457 plan. $15,000 was the employers contribution into the plan. SchJ_P01_S00_L07 Schedule J, Part I, Line 7 Part of the compensation is variable and at the discretion of the Board of Directors. A Grand Rapids Charter Township 386005448 386211BA3 2003-07-01 35565000 Financing Cost of Advanced Refunding 0 0 0 A 0 0 0 0 0 0 0 0 0 0 0 0 2003 1 1 1 1 A 0 0 0 0 0 0 0 1 0 1 A 0 0 0 0 1 1 Wells Fargo and Huntington Bank 30 0 0 0 0 1 A 0 F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 Westminster Presbyterian Church is the sole share holder of stock in Porter Hills Presbyterian Village. F990_P06_S0A_L07a Form 990, Part VI, Section A, Line 7a Westminster Presbyterian Church can elect board members to Porter Hills Presybterian Village. F990_P06_S0A_L07b Form 990, Part VI, Section A, Line 7b The slate of Porter Hills Presbyterian Village Board members needs approval by Westminster Church's Board of Dirctors. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The form 990 was reviewed by the VP of Finance before it was filed. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Officers, Directors, Trustees and key employees are required to annually disclose whether or not they have any interest that may result in a conflict. The form which they sign reqiures them to promptly report any possible existence of a conflict of interest for themselves or anyone else subject to the policy. If a possible conflict was reported on the annual form or if notice was given after the annual disclosure, the information disclosed would be evaluated and if necessary, compliance would be enforced. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 For executive compensation a minimum of three sources are used. Each source is a third party organization specializing in compensation in the West Michigan Area. The information is then compiled by the HR department and used to make a recommendation on the salary for each person. The recommendation is reviewed and approved by an independent person. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The financials and form 990 are available upon request. F990_P09_S00_L11g Form 990, Part IX, Line 11g Food Service fees of $1,429,198, Therapy Charges for Medicare residents of $1,139,935, Agency for nursing staff of $157,530, State of Michigan for Quality Assurance Assesment of $438,972, Salon Charges for outsourcing beauty shop $154,060, and other misc charges. F990_P11_S00_L09 Form 990, Part XI, Line 9 Change in Fair value of Interest swap agreements. Porter Hills Foundation 4450 Cascade Road Grand Rapids MI 49564 383243846 Supporting Organization MI 501 C 3 11A Porter Hills Presbyterian Village Meadowlark Retirement Home 4450 Cascade Road Grand Rapids MI 49564 383373281 Retirement Home MI 501 C 3 7 Porter Hills Presbyterian Village 0 Porter Hills Home Health West 4450 Cascade Road Grand Rapids MI 49564 383384372 Home Care MI 501 C 3 9 Porter Hills Presbyterian Village 0 Gerontology Network 516 Cherry SE Grand Rapids MI 49503 382774701 Health Services MI 501 C 3 7 Porter Hills Presbyterian Village Walker Meadow Retirement 1101 Wilson Ave Grand Radids MI 49534 383283760 Retirement Home MI 501 C 3 7 Porter Hills Presbyterian Village 0 Oak Ridge Retirement 3781 Giddings Grand Rapids MI 49508 383382610 Retirement Home MI 501 C 3 7 Porter Hills Presbyterian Village 0 Harvest Way Retirement 100 Ida Red Sparta MI 49345 383445251 Retirement Home MI 501 C 3 7 Porter Hills Presbyterian Village 0 River Grove Retirement 5761 Jupiter Ave Belmont MI 49306 383519530 Retirement Home MI 501 C 3 7 Porter Hills Presbyterian Village 0 Baileys Retirement 5252 Baileys Center Kentwood MI 49512 383643825 Retirement Home MI 501 C 3 7 Porter Hills Presbyterian Village 0 Station Creek 10010 Crossroad Court Caledonia MI 49316 200771871 Retirement Home MI 501 c 3 7 Porter Hills Presbyterian Village 0 Life Circles 560 Seminole Road Muskegon MI 49444 260170498 PACE program MI 501 C 3 9 Porter Hills Presbyterian Village 0 Porter Hills Home Health East 4450 Cascade Road Grand Rapids MI 49546 383358620 Private Duty and Transportation Company MI 501 c 3 line 9 Porter Hills Presbyterian Village 0 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 Porter Hills Foundation c 585414 donations from Porter Hills Foundation that has veen transferred from the foundation to Porter Hills Presbyterian Village for benevolent care and other restricted costs. Porter Hills Home Health West a-iv 70800 Porter Hills Presbyterian Village leases part of their facility to Porter Hills Home Health West. Porter Hills Home Health East m 453576 Porter Hills Home Health East provides residential services for Porter Hills Village's residents and the general public. Life Circles l 350000 Porter Hills Presbyterian Village receives a management fee from Life Circles for management services Performed. Gerontology Network l 111834 Gerontology Network pays a management and Accounting fee to Porter Hills Presbyterian Village for accounting and management services. Walker Meadow Retirement l 34672 Porter Hills Corporate offce receives a management and accounting fee from Walker Meadow Retirement for accounting and management services. Oak Ridge Retirement l 44283 Porter Hills Corporate receives a managment and accounting fee from Oak Ridge Retirement for accounting and management services. Harvest Way Retirement l 44526 Porter Hills Corporate office receives a management and accounting fee from Harvest Way Retirement for accounting and management services. River Grove Retirement l 36387 Porter Hills Corporate receives a management and accouting fee from River Grove Retirement for accounting and management services. Station Creek l 45945 Porter Hills Corporate receives a management and accounting fee from Station Creek Retirement for accounting and management services. Baileys Retirement l 39391 Porter Hills Corporate receives a management and accounting fee from Baileys Grove Retirement for accounting and management services. Gerontology Network d 639118 Porter Hills Presbyterian VIllage was a guarantee for Gerontology Networks line of credit. form 8868 was filed and approve for extension by the IRS.