Civic Intelligence

Presbyterian Nursing Home

990 • Fiscal year 2018 • EIN 93-0460749

Jul 01, 2017 to Jun 30, 2018 • Filed on Feb 25, 2019

3921 Clark BlvdOntario, OR 97914

(541) 889-9133

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$554,547

Flat from 2018

Net Assets

Flat

$459,759

Flat from 2018

Liabilities

Flat

$94,788

Flat from 2018

Revenue And Expenses

Revenue

Flat

$592,251

Flat from 2018

Expenses

Flat

$827,415

Flat from 2018

Net Income

Flat

-$235,164

Flat from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$3.0M$2.0M$1.0M$0Assets 2010: $2,609,728Liabilities 2010: $701,545Net Assets 2010: $1,908,1832010Assets 2011: $2,859,801Liabilities 2011: $758,790Net Assets 2011: $2,101,0112011Assets 2012: $2,585,192Liabilities 2012: $641,090Net Assets 2012: $1,944,1022012Assets 2013: $2,270,836Liabilities 2013: $361,023Net Assets 2013: $1,909,8132013Assets 2014: $2,308,821Liabilities 2014: $383,190Net Assets 2014: $1,925,6312014Assets 2015: $2,385,899Liabilities 2015: $372,439Net Assets 2015: $2,013,4602015Assets 2016: $2,068,513Liabilities 2016: $344,431Net Assets 2016: $1,724,0822016Assets 2017: $1,511,390Liabilities 2017: $789,833Net Assets 2017: $721,5572017Assets 2018: $554,547Liabilities 2018: $94,788Net Assets 2018: $459,7592018Assets 2018: $554,547Liabilities 2018: $94,788Net Assets 2018: $459,7592018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2018

Assets$554,547
Liabilities$94,788
Net Assets$459,759

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $5,118,0192010Revenue 2011: $5,551,939Expenses 2011: $5,359,111Net Income 2011: $192,8282011Revenue 2012: $5,505,935Expenses 2012: $5,662,844Net Income 2012: -$156,9092012Expenses 2013: $5,543,7862013Revenue 2014: $5,287,636Expenses 2014: $5,271,818Net Income 2014: $15,8182014Revenue 2015: $5,354,233Expenses 2015: $5,266,404Net Income 2015: $87,8292015Revenue 2016: $4,619,764Expenses 2016: $4,909,142Net Income 2016: -$289,3782016Revenue 2017: $3,993,142Expenses 2017: $4,915,564Net Income 2017: -$922,4222017Revenue 2018: $592,251Expenses 2018: $827,415Net Income 2018: -$235,1642018Revenue 2018: $592,251Expenses 2018: $827,415Net Income 2018: -$235,1642018Revenue 2019: $20,342Expenses 2019: $498,846Net Income 2019: -$478,5042019

Highlighted filing

2018

Revenue$592,251
Expenses$827,415
Net Income-$235,164
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Feb 25, 2019
Return Version
2017v2.2
Gross Receipts
$601,336
Mission and Program Overview

Mission

To maximize the potential and independence of those we serve through nursing and therapeutic care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$891,968$399,033▼ $492,935
Cash and Non-Interest-Bearing Accounts$113,599$150,174▲ $36,575
Savings and Temporary Cash Investments$18,729$0▼ $18,729
Accounts Receivable$485,148$5,340▼ $479,808
Prepaid Expenses and Deferred Charges$1,866$0▼ $1,866
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$1,511,390$554,547▼ $956,843
Other Assets Total$80$0▼ $80
Liabilities
Mortgage Notes Payable Secured by Investment Property$473,515$78,515▼ $395,000
Accounts Payable and Accrued Expenses$316,238$16,273▼ $299,965
Escrow Account Liability$80--
Total Liabilities$789,833$94,788▼ $695,045
Net Assets / Fund Balance
Unrestricted Net Assets$694,963$459,759▼ $235,204
Temporarily Rstr Net Assets$26,594--
Total Net Assets Fund Balance$721,557$459,759▼ $261,798
Total Liabilities and Net Assets / Fund Balance$1,511,390$554,547▼ $956,843

Asset Categories

AssetBook ValueDepreciationBasis
Land$399,033-$399,033

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$26,594$600-$27,194-
2016$33,503$5,990▲ $2$12,901$26,594
2015$30,690$9,455▲ $4$6,646$33,503
2014$28,281$18,366▲ $7$15,964$30,690
2013$26,918$5,911▲ $6-$28,281
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Cathleen SullivanExecutive DirectorFT$78,248$6,365$84,613

Board Members and Trustees

NameTitle
Prudence ShermanChair
Marilyn Blair-clausenVice Chair
Barbara HendersonDirector
Bob SteckleyDirector
Carol WiningerDirector
Cliff LooneyDirector
Dick HartDirector
Don RoumagouxDirector
Nancy BiechlerDirector
Ray BurzotaDirector
Steve TothDirector
Tim GrimDirector
Joey MillsSecretary
Norman KolbTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$600
Program Service Revenue
$16,333
Investment Income
$576,637
Other Revenue
$-1,319
All Other Contributions
$600
Change in Net Assets
$-235,164
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$685,373
Salaries, Compensation, and Employee Benefits$142,042
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$391,588$16,306-$407,894
Occupancy$75,239$3,133-$78,372
Payroll Taxes$35,845$33,684-$69,529
Other Salaries and Wages$25,715$24,165-$49,880
Interest$26,355$1,097-$27,452
Other Employee Benefits$11,393$10,706-$22,099
Insurance$10,269$428-$10,697
Fees for Services Accounting-$10,500-$10,500
Fees for Services Other$861$8,434-$9,295
All Other Expenses$4,830$4,199-$9,029
Other Expenses$4,796$21,829-$4,796
Fees for Services Legal-$3,242-$3,242
Advertising-$666-$666
Pension Plan Contributions$275$259-$534
Travel-$162-$162
Total Functional Expenses$667,275$160,140$0$827,415
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et

Marilyn Blair-Clausen and Ray Burzota HAVE A FAMILY RELATIONSHIP.

Form 990, Part VI, Line 11B: Form 990 Review Process

The form 990 is reviewed by the board chairperson, the administrator and the office manager.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Each board member is asked to complete a conflict of interest statement annually at the january board meeting. The first item on the agenda for each meeting is the chairperson asking members present if they have a conflict of interest pertaining to items on the agenda.

Form 990, Part VI, Line 15B: Compensation Review and Approval Process for Officers and Key Employees

The board compares salary survey data. Salaries and merit raises are recommended to the budget committee and approved by the full board.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

The form 990 is available on the guidestar website. Organizational documents, financial statements and 990's are available upon request at the organization's administrative office.

Filing and Contact Details

Filer

Filer Name
Presbyterian Nursing Home
EIN
93-0460749
Phone
5418899133
Address
3921 Clark Blvd, Ontario, OR 97914

Signing Officer

Name
Prudence Sherman
Title
Chair
Signed
2019-02-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Prudence Sherman
Formed
1957
Legal Domicile
Or
Voting Board Members
14
Independent Board Members
14
Employees
101
Volunteers
18

Preparer

Firm
Hansen Hunter & Co PC
Address
8930 SW Gemini Drive, Beaverton, OR 97008
Preparer
Cynthia J Heuberger
Phone
5032442134
Supplemental Narrative

Additional Explanations

Other Changes In Net Assets Or Fund Balances - Other Decreases

Liquidation adjustments = -$26634

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