Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 953,035 | 692,027 | 493,986 | 218,708 | 2,357,756 | |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 36,503,865 | 34,042,480 | 34,372,943 | 32,402,256 | 30,088,924 | 167,410,468 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 37,456,900 | 34,734,507 | 34,372,943 | 32,896,242 | 30,307,632 | 169,768,224 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 169,768,224 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 37,456,900 | 34,734,507 | 34,372,943 | 32,896,242 | 30,307,632 | 169,768,224 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 255,454 | 21,854 | 11,557 | 64 | 705 | 289,634 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 255,454 | 21,854 | 11,557 | 64 | 705 | 289,634 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 37,712,354 | 34,756,361 | 34,384,500 | 32,896,306 | 30,308,337 | 170,057,858 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, ITEM C | DBA: PORTER HILLS RETIREMENT COMMUNITIES AND SERVICES, INC. PORTER HILLS HEALTH CENTER. DBA: COOK VALLEY ESTATES PORTER HILLS RETIREMENT COMMUNITY & SERVICES. DBA: VALLEY HEALTH CENTER |
| FORM 990, PART VI, SECTION A, LINE 4 | PORTER HILLS PRESBYTERIAN VILLAGE AMENDED ITS GOVERNING DOCUMENTS DURING FISCAL YEAR 2019 TO INCLUDE THE FOLLOWING CHANGES: 1. CERTAIN ACTIONS OF THE BOARD NOW REQUIRE THE JOINT CONSENT OF THE UMRC BOARD 2. SET THE NUMBER OF BOARD MEMBERS AT EXACTLY 9 (INCLUDING TWO NONVOTING MEMBERS) 3. ADD JOINT UMRC/PHPV BOARD COMMITTEES, INCLUDING THE QUALITY, ETHICS AND COMPLIANCE COMMITTEE AND THE FINANCE AND AUDIT COMMITTEE 4. ADD A CEO OFFICER POSITION TO THE BOARD 5. THE AMENDED BYLAWS NOW CONTAINS A CONFLICT OF INTEREST POLICY 6. UPON DISSOLUTION AND ABSENT JOINT ACTION TO THE CONTRARY, PHPV'S REMAINING ASSETS SHALL BE DISTRIBUTED TO THE STOCKHOLDER (CURRENTLY UMRC) IF THE STOCKHOLDER IS A SECTION 501(C)(3) ORGANIZATION. 7. THE BYLAWS MAY BE AMENDED (1) BY 2/3 VOTE OF THE DIRECTORS PRESENT AT MEETINGS OF THE BOARD AND UMRC BOARD, OR (2) BY UNANIMOUS WRITTEN CONSENT OF ALL DIRECTORS OF THE BOARD AND THE UMRC BOARD. 8. THE EXECUTIVE COMMITTEE IS RENAMED "EXECUTIVE AND STRATEGY COMMITTEE," ITS COMPOSITION CHANGED SLIGHTLY AND INCLUDES THE CEO, AND ACTION TAKEN BY THIS COMMITTEE REQUIRES THE AFFIRMATIVE VOTE OF THREE-QUARTERS OF THE MEMBERS PRESENT (RATHER THAN A MAJORITY). |
| FORM 990, PART VI, SECTION A, LINE 6 | WESTMINSTER PRESBYTERIAN CHURCH WAS THE SOLE MEMBER OF PORTER HILLS PRESBYTERIAN VILLAGE UNTIL MARCH 1, 2019. AS OF MARCH 1, UNITED METHODIST RETIREMENT COMMUNITIES, INC. WAS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | WESTMINSTER PRESBYTERIAN CHURCH COULD ELECT ALL BOARD MEMBERS TO PORTER HILLS PRESBYTERIAN VILLAGE THROUGH MARCH 1, 2019. DURING THE FIRST 5 YEARS BEGINNING ON MARCH 1, 2019, PORTER HILLS PRESBYTERIAN VILLAGE WILL ELECT 2 BOARD MEMBERS, UNITED METHODIST RETIREMENT COMMUNITIES WILL ELECT 4 BOARD MEMBERS, AND WESTMINSTER PRESBYTERIAN CHURCH WILL ELECT 1 BOARD MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS THE SOLE MEMBER OF THE CORPORATION, APPROVAL BY THE UNITED METHODIST RETIREMENT COMMUNITIES, INC. BOARD IS REQUIRED TO TAKE THE FOLLOWING ACTIONS: (A) AMEND THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; (B) ADOPT AN AGREEMENT OF MERGER OR CONSOLIDATION OF THE CORPORATION; (C) SELL, LEASE, TRANSFER, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF MAJOR BUSINESS LINES OF THE CORPORATION OR ANY SUBSTANTIAL ASSETS OF THE CORPORATION; (D) APPROVE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (E) DISSOLVE OR REVOKE A PLAN TO DISSOLVE THE CORPORATION; (F) ACQUIRE REAL ESTATE, OR ACQUIRE OWNERSHIP OR CONTROL OF EXISTING SERVICE AGENCIES OR PROGRAMS; (G) EXPAND THE CORPORATION'S BUSINESS BEYOND ITS ORIGINAL SERVICE AREA; OR (H) INCUR DEBT IN AN AMOUNT ABOVE $500,000 IN THE AGGREGATE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY PLANTE & MORAN AND REVIEWED BY THE CFO AND THE VP OF FINANCE, BEFORE IT IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE WHETHER OR NOT THEY HAVE ANY INTEREST THAT MAY RESULT IN A CONFLICT. THE FORM WHICH THEY SIGN REQUIRES THEM TO PROMPTLY REPORT ANY POSSIBLE EXSISTENCE OF A CONFLICT OF INTEREST FOR THEMSELVES OR ANYONE ELSE SUBJECT TO THE POLICY. IF A POSSIBLE CONFLICT WAS REPORTED ON THE ANNUAL FORM OR IF NOTICE WAS GIVEN AFTER THE ANNUAL DISCLOSURE, THE INFORMATION DISCLOSED WOULD BE EVALUATED AND IF NECESSARY, COMPLIANCE WOULD BE ENFORCED. |
| FORM 990, PART VI, SECTION B, LINE 15B | FOR EXECUTIVE COMPENSATION A MINIMUM OF THREE SOURCES ARE USED. EACH SOURCE IS A THIRD PARTY ORGANIZATION SPECIALIZING IN COMPENSATION IN THE WEST MICHIGAN AREA. THIS INFORMATION IS THEN COMPILED BY THE HR DEPARTMENT AND USED TO MAKE A RECOMMENDATION ON THE APPROPRIATE SALARY FOR EACH PERSON. THE RECOMMENDATION IS REVIEWED AND APPROVED BY INDEPENDENT PERSONS. THE CEO OF THE ORGANIZATION WAS COMPENSATED BY A RELATED ORGANIZATION. CONSEQUENTLY, PART VI, LINE 15A HAS BEEN ANSWERED "NO". THE RELATED ORGANIZATION USED THE SAME PROCESS OUTLINED ABOVE TO DETERMINE THE COMPENSATION FOR THE CEO OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FINANCIALS AND FORM 990 ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,124,959. MANAGEMENT AND GENERAL EXPENSES 1,482,303. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,607,262. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -1,161,485. UNREALIZED GAIN ON JOINT VENTURES 549,816. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS FOR OVERSIGHT OF THE AUDIT HAS NOT CHANGED. |
| Software ID: | |
| Software Version: |