WASCO COUNTY NURSING CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WASCO COUNTY NURSING CARE INC (EIN 91-1806451)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-01
IRS object ID
201323059349301142
Schema version
2012v2.3
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)
Timestamp2013-11-01T15:45:03-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FRIEND & REAGAN PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1305 EAST 5TH STREETAddressLine1
CityTHE DALLESCity
StateORState
ZIP Code97058ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911806451EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WASCO COUNTY NURSING CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWASCNameControl
Phone5412962156Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11015 WEBBERAddressLine1
CityTHE DALLESCity
StateORState
ZIP Code97058ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN BYERSName
TitleCHAIRMANTitle
Phone5412962156Phone
Date Signed2013-10-31DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCAROL D FRIENDName
Phone5412962000Phone
Date Prepared2013-10-31DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN W BYERSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1305 E 5TH STAddressLine1
CityTHE DALLESCity
StateORState
ZIP Code97058ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6098478GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionTHE NON-PROFIT CORPORATION HAS BEEN ESTABLISHED TO MANAGE AND OPERATE A NURSING HOME.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees146TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5896952ProgramServiceRevenuePriorYear
Program Service Revenue CY6062168ProgramServiceRevenueCY
Investment Income Prior Year1221InvestmentIncomePriorYear
Investment Income Current Year2073InvestmentIncomeCurrentYear
Other Revenue Prior Year21380OtherRevenuePriorYear
Other Revenue Current Year34237OtherRevenueCurrentYear
Total Revenue Prior Year5919553TotalRevenuePriorYear
Total Revenue Current Year6098478TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3156824SalariesEtcPriorYear
Salaries Etc Current Year3085043SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2355254OtherExpensePriorYear
Other Expenses Current Year2379007OtherExpensesCurrentYear
Total Expenses Prior Year5512078TotalExpensesPriorYear
Total Expenses Current Year5464050TotalExpensesCurrentYear
Revenues Less Expenses Prior Year407475RevenuesLessExpensesPriorYear
Revenues Less Expenses CY634428RevenuesLessExpensesCY
Total Assets BOY4867152TotalAssetsBOY
Total Assets EOY5529005TotalAssetsEOY
Total Liabilities BOY493256TotalLiabilitiesBOY
Total Liabilities EOY559179TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4373896NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4969826NetAssetsOrFundBalancesEOY
Mission DescriptionTHE NON-PROFIT CORPORATION HAS BEEN ESTABLISHED TO MANAGE AND OPERATE A NURSING HOME.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5140113Expense
DescriptionTHE NON-PROFIT CORPORATION HAS BEEN ESTABLISHED TO MANAGE AND OPERATE A NURSING HOME.Description
Total Program Service Expense5140113TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
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 BondsfalseTaxExemptBonds
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109620NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees146NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWASCO COUNTY NURSING CARENamePerson
Telephone Number5412962156TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11015 WEBBER RDAddressLine1
CityTHE DALLESCity
StateORState
ZIP Code97058ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOHN W BYERS
BOARD CHAIR5.00XX240000
LINDA OMEG
VICE CHAIR2.00XX240000
MICHAEL COURTNEY
SEC. TREAS.2.00XX240000
CARLA CHAMBERLAIN
BOARD MEMBER2.00X240000
RON BELL
ADMINISTRATO40.0012153000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org131130TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID40644614064461
MEDICARE PART A11106441110644
PRIVATE PATIENT SERVICES574920574920
HMO248475248475
MEDICARE PART B6366863668
FieldValueIRS element (for citing)
Total Program Service Revenue6062168TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2073TotalRevenueColumn
Related Or Exempt Function Income2073RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
W/C REFUND2312023120
PRIOR YEAR REV67046704
MISCELLANEOUS31953195

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1218TotalRevenueColumn
Related Or Exempt Function Income1218RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue34237TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6098478TotalRevenueColumn
Related Or Exempt Function Income6098478RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2614009Total
Program Services2614009ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7125Total
Program Services7125ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total203009Total
Program Services203009ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total260900Total
Program Services260900ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total301843Total
Management And General301843ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total750Total
Management And General750ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5177Total
Management And General5177ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9600Total
Management And General9600ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total17412Total
Program Services17412ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total188688Total
Program Services188688ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total6167Total
Management And General6167ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total134912Total
Program Services134912ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total211951Total
Program Services211951ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PURCHASED SERVICES448065448065
PROVIDER TAX431977431977
SUPPLIES422047422047
CONSULTANTS7829178291

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total122127Total
Program Services121727ProgramServices
Management And General400ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5464050Total
Program Services5140113ProgramServices
Management And General323937ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1316054BOY
EOY1756496EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY589627BOY
EOY76681EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY709978BOY
EOY880684EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY34781BOY
EOY151849EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3387183LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec723888LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2216712BOY
EOY2663295EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4867152BOY
EOY5529005EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY488947BOY
EOY549088EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1817BOY
EOY1817EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2492BOY
EOY8274EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY493256BOY
EOY559179EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY610973BOY
EOY570973EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY3762923BOY
EOY4398853EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4373896BOY
EOY4969826EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4867152BOY
EOY5529005EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses634428ReconcilationRevenueExpenses
Reconcilation Other Changes-38498ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5868258CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5643460CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6936010CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5896953CurrentTaxYearMinus1Year
Current Tax Year6062168CurrentTaxYear
Total30406849Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5868258CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5643460CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6936010CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5896953CurrentTaxYearMinus1Year
Current Tax Year6062168CurrentTaxYear
Total30406849Total
FieldValueIRS element (for citing)
Public Support Total17030406849PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17313CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4270CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1760CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1221CurrentTaxYearMinus1Year
Current Tax Year2073CurrentTaxYear
Total26637Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17602CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25210CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18505CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21380CurrentTaxYearMinus1Year
Current Tax Year34237CurrentTaxYear
Total116934Total
FieldValueIRS element (for citing)
Total Support30550420TotalSupport
Gross Receipts From Admissions Etc6098478GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99530PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99430PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPATIENT TRUST LIABILITYDescription
Amount$8,274Amount
FieldValueIRS element (for citing)
Total Of Amounts8274TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BREVIEWED BY CHAIRMAN BEFORE FILED
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9BOOK / TAX DEPRECIATION DIFFERENCE -3

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