FRIENDSVIEW MANOR: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FRIENDSVIEW MANOR (EIN 93-0478660)
Tax period
2011-08-01 to 2012-07-31
Filed
2013-06-17
IRS object ID
201321689349300832
Schema version
2011v1.5
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)
Timestamp2013-06-17T16:04:31-07:00Timestamp
Tax Period End Date2012-07-31TaxPeriodEndDate

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 Date2011-08-01TaxPeriodBeginDate

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)
NameSusan BlackburnName
TitleCFOTitle
Date Signed2013-06-17DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCynthia J HeubergerName
Phone5032442134Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts10305194GrossReceipts
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 RESIENDTIAL LIVING AND QUALITY CONTINUING CARE TO SENIORS IN A CHRIST-CENTERED COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees211TotalNbrEmployees
Total Nbr Volunteers145TotalNbrVolunteers
Total Gross UBI26551TotalGrossUBI
Net Unrelated Business Txbl Income225NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year63659ContributionsGrantsPriorYear
Contributions Grants Current Year107254ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9764022ProgramServiceRevenuePriorYear
Program Service Revenue CY10108913ProgramServiceRevenueCY
Investment Income Prior Year99793InvestmentIncomePriorYear
Investment Income Current Year52679InvestmentIncomeCurrentYear
Other Revenue Prior Year38433OtherRevenuePriorYear
Other Revenue Current Year32010OtherRevenueCurrentYear
Total Revenue Prior Year9965907TotalRevenuePriorYear
Total Revenue Current Year10300856TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4372GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4099903SalariesEtcPriorYear
Salaries Etc Current Year4211295SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5355737OtherExpensePriorYear
Other Expenses Current Year5439037OtherExpensesCurrentYear
Total Expenses Prior Year9459640TotalExpensesPriorYear
Total Expenses Current Year9654704TotalExpensesCurrentYear
Revenues Less Expenses Prior Year506267RevenuesLessExpensesPriorYear
Revenues Less Expenses CY646152RevenuesLessExpensesCY
Total Assets BOY41941866TotalAssetsBOY
Total Assets EOY42401878TotalAssetsEOY
Total Liabilities BOY47164125TotalLiabilitiesBOY
Total Liabilities EOY49442309TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5222259NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-7040431NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE ACTIVE RESIENDTIAL LIVING AND QUALITY CONTINUING CARE TO SENIORS IN A CHRIST-CENTERED COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8402797Expense
Revenue10108913Revenue
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 THIRTY 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 Expense8402797TotalProgramServiceExpense
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 IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
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 With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees211NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSusan BlackburnNamePerson
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 WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Betty Hockett
Director1.00X000
LaVerne Biel
Secretary1.00X000X
Brian Beals
Director1.00X000
Dennis Lewis
Director1.00X000
Vicki Stave
Director1.00X000
Bruce Longstroth
Director1.00X000
Dwight Kimberley
Director1.00X000
Cindy Johnson
Director1.00X000
Ken Beebe
Director1.00X000
James Oberholtzer
Director1.00X000
Jennifer Perez
Director1.00X000
Mike Goins
Treasurer1.00X000X
Becky Ankeny
Chair1.00X000X
Sally Kingery
Director1.00X000
Steve Gulley
Vice Chair1.00X000X
Elizabeth Comfort
Former CFO40.0091175010500X
Dennis Russell
Former Exec Dir40.00106800012276X
Todd Engle
Executive Direc40.008027909496X
FieldValueIRS element (for citing)
Total Reportable Comp From Org278254TotalReportableCompFromOrg
Total Other Compensation32272TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions107254AllOtherContributions
Total Contributions107254TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER RESIDENT SERVICES62300017484561748456
HEALTH CENTER FEES62300025066962506696
RESIDENT FEES62300058537615853761
FieldValueIRS element (for citing)
Total Program Service Revenue10108913TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column57017TotalRevenueColumn
Exclusion$57,017ExclusionAmount

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

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4338Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-4338Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-4338TotalRevenueColumn
Exclusion-$4,338ExclusionAmount

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
GIFT SHOP INCOME4532205459$5,459
CATERING7223202655126551
FieldValueIRS element (for citing)
Total Other Revenue32010TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10300856TotalRevenueColumn
Related Or Exempt Function Income10108913RelatedOrExemptFunctionIncome
Unrelated Business Revenue26551UnrelatedBusinessRevenue
Exclusion$58,138ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4372Total
Program Services4372ProgramServices

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)
Total310526Total
Management And General310526ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3184906Total
Program Services2857691ProgramServices
Management And General327215ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total35873Total
Program Services34668ProgramServices
Management And General1205ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total312248Total
Program Services290638ProgramServices
Management And General21610ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total367742Total
Program Services327582ProgramServices
Management And General40160ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12150Total
Management And General12150ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28925Total
Management And General28925ManagementAndGeneral

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)
Total326035Total
Program Services246153ProgramServices
Management And General79882ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total55355Total
Management And General55355ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total28301Total
Management And General28301ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total958288Total
Program Services902772ProgramServices
Management And General55516ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total30023Total
Program Services17083ProgramServices
Management And General12940ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1226506Total
Program Services1155451ProgramServices
Management And General71055ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1239608Total
Program Services1167794ProgramServices
Management And General71814ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total113790Total
Program Services107198ProgramServices
Management And General6592ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
HEALTH CENTER SUPPLIES8801988019
PROPERTY TAXES24784223348414358
EQUIPMENT RENTAL & MAINT.2974362919985438
FOOD COSTS524360524360

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total262399Total
Program Services153534ProgramServices
Management And General108865ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9654704Total
Program Services8402797ProgramServices
Management And General1251907ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2731606BOY
EOY3566568EOY

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)
BOY48515BOY
EOY55606EOY

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)
BOY29255BOY
EOY26255EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY94309BOY
EOY74631EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis47189979LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12160918LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY35848641BOY
EOY35029061EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY928046BOY
EOY1421201EOY

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)
BOY666431BOY
EOY616979EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1595063BOY
EOY1611577EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY41941866BOY
EOY42401878EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY747178BOY
EOY739083EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY17259029BOY
EOY17557230EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY22053695BOY
EOY21539791EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2320200BOY
EOY2616552EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY500000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4284023BOY
EOY6989653EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY47164125BOY
EOY49442309EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-5390963BOY
EOY-7258842EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY49407BOY
EOY99294EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY119297BOY
EOY119117EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5222259BOY
EOY-7040431EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41941866BOY
EOY42401878EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses646152ReconcilationRevenueExpenses
Reconcilation Other Changes-2464324ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49001CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39283CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28959CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year63659CurrentTaxYearMinus1Year
Current Tax Year107254CurrentTaxYear
Total288156Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7641742CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8166809CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9054980CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9764022CurrentTaxYearMinus1Year
Current Tax Year10108913CurrentTaxYear
Total44736466Total

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 Years7690743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8206092CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9083939CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9827681CurrentTaxYearMinus1Year
Current Tax Year10216167CurrentTaxYear
Total45024622Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8680CurrentTaxYearMinus3Years
Total17536Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8680CurrentTaxYearMinus3Years
Total17536Total
FieldValueIRS element (for citing)
Public Support Total50945007086PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years257778CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years125464CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42153CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50179CurrentTaxYearMinus1Year
Current Tax Year57017CurrentTaxYear
Total532591Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years257778CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years125464CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42153CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50179CurrentTaxYearMinus1Year
Current Tax Year57017CurrentTaxYear
Total532591Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years7596CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-2490CurrentTaxYearMinus1Year
Current Tax Year3715CurrentTaxYear
Total8821Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years311139CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years372732CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4350CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3908CurrentTaxYearMinus1Year
Current Tax Year5459CurrentTaxYear
Total697588Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8259660CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8704288CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9138038CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9879278CurrentTaxYearMinus1Year
Current Tax Year10282358CurrentTaxYear
Total46263622Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97280PublicSupportPercentage509
Prior Year Support Percentage0.96170PriorYearSupportPercentage
Investment Income Percentage0.01150InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01550PriorYrInvestIncomePercentage
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 Balance119297BeginningOfYearBalance
Investment Earnings Or Losses-180InvestmentEarningsOrLosses
End Of Year Balance119117EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance110623BeginningOfYearBalance
Investment Earnings Or Losses4741InvestmentEarningsOrLosses
End Of Year Balance115364EndOfYearBalance
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 Basis1258649OtherCostOrOtherBasis
Book Value1258649BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis43046594OtherCostOrOtherBasis
Depreciation9821417Depreciation
Book Value33225177BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1992754OtherCostOrOtherBasis
Depreciation1740857Depreciation
Book Value251897BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis891982OtherCostOrOtherBasis
Depreciation598644Depreciation
Book Value293338BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings35029061TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Interest Rate Swap$6,761,353
Application and other deposits$228,300
FieldValueIRS element (for citing)
Total Of Amounts6989653TotalOfAmounts
Total Revenue10300856TotalRevenue
Total Expenses9654704TotalExpenses
Excess Or Deficit For Year646152ExcessOrDeficitForYear
Net Unrealized GL On Investments-2464324NetUnrealizedGLOnInvestments
Total Adjustments-2464324TotalAdjustments
Excess Or Deficit Per FS-1818172ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7836532TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2464324NetUnrealizedGainsInvestments
Revenue Not Rptd F990-2464324RevenueNotRptdF990
Revenue Subtotal10300856RevenueSubtotal
Total Revenue Per Form99010300856TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9654704TotExpensesEtcAuditedFinclStmt
Expenses Subtotal9654704ExpensesSubtotal
Total Expenses Per Form9909654704TotalExpensesPerForm990

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
YAMHILL COUNTY HOSPITAL AUTHORITY
87070314898464UAH92003-05-2817313612FACILITY CONSTRUCTIONS AND REMODELtruefalsefalse
Yamhill County Hospital Authority
87070314898464UAJ52007-10-2423620000REFUND 2003 BOND AND REMODELfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredRefunding EscrowRefundingEscrow
17313612173136121422130346272155452102004falsefalsetruetrue
2362000055661937413812007falsetruetruetrue194000019322000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue
falsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
truefalsefalsefalsefalsefalse
truetruefalsefalsefalsefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 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 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 11Form 990, Part VI, Line 11: 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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