WASCO COUNTY NURSING CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WASCO COUNTY NURSING CARE INC (EIN 91-1806451)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-10-17
IRS object ID
201242919349300514
Schema version
2011v1.2
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)
Timestamp2012-10-17T10:15:51-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2012-10-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCAROL D FRIENDName
Phone5412962000Phone
Date Prepared2012-10-16DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts5919553GrossReceipts
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 Employees143TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6936010ProgramServiceRevenuePriorYear
Program Service Revenue CY5896952ProgramServiceRevenueCY
Investment Income Prior Year1760InvestmentIncomePriorYear
Investment Income Current Year1221InvestmentIncomeCurrentYear
Other Revenue Prior Year18505OtherRevenuePriorYear
Other Revenue Current Year21380OtherRevenueCurrentYear
Total Revenue Prior Year6956275TotalRevenuePriorYear
Total Revenue Current Year5919553TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3448084SalariesEtcPriorYear
Salaries Etc Current Year3156824SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2562098OtherExpensePriorYear
Other Expenses Current Year2355254OtherExpensesCurrentYear
Total Expenses Prior Year6010182TotalExpensesPriorYear
Total Expenses Current Year5512078TotalExpensesCurrentYear
Revenues Less Expenses Prior Year946093RevenuesLessExpensesPriorYear
Revenues Less Expenses CY407475RevenuesLessExpensesCY
Total Assets BOY4517724TotalAssetsBOY
Total Assets EOY4867152TotalAssetsEOY
Total Liabilities BOY551303TotalLiabilitiesBOY
Total Liabilities EOY493256TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3966421NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4373896NetAssetsOrFundBalancesEOY
Mission DescriptionTHE NON-PROFIT CORPORATION HAS BEEN ESTABLISHED TO MANAGE AND OPERATE A NURSING HOME.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5512078Expense
DescriptionTHE NON-PROFIT CORPORATION HAS BEEN ESTABLISHED TO MANAGE AND OPERATE A NURSING HOME.Description
Total Program Service Expense5512078TotalProgramServiceExpense
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
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 Employees143NumberOfEmployees
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 (6 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
ADMINISTRATO40.0012206000X
MONICA BELL
DNS40.0011026000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org241920TotalReportableCompFromOrg
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID SERVICES50574165057416
PRIVATE PATIENT SERVICES839536839536
FieldValueIRS element (for citing)
Total Program Service Revenue5896952TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1221TotalRevenueColumn
Related Or Exempt Function Income1221RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
W/C REFUND1932119321
GUEST MEALS/POP MACHINES18391839
MISCELLANEOUS220220
FieldValueIRS element (for citing)
Total Other Revenue21380TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5919553TotalRevenueColumn
Related Or Exempt Function Income5919553RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2683785Total
Program Services2683785ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total26339Total
Program Services26339ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total187876Total
Program Services187876ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total258824Total
Program Services258824ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total288422Total
Program Services288422ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total760Total
Program Services760ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6063Total
Program Services6063ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9600Total
Program Services9600ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16191Total
Program Services16191ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total137214Total
Program Services137214ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total7358Total
Program Services7358ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total4Total
Program Services4ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total117372Total
Program Services117372ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total199477Total
Program Services199477ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES486385486385
PURCHASED SERVICES464055464055
PROVIDER TAX397221397221
CONSULTANTS9912199121

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total126011Total
Program Services126011ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5512078Total
Program Services5512078ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY738213BOY
EOY1316054EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1025228BOY
EOY589627EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY859408BOY
EOY709978EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY97528BOY
EOY34781EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2805690LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec588978LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1797347BOY
EOY2216712EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4517724BOY
EOY4867152EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY541190BOY
EOY488947EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1817BOY
EOY1817EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8296BOY
EOY2492EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY551303BOY
EOY493256EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY610973BOY
EOY610973EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY3355448BOY
EOY3762923EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3966421BOY
EOY4373896EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4517724BOY
EOY4867152EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses407475ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5287066CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5868258CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5643460CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6936010CurrentTaxYearMinus1Year
Current Tax Year5896953CurrentTaxYear
Total29631747Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5287066CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5868258CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5643460CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6936010CurrentTaxYearMinus1Year
Current Tax Year5896953CurrentTaxYear
Total29631747Total
FieldValueIRS element (for citing)
Public Support Total17029631747PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13724CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17313CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4270CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1760CurrentTaxYearMinus1Year
Current Tax Year1221CurrentTaxYear
Total38288Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48495CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17602CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25210CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18505CurrentTaxYearMinus1Year
Current Tax Year21380CurrentTaxYear
Total131192Total
FieldValueIRS element (for citing)
Total Support29801227TotalSupport
Gross Receipts From Admissions Etc5919553GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99430PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99470PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPATIENT TRUST LIABILITYDescription
Amount$2,492Amount
FieldValueIRS element (for citing)
Total Of Amounts2492TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 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

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