FURP.ORG / PUBLIC DATA EXPLORER

WEST VALLEY NURSING HOMES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WEST VALLEY NURSING HOMES INC (EIN 91-0679851)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-13
IRS object ID
201341339349305004
Schema version
2012v2.1
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)
Timestamp2013-05-13T17:47:31-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 22650AddressLine1
CityYAKIMACity
StateWAState
ZIP Code989072650ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910679851EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WEST VALLEY NURSING HOMES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone5099655245Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13801 SUMMITVIEW AVENUEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code989022794ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT D CHENEYName
TitleCHAIRMANTitle
Phone5099655245Phone
Date Signed2013-05-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHRISTOPHER E RIVARDName
PTINP00022321PTIN
Phone5092487750Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1LIVING CARE RETIREMENT COMMUNITYBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCALVIN GROENENBERGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13801 SUMMITVIEW AVENUEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code989022794ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11312427GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.LIVINGCARECENTERS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionA NOT-FOR-PROFIT, CHRISTIAN BASED, NON-DENOMINATIONAL RETIREMENT COMMUNITY THAT PROVIDES A VARIETY OF QUALITY HOUSING AND CARE SERVICES FOR SENIORS.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees278TotalNbrEmployees
Total Nbr Volunteers135TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year49200ContributionsGrantsPriorYear
Contributions Grants Current Year46351ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11032933ProgramServiceRevenuePriorYear
Program Service Revenue CY11132741ProgramServiceRevenueCY
Investment Income Prior Year79520InvestmentIncomePriorYear
Investment Income Current Year133335InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11161653TotalRevenuePriorYear
Total Revenue Current Year11312427TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8100GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6293625SalariesEtcPriorYear
Salaries Etc Current Year6393772SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year124271TotalFundrsngExpCurrentYear
Other Expense Prior Year4028751OtherExpensePriorYear
Other Expenses Current Year4080106OtherExpensesCurrentYear
Total Expenses Prior Year10322376TotalExpensesPriorYear
Total Expenses Current Year10481978TotalExpensesCurrentYear
Revenues Less Expenses Prior Year839277RevenuesLessExpensesPriorYear
Revenues Less Expenses CY830449RevenuesLessExpensesCY
Total Assets BOY26626058TotalAssetsBOY
Total Assets EOY27937269TotalAssetsEOY
Total Liabilities BOY13077936TotalLiabilitiesBOY
Total Liabilities EOY13492235TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13548122NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14445034NetAssetsOrFundBalancesEOY
Mission DescriptionLIVING CARE RETIREMENT COMMUNITY IS A CHARITABLE NOT-FOR-PROFIT FELLOWSHIP OF EVANGELICAL CHRISTIANS THAT EXISTS TO MEET THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF SENIORS BY PROVIDING MINISTRY, HOUSING AND AGING SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5047936Expense
Grants8100Grants
Revenue5871965Revenue
DescriptionSKILLED NURSING SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 26,777 DAYS OF 24-HOUR NURSING CARE TO RESIDENTS IN SUMMITVIEW HEALTHCARE CENTER, OUR SKILLED NURSING FACILITY RESIDENTS RECEIVED ASSISTANCE WITH ACTIVITIES OF DAILY LIVING INCLUDING BATHING, DRESSING AND EATING. LICENSED NURSES MONITORED EACH RESIDENT'S HEALTH CONDITION, WROTE INDIVIDUALIZED CARE PLANS AND PROVIDED SKILLED SERVICES INCLUDING MEDICATIONS, TREATMENTS AND ASSESSMENTS. LICENSED THERAPIST PROVIDED SERVICES SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. RESIDENTS PARTICIPATED IN A WIDE VARIETY OF ACTIVITIES AND WERE PROVIDED SOCIAL SERVICE ASSISTANCE AND CHAPLAINCY SERVICES. HOUSEKEEPING, MAINTENANCE AND LAUNDRY SERVICES WERE PROVIDED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1584026Expense
Revenue1788589Revenue
DescriptionASSISTED LIVING SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 14,248 DAYS OF ASSISTED LIVING SERVICES TO OUR RESIDENTS IN HILLCREST. AT SUMMITVIEW AN ASSISTED LIVING FACILITY SERVICES INCLUDED THREE MEALS DAILY, 24-HOUR HEALTH AND MEDICATION MONITORING, ASSISTANCE WITH BATHING, DRESSING, HOUSEKEEPING AND LAUNDRY. RESIDENTS PARTICIPATED IN A WIDE VARIETY OF ACTIVITIES AND WERE PROVIDED SOCIAL SERVICE ASSISTANCE AND CHAPLAINCY SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3163447Expense
Revenue3472187Revenue
DescriptionRETIREMENT APARTMENT SERVICES - LIVING CARE RETIREMENT COMMUNITY PROVIDED 64,305 DAYS OF SERVICES TO RESIDENTS IN OUR RETIREMENT APARTMENTS SERVICES INCLUDED THE DAILY EVENING MEAL, WEEKLY HOUSEKEEPING, MAINTENANCE AND EMERGENCY ASSISTANCE. RESIDENTS PARTICIPATED IN A WIDE VARIETY OF ACTIVITIES AND WERE PROVIDED CHAPLAINCY SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense9795409TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109631NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees278NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDENNIS MALGESININamePerson
Telephone Number5099655245TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13801 SUMMITVIEW AVENUEAddressLine1
CityYAKIMACity
StateWAState
ZIP Code989022794ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
LEE STUCK
DIRECTOR3.00X000
ROBERT CHENEY
VICE-CHAIRMAN3.00X000X
RAY NOVOBIELSKI
SECRETARY3.00X000X
ED STEVENSON
CHAIRMAN4.00X000X
KAREN FRESHWATER
DIRECTOR3.00X000
MARK HAMPTON
TREASURER3.00X000X
BERNALYN MCGUAGHEY
DIRECTOR3.00X000
WES SCHUT
DIRECTOR3.00X000
ROD KNIPPER
DIRECTOR3.00X000
CALVIN GROENENBERG
EXECUTIVE DIRECTOR48.70117444028382X
FieldValueIRS element (for citing)
Total Reportable Comp From Org117444TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation28382TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TRI-PLY CONSTRUCTION LLC
PO BOX 2872YAKIMAWA98907CONSTRUCTION SERVICES394480
INFINITY REHAB
M/S 24 PO BOX 5700PORTLANDOR97228THERAPY SERVICES384794
SODEXO INC
PO BOX 43283LOS ANGELESCA90088DIETARY MANAGEMENT SERVICES225661
SHOESMITH COX ARCHITECTS
1928 43RD AVENUE EAST SUITE ASEATTLEWA98112ARCHITECTUAL SERVICES115369
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions46351AllOtherContributions
Total Contributions46351TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROOM REVENUE62300050760045076004
FEE AND CONTRACTS FRO62300043750674375067
PATIENT REVENUE62300014613211461321
SERVICE REVENUE623000220349220349
FieldValueIRS element (for citing)
Total Program Service Revenue11132741TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column133335TotalRevenueColumn
Exclusion$133,335ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11312427TotalRevenueColumn
Related Or Exempt Function Income11132741RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$133,335ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total8100Total
Program Services8100ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total145826Total
Program Services72913ProgramServices
Management And General72913ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4874459Total
Program Services4561973ProgramServices
Management And General229258ManagementAndGeneral
Fundraising83228Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total94191Total
Program Services94191ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total902284Total
Program Services862789ProgramServices
Management And General39495ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total377012Total
Program Services338406ProgramServices
Management And General38606ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total262884Total
Program Services262884ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total692Total
Management And General692ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29292Total
Program Services8061ProgramServices
Management And General21231ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total561572Total
Program Services496734ProgramServices
Management And General64838ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total65241Total
Program Services60488ProgramServices
Management And General1479ManagementAndGeneral
Fundraising3274Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total561805Total
Program Services492598ProgramServices
Management And General34689ManagementAndGeneral
Fundraising34518Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total47870Total
Program Services25341ProgramServices
Management And General19563ManagementAndGeneral
Fundraising2966Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total728512Total
Program Services728512ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total17962Total
Program Services12278ProgramServices
Management And General5459ManagementAndGeneral
Fundraising225Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9077Total
Program Services5131ProgramServices
Management And General3886ManagementAndGeneral
Fundraising60Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total960447Total
Program Services960447ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total53803Total
Program Services53803ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD6200896190391050
PRESCRIPTION MEDICATION9412994129
SUBSCRIPTIONS, DUES AND667313759229139

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10481978Total
Program Services9795409ProgramServices
Management And General562298ManagementAndGeneral
Fundraising124271Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1225BOY
EOY1325EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6164866BOY
EOY1902801EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY472815BOY
EOY458332EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY550112BOY
EOY534515EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY34694BOY
EOY19783EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY80459BOY
EOY86506EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32113037LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12504755LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18237278BOY
EOY19608282EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY836062BOY
EOY4985210EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY248547BOY
EOY340515EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26626058BOY
EOY27937269EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY884908BOY
EOY905404EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY34200BOY
EOY32100EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12155000BOY
EOY11780000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY3828BOY
EOY2731EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY772000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13077936BOY
EOY13492235EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13418807BOY
EOY14283318EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY129315BOY
EOY161716EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13548122BOY
EOY14445034EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26626058BOY
EOY27937269EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses830449ReconcilationRevenueExpenses
Reconciliation Unrealized Invest66463ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years244620CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12692CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12529CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49200CurrentTaxYearMinus1Year
Current Tax Year46351CurrentTaxYear
Total365392Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10292167CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10943471CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11040021CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11032933CurrentTaxYearMinus1Year
Current Tax Year11132741CurrentTaxYear
Total54441333Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10536787CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10956163CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11052550CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11082133CurrentTaxYearMinus1Year
Current Tax Year11179092CurrentTaxYear
Total54806725Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50954806725PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years114583CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99049CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years106069CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79520CurrentTaxYearMinus1Year
Current Tax Year133335CurrentTaxYear
Total532556Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years114583CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99049CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years106069CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79520CurrentTaxYearMinus1Year
Current Tax Year133335CurrentTaxYear
Total532556Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10651370CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11055212CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11158619CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11161653CurrentTaxYearMinus1Year
Current Tax Year11312427CurrentTaxYear
Total55339281Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99040PublicSupportPercentage509
Prior Year Support Percentage0.98970PriorYearSupportPercentage
Investment Income Percentage0.00960InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01030PriorYrInvestIncomePercentage
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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3227659OtherCostOrOtherBasis
Book Value3227659BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23130740OtherCostOrOtherBasis
Depreciation9355980Depreciation
Book Value13774760BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5754638OtherCostOrOtherBasis
Depreciation3148775Depreciation
Book Value2605863BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19608282TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt11378890TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments66463NetUnrealizedGainsInvestments
Revenue Not Rptd F99066463RevenueNotRptdF990
Revenue Subtotal11312427RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011312427TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10481978TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10481978ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010481978TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:THE ORGANIZATION IS REQUIRED BY STATE LAW TO PROVIDE ALL RESIDENTS WITH THE OPTION OF KEEPING MONEY ON THEIR BEHALF FOR INCIDENTAL PURCHASES. ANY AMOUNT OVER $50 IS KEPT IN AN INTEREST BEARING ACCOUNT, ANY BANK CHARGES FOR THE ACCOUNT CANNOT BE CHARGED TO THE RESIDENTS AND MUST BE PAID BY THE ORGANIZATION. THE ORGANIZATION KEEPS ALL THE MONEY IN AN INTEREST BEARING CHECKING ACCOUNT AND ALL FEES ARE CHARGED TO THE COMPANY'S BANK ACCOUNT. THEREFORE, THE ORGANIZATION IS ONLY HOLDING THE MONEY IN "TRUST" AND RECORDS THE ASSET AND OFF-SETTING LIABILITY ON THE BOOKS.
PART X, LINE 2:THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES (AMUSEMENT GAMES AND CONCESSION SALES). MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE, OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2009.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantNURSING SCHOLARSHIPS TO ADVANCE EMPLOYEE'S EDUCATIONTypeOfGrant
Number Of Recipients4NumberOfRecipients
Amount Of Cash Grant8100AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
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ExplanationSCHEDULE I, PART I, LINE 2: APPLICATIONS ARE RECEIVED FROM THE APPLICANT AND REVIEWED AND APPROVED BY A COMMITTEE. FUNDS ARE DISPERSED AS REIMBURSEMENTS WHEN PROOF OF PAYMENT TO THE SCHOOL HAS BEEN PRESENTED. RECIPIENTS MUST PROVIDE REGULAR PROOF OF CONTINUING ELIGIBILITY AND THAT THEY REMAIN IN GOOD STANDING IN THE PROGRAM.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

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FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WILL BE COMPLETED BY ITS STAFF AND PUBLIC ACCOUNTANT, AND COPIES WILL BE DISTRIBUTED ANNUALLY TO EACH BOARD MEMBER. THE BOARD WILL REVIEW, DISCUSS, AND APPROVE THE 990 FORM PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDISCLOSURE REQUIREMENTS - A)AT THE ANNUAL MEETING OF THE CORPORATION OF LIVING CARE AT WHICH DIRECTORS ARE ELECTED, MEMBERS OF THE BOARD OF DIRECTORS SHALL COMPLETE AND SUBMIT A QUESTIONNAIRE PRESCRIBED BY THE BOARD OF DIRECTORS WHEREIN ANY POTENTIAL CONFLICT OF INTEREST SHALL BE DISCLOSED. B) IN THE EVENT THAT ANY PERSON NOMINATED TO BE OR IS ELECTED TO THE BOARD OF DIRECTORS, UPON SUCH NOMINATION, ELECTION, SUCH PERSON SHALL BE SUPPLIED WITH THE QUESTIONNAIRE PRESCRIBED BY THE BOARD OF DIRECTORS TO COMPLETE AND SUBMIT TO THE BOARD C) IN ADDITION TO THE ANNUAL WRITTEN DISCLOSURE DESCRIBED ABOVE, AT ANY TIME THAT THE BOARD OF DIRECTORS IS CONSIDERING A MATTER IN WHICH A MEMBER OF THE BOARD HAS AN INTEREST, SUCH PERSON SHALL AGAIN MAKE DISCLOSURE OF SUCH CONFLICT OF INTEREST, AND SUCH DISCLOSURES SHALL BE NOTED IN THE MINUTES OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD CONDUCTS AN ANNUAL, FORMAL REVIEW OF THE EXECUTIVE DIRECTOR'S PERFORMANCE. THEY MEET IN EXECUTIVE SESSION TO REVIEW IT TOGETHER AND THEN THE BOARD CHAIR PRESENTS THE RESULTS TO THE EXECUTIVE DIRECTOR. THE BOARD REVIEWS A LIST SHOWING THE COMPENSATION OF OTHER EXECUTIVE DIRECTOR'S OF NON-PROFIT RETIREMENT COMMUNITIES IN WASHINGTON STATE. THE EXECUTIVE DIRECTOR PROPOSES THE COMPENSATION FOR THE NURSING HOME ADMINISTRATOR BASED ON DATE REVIEWED FROM THE ANNUAL WAGE & COMPENSATION SURVEY CONDUCTED BY THE STATE ASSOCIATION AGING SERVICES OF WASHINGTON. THIS SURVEY IS ALSO UTILIZED FOR OTHER EMPLOYEES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST
FORM 990, PART XII, LINE 2C:NO CHANGE FROM LAST YEAR.