2011-08-11T15:54:35-07:00 2010-09-30 MICHAEL L PIELS CPAs LLP 940 TOWN CENTRE DR MEDFORD OR 975046100 990 2009-10-01 342030255 MIRABELLA MIRA 5418577854 1200 MIRA MAR AVE MEDFORD OR 97504 BRIAN MCLEMORE 2011-08-11 STEWART C PARMELE CPA 5417798261 2009 2016-02-24 21:20:13Z BRIAN MCLEMORE 16126808 false false X RETIREMENT.ORG X 2008 WA TO PROVIDE CARE AND HOUSING FOR THE ELDERLY. 2 2 279 187 0 0 5418410 16053247 494727 52044 0 5913137 16105291 0 0 4375434 7906374 0 0 19098681 20484222 23474115 28390596 -17560978 -12285305 275396254 246241704 310106979 293237734 -34710725 -46996030 TO PROVIDE CARE AND HOUSING FOR THE ELDERLY. false false 4208757 HEALTH CARE CENTER TO CARE FOR THE NEEDS OF RESIDENTS. 3528343 RESIDENTIAL COMMUNAL CARE FOR RESIDENTS. 3152673 FOOD SERVICE PROGRAM TO PROVIDE QUALITY AND NUTRITIONAL MEALS TO RESIDENTS. 10889773 true false false false false false false false false false true true false false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false true 15 0 true 279 true false false false false false false false false false false false 0 false false false false false false false false 2 2 true true false false true true true true true false false false true true true true true true true true false false WA X PACIFIC RETIREMENT SERVICES 5418577854 1200 MIR MAR AVE MEDFORD OR 97504 LEN MERRYMAN 1.00 X 0 0 0 LARRY BOECK 1.00 X 0 0 0 KAREN E HERNDON 40.00 X 105394 0 16118 JAMES MUNN 40.00 X 153429 0 40125 258823 56243 2 false true false EBMS INC PO BOX 1400 PORTLAND OR 97207 MEDICAL BENEFITS 125923 CONSONUS REHAB SERVICES PO BOX 4800 PORTLAND OR 97208 MEDICAL SERVICES 186900 2 0 SERVICE FEES 9207686 9207686 OTHER REVENUE 762035 762035 HEALTH CENTER REVENUE 2715917 2715917 ENTRANCE FEES 3367609 3367609 16053247 73561 73561 0 0 0 21517 -21517 -21517 -21517 0 0 0 0 16105291 16031730 73561 0 0 0 0 315066 315066 0 6384924 5614757 770167 53894 37920 15974 557644 463812 93832 594846 516548 78298 632475 632475 462387 462387 225382 225382 0 0 0 0 334812 334812 0 107052 107052 0 0 24430 12156 12274 0 0 7129460 7129460 0 6320322 6320322 279575 279575 UTILITIES 948537 948492 45 SUPPLIES 484200 450962 33238 HEALTHCARE SERVICES 901685 901685 FOOD & BEVERAGE 694410 694410 CONTRACT SERVICES 450182 360531 89651 1489313 888500 600813 28390596 10889773 17500823 0 3720283 2258366 0 0 2419199 612562 0 0 0 78093 57805 1032971 150469 235024689 11608286 229374940 223416403 0 0 0 0 38770768 19746099 275396254 246241704 1285424 954653 94326521 130034262 187450000 134950000 652164 650728 26392870 26648091 310106979 293237734 X -34710725 -46996030 -34710725 -46996030 275396254 246241704 X false true true X false false X 0 5418410 16053247 21471657 0 0 0 5418410 16053247 21471657 0 0 21471657 580091 73561 653652 0 580091 73561 653652 0 0 22125309 X 0.00000 0.00000 21194646 21194646 208120490 10467367 197653123 5133595 964030 4169565 575958 176889 399069 223416403 RESTRICTED DEPOSITS AND FUNDED RESERVES 1741610 BOND ISSUE COSTS (NET) 2607823 ASSETS RESTRICTED UNDER BOND INDENTURE 15396666 19746099 REFUNDABLE DEPOSITS 2139610 ENTRANCE FEES REFUNDABLE-REOCCUPANCY 3489900 DUE TO AFFILIATES 13235960 CONTINGENT LIABILITY 7782621 26648091 16105291 28390596 -12285305 -12285305 16126808 21517 21517 16105291 16105291 28412113 21517 21517 28390596 28390596 Part XIII, Line 2d Part XIII, Line 2d: Other expenses and losses per audited F/S LOSS ON DISPOSAL OF ASSETS $21517 Part XII, Line 2d Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990 LOSS ON DISPOSAL OF ASSETS $21517 true X false false false false false false false false false false JAMES MUNN 153429 20236 19889 193554 WASHINGTON STATE HOUSING COMMISSION SERIES 2006B 911874730 939783PW0 2006-10-25 6000000 CONSTRUCTION OF NEW BUILDING false false WASHINGTON STATE HOUSING COMMISSION SERIES 2006A 911874730 939783PV2 2006-10-25 250745000 CONSTRUCTION OF NEW BUILDING false false 6000000 6000000 2008 false false true true 25074500 8000000 6409762 236335238 2008 false false true true Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available ALL REQUESTS GO THROUGH CORPORATE COUNSEL. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees ORGANIZATION'S BOARD REVIEWS AND APPROVES THE ANNUAL BUDGET. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts CORPORATE COUNSEL ISSUES POLICY ANNUALLY TO KEY EMPLOYEES AND BOARD MEMBERS. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process THE FORM 990 IS REVIEWED BY THE CONTROLLER AND THE BOARD. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body PACIFIC RETIREMENT SERVICES CAN APPOINT BOARD MEMBERS TO THE MIRABELLA BOARD. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder PACIFIC RETIREMENT SERVICES IS THE SOLE MEMBER OF MIRABELLA. Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company MIRABELLA BOARD DELEGATES MANAGEMENT TO PACIFIC RETIREMENT SERVICES. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et ONE OR MORE BOARD MEMBERS SERVE ON BOTH THE MIRABELLA BOARD AND SEVERAL AFFILIATED BOARDS, INCLUDING THE PACIFIC RETIREMENT SERVICES BOARD. PACIFIC RETIREMENT SERVICES HAS A MANAGEMENT AGREEMENT WITH MIRABELLA. NO INDIVIDUAL BOARD MEMBER HAVE ANY BUSINESS TRANSACTIONS WITH MIRABELLA, SO NO SCHEDULE L IS REQUIRED. MIRABELLA MARIN 1200 MIRA MAR AVE MEDFORD OR 97504 263800433 SENIOR HOUSING CA 501(C)(3) 9 PACIFIC RETIREMENT SERVICES CORBINTON RETIREMENT 1200 MIRA MAR AVE MEDFORD OR 97504 262987036 SENIOR HOUSING NC 501(C)(3) 9 PACIFIC RETIREMENT SERVICES PRS SCHOOL OF AGING SERVICES INC 1200 MIRA MAR AVE MEDFORD OR 97504 262477424 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM MANSFIELD HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 900292647 SENIOR HOUSING TX 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM CENTRAL POINT HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 300315618 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM PORTLAND II HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 300037898 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM PORTLAND HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 311780332 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM MYRTLE CREEK II HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 311715321 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM DAVIS HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 311662208 SENIOR HOUSING CA 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM GRANTS PASS II HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 311662259 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM ROSEBURG II HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 311587420 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM MEDFORD III HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 311587418 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM FORT WORTH II HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 311587415 SENIOR HOUSING TX 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM BEND II HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943260016 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM FT WORTH HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 311520436 SENIOR HOUSING TX 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM EUGENE HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943247154 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM YREKA HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943212540 SENIOR HOUSING CA 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM REEDSPORT HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943212538 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM LIVELY OAKS HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943194409 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM MEDFORD II HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943212537 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM KLAMATH FALLS HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943196455 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM EAGLE POINT HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943191447 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM BEND HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943163349 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM MYRTLE CREEK HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943162074 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM ROSEBURG HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943179782 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM GRANTS PASS HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 943136037 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM ASHLAND HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 930942933 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM HOUSING CORPORATION 1200 MIRA MAR AVE MEDFORD OR 97504 930864466 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES RVM COMMUNITY SERVICES 1200 MIRA MAR AVE MEDFORD OR 97504 930892261 COMMUNITY SERVICES OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES MIRABELLA SAN FRANCISCO BAY 1200 MIRA MAR AVE MEDFORD OR 97504 200428927 SENIOR HOUSING CA 501(C)(3) 9 PACIFIC RETIREMENT SERVICES MIRABELLA SOUTH WATERFRONT 1200 MIRA MAR AVE MEDFORD OR 97504 711016384 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES CAPITOL LAKES FOUNDATION 1200 MIRA MAR AVE MEDFORD OR 97504 383781089 PUBLIC FOUNDATION OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES CASCADE MANOR FOUNDATION INC 1200 MIRA MAR AVE MEDFORD OR 97504 931330100 PUBLIC FOUNDATION OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES MIRABELLA WASHINGTON FOUNDATION 1200 MIRA MAR AVE MEDFORD OR 97504 450574348 PUBLIC FOUNDATION WA 501(C)(3) 9 PACIFIC RETIREMENT SERVICES HPP FOUNDATION 1200 MIRA MAR AVE MEDFORD OR 97504 264529118 PUBLIC FOUNDATION OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES TRINITY TERRACE FOUNDATION 1200 MIRA MAR AVE MEDFORD OR 97504 912162130 PUBLIC FOUNDATION TX 501(C)(3) 9 PACIFIC RETIREMENT SERVICES URCAD FOUNDATION 1200 MIRA MAR AVE MEDFORD OR 97504 931301816 PUBLIC FOUNDATION CA 501(C)(3) 9 PACIFIC RETIREMENT SERVICES ROGUE VALLEY MANOR FOUNDATION 1200 MIRA MAR AVE MEDFORD OR 97504 930712867 PUBLIC FOUNDATION OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES CAPITOL LAKES 1200 MIRA MAR AVE MEDFORD OR 97504 391412320 SENIOR HOUSING WI 501(C)(3) 9 PACIFIC RETIREMENT SERVICES HOLLADAY PARK PLAZA 1200 MIRA MAR AVE MEDFORD OR 97504 930513697 SENIOUR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES URCAD 1200 MIRA MAR AVE MEDFORD OR 97504 931179254 SENIOR HOUSING CA 501(C)(3) 9 PACIFIC RETIREMENT SERVICES CASCADE MANOR 1200 MIRA MAR AVE MEDFORD OR 97504 930557803 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES THE CUMBERLAND REST INC 1200 MIRA MAR AVE MEDFORD OR 97504 750891470 SENIOR HOUSING TX 501(C)(3) 9 PACIFIC RETIREMENT SERVICIES ROGUE VALLEY MANOR 1200 MIRA MAR AVE MEDFORD OR 97504 930453216 SENIOR HOUSING OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES PACIFIC RETIREMENT SERVICES 1200 MIRA MAR AVE MEDFORD OR 97504 931067253 SUPPORTING ORGANIZATION OR 501(C)(3) 9 PACIFIC RETIREMENT SERVICES 965 ELLENDALE LLC 1200 MIRA MAR AVE MEDFORD OR 97504 931067253 REALESTATE OR PRS false false CENTENNIAL INC 1200 MIRA MAR AVE MEDFORD OR 97504 510554651 GOLF COURSE OR PACIFIC RETIREMENT SERVICES C CORP RS INC 1200 MIRA MAR AVE MEDFORD OR 97504 931328250 MANAGEMENT CO. OR PACIFIC RETIREMENT SERVICES C CORP CREST PARK 1200 MIRA MAR AVE MEDFORD OR 97504 931169683 HOTEL OR PACIFIC RETIREMENT SERVICES C CORP false false false false true false false false false false false true false true false false false false PACIFIC RETIREMENT SERVICES n 116940 PACIFIC RETIREMENT SERVICES l 879723 PACIFIC RETIREMENT SERVICES e 800000