FRIENDSVIEW MANOR: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FRIENDSVIEW MANOR (EIN 93-0478660)
Tax period
2012-08-01 to 2013-07-31
Filed
2014-06-16
IRS object ID
201441679349301559
Schema version
2012v2.0
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)
Timestamp2014-06-16T13:54:13-07:00Timestamp
Tax Period End Date2013-07-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18930 SW Gemini DriveAddressLine1
CityBeavertonCity
StateORState
ZIP Code97008ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-08-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930478660EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Friendsview ManorBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFRIENameControl
Phone5035383144Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 E Fulton StAddressLine1
CityNewbergCity
StateORState
ZIP Code97132ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDave HamptonName
TitleCFOTitle
Date Signed2014-06-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCynthia J HeubergerName
PTINP00166783PTIN
Phone5032442134Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBecky AnkenyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11301 E Fulton StAddressLine1
CityNewbergCity
StateORState
ZIP Code97132ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10511096GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.friendsview.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE ACTIVE RESIDenTIAL LIVING AND QUALITY CONTINUING CARE TO SENIORS IN A CHRIST-CENTERED COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees211TotalNbrEmployees
Total Nbr Volunteers45TotalNbrVolunteers
Total Gross UBI33816TotalGrossUBI
Net Unrelated Business Txbl Income6673NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year107254ContributionsGrantsPriorYear
Contributions Grants Current Year96634ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10108913ProgramServiceRevenuePriorYear
Program Service Revenue CY10222205ProgramServiceRevenueCY
Investment Income Prior Year52679InvestmentIncomePriorYear
Investment Income Current Year158441InvestmentIncomeCurrentYear
Other Revenue Prior Year32010OtherRevenuePriorYear
Other Revenue Current Year33816OtherRevenueCurrentYear
Total Revenue Prior Year10300856TotalRevenuePriorYear
Total Revenue Current Year10511096TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4372GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8531GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4211295SalariesEtcPriorYear
Salaries Etc Current Year4645761SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year17655TotalFundrsngExpCurrentYear
Other Expense Prior Year5439037OtherExpensePriorYear
Other Expenses Current Year5322154OtherExpensesCurrentYear
Total Expenses Prior Year9654704TotalExpensesPriorYear
Total Expenses Current Year9976446TotalExpensesCurrentYear
Revenues Less Expenses Prior Year646152RevenuesLessExpensesPriorYear
Revenues Less Expenses CY534650RevenuesLessExpensesCY
Total Assets BOY42401878TotalAssetsBOY
Total Assets EOY42015202TotalAssetsEOY
Total Liabilities BOY49442309TotalLiabilitiesBOY
Total Liabilities EOY45789504TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7040431NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-3774302NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE ACTIVE RESIDenTIAL LIVING AND QUALITY CONTINUING CARE TO SENIORS IN A CHRIST-CENTERED COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8621742Expense
Grants8531Grants
Revenue10222205Revenue
DescriptionFRIENDSVIEW MANOR, UNDER CONTINUING CARE AGREEMENTS, PROVIDES ITS RESIDENTS WITH LIVING ACCOMMODATIONS, FOOD SERVICE, NURSING SERVICES AND HOUSEKEEPING SERVICES. FRIENDSVIEW'S CLINICAL SERVICES ARE LICENSED AS AN INTERMEDIATE CARE FACILITY AND A RESIDENTIAL CARE FACILITY. RESIDENTS PAY AN ENTRY FEE AND MONTHLY FEES. MONTHLY FEES ARE SUBJECT TO CHANGE ON FORTY-FIVE DAYS NOTICE. FRIENDSVIEW DOES NOT PARTICIPATE IN MEDICARE OR MEDICAID AND PROVIDES ASSISTANCE TO RESIDENTS THAT HAVE OUTLIVED THEIR FINANCIAL RESOURCES OR NEED HELP PAYING FOR THEIR CARE THROUGH THE RESIDENT ASSISTANCE FUND.Description
Total Program Service Expense8621742TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees211NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDave HamptonNamePerson
Telephone Number5035383144TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11301 E Fulton StAddressLine1
CityNewbergCity
StateORState
ZIP Code97132ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Betty Hockett
Director1.000.00X000
LaVerne Biel
Secretary1.000.00X000X
Brian Beals
Director1.000.00X000
Dave Hampton
Director1.000.00X000
Vicki Stave
Director1.000.00X000
Bruce Longstroth
Director1.000.00X000
Dwight Kimberley
Director1.000.00X000
Cindy Johnson
Director1.000.00X000
Ken Beebe
Director1.000.00X000
James Oberholtzer
Director1.000.00X000
Jennifer Perez
Treasurer1.000.00X000X
Mike Goins
Interim CFO40.000.00X986900X
Becky Ankeny
Chair1.000.00X000X
Sally Kingery
Director1.000.00X000
Steve Gulley
Vice Chair1.000.00X000X
Elizabeth Comfort
Former CFO40.000.009340808856X
Sue Blackburn
Former CFO40.000.00000X
Todd Engle
Executive Direc40.000.0010203609304X
FieldValueIRS element (for citing)
Total Reportable Comp From Org205313TotalReportableCompFromOrg
Total Other Compensation18160TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions96634AllOtherContributions
Total Contributions96634TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER RESIDENT SERVICES62300018132151813215
HEALTH CENTER FEES62300025516922551692
RESIDENT FEES62300058572985857298
FieldValueIRS element (for citing)
Total Program Service Revenue10222205TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column64310TotalRevenueColumn
Exclusion$64,310ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities94131Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities94131Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column94131TotalRevenueColumn
Exclusion$94,131ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCATERINGDescription
Business Code722320BusinessCode
Total Revenue Column33816TotalRevenueColumn
Unrelated Business Revenue33816UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue33816TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10511096TotalRevenueColumn
Related Or Exempt Function Income10222205RelatedOrExemptFunctionIncome
Unrelated Business Revenue33816UnrelatedBusinessRevenue
Exclusion$158,441ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total659Total
Program Services659ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total7872Total
Program Services7872ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total223473Total
Management And General223473ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3635018Total
Program Services3163045ProgramServices
Management And General471973ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total55967Total
Program Services50539ProgramServices
Management And General5428ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total326638Total
Program Services306109ProgramServices
Management And General20529ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total404665Total
Program Services354571ProgramServices
Management And General50094ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total10115Total
Management And General10115ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29650Total
Management And General29650ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total380077Total
Program Services246969ProgramServices
Management And General115453ManagementAndGeneral
Fundraising17655Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total57335Total
Management And General57335ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14558Total
Management And General14558ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total928599Total
Program Services874803ProgramServices
Management And General53796ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total28613Total
Program Services14368ProgramServices
Management And General14245ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1180567Total
Program Services1112174ProgramServices
Management And General68393ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1224462Total
Program Services1153526ProgramServices
Management And General70936ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total96674Total
Program Services91073ProgramServices
Management And General5601ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
HEALTH CENTER SUPPLIES9038690386
PROPERTY TAXES22647921335813121
EQUIPMENT RENTAL & MAINT.2361802309435237
FOOD COSTS527961527961

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total290498Total
Program Services183386ProgramServices
Management And General107112ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9976446Total
Program Services8621742ProgramServices
Management And General1337049ManagementAndGeneral
Fundraising17655Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3566568BOY
EOY3832951EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY55606BOY
EOY74860EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY26255BOY
EOY16119EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY74631BOY
EOY78100EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis47470560LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13329836LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY35029061BOY
EOY34140724EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1421201BOY
EOY1671657EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY616979BOY
EOY567528EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1611577BOY
EOY1633263EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42401878BOY
EOY42015202EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY739083BOY
EOY701892EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY17557230BOY
EOY17612585EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY21539791BOY
EOY21000887EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2616552BOY
EOY2205023EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6989653BOY
EOY4269117EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY49442309BOY
EOY45789504EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-7258842BOY
EOY-3985573EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY99294BOY
EOY89895EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY119117BOY
EOY121376EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7040431BOY
EOY-3774302EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42401878BOY
EOY42015202EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses534650ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2731479ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39283CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28959CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years63659CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107254CurrentTaxYearMinus1Year
Current Tax Year96634CurrentTaxYear
Total335789Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8166809CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9054980CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9764022CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10108913CurrentTaxYearMinus1Year
Current Tax Year10222205CurrentTaxYear
Total47316929Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8206092CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9083939CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9827681CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10216167CurrentTaxYearMinus1Year
Current Tax Year10318839CurrentTaxYear
Total47652718Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8680CurrentTaxYearMinus4Years
Total8680Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8680CurrentTaxYearMinus4Years
Total8680Total
FieldValueIRS element (for citing)
Public Support Total50947644038PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years125464CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years42153CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50179CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57017CurrentTaxYearMinus1Year
Current Tax Year64310CurrentTaxYear
Total339123Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years125464CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years42153CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50179CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57017CurrentTaxYearMinus1Year
Current Tax Year64310CurrentTaxYear
Total339123Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years7596CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-2490CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3715CurrentTaxYearMinus1Year
Current Tax Year7673CurrentTaxYear
Total16494Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years372732CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4350CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3908CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5459CurrentTaxYearMinus1Year
Total386449Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8704288CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9138038CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9879278CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10282358CurrentTaxYearMinus1Year
Current Tax Year10390822CurrentTaxYear
Total48394784Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98450PublicSupportPercentage509
Prior Year Support Percentage0.97280PriorYearSupportPercentage
Investment Income Percentage0.00700InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01150PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance119117BeginningOfYearBalance
Investment Earnings Or Losses2259InvestmentEarningsOrLosses
End Of Year Balance121376EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance119297BeginningOfYearBalance
Investment Earnings Or Losses-180InvestmentEarningsOrLosses
End Of Year Balance119117EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance115364BeginningOfYearBalance
Investment Earnings Or Losses3933InvestmentEarningsOrLosses
End Of Year Balance119297EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance110623BeginningOfYearBalance
Investment Earnings Or Losses4741InvestmentEarningsOrLosses
End Of Year Balance115364EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance150053BeginningOfYearBalance
Investment Earnings Or Losses-39430InvestmentEarningsOrLosses
End Of Year Balance110623EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1343917OtherCostOrOtherBasis
Book Value1343917BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis43199141OtherCostOrOtherBasis
Depreciation10861950Depreciation
Book Value32337191BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2046336OtherCostOrOtherBasis
Depreciation1807234Depreciation
Book Value239102BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis881166OtherCostOrOtherBasis
Depreciation660652Depreciation
Book Value220514BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34140724TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Interest Rate Swap$4,140,617
Application and other deposits$128,500
FieldValueIRS element (for citing)
Total Of Amounts4269117TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt13241740TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2731479NetUnrealizedGainsInvestments
Revenue Not Rptd F9902731479RevenueNotRptdF990
Revenue Subtotal10510261RevenueSubtotal
Other Revenues Not Included835OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt835RevenueNotRptdOnFinStmt
Total Revenue Per Form99010511096TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9975611TotExpensesEtcAuditedFinclStmt
Expenses Subtotal9975611ExpensesSubtotal
Other Expenses Not Included835OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt835ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909976446TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SExpenses grouped with revenues $835
Part XI, Line 4bPart XI, Line 4b: Other revenue amounts included on 990 but not included in F/SExpenses grouped with revenues $835

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEmployee ScholarshipsTypeOfGrant
Number Of Recipients8NumberOfRecipients
Amount Of Cash Grant7872AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationMANAGEMENT AND THE BOARD MONITOR THE USE OF SCHOLARSHIP FUNDS.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Yamhill County Hospital AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN870703148IssuerEIN
CUSIP Number98464UAJ5CUSIPNumber
Date Issued2007-10-24DateIssued
Issue Price23620000IssuePrice
Description Of PurposeREFUND 2003 BOND AND REMODELDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired2485000AmountRetired
Total Proceeds23620000TotalProceeds
Refunding Escrow19322000RefundingEscrow
Issuance Costs From Proceeds556619IssuanceCostsFromProceeds
Capital Expenditures3741381CapitalExpenditures
Year Of Subst Completion2007YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledtrueForm8038TFiled
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqstrueWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableCopies of the governing documents and financial statements are available at the entity's place of business.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCompensation is determined by a wage matrix that associates each position with a wage grade and assigns 90 day and annual wage increase steps. Exceptions can be made by board decision to freeze annual increases. The wage matrix was developed using comparative local wages from the industry. Annual adjustments to the wage matrix are the responsibility of the board. All compensation recommendations are made by a personnell committee, then go to the board for approval.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsIn November of every year, the board development committee updates the board roster and requires each board member to resubmit any conflict of interest information. In addition, any potential situation that arises during the year is brought to the weekly management meeting for discussion and review.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessA copy of Form 990 is emailed to organization and reviewed by the governing body. Then approval is made via email.

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