2014-01-13T18:42:10-06:00 2013-02-28 910189318 MOSS ADAMS LLP 805 SW BROADWAY 1200 PORTLAND OR 97205 990 2012-03-01 930613108 FRIENDSHIP HEALTH CENTER FRIE 5032311411 3320 SE HOLGATE BLVD PORTLAND OR 97202 SEPTEMBER FRAY 5032311411 2014-01-10 1 WENDY CAMPOS P00448102 5032421447 2012 2015-11-30 17:44:51Z SEPTEMBER FRAY 3320 SE HOLGATE BLVD PORTLAND OR 97202 9675584 0 X WWW.HOLGATECENTER.ORG X 1972 OR HEALTH CARE SERVICES - SKILLED NURSING FACILITY 9 9 283 11 0 0 225 91846 9080506 9464110 26998 16496 148515 103132 9256244 9675584 0 0 0 0 5462213 5679088 0 0 0 4202411 4590156 9664624 10269244 -408380 -593660 7969738 7537504 6763973 6925399 1205765 612105 HEALTH CARE SERVICES - SKILLED NURSING FACILITY 0 0 8805311 9567242 HEALTH CARE SERVICES - CARE FOR THE ELDERLY AVERAGE FTE CENSUS 84 BEDS OF 100-BED FACILITY 8805311 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 283 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 OR X SEPTEMBER FRAY 5032311411 3320 SE HOLGATE BLVD PORTLAND OR 97202 EV SMITH 1.00 2.00 X X 0 0 0 SHIRLEY MATHEWS 1.00 2.00 X 0 0 0 JERRY BROADUS 1.00 2.00 X 0 0 0 JEFF BLADES 1.00 2.00 X 0 0 0 JOAN COMPTON 1.00 2.00 X X 0 0 0 DIANE GOETZ 1.00 2.00 X 0 0 0 RON KUNZE 1.00 2.00 X 0 0 0 WILLIAM HAWES 1.00 2.00 X X 0 0 0 JOYCE LYNN 1.00 2.00 X 0 0 0 SEPTEMBER FRAY 25.00 15.00 X 149697 0 18067 DAVID MCMANAWAY 25.00 15.00 X 100257 0 20063 JUSTIN SPEER 25.00 15.00 X 93442 0 20063 343396 0 58193 2 0 1 0 CONSONUS REHAB PO BOX 4800 PORTLAND OR 97208 REHAB PROVIDER 623796 GULF SOUTH MEDICAL SUPPLY PO BOX 841968 DALLAS TX 75284 MEDICAL SUPPLIES 266089 FOOD SERVICES OF AMERICA PO BOX 3929 PORTLAND OR 97208 FOOD SERVICES 190699 PREMIUM ASSIGNMENT CORP PO BOX 8000 TALLAHASSEE FL 32314 FINANCING SERVICES 147375 AFCO DEPT LA 21315 PASADENA CA 91185 FINANCING SERVICES 128525 5 91846 91846 PATIENT REVENUE 623000 9464110 9464110 9464110 16496 16496 MISCELLANEOUS INCOME 623000 103132 103132 103132 9675584 9567242 0 16496 X 404464 404464 4315093 4185640 129453 49479 49479 910052 855449 54603 32428 32428 37688 37688 1300200 1300200 35217 35217 133440 133440 69293 69293 312916 312916 16684 16684 327174 327174 329977 329977 281074 281074 PROVIDER TAX EXPENSE 504000 504000 NURSING SUPPLIES 431749 431749 BAD DEBT EXPENSE 250773 250773 PHARMACY EXPENSE 192909 192909 334634 160624 174010 10269244 8805311 1463933 0 140469 10907 20000 0 1006985 1105169 54773 50533 9233644 4316635 5127628 4917009 1619883 1453886 7969738 7537504 1528524 2422859 4813993 4478597 116456 23943 305000 0 6763973 6925399 X 1205765 612105 1205765 612105 7969738 7537504 -593660 0 X 0 1 X 1 0 X 50490 27145 7580 225 91846 177286 8565761 9257341 9032409 9080506 9464110 45400127 8616251 9284486 9039989 9080731 9555956 45577413 0 24238 9911 34149 24238 9911 34149 45543264 48407 26579 99535 26998 16496 218015 48407 26579 99535 26998 16496 218015 15610 76425 148515 103132 343682 8664658 9326675 9215949 9256244 9675584 46139110 0.98710 0.98840 0.00470 0.00580 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART III LINE 12 CONSISTS OF MISCELLANEOUS INCOME RELATED TO THE EXEMPT PURPOSE OF THE ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7642078 3726096 3915982 307013 125470 181543 1187823 429803 758020 96730 35266 61464 4917009 ASSETS WHOSE USE IS LIMITED, INTENDED FOR LONG TERM 1117117 BOND ISSUANCE COST 447562 ASSETS WHOSE USE IS LIMITED, CURRENT PORTION 556240 DUE TO RELATED PARTY -667033 1453886 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE AFFILIATED COMPANIES ARE NON-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. IN ADDITION, THE AFFILIATED COMPANIES QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER 170(B)(1)(A) AND HAVE BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE AFFILIATED COMPANIES FOLLOWS FASB ASC 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE AFFILIATED COMPANIES RECOGNIZE 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. THERE WERE NO UNRECOGNIZED TAX BENEFITS AT FEBRUARY 29, 2013 AND FEBRUARY 28, 2012. THE AFFILIATED COMPANIES RECOGNIZE INTEREST ACCRUED AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AS AN ADMINISTRATIVE EXPENSE. DURING THE YEARS ENDED FEBRUARY 29, 2013 AND FEBRUARY 28, 2012, THE AFFILIATED COMPANIES RECOGNIZED NO INTEREST AND PENALTIES. THE AFFILIATED COMPANIES FILES AN EXEMPT ORGANIZATION INCOME TAX RETURN IN THE U.S. FEDERAL JURISDICTION, AND IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE 2009 FOR ITS FEDERAL AND STATE FILINGS. X X X 0 0 0 0 0 0 0 0 0 SEPTEMBER FRAY 143745 0 25 0 5927 0 0 0 18067 0 167764 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION'S BOARD DOES NOT UTILIZE COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11 A COMPLETE COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS WITH A Q&A REVIEW PROCESS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED AT LEAST ANNUALLY AT THE QUALITY ASSURANCE MEETING. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED BY A BOARD APPOINTED COMMITTEE AND FINAL APPROVAL PROVIDED BY THE BOARD. IN ADDITION, COMPENSATION IS COMPARED TO SIMILAR TAX EXEMPT ORGANIZATIONS WITHIN THE STATE OF OREGON. FORM 990, PART VI, SECTION C, LINE 19 ANNUAL FINANCIAL STATEMENTS ARE MADE AVAILABLE ON WEBSITE EMMA. OTHER FEES FORM 990, PART IX, LINE 11G MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 24,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,000. CONSULTING: PROGRAM SERVICE EXPENSES 29,650. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,650. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,246,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,246,550. ODD FELLOWS HOME OF OREGON 3102 SE HOLGATE BLVD PORTLAND OR 97202 930391597 RESIDENTIAL CARE OR 501(C)3 LINE 9 N/A 0 IOOF GRAND LODGE 3202 SE HOLGATE BLVD PORTLAND OR 97202 930195535 BENEVOLENT ORGANIZATION OR 501(C)8 N/A 0 KENILWORTH PARK PLAZA 3314 SE HOLGATE BLVD PORTLAND OR 97202 930740167 LOW INCOME/SUBSIDIZED (HUD) HOUSING FOR THE ELDERLY OR 501(C)3 LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0