2013-05-13T17:47:31-05:00 2012-12-31 910189318 MOSS ADAMS LLP PO BOX 22650 YAKIMA WA 989072650 990 2012-01-01 910679851 WEST VALLEY NURSING HOMES INC WEST 5099655245 3801 SUMMITVIEW AVENUE YAKIMA WA 989022794 ROBERT D CHENEY 5099655245 2013-05-07 1 CHRISTOPHER E RIVARD P00022321 5092487750 2012 2016-02-24 21:20:13Z LIVING CARE RETIREMENT COMMUNITY CALVIN GROENENBERG 3801 SUMMITVIEW AVENUE YAKIMA WA 989022794 11312427 0 1 X WWW.LIVINGCARECENTERS.COM X 1958 WA A NOT-FOR-PROFIT, CHRISTIAN BASED, NON-DENOMINATIONAL RETIREMENT COMMUNITY THAT PROVIDES A VARIETY OF QUALITY HOUSING AND CARE SERVICES FOR SENIORS. 9 9 278 135 0 0 49200 46351 11032933 11132741 79520 133335 0 0 11161653 11312427 0 8100 0 0 6293625 6393772 0 0 124271 4028751 4080106 10322376 10481978 839277 830449 26626058 27937269 13077936 13492235 13548122 14445034 LIVING 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. 0 0 5047936 8100 5871965 SKILLED 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. 1584026 1788589 ASSISTED 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. 3163447 3472187 RETIREMENT 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. 9795409 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 31 0 1 278 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X DENNIS MALGESINI 5099655245 3801 SUMMITVIEW AVENUE YAKIMA WA 989022794 LEE STUCK 3.00 X 0 0 0 ROBERT CHENEY 3.00 X X 0 0 0 RAY NOVOBIELSKI 3.00 X X 0 0 0 ED STEVENSON 4.00 X X 0 0 0 KAREN FRESHWATER 3.00 X 0 0 0 MARK HAMPTON 3.00 X X 0 0 0 BERNALYN MCGUAGHEY 3.00 X 0 0 0 WES SCHUT 3.00 X 0 0 0 ROD KNIPPER 3.00 X 0 0 0 CALVIN GROENENBERG 48.70 X 117444 0 28382 117444 0 28382 1 0 0 0 TRI-PLY CONSTRUCTION LLC PO BOX 2872 YAKIMA WA 98907 CONSTRUCTION SERVICES 394480 INFINITY REHAB M/S 24 PO BOX 5700 PORTLAND OR 97228 THERAPY SERVICES 384794 SODEXO INC PO BOX 43283 LOS ANGELES CA 90088 DIETARY MANAGEMENT SERVICES 225661 SHOESMITH COX ARCHITECTS 1928 43RD AVENUE EAST SUITE A SEATTLE WA 98112 ARCHITECTUAL SERVICES 115369 4 46351 46351 ROOM REVENUE 623000 5076004 5076004 FEE AND CONTRACTS FRO 623000 4375067 4375067 PATIENT REVENUE 623000 1461321 1461321 SERVICE REVENUE 623000 220349 220349 11132741 133335 133335 11312427 11132741 0 133335 8100 8100 145826 72913 72913 4874459 4561973 229258 83228 94191 94191 902284 862789 39495 377012 338406 38606 262884 262884 692 692 29292 8061 21231 561572 496734 64838 65241 60488 1479 3274 561805 492598 34689 34518 47870 25341 19563 2966 728512 728512 17962 12278 5459 225 9077 5131 3886 60 960447 960447 53803 53803 FOOD 620089 619039 1050 PRESCRIPTION MEDICATION 94129 94129 SUBSCRIPTIONS, DUES AND 66731 37592 29139 10481978 9795409 562298 124271 1225 1325 6164866 1902801 472815 458332 550112 534515 34694 19783 80459 86506 32113037 12504755 18237278 19608282 836062 4985210 248547 340515 26626058 27937269 884908 905404 34200 32100 12155000 11780000 3828 2731 772000 13077936 13492235 X 13418807 14283318 129315 161716 13548122 14445034 26626058 27937269 830449 66463 0 X X 0 1 X 1 0 X 244620 12692 12529 49200 46351 365392 10292167 10943471 11040021 11032933 11132741 54441333 10536787 10956163 11052550 11082133 11179092 54806725 0 0 0 54806725 114583 99049 106069 79520 133335 532556 114583 99049 106069 79520 133335 532556 10651370 11055212 11158619 11161653 11312427 55339281 0.99040 0.98970 0.00960 0.01030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3227659 3227659 23130740 9355980 13774760 5754638 3148775 2605863 19608282 X 11378890 66463 66463 11312427 0 11312427 10481978 0 10481978 0 10481978 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. 1 NURSING SCHOLARSHIPS TO ADVANCE EMPLOYEE'S EDUCATION 4 8100 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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. FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C DISCLOSURE 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 15 THE 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 19 AVAILABLE UPON REQUEST FORM 990, PART XII, LINE 2C: NO CHANGE FROM LAST YEAR.