2023-08-10T10:18:36-05:00 2022-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-01-01 910667588 NORSE HOME NORS 2067817417 5311 PHINNEY AVENUE N SEATTLE WA 98103 MICHAEL CONNELL TREASURER & CFO 2067817417 2023-08-07 1 MICHAEL CONNELL 999009999 0 KURT BENNION CPA P01469618 4252506100 2023-08-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MIKE MARTIN 5311 PHINNEY AVENUE N SEATTLE WA 98103 4505700 0 X WWW.NORSEHOME.COM X 1934 WA NORSE HOME IS A NON-PROFIT SENIOR LIVING COMMUNITY DEDICATED TO DIGNIFIED AGING. 11 10 0 2 0 0 15049 62039 4371951 4371314 40215 8 30454 72339 4457669 4505700 0 0 0 0 3491880 3449876 0 0 0 1558728 1865008 5050608 5314884 -592939 -809184 2457700 18232872 856130 1064536 1601570 17168336 NORSE HOME IS A NON-PROFIT SENIOR LIVING COMMUNITY DEDICATED TO DIGNIFIED AGING. AS PART OF THIS MISSION, NORSE HOME OFFERS AN ASSISTED LIVING PROGRAM THAT MEETS THE NEEDS OF SENIORS AS THEIR CAPABILITIES DIMINISH WITH THE PROCESS OF AGING. 0 0 4347294 0 4371314 NORSE HOME PROVIDES HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RETIREMENT COMMUNITY THAT OFFERS INDEPENDENT AND ASSISTED LIVING CONTAINING 132 APARTMENTS. 4347294 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X JACOB ANDERSON 2067817417 5311 PHINNEY AVENUE N SEATTLE WA 98103 X X TORSTEN HIRCHE PRESIDENT & CEO 1.00 39.00 X X 0 0 0 MICHAEL CONNELL TREASURER & CFO 1.00 39.00 X 0 0 0 MIKE MARTIN ADMINISTRATOR 40.00 0.00 X 0 0 0 MICHELLE LUKE SECRETARY 1.00 39.00 X 0 0 0 SCOTT LUMSDEN CHAIR 0.10 1.60 X X 0 0 0 MARY WAGNER VICE CHAIR 0.10 1.60 X X 0 0 0 BARB BENNETT DIRECTOR 0.10 1.60 X 0 0 0 JESSE BOND DIRECTOR 0.10 1.60 X 0 0 0 CATHY DANIGELIS DIRECTOR 0.10 1.60 X 0 0 0 JOHN IWANSKI DIRECTOR 0.10 1.60 X 0 0 0 JIM MELHORN DIRECTOR 0.10 1.60 X 0 0 0 KARIN MILLER DIRECTOR 0.10 1.60 X 0 0 0 LISA NELSON DIRECTOR 0.10 1.60 X 0 0 0 GREG RUSSELL DIRECTOR 0.10 1.60 X 0 0 0 0 0 0 0 0 0 0 0 62039 62039 RESIDENT SERVICES 623990 4327312 4327312 ANCILLARY SERVICES 623990 44002 44002 4371314 8 8 MISCELLANEOUS INCOME 900099 71223 71223 MEAL INCOME 722513 1116 1116 72339 4505700 4371314 0 72347 X 2608461 2202897 405564 55372 55372 575409 468131 107278 210634 179268 31366 588631 499581 89050 23556 23556 68388 68388 4000 4000 405681 335697 69984 1646 1646 9920 9920 247588 247588 94273 94273 FOOD 316742 316742 RESIDENT SUPPLIES 83470 83470 LICENSES & FEES 11794 11794 DUES & SUBSCRIPTIONS 9225 9225 94 94 5314884 4347294 967590 0 18238 -71784 407385 5197 45102 45102 17436 92009 17856272 293924 1969539 17562348 600000 2457700 18232872 264641 473047 189244 579244 402245 12245 856130 1064536 X 1587762 17168336 13808 0 1601570 17168336 2457700 18232872 X -809184 183378 16192572 X 0 0 0 X 23682 13311 122575 15049 62039 236656 4462172 4516343 4242596 4371951 4371314 21964376 4485854 4529654 4365171 4387000 4433353 22201032 0 0 0 22201032 7642 3888 3191 1216 8 15945 7642 3888 3191 1216 8 15945 94098 86766 65533 30454 72339 349190 4587594 4620308 4433895 4418670 4505700 22566167 0.98380 0.98660 0.00070 0.00120 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME MEAL INCOME FUNDRAISING EVENT REVENUES PART III, COLUMN E: THE AMOUNTS REPORTED IN PART III, COLUMN E ARE FOR A SHORT PERIOD THAT BEGAN ON JANUARY 1, 2022 AND ENDED ON SEPTEMBER 30, 2022. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6957627 6957627 9795389 264170 9531219 147682 3983 143699 955574 25771 929803 17562348 REFUNDABLE SECURITY DEPOSITS 12245 12245 FORM 990, PART VI, SECTION A, LINE 6 PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST (DBA: TRANSFORMING AGE) IS THE SOLE MEMBER OF NORSE HOME. FORM 990, PART VI, SECTION A, LINE 7A TRANSFORMING AGE'S BOARD OF DIRECTORS IS ALSO THE BOARD OF DIRECTORS OF NORSE HOME. FORM 990, PART VI, SECTION B, LINE 11B THE FORM WAS REVIEWED BY THE CONTROLLER AND THE CFO. IT WAS THEN PROVIDED TO THE BOARD FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND EMPLOYEES. ANNUALLY, THE CONFLICT OF INTEREST FORM IS DISTRIBUTED TO THE BOARD OF DIRECTORS AND OFFICERS. THE PRESIDENT & CEO REVIEWS THE COMPLETED FORMS AND IDENTIFIES IF ANY CONFLICTS EXIST. ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST OF ANY GOVERNING BOARD MEMBER OR OFFICER SHALL BE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD OR HIGHEST LEVEL OF MANAGEMENT (PRESIDENT & CEO) AND MADE A MATTER OF RECORD AT THE SOONEST POSSIBLE TIME. ANY GOVERNING BOARD MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST SHALL NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THAT DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD USES AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION SURVEY TO ANNUALLY DETERMINE THE CEO'S COMPENSATION. THE CEO IS RESPONSIBLE FOR CONDUCTING THE REVIEW OF OTHER OFFICERS' COMPENSATION. COMPENSATION WAS LAST REVIEWED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: THE OFFICERS THAT HAVE COMPENSATION PRESENTED IN PART VII, SECTION A OF THE FORM 990 PROVIDE EXECUTIVE MANAGEMENT SUPPORT AND OVERALL GUIDANCE TO PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST (DBA: TRANSFORMING AGE) AS WELL AS THE OTHER RELATED AND SUPPORTED AFFILIATES OF TRANSFORMING AGE. THE ENTIRE TRANSFORMING AGE SYSTEM SERVES APPROXIMATELY 14,000 PEOPLE IN SENIOR AND AFFORDABLE HOUSING AND COMMUNITY-BASED SERVICES, EMPLOYS 2,100 EMPLOYEES, GENERATES $155 MILLION IN TOTAL ANNUAL REVENUE AND HAS $718 MILLION IN TOTAL ASSETS. FORM 990, PART IX, LINE 11G OTHER SERVICE FEES: PROGRAM SERVICE EXPENSES 499,581. MANAGEMENT AND GENERAL EXPENSES 89,050. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 588,631. FORM 990, PART XI, LINE 9: FAIR MARKET VALUE ADJUSTMENT OF ASSETS AT ACQUISITION 16,192,572. PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 980666887 PROVIDE CARE FOR SENIORS WA 501(C)(3) LINE 10 N/A 0 PRESBYTERIAN REITREMENT COMMUNITIES NW FOUNDATION 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 911586491 BENEFIT RESIDENTS AND EMPLOYEES OF PRCN WA 501(C)(3) LINE 12A, I PRESBYTERIAN RETIREMENT COMMUNITIES NW 0 FRED LIND MANOR 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 910579225 PROVIDE SENIOR SERVICES WA 501(C)(3) LINE 10 PRESBYTERIAN RETIREMENT COMMUNITIES NW 0 VASHON ISLAND COMMUNITY CARE 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 911703092 SENIOR LIVING WA 501(C)(3) LINE 10 PRESBYTERIAN RETIREMENT COMMUNITIES NW 0 VASHON COMMUNITY CARE FOUNDATION 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 463368230 BENEFIT RESIDENTS AND EMPLOYEES OF VICC WA 501(C)(3) LINE 7 PRESBYTERIAN RETIREMENT COMMUNITIES NW 0 FULL LIFE CARE 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 911095588 SERVICES FOR THE ELDERLY WA 501(C)(3) LINE 7 PRESBYTERIAN RETIREMENT COMMUNITIES NW 0 CHRISTIAN RETIREMENT HOMES 6315 O STREET LINCOLN NE 68510 476041813 SENIOR LIVING NE 501(C)(3) LINE 10 PRESBYTERIAN RETIREMENT COMMUNITIES NW 0 EASTMONT TOWERS FOUNDATION 6315 O STREET LINCOLN NE 68510 911767080 BENEFIT RESIDENTS AND EMPLOYEES OF CRH NE 501(C)(3) LINE 10 PRESBYTERIAN RETIREMENT COMMUNITIES NW 0 DOWNTOWN ACTION TO SAVE HOUSING 11018 NE 11TH STREET BELLEVUE WA 98004 943155152 HOUSING WA 501(C)(3) LINE 7 PRESBYTERIAN RETIREMENT COMMUNITIES NW 0 GERMAN RETIREMENT HOME OF THE STATE OF WASHINGTON 11853 97TH AVENUE NE KIRKLAND WA 98034 910630507 SENIOR LIVING WA 501(C)(3) LINE 7 PRESBYTERIAN RETIREMENT COMMUNITIES NW 0 SHAG COMMUNITY LIFE FOUNDATION 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 460779043 AFFORDABLE SENIOR LIVING WA 501(C)(3) LINE 10 PRESBYTERIAN RETIREMENT COMMUNITIES NW 0 SENIOR HOUSING ASSISTANCE GROUP 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 943063455 SENIOR LIVING WA 501(C)(3) LINE 10 PRESBYTERIAN RETIREMENT COMMUNITIES NW 0 TRANSFORMING AGE 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 320672552 MANAGEMENT SERVICES WA 501(C)(3) LINE 12B, II N/A 0 TRANSFORMING AGE INC 715 NINTH AVENUE SUITE 400 SEATTLE WA 98104 471755666 FOR-PROFIT VENTURES AND ACTIVITIES WA N/A C 0 SENIOR HOUSING ASSISTANCE CORPORATION 1980 112TH AVENUE NE SUITE 210 BELLEVUE WA 98004 911923742 LOW-INCOME HOUSING WA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0