2023-11-11T23:48:24-06:00 2022-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-01-01 860176446 HUMANGOOD ARIZONA INC HUMA 9259247100 1900 HUNTINGTON DRIVE DUARTE CA 91010 ANDREW MCDONALD CFO 9259247100 2023-11-07 1 ANDREW MCDONALD 999009999 0 KERRI N BOGDA CPA P00760402 7177404863 2023-11-07 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z THE TERRACES OF PHOENIX JOHN H COCHRANE III 1900 HUNTINGTON DRIVE DUARTE CA 91010 38992462 0 X WWW.HUMANGOOD.ORG X 1959 AZ TO HELP OLDER ADULTS LIVE THEIR BEST LIVES POSSIBLE, HOWEVER THEY DEFINE IT. 9 5 289 5 0 0 250487 1726836 22527057 25623613 483367 74308 32805 192783 23293716 27617540 0 0 0 0 10872226 12783479 0 0 0 13088370 14340474 23960596 27123953 -666880 493587 62114381 61261911 115635425 113935028 -53521044 -52673117 X AT HUMANGOOD WE BELIEVE EVERYONE SHOULD HAVE THE OPPORTUNITY TO LIVE WITH ENTHUSIASM, CONFIDENCE AND SECURITY, REGARDLESS OF PHYSICAL, SOCIAL, OR ECONOMIC CIRCUMSTANCES. AND WHEN WE SAY EVERYONE, WE MEAN EVERYONE - INCLUDING YOU. CONTINUED ON SCHEDULE O.BECAUSE WE BELIEVE THIS, OUR MISSION IS TO INSPIRE YOUR BEST LIFE.WE DO THAT BY WORKING HAND-IN-HAND TO CREATE EXPERIENCES THAT MATTER TO YOU. 0 0 24244845 0 25623613 HUMANGOOD ARIZONA IS A LIFE PLAN COMMUNITY (FORMERLY CONTINUING CARE RETIREMENT COMMUNITY) THAT PROVIDES HOUSING AND HEALTH CARE FOR THE ELDERLY. DIRECT RESIDENT CARE FOR SENIORS INCLUDES INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE, NURSING, AND HOME CARE. IT ALSO PROVIDES OUTREACH AND WELLNESS SERVICES INCLUDING MEALS PROGRAM, HOUSEKEEPING, MAINTENANCE AND ACTIVITIES. 24244845 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 55 0 289 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 5 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 AZ CA X X ANDREW MCDONALD CFO 9259247196 1900 HUNTINGTON DRIVE DUARTE CA 91010 X RANDALL L STAMPER CHAIR 0.50 16.10 X X 0 73000 0 ALBERT W KELLEY VICE CHAIR 0.50 11.10 X X 0 63000 0 H DECLAN BROWN SECRETARY 0.50 13.70 X X 0 63000 0 JUDITH BAKER DIRECTOR 0.50 11.10 X 0 63000 0 BRET TINKER DIRECTOR 0.50 1.50 X 0 0 0 DAVID DAHAN DIRECTOR 0.50 1.50 X 0 0 0 DAVID DECKER DIRECTOR 0.50 1.50 X 0 0 0 RAND FERRIS DIRECTOR 0.50 1.50 X 0 0 0 SUE UHLMAN DIRECTOR 0.50 1.00 X 0 0 0 JOHN H COCHRANE III PRESIDENT/CHIEF EXECUTIVE OFFICER 1.20 38.80 X 0 1032339 39055 DANIEL OGUS CHIEF OPERATIONS OFFICER 1.20 38.80 X 0 786516 43528 FLEMING MENG CHIEF INFORMATION OFFICER 1.20 38.80 X 0 434627 38817 ANDREW MCDONALD CHIEF FINANCIAL OFFICER 2.00 38.00 X 0 552085 38623 BETHANY GHASSEMI CHIEF LEGAL OFFICER 2.00 38.00 X 0 472179 16199 JAMES PARK VP COMMUNICATIONS 2.00 38.00 X 0 268431 29965 LISA HOLLAND VP REGIONAL OPERATIONS 2.00 38.00 X 0 303290 32597 MARC HERRERA VP HEALTHCARE & QUALITY 2.00 38.00 X 0 308788 31744 ANIKA HARTOUNIAN VP OF FINANCE 2.00 38.00 X 0 331581 38740 SUZANNE NAGEL VP MARKETING 2.00 38.00 X 0 267148 37308 SHACASEY ROGERS VP HUMAN RESOURCES 2.00 38.00 X 0 263168 13804 DENNIS GRADILLAS VP SALES 2.00 38.00 X 0 432794 34787 GREGORY BEARCE VP REGIONAL OPERATIONS 3.00 37.00 X 0 309373 29592 TARA MCGUINESS VP REGIONAL OPERATIONS 3.00 37.00 X 0 309336 32277 TYLER ICHIEN VP REGIONAL OPERATIONS (UNTIL 8/22) 3.00 37.00 X 0 241243 31220 JESSICA LOPEZ VP REGIONAL OPERATIONS 3.00 37.00 X 0 280326 35397 DEBBY GONZALES VP REGIONAL OPERATIONS 3.00 37.00 X 0 277036 19692 JAMIE ROBERTS EXECUTIVE DIRECTOR 40.00 X 223302 0 15704 PIUS AOGA CHARGE NURSE LVN 40.00 X 150588 0 20078 JASON GIORGIO DIRECTOR SALES 40.00 X 139256 0 14398 ADELMINA MANECLANG REGISTERED NURSE 40.00 X 129535 0 8623 MILISSA WATKINS HEALTH ADMINISTRATOR 40.00 X 117589 0 13177 TROY KEACH FORMER VP HUMAN RESOURCES 0.00 0.00 X 0 242424 0 760270 7374684 615325 8 1 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 DINING SERVICES 2409072 HUMANGOOD NORCAL 1900 HUNTINGTON DR DUARTE CA 91010 MANAGEMENT SERVICES 1865412 DNR EXPERTISE LLC 4125 N 48TH DR PHOENIX AZ 85031 CONTRACTOR SERVICES 1594062 COVENANT ALLIANCE REHAB LLC 3839 N 3RD ST PHOENIX AZ 85012 THERAPY SERVICES 708945 STARFLOORS INC 7077 E MAYO BLVD PHOENIX AZ 85054 CONTRACTOR SERVICES 387027 20 10278 1716558 1726836 RESIDENT SERVICE FEE REVENUE 623990 23804278 23804278 AMORTIZATION OF ENTRANCE FEES 623990 1819335 1819335 25623613 141322 141322 11307908 11374922 -67014 -67014 -67014 RESIDENT UPGRADES 900099 102875 102875 HOUSEKEEPING & MAINTENANCE 900099 17808 17808 EMPLOYEE/GUEST MEALS 900099 13575 13575 58525 58525 192783 27617540 25623613 0 267091 10587401 10190294 397107 182950 176088 6862 1211500 1166060 45440 801628 771561 30067 1865412 1865412 94 94 58616 58616 908 908 2132 2132 1099116 1056209 42907 425362 425362 103443 91410 12033 2783666 2783666 56662 53636 3026 10407 8407 2000 3325558 3325558 429206 429206 SUPPLIES 2104488 2094659 9829 ANCILLARY SERVICES 1092792 1092792 BAD DEBT EXPENSE 308457 308457 EQUIPMENT LEASE/RENTALS 162701 160504 2197 511454 419433 92021 27123953 24244845 2879108 0 3238821 945807 856526 1265758 40442 40442 189597 190054 86244734 43298912 42510257 42945822 15198881 15300161 79857 158270 0 415597 62114381 61261911 1403362 1702264 32911096 32333155 10970050 10706600 1716558 0 68634359 69193009 115635425 113935028 X -53521044 -52673117 -53521044 -52673117 62114381 61261911 X 493587 -2154 356494 X 1 X 1 X 1 0 X 40932 42996 1418723 250487 1726836 3479974 23014724 24246703 21465946 22527057 25623613 116878043 23055656 24289699 22884669 22777544 27350449 120358017 0 0 0 120358017 325997 379050 267175 135652 141322 1249196 325997 379050 267175 135652 141322 1249196 272612 187766 31538 32805 192783 717504 23654265 24856515 23183382 22946001 27684554 122324717 0.98390 0.98340 0.01020 0.01210 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 272,612. 2019 AMOUNT: $ 187,766. 2020 AMOUNT: $ 31,538. 2021 AMOUNT: $ 32,805. 2022 AMOUNT: $ 192,783. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 908 908 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO LEADING AGE, A PORTION OF WHICH IS CONSIDERED LOBBYING. 160876 160876 76371483 37978121 38393362 4634841 3536253 1098588 5077534 1784538 3292996 42945822 SUBORDINATED NOTE PAYABLE TO AFFILIATE 12000000 OTHER LIABILITIES 30491 REBATABLE ENTRANCE FEES DUE 44913953 ENTRANCE FEES SUBJECT TO REFUND 827999 ENTRANCE FEES NON-REFUNDABLE 9536725 RESIDENT DEPOSITS 497428 DUE TO RELATED PARTIES 1358941 WORKERS' COMPENSATION LIABILITY 27472 69193009 X 27969748 -2154 354362 352208 27617540 0 27617540 27121821 0 27121821 2132 2132 27123953 PART X, LINE 2: THE CORPORATION ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF THE FASB ASC TOPIC 740-10, INCOME TAXES. THE CORPORATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AT DECEMBER 31, 2022 AND 2021, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST RATE SWAP AGREEMENTS 356,494. INVESTMENT MANAGEMENT FEES NETTED AGAINST REVENUE ON FINANCIALS -2,132. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES NETTED AGAINST REVENUE ON FINANCIALS 2,132. X X X 1 1 1 1 0 0 0 0 0 1 0 JOHN H COCHRANE III PRESIDENT/CHIEF EXECUTIVE OFFICER 0 520513 0 475000 0 36826 0 13636 0 25419 0 1071394 0 0 DANIEL OGUS CHIEF OPERATIONS OFFICER 0 401624 0 328000 0 56892 0 12575 0 30953 0 830044 0 0 ANDREW MCDONALD CHIEF FINANCIAL OFFICER 0 325230 0 198000 0 28855 0 12910 0 25713 0 590708 0 0 BETHANY GHASSEMI CHIEF LEGAL OFFICER 0 301298 0 153000 0 17881 0 13162 0 3037 0 488378 0 0 FLEMING MENG CHIEF INFORMATION OFFICER 0 244675 0 189000 0 952 0 13520 0 25297 0 473444 0 0 DENNIS GRADILLAS VP SALES 0 210917 0 211371 0 10506 0 11665 0 23122 0 467581 0 0 ANIKA HARTOUNIAN VP OF FINANCE 0 223635 0 101250 0 6696 0 9708 0 29032 0 370321 0 0 TARA MCGUINESS VP REGIONAL OPERATIONS 0 213181 0 75901 0 20254 0 7903 0 24374 0 341613 0 0 MARC HERRERA VP HEALTHCARE & QUALITY 0 218518 0 74621 0 15649 0 7778 0 23966 0 340532 0 0 GREGORY BEARCE VP REGIONAL OPERATIONS 0 196067 0 90000 0 23306 0 10002 0 19590 0 338965 0 0 LISA HOLLAND VP REGIONAL OPERATIONS 0 194166 0 95000 0 14124 0 11726 0 20871 0 335887 0 0 JESSICA LOPEZ VP REGIONAL OPERATIONS 0 182704 0 91000 0 6622 0 7524 0 27873 0 315723 0 0 SUZANNE NAGEL VP MARKETING 0 185632 0 76000 0 5516 0 6264 0 31044 0 304456 0 0 JAMES PARK VP COMMUNICATIONS 0 178520 0 83250 0 6661 0 9200 0 20765 0 298396 0 0 DEBBY GONZALES VP REGIONAL OPERATIONS 0 193614 0 80899 0 2523 0 8491 0 11201 0 296728 0 0 SHACASEY ROGERS VP HUMAN RESOURCES 0 201327 0 61250 0 591 0 4106 0 9698 0 276972 0 0 TYLER ICHIEN VP REGIONAL OPERATIONS (UNTIL 8/22) 0 120999 0 106927 0 13317 0 5918 0 25302 0 272463 0 0 TROY KEACH FORMER VP HUMAN RESOURCES 0 0 0 0 0 242424 0 0 0 0 0 242424 0 0 JAMIE ROBERTS EXECUTIVE DIRECTOR 170066 0 52752 0 484 0 6968 0 8736 0 239006 0 0 0 PIUS AOGA CHARGE NURSE LVN 148023 0 0 0 2565 0 3698 0 16380 0 170666 0 0 0 JASON GIORGIO DIRECTOR SALES 70867 0 67733 0 656 0 0 0 14398 0 153654 0 0 0 PART I, LINE 1A FIRST CLASS TRAVEL IS AVAILABLE TO EXECUTIVE TEAM MEMBERS OF THE ORGANIZATION. TRAVEL FOR COMPANIONS IS AVAILABLE FOR EXECUTIVE TEAM MEMBERS. A COST REIMBURSEMENT BENEFIT OF $60/MONTH IS AVAILABLE TO CERTAIN EXECUTIVE TEAM MEMBERS FOR MONTHLY GYM MEMBERSHIP DUES. PART I, LINE 3 COMPENSATION OF THE CEO IS DETERMINED BY HUMANGOOD USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY/STUDY AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE. PART I, LINES 4A-B TROY KEACH, FORMER VP OF HUMAN RESOURCES RECEIVED A SEVERANCE PAYMENT DURING 2022. CERTAIN KEY EXECUTIVES WERE ALLOWED TO PARTICIPATE IN AN IRC 457(F) PLAN, WHEREBY (SUBJECT TO PLAN AMENDMENT) THE PLAN WILL FUND REGULAR CONTRIBUTIONS AND EARN A RETURN EQUAL TO THE CONSUMER PRICE INDEX RATE PLUS 2.5 PERCENT WITH A CAP OF 6.0 PERCENT. PART I, LINE 7 INCENTIVE COMPENSATION: EXECUTIVE DIRECTORS, REGIONAL MANAGERS AND SENIOR MANAGEMENT ARE ELIGIBLE FOR INCENTIVE COMPENSATION. IN THE CALENDAR YEAR PRECEDING THE INCENTIVE COMPENSATION, GOALS ARE SET FOR EACH INDIVIDUAL THAT ALIGN WITH THE STRATEGIC AND OPERATIONAL OBJECTIVES OF THE ORGANIZATION. THE GOALS OF THE CEO AND EXECUTIVE TEAM ARE REVIEWED BY THE COMPENSATION COMMITTEE AND BOARD. BEFORE ANY PAYMENT IS MADE, THE INCENTIVE COMPENSATION POOL MUST BE FUNDED BY EXCEEDING BUDGETED NET CASH PRODUCTION ARISING FROM THE SUM OF OPERATIONAL PERFORMANCE AND NET TURNOVER ENTRANCE FEES, SUBJECT TO A CAP. IF THE INCENTIVE POOL IS PARTIALLY FUNDED, THE PARTIAL PERCENTAGE IS APPLIED TO THE POTENTIAL PAYMENT FOR EACH TEAM MEMBER'S ATTAINED GOALS. THE ATTAINMENT OF THE GOALS OF THE CEO AND EXECUTIVE TEAM ARE REVIEWED BY THE COMPENSATION COMMITTEE AND BOARD PRIOR TO PAYMENT. FOR OTHER TEAM MEMBERS, THE ATTAINMENT OF EACH INCENTIVE GOAL IS ASSESSED BY THE INCENTIVE-ELIGIBLE TEAM MEMBER'S SUPERVISOR AND ULTIMATELY REVIEWED BY THE CEO PRIOR TO PAYMENT. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF GLENDALE 521767454 378286JT6 2018-05-24 36246378 SEE PART VI 0 0 0 A 3009000 36246411 1233882 1528 35011000 2005 1 0 1 1 A 0 0 1 1 0 0.01000 0.00000 0.01000 0 0 1 A 0 1 1 0 0 0 0 0 1 A 1 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF GLENDALE (B) DESCRIPTION OF PURPOSE: REFUND PRIOR ISSUE DATED 12/15/2015 SCHEDULE K, PART II, LINE 3: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS / MARKET VALUE FLUCTUATIONS. SCHEDULE K, PART III, LINE 4: ANSWER TO PART III, LINE 4 INCLUDES A CONSERVATIVE PERCENTAGE OF 1%. ACTUAL PRIVATE BUSINESS USE CALCULATION %S WOULD FALL SHORT OF THAT PERCENTAGE. FORM 990, PART VI, SECTION A, LINE 3 HUMANGOOD NORCAL, A RELATED 501(C)(3) ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO HUMANGOOD ARIZONA, INC. PURSUANT A MULTIYEAR MANAGEMENT AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 HUMANGOOD CORNERSTONE, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION EXEMPT UNDER IRC SECTION 501(C)(3), IS THE SOLE MEMBER OF HUMANGOOD ARIZONA, INC. HUMANGOOD, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION EXEMPT UNDER IRC SECTION 501(C)(3), IS THE SOLE MEMBER OF HUMANGOOD CORNERSTONE. FORM 990, PART VI, SECTION A, LINE 7A HUMANGOOD CORNERSTONE AS THE SOLE MEMBER OF HUMANGOOD ARIZONA, INC. ELECTS THE BOARD OF DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING TRANSACTIONS REQUIRE APPROVAL BY THE MEMBERS: A) MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; B) AMENDMENT, REPEAL, OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; C) AGGREGATE BORROWING FOR ANY PURPOSE IN EXCESS OF $50,000; D) PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, ENCUMBERANCE OR MORTGAGE OF ANY REAL PROPERTY, AND OF ANY PERSONAL PROPERTY WITH A VALUE IN EXCESS OF $50,000; E) APPOINTMENT OF THE INDEPENDENT AUDITOR; F) TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CFO AND FURNISHED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EVERY YEAR, THE ORGANIZATION'S DIRECTORS AND OFFICERS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE ALONG WITH A STATEMENT OF COMMITMENT. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, DIRECTORS AND OFFICERS MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS RELATED THERETO TO THE DIRECTORS AND MEMBERS OF COMMITTEES. A VOTE IS TAKEN OUTSIDE THE PRESENCE OF THE INDIVIDUAL IN QUESTION TO DETERMINE IF AN ACTUAL CONFLICT EXISTS.IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE PRESIDENT, COO AND CFO OF HUMANGOOD IS REVIEWED ANNUALLY FOR MARKET COMPETITIVENESS BY A COMPENSATION COMMITTEE OF THE HUMANGOOD BOARD. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED BY THE CEO WITH DISCLOSURE TO THE COMPENSATION COMMITTEE. THE HUMANGOOD BOARD MEMBERS AND PRESIDENT ARE INDEPENDENT WITH RESPECT TO THE INDIVIDUALS WHOSE COMPENSATION IS BEING REVIEWED, THE HUMANGOOD BOARD AND PRESIDENT RELY UPON WAGE AND SALARY STUDIES AND/OR REGULAR REVIEW BY A COMPENSATION CONSULTANT TO PROVIDE COMPARABLE SALARY DATA FOR THEIR CONSIDERATION. DECISIONS REGARDING COMPENSATION ARE DOCUMENTED ON A CONTEMPORANEOUS BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION UPON REQUEST. FINANCIAL AND OTHER DATA IS AVAILABLE ON THE ORGANIZATION'S WEBSITE, HUMANGOOD.ORG. FORM 990, PART VII, SECTION A: CERTAIN BOARD MEMBERS RECEIVED A STIPEND FOR 2022 FOR THEIR BOARD AND COMMITTEE WORK RELATED TO HUMANGOOD. NO COMPENSATION IS PAID TO ANY BOARD MEMBERS FOR THEIR ROLE ON THE HUMANGOOD ARIZONA BOARD. BOARD STIPENDS: COMMENCING TWO YEARS AFTER THE MAY 1, 2016 AFFILIATION OF HUMANGOOD NORCAL AND HUMANGOOD SOCAL, THE SEVEN-MEMBER HUMANGOOD BOARD BEGAN RECEIVING STIPENDS FOR THEIR SERVICE TO THE TOP GOVERNING ORGANIZATION, HUMANGOOD. AN EVALUATION WAS PERFORMED OF SIMILARLY COMPLEX NON-PROFIT ORGANIZATIONS TO DETERMINE THE REASONABLENESS OF THE STIPEND AMOUNT FOR THE HOURS COMMITTED TO GOVERNANCE. NO REMUNERATION IS ATTRIBUTABLE TO SERVICE BY THESE SEVEN BOARD MEMBERS ON BOARDS OF OTHER HUMANGOOD AFFILIATES. THE REMUNERATION IS TAXABLE TO EACH OF THE MEMBERS AND REPORTED ANNUALLY ON FORM 1099 IN ADDITION TO DISCLOSURE IN THE FORM 990. BASED ON RECEIVING THIS REMUNERATION AND THE ADVICE OF TAX CONSULTANTS, THESE BOARD MEMBERS ARE NOT REFLECTED AS BEING INDEPENDENT DIRECTORS. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST RATE SWAP AGREEMENTS 356,494. ANDRES DUARTE TERRACE 1900 HUNTINGTON DRIVE DUARTE CA 91010 300155849 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 AVENUE OF THE ARTS PRESBYTERIAN-PSC APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 233027613 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 BALA PRESBYTERIAN HOME FOUNDATION 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232834398 FUNDRAISING & SUPPORT PA 501(C)(3) LINE 12B, II HUMANGOOD EAST 0 BANDERA SENIOR HOUSING CORP DBA GEORGE MCDONALD COURT 1900 HUNTINGTON DRIVE DUARTE CA 91010 311538768 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 BAY VISTA SENIOR HOUSING 1900 HUNTINGTON DRIVE DUARTE CA 91010 460777494 AFFORDABLE HOUSING WA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 BEACON SENIOR HOUSING CORP DBA ROSEWOOD COURT 1900 HUNTINGTON DRIVE DUARTE CA 91010 311654224 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 CANTERBURY VILLAGE RETIREMENT CORP 1900 HUNTINGTON DRIVE DUARTE CA 91010 953864198 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 CASTLE ARGYLE 1900 HUNTINGTON DRIVE DUARTE CA 91010 954454256 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 GERMANTOWN INTERFAITH HOUSING INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232211053 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 GOOD SHEPHERD SENIOR HOUSING 1900 HUNTINGTON DRIVE DUARTE CA 91010 262704795 AFFORDABLE HOUSING WA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 GRACE COURT INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232299928 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 GREENWAY PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 861063722 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 HARBORVIEW PROPERTIES INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 916086253 AFFORDABLE HOUSING WA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 HILLCREST SENIOR HOUSING CORP 1900 HUNTINGTON DRIVE DUARTE CA 91010 760801395 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 HUMANGOOD 1900 HUNTINGTON DRIVE DUARTE CA 91010 311558961 PARENT ORGANIZATION CA 501(C)(3) LINE 12A, I N/A 0 HUMANGOOD AFFORDABLE HOUSING 1900 HUNTINGTON DRIVE DUARTE CA 91010 943085296 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD CORNERSTONE 0 HUMANGOOD CORNERSTONE 1900 HUNTINGTON DRIVE DUARTE CA 91010 300184304 PARENT ORGANIZATION CA 501(C)(3) LINE 12B, II HUMANGOOD 0 HUMANGOOD EAST 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232828862 PARENT ENTITY PA 501(C)(3) LINE 12B, II HUMANGOOD CORNERSTONE 0 HUMANGOOD FOUNDATION SOUTH 1900 HUNTINGTON DRIVE DUARTE CA 91010 911931309 FUNDRAISING, FINANCIAL RESOURCES TO RELATED ENTITIES CA 501(C)(3) LINE 7 HUMANGOOD SOCAL 0 HUMANGOOD FOUNDATION WEST 1900 HUNTINGTON DRIVE DUARTE CA 91010 237039408 SUPPORT FOR NON-PROFIT RESIDENTIAL COMMUNITIES CA 501(C)(3) LINE 12A, I HUMANGOOD NORCAL 0 HUMANGOOD FRESNO DBA THE TERRACES AT SAN JOAQUIN GARDENS 1900 HUNTINGTON DRIVE DUARTE CA 91010 260650298 LIFE PLAN COMMUNITY CA 501(C)(3) LINE 10 HUMANGOOD 0 HUMANGOOD IDAHO DBA TERRACES OF BOISE 1900 HUNTINGTON DRIVE DUARTE CA 91010 203659420 LIFE PLAN COMMUNITY CA 501(C)(3) LINE 10 HUMANGOOD CORNERSTONE 0 HUMANGOOD NEVADA DBA LAS VENTANAS RETIREMENT COMMUNITY 1900 HUNTINGTON DRIVE DUARTE CA 91010 200566413 LIFE PLAN COMMUNITY CA 501(C)(3) LINE 10 HUMANGOOD CORNERSTONE 0 HUMANGOOD NORCAL 1900 HUNTINGTON DRIVE DUARTE CA 91010 941225374 LIFE PLAN COMMUNITIES CA 501(C)(3) LINE 10 HUMANGOOD 0 HUMANGOOD PENNSYLVANIA 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 231547587 PROVIDE SENIOR LIVING OPTIONS, FUNDRAISING & SUPPORT PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 HUMANGOOD SOCAL 1900 HUNTINGTON DRIVE DUARTE CA 91010 951894293 LIFE PLAN COMMUNITIES CA 501(C)(3) LINE 10 HUMANGOOD 0 HUMANGOOD WASHINGTON DBA JUDSON PARK RETIREMENT COMMUNITY 1900 HUNTINGTON DRIVE DUARTE CA 91010 911659735 LIFE PLAN COMMUNITY WA 501(C)(3) LINE 10 HUMANGOOD CORNERSTONE 0 JUDSON TERRACE HOMES 1900 HUNTINGTON DRIVE DUARTE CA 91010 956153706 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 JUDSON TERRACE LODGE 1900 HUNTINGTON DRIVE DUARTE CA 91010 770389124 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 LC HOTCHKISS TERRACE 1900 HUNTINGTON DRIVE DUARTE CA 91010 300155895 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 LIL JACKSON SENIOR COMMUNITY 1900 HUNTINGTON DRIVE DUARTE CA 91010 412205339 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 MAKEMIE AT WHITELAND 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 208523793 INACTIVE PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 MANTUA PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 205006775 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 MOUNTAIN PARK TERRACE INC DBA CLARK TERRACE 1900 HUNTINGTON DRIVE DUARTE CA 91010 954570416 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 OAK KNOLLS HAVEN CORPORATION 1900 HUNTINGTON DRIVE DUARTE CA 91010 953497055 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 OLD CITY PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232778769 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PALMER AVENUE RETIREMENT CORP 1900 HUNTINGTON DRIVE DUARTE CA 91010 953864197 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 PASCHALL SENIOR HOUSING INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 205957419 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PHILADELPHIA PRESBYTERY APARTMENTS OF MORRISVILLE INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 222466663 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PHILADELPHIA PRESBYTERY APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232081651 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PHILADELPHIA PRESBYTERY HOMES WC TRUST 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 237816031 INACTIVE PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PRESBYSERVICES 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 233000326 MASTER PAYROLL COMPANY PA 501(C)(3) LINE 12B, II HUMANGOOD EAST 0 PRESBYTERIAN APARTMENTS AT 58TH STREET INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232605582 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PRESBYTERIAN HOME AT 58TH STREET 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 231352513 SUPPORT TO AFFILIATES PA 501(C)(3) LINE 12B, II HUMANGOOD EAST 0 REDDING MOUNTAIN VISTAS II 1900 HUNTINGTON DRIVE DUARTE CA 91010 300239400 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 REDLANDS SENIOR HOUSING TWO 1900 HUNTINGTON DRIVE DUARTE CA 91010 311539936 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 REDLANDS SENIOR HOUSING INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 942902763 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 ROSE VIEW TERRACE INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 264333422 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SALISHAN SENIOR HOUSING INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 900504991 AFFORDABLE HOUSING WA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 SAN LEANDRO SENIOR HOUSING INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 912158413 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 SENIOR AFFORDABLE HOUSING CORP #1 DBA OTTO GRUBER HOUSING 1900 HUNTINGTON DRIVE DUARTE CA 91010 311538772 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SENIOR AFFORDABLE HOUSING CORP #2 DBA CLARK TERRACE II 1900 HUNTINGTON DRIVE DUARTE CA 91010 311718833 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SENIOR AFFORDABLE HOUSING CORP #3 DBA HADLEY VILLAS 1900 HUNTINGTON DRIVE DUARTE CA 91010 300032287 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SENIOR AFFORDABLE HOUSING CORP #4 DBA MOUTAIN VISTAS 1900 HUNTINGTON DRIVE DUARTE CA 91010 300032292 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SENIOR AFFORDABLE HOUSING CORP #6 WILLIAM C ARTHUR TERRACE 1900 HUNTINGTON DRIVE DUARTE CA 91010 300204104 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SIERRA GATEWAY SENIOR RESIDENCE 1900 HUNTINGTON DRIVE DUARTE CA 91010 300239445 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SIERRA GATEWAY SENIOR RESIDENCE II 1900 HUNTINGTON DRIVE DUARTE CA 91010 454945583 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SOROPTIMIST GARDENS HOUSING CORP DBA THE GARDENS 1900 HUNTINGTON DRIVE DUARTE CA 91010 953927250 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SOUTH PHILADELPHIA PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 460477271 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 SOUTHWEST PHILADELPHIA NEIGHBORHOOD RENEWAL PROGRAM 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 233066741 INACTIVE PA 501(C)(3) PF HUMANGOOD EAST 0 SOUTHWEST PHILADELPHIA PRESBYTERY APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232700459 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 TAHOE SENIOR PLAZA INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 943292737 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 TIOGA PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232763902 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 VENICE SENIOR HOUSING CORP DBA ADDA & PAUL SAFRAN SR HOUSING 1900 HUNTINGTON DRIVE DUARTE CA 91010 954607627 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 WEST VALLEY NURSING HOMES INC DBA TERRACES AT SUMMITVIEW 1900 HUNTINGTON DRIVE DUARTE CA 91010 910679851 LIFE PLAN COMMUNITY WA 501(C)(3) LINE 10 HUMANGOOD CORNERSTONE 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1