NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES INC (EIN 94-6050476)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-06-14
IRS object ID
202301659349301460
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-06-14T11:40:48-07:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN770460195PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1McGilloway Ray Brown & KaufmanBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12511 Garden Road Suite A-180AddressLine1Txt
CityMontereyCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93940ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN946050476EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHERN CA CONGREGATIONAL RET HOMESBusinessNameLine1Txt
Business Name Line2CARMEL VALLEY MANORBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone8316241281PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18545 CARMEL VALLEY RDAddressLine1Txt
CityCARMELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93923ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJay ZimmerPersonNm
Person TitlePresident & CEOPersonTitleTxt
Signature2023-06-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJayPersonFirstNm
Person LastZimmerPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPatricia M Kaufman CPAPreparerPersonNm
PTINP00312047PTIN
Phone8313733337PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJay ZimmerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18545 CARMEL VALLEY RDAddressLine1Txt
CityCARMELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93923ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$30,084,301GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CVMANOR.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTo provide high quality life care for older adults in a safe, attractive, and congenial environment, where residents can live and enjoy an active and socially responsible role in the community.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee177TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,533,160PYContributionsGrantsAmt
CY Contributions Grants$1,240,762CYContributionsGrantsAmt
PY Program Service Revenue$17,214,236PYProgramServiceRevenueAmt
CY Program Service Revenue$19,486,925CYProgramServiceRevenueAmt
PY Investment Income$1,158,542PYInvestmentIncomeAmt
CY Investment Income$500,941CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$19,905,938PYTotalRevenueAmt
CY Total Revenue$21,228,628CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,865,901PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,961,420CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,393,507PYOtherExpensesAmt
CY Other Expenses$10,045,372CYOtherExpensesAmt
PY Total Expenses$21,259,408PYTotalExpensesAmt
CY Total Expenses$22,006,792CYTotalExpensesAmt
PY Revenues Less Expenses-$1,353,470PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$778,164CYRevenuesLessExpensesAmt
Total Assets BOY$63,297,249TotalAssetsBOYAmt
Total Assets EOY$96,809,897TotalAssetsEOYAmt
Total Liabilities BOY$41,309,609TotalLiabilitiesBOYAmt
Total Liabilities EOY$78,799,419TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,987,640NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,010,478NetAssetsOrFundBalancesEOYAmt
MissionThe Carmel Valley Manor mission is to balance active and vibrant independent living with the security of a Life Plan Community by maintaining an adaptable and flexible organization that addresses the needs and interests of current and future residents through its facilities, programs and services.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$17,982,949ExpenseAmt
Revenue$19,486,925RevenueAmt
DescCarmel Valley Manor is located in Carmel Valley, California. With 28 acres of hillside landscape and gardens, the organization provides senior retirement living with a lifecare option that includes a multi-dimensional and holistic approach to life. The Manors philosophy includes the dimensions of social, emotional, spiritual, environmental, intellectual and physical wellness. The facility consists of 146 independent living residences, 24 assisted living units and 36 medical center rooms. Residence, meals and most medical care and miscellaneous services were provided to approximately 220 residents in 2022. The Manor has over 150 skilled and well trained employees focused on creating a caring and supportive community helping seniors continue purposeful and dignified living.Desc
Total Program Service Expenses$17,982,949TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document58IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee177EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAnn Elise EmersonPersonNm
Phone8316241281PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18545 CARMEL VALLEY ROADAddressLine1Txt
CityCARMELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93923ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Jay Zimmer
President & CEO40.004.00Yes (X)$445,503$0$34,261
Christine Regan
Health Services Director40.000.00$184,491$0$30,055
Efren Amancio
Registered Nurse40.000.00$177,459$0$28,544
Gregory Hiltunen
Culinary Services Director40.000.00$120,385$0$48,069
Kelly Urquides
Registered Nurse40.000.00$121,765$0$29,816
Jesus Martinez
Registered Nurse40.000.00$130,249$0$20,863
Nellie Pena
Registered Nurse40.000.00$127,413$0$22,739
Rebecca Merrill
Human Resources Director40.000.00$130,625$0$19,068
Carlos Correa
Environmental Services Director40.000.00$122,954$0$18,907
Mercedes Abluton
Physical Therapist40.000.00$122,648$0$4,157
Mary Ziering
Assisted Living Director40.000.00$110,900$0$15,346
Isaiah Heath
Director of Finance40.000.00$105,578$0$9,088
Enrique Montero
Finance Dir.40.000.00$71,324$0$4,480
Ann-Elise Emerson
CFO40.000.00Yes (X)$46,465$0$1,230
Steven A Johnson
Director2.000.00$0$0$0Yes (X)
Noland Kennedy
Director2.000.00$0$0$0Yes (X)
James Gilbert
Director2.000.00$0$0$0Yes (X)
Gretchen Flesher
Secretary2.000.00Yes (X)$0$0$0Yes (X)
Steve Merrill
Director2.000.00$0$0$0Yes (X)
RB Busch III
Chair2.000.00Yes (X)$0$0$0Yes (X)
Marilynn Gustafson
Director2.000.00$0$0$0Yes (X)
Christopher Steinbruner
Treasurer2.000.00Yes (X)$0$0$0Yes (X)
Susan Freeland
Vice-Chair2.000.00Yes (X)$0$0$0Yes (X)
Mary Siersen
Director2.000.00$0$0$0Yes (X)
Robert Lindsey
Director2.000.00$0$0$0Yes (X)
Dan Limesand
Director2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,017,759TotalReportableCompFromOrgAmt
Total Other Compensation$286,623TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Otto Construction
1717 2nd StreetSacramentoCA95811Construction Services$1,741,054
Steve Milne Construction
49 Los OsitosCarmel ValleyCA93924Construction Services$2,077,930
COREWORKS
13028 Collections Center DriveChicagoIL60693Housekeeping Services$1,253,390
Merlino Design Partnership Inc
2200 Renaissance Blvd Ste 300Gulph MillsPA19406Interior Design Services$1,013,947
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K31CntrctRcvdGreaterThan100KCnt
Related Organizations$631,584RelatedOrganizationsAmt
All Other Contributions$609,178AllOtherContributionsAmt
Total Contributions$1,240,762TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Application Fees623000$10,600$10,600
Entrance Fees623000$4,770,692$4,770,692
Medical Center Services623000$1,920,947$1,920,947
Other Resident Services623000$344,259$344,259
Resident Care Fees623000$12,440,427$12,440,427
FieldValueIRS element (for citing)
Total Program Service Revenue$19,486,925TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$706,222TotalRevenueColumnAmt
Exclusion$706,222ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,650,392SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,855,673SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$205,281SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$205,281TotalRevenueColumnAmt
Exclusion-$205,281ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,228,628TotalRevenueColumnAmt
Related Or Exempt Func Income$19,486,925RelatedOrExemptFuncIncomeAmt
Exclusion$500,941ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$527,459TotalAmt
Management And General$527,459ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,200,202TotalAmt
Program Services$7,651,488ProgramServicesAmt
Management And General$548,714ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$134,729TotalAmt
Management And General$134,729ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,460,621TotalAmt
Program Services$2,339,689ProgramServicesAmt
Management And General$120,932ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$638,409TotalAmt
Program Services$563,914ProgramServicesAmt
Management And General$74,495ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$74,698TotalAmt
Management And General$74,698ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$146,153TotalAmt
Management And General$146,153ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$63,674TotalAmt
Management And General$63,674ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,700,483TotalAmt
Program Services$1,443,699ProgramServicesAmt
Management And General$256,784ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$117,751TotalAmt
Management And General$117,751ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,083TotalAmt
Management And General$9,083ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$61,327TotalAmt
Management And General$61,327ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,296,097TotalAmt
Program Services$1,288,916ProgramServicesAmt
Management And General$7,181ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$48,316TotalAmt
Program Services$25,217ProgramServicesAmt
Management And General$23,099ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$41,109TotalAmt
Management And General$41,109ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$421,095TotalAmt
Management And General$421,095ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,991,336TotalAmt
Program Services$2,976,540ProgramServicesAmt
Management And General$14,796ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$979,935TotalAmt
Management And General$979,935ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Resident Meals$973,067$970,401$2,666
Repairs & maintenance$268,721$268,721
Supplies$256,504$239,410$17,094
Bank and Merchant Fees$85,927$85,927

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$510,096TotalAmt
Program Services$214,954ProgramServicesAmt
Management And General$295,142ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,006,792TotalAmt
Program Services$17,982,949ProgramServicesAmt
Management And General$4,023,843ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,495,534BOYAmt
EOY$473,154EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,243,430BOYAmt
EOY$8,206,013EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$69,700BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$71,196BOYAmt
EOY$163,472EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$275,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$318,558BOYAmt
EOY$389,041EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$81,701,971LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$39,930,088LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$35,881,241BOYAmt
EOY$41,771,883EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,217,590BOYAmt
EOY$45,531,334EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$63,297,249BOYAmt
EOY$96,809,897EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,376,448BOYAmt
EOY$2,321,728EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$34,640,718BOYAmt
EOY$38,954,463EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,276,281BOYAmt
EOY$36,512,288EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,016,162BOYAmt
EOY$1,010,940EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,309,609BOYAmt
EOY$78,799,419EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,522,419BOYAmt
EOY$17,654,226EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$465,221BOYAmt
EOY$356,252EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,987,640BOYAmt
EOY$18,010,478EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$63,297,249BOYAmt
EOY$96,809,897EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$778,164ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,198,998NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$760,918CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$921,066CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,645,396CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,533,160CurrentTaxYearMinus1YearAmt
Current Tax Year$1,240,770CurrentTaxYearAmt
Total$7,101,310TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,589,277CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,823,949CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,928,487CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,214,236CurrentTaxYearMinus1YearAmt
Current Tax Year$19,486,925CurrentTaxYearAmt
Total$87,042,874TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,350,195CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,745,015CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,573,883CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,747,396CurrentTaxYearMinus1YearAmt
Current Tax Year$20,727,695CurrentTaxYearAmt
Total$94,144,184TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$417,465CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$558,264CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$524,916CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$559,728CurrentTaxYearMinus1YearAmt
Current Tax Year$631,584CurrentTaxYearAmt
Total$2,691,957TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$417,465CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$558,264CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$524,916CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$559,728CurrentTaxYearMinus1YearAmt
Current Tax Year$631,584CurrentTaxYearAmt
Total$2,691,957TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$91,452,227PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$855,408CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$669,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$555,810CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$850,328CurrentTaxYearMinus1YearAmt
Current Tax Year$706,222CurrentTaxYearAmt
Total$3,637,512TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$855,408CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$669,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$555,810CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$850,328CurrentTaxYearMinus1YearAmt
Current Tax Year$706,222CurrentTaxYearAmt
Total$3,637,512TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,205,603CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,414,759CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,129,693CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,597,724CurrentTaxYearMinus1YearAmt
Current Tax Year$21,433,917CurrentTaxYearAmt
Total$97,781,696TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93530PublicSupportCY509Pct
Public Support PY5090.93410PublicSupportPY509Pct
Investment Income CY0.03720InvestmentIncomeCYPct
Investment Income PY0.04380InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$403,575OtherCostOrOtherBasisAmt
Book Value$403,575BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,518,024OtherCostOrOtherBasisAmt
Depreciation$36,141,417DepreciationAmt
Book Value$27,376,607BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,582,040OtherCostOrOtherBasisAmt
Book Value$8,582,040BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,974,511OtherCostOrOtherBasisAmt
Depreciation$2,549,575DepreciationAmt
Book Value$1,424,936BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,223,821OtherCostOrOtherBasisAmt
Depreciation$1,239,096DepreciationAmt
Book Value$3,984,725BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$41,771,883TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Advances from Applicants$543,178
Annuity Obligation$467,762
FieldValueIRS element (for citing)
Total Liability$1,010,940TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationThe Manor believes that it has appropriate support for any tax positions taken, and therefore does not have any uncertain tax positions that are material to the financial statements for the years ended December 31, 2022.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Christine Regan
Health Services Director$184,491$5,251$24,804$214,546
Efren Amancio
Registered Nurse$177,459$6,544$22,000$206,003
Enrique Montero
Finance Dir.$71,324$4,480$75,804
Gregory Hiltunen
Culinary Services Director$120,385$3,660$44,409$168,454
Jay Zimmer
President & CEO$445,503$9,684$24,577$479,764
Jesus Martinez
Registered Nurse$130,249$5,457$15,406$151,112
Kelly Urquides
Registered Nurse$121,765$3,642$26,174$151,581
Nellie Pena
Registered Nurse$127,413$22,739$150,152

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonAlliant InsurancePersonNm
FieldValueIRS element (for citing)
Relationship DescriptionChairRelationshipDescriptionTxt
Transaction$232,708TransactionAmt
TransactionInsuranceTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11b990 is prepared by outside CPA. Finance Committee reviews the 990 and provides a complete draft to the Board of Directors for approval before filing.
Form 990, Part VI, Section B, Line 12cGovernance Committee distributes and reviews all conflict of interest annual forms and identifies any conflict at the annual meeting of the Board.
Form 990, Part VI, Section B, Line 15aCEO is paid an annual salary with a bonus based on performance. Performance Review and salary recommendations discussed with Board in Executive Session.
Form 990, Part VI, Section B, Line 15bCEO establishes compensation for Director of Finance and Key employees; approval is rendered through the annual budget process.
Form 990, Part VI, Section C, Line 19Copies are placed in the Resident's Library and copies will be sent or emailed to individuals or entities on request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Carmel Valley Manor FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18545 Carmel Valley RdAddressLine1Txt
CityCarmelCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93923ZIPCd
FieldValueIRS element (for citing)
EIN822771192EIN
Primary ActivitiesFundraising support to charitable activ.PrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status509(a)(3)PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Carmel Valley ManorBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Carmel Valley Manor Foundation
c$631,584cash transfer
Carmel Valley Manor Foundation
p$17,873cash transfer

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