2024-08-14T19:28:43-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-10-01 911703092 VASHON ISLAND COMMUNITY CARE VASH 4255596301 1980 112TH AVENUE 210 BELLEVUE WA 98004 MICHAEL CONNELL TREASURER & CFO 4255596301 2024-08-13 1 0 KURT BENNION CPA P01469618 4252506100 2024-08-01 2022 2024-08-08 14:25:15Z TORSTEN HIRCHE 1980 112TH AVENUE 210 BELLEVUE WA 98004 11663498 0 X WWW.TRANSFORMINGAGE.ORG X 1995 WA HOME AND ASSISTED LIVING CENTER ON VASHON ISLAND, WASHINGTON 10 9 2 10 0 0 607128 521664 83626 0 -34161 6473155 18451 34810 675044 7029629 4547 50000 0 0 324051 2404 0 0 0 1170658 1153795 1499256 1206199 -824212 5823430 5154279 215241 10995983 215241 -5841704 0 HOME AND ASSISTED LIVING CENTER ON VASHON ISLAND, WASHINGTON 0 0 360715 50000 0 VASHON COMMUNITY CARE CENTER IS A SENIOR LIVING FACILITY WITH 70 BEDS, ENRICHING THE INDIVIDUALS' EXPERIENCE OF AGING ON VASHON ISLAND THROUGH CREATIVE, COLLABORATIVE, CARING, COMMUNITY-WIDE SERVICES. 360715 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X JACOB ANDERSON 4255596301 1980 112TH AVENUE 210 BELLEVUE WA 98004 X TORSTEN HIRCHE PRESIDENT & CEO 1.00 39.00 X X 0 944982 27682 MICHAEL CONNELL TREASURER & CFO 1.00 39.00 X 0 531886 20998 MICHELLE LUKE SECRETARY 1.00 39.00 X 0 100350 5100 SCOTT LUMSDEN CHAIR & DIRECTOR 0.10 1.60 X X 0 0 0 MARY WAGNER VICE CHAIR & CHAIR 0.10 1.60 X X 0 0 0 JESSE BOND DIRECTOR & VICE CHAIR 0.10 1.60 X X 0 0 0 BARB BENNETT DIRECTOR 0.10 1.60 X 0 0 0 CATHY DANIGELIS DIRECTOR 0.10 1.60 X 0 0 0 JOHN IWANSKI DIRECTOR (THROUGH OCTOBER 2022) 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 1577218 53780 0 0 1 0 0 521638 26 521664 2966 2966 104058 11000000 106202 4527667 -2144 6472333 6470189 6470189 OTHER INCOME 900099 34810 34810 34810 7029629 0 0 6507965 X 50000 50000 9100 9100 -6696 2275 -8971 11447 11447 17640 17640 1 1 711951 274 711677 4782 403 4379 1889 1574 315 105806 41807 63999 331 331 94866 94866 158868 158868 23025 23025 MISCELLANEOUS 21884 21884 REPAIRS & MAINTENANCE 1217 1217 DUES & SUBSCRIPTIONS 88 88 1206199 360715 845484 0 37511 180431 372558 2716 34810 35081 0 4648744 57669 0 5154279 215241 344343 142 5760813 4890685 215241 10995983 215241 X -5891704 0 50000 0 -5841704 0 5154279 215241 5823430 18274 0 X 0 1 X 1 0 X 989608 274816 607128 521664 2393216 4183269 2124181 2564943 83626 8956019 34000 34000 4183269 3113789 2873759 690754 521664 11383235 0 1585547 1585547 1585547 1585547 9797688 93 875 386 24 2966 4344 93 875 386 24 2966 4344 6512 33761 105896 18451 34810 199430 4189874 3148425 2980041 709229 559440 11587009 0.84560 0.78940 0.00040 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME PART III, COLUMN A: THE AMOUNTS REPORTED IN PART III, COLUMN A ARE FOR A SHORT PERIOD THAT BEGAN ON JANUARY 1, 2018 AND ENDED ON SEPTEMBER 30, 2018. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 90902 -2972 87930 59903 19807 11192 90902 39228 20675 59903 0 DUE TO RELATED ORGANIZATIONS 215241 215241 X PART X, LINE 2: THE ORGANIZATION HAS BEEN NOTIFIED BY THE INTERNAL REVENUE SERVICE (IRS) THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. INCOME FROM ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THERE WERE NO TAXES PAID ON UNRELATED BUSINESS INCOME FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022. 1 PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST FOUNDATION 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 911586491 501(C)(3) 50000 0 GENERAL OPERATING SUPPORT 1 0 PART I, LINE 2: VASHON ISLAND COMMUNITY CARE MAKES GRANTS TO RELATED ORGANIZATIONS. PROPER USE OF TRANSFERRED FUNDS IS ENSURED THROUGH COMMON BOARD AND EXECUTIVE OVERSIGHT. 0 0 0 0 0 0 0 0 0 TORSTEN HIRCHE PRESIDENT & CEO 0 746157 0 198825 0 0 0 12000 0 15682 0 972664 0 0 MICHAEL CONNELL TREASURER & CFO 0 531886 0 0 0 0 0 12000 0 8998 0 552884 0 0 PART I, LINE 3 THE FOLLOWING WERE USED BY TRANSFORMING AGE IN DETERMINING THE PRESIDENT & CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 3 ALL MANAGEMENT FUNCTIONS ARE PROVIDED BY EMPLOYEES OF PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST. FORM 990, PART VI, SECTION A, LINE 6 PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST IS THE SOLE MEMBER OF VASHON ISLAND COMMUNITY CARE. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD MEMBERS ARE ELECTED BY THE VASHON ISLAND COMMUNITY CARE'S BOARD OF DIRECTORS, BUT PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST HAS THE RIGHT TO DISAPPROVE OF AND REMOVE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B AS THE SOLE MEMBER, PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST HAS THE RIGHT TO: 1. AMEND THE ORGANIZATION'S ARTICLES OF INCORPORATION OR BYLAWS; 2. ADOPT A PLAN OF MERGER OR CONSOLIDATION; 3. AUTHORIZE THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S PROPERTY AND ASSETS; 4. AUTHORIZE THE ORGANIZATION'S VOLUNTARY DISSOLUTION; AND 5. ADOPT A PLAN FOR THE DISTRIBUTION OF THE ORGANIZATION'S ASSETS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 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, A 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 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 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 TRANSFORMING AGE AND ITS RELATED AND SUPPORTED AFFILIATES. 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 SERVICES: PROGRAM SERVICE EXPENSES 274. MANAGEMENT AND GENERAL EXPENSES 711,677. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 711,951. PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 910666887 PROVIDE CARE FOR SENIORS WA 501(C)(3) LINE 10 TRANSFORMING AGE 0 PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST FOUNDATION 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 911586491 BENEFIT RESIDENTS AND EMPLOYEES OF PRESBYTERIAN RETIREMENT COMMUNITIES NW WA 501(C)(3) LINE 12A, I TRANSFORMING AGE 0 FRED LIND MANOR 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 910579225 PROVIDE SENIOR SERVICES WA 501(C)(3) LINE 10 TRANSFORMING AGE 0 FULL LIFE CARE 1980 112TH AVENUE SUITE 210 BELLEVUE WA 98004 911095588 SERVICES FOR THE ELDERLY WA 501(C)(3) LINE 7 TRANSFORMING AGE 0 CHRISTIAN RETIREMENT HOMES 6315 O STREET LINCOLN NE 68510 476041813 SENIOR LIVING NE 501(C)(3) LINE 10 TRANSFORMING AGE 0 EASTMONT TOWERS FOUNDATION 6315 O STREET LINCOLN NE 68510 911767080 BENEFIT RESIDENTS AND EMPLOYEES OF CHRISTIAN RETIREMENT HOMES NE 501(C)(3) LINE 10 TRANSFORMING AGE 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 TRANSFORMING AGE 0 DOWNTOWN ACTION TO SAVE HOUSING 11018 NE 11TH STREET BELLEVUE WA 98004 943155152 HOUSING WA 501(C)(3) LINE 7 TRANSFORMING AGE 0 NORSE HOME 5311 PHINNEY AVENUE N SEATTLE WA 98103 910667588 ASSISTED LIVING WA 501(C)(3) LINE 10 TRANSFORMING AGE 0 SENIOR HOUSING ASSISTANCE GROUP 14400 TUKWILA INTL BLVD SUITE 100 TUKWILA WA 98168 943063455 SENIOR LIVING WA 501(C)(3) LINE 10 TRANSFORMING AGE 0 SHAG COMMUNITY LIFE FOUNDATION 14400 TUKWILA INTL BLVD SUITE 100 TUKWILA WA 98168 460779043 AFFORDABLE SENIOR LIVING WA 501(C)(3) LINE 10 TRANSFORMING AGE 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 VENTURES 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 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0