2023-11-10T14:50:07-06:00 2022-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2022-01-01 680201024 O'CONNOR WOODS HOUSING CORPORATION OCON 2099563400 3400 WAGNER HEIGHTS ROAD STOCKTON CA 95209 MARK ORNELLAS VICE CHAIR 2094676500 2023-11-09 1 MARK ORNELLAS XXX-XX-XXXX 0 TRACY S PAGLIA P00366884 2099556100 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARGARET STEPHENS 3400 WAGNER HEIGHTS ROAD STOCKTON CA 95209 47617604 0 X WWW.OCONNORWOODS.ORG X 1988 CA TO PROVIDE EXCEPTIONAL LIVING AND A NETWORK OF SERVICES FOR SENIORS IN OUR REGION TO SUPPORT AND INSPIRE THE HUMAN SPIRIT BY NURTURING WELL-BEING, INDEPENDENCE AND A SENSE OF COMMUNITY. 11 11 436 12 0 0 308079 74368 30272290 31361218 2435188 1920713 37990 58735 33053547 33415034 16750 66606 0 0 16138395 17346821 0 0 13012 18926111 20987938 35081256 38401365 -2027709 -4986331 90240253 79616783 60333718 60549505 29906535 19067278 X TO PROVIDE EXCEPTIONAL LIVING AND A NETWORK OF SERVICES FOR SENIORS IN OUR REGION TO SUPPORT AND INSPIRE THE HUMAN SPIRIT BY NURTURING WELL-BEING, INDEPENDENCE AND A SENSE OF COMMUNITY. 0 0 14102094 0 11210225 SKILLED NURSING - LICENSED BY THE CALIFORNIA DEPT OF PUBLIC HEALTH AND CERTIFIED BY THE FEDERAL GOVERNMENT FOR PARTICIPATION IN MEDICARE. EXTENSIVE IN-PATIENT AND OUT-PATIENT THERAPIES ARE PROVIDED IN ORDER TO RETURN RESIDENTS TO THEIR HOME OR ALLOW THEM TO BE AS INDEPENDENT AS POSSIBLE. 9312208 0 10663973 INDEPENDENT LIVING - PROVIDES PHYSICAL, CIVIC, CULTURAL, SOCIAL AND RECREATIONAL ACTIVITIES AND AN OVERALL ENVIRONMENT CONDUCIVE TO DIGNITY AND INDEPENDENCE. SERVICES PROVIDED INCLUDE: HOUSING, MEALS, HOUSEKEEPING, AND VARIOUS WELLNESS, FITNESS, HEALTH, SOCIAL, SPIRITUAL AND RECREATIONAL PROGRAMS AND ACTIVITIES. THE COMMUNITY IS SPECIALLY DESIGNED TO ENHANCE THE OLDER ADULT'S ABILITY TO REMAIN AS INDEPENDENT AS POSSIBLE. 8779776 56606 9115397 ASSISTED LIVING - LICENSED BY THE STATE OF CALIFORNIA AS A RESIDENTIAL CARE FACILITY FOR THE ELDERLY, THE ASSISTED LIVING FACILITIES PROVIDE 24 HOUR CARE AND SUPERVISION IN A RESIDENTIAL ENVIRONMENT.MEMORY CARE - LICENSED BY THE STATE OF CALIFORNIA AS A RESIDENTIAL CARE FACILITY FOR THE ELDERLY TO PROVIDE 24 HOUR MEMORY SUPPORT SERVICES FOR THOSE WHO HAVE AGE-RELATED DEMENTIA OR ALZHEIMER'S DISEASES; A-DAY-AWAY - LICENSED BY THE STATE OF CALIFORNIA TO PROVIDE A SAFE, ENGAGING PLACE FOR LOVED ONES FOR A FEW HOURS OR EVEN A FULL DAY. 10000 10000 371623 ANCILLARY AND OTHER PROGRAMS 10000 10000 371623 32204078 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 37 0 1 436 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X DAN SEILER - ESKATON PROPERTIES INC 9163340810 5105 MANZANITA AVENUE CARMICHAEL CA 95608 PENNY MALLETTE EXECUTIVE DIRECTOR 40.00 0.00 X 197964 0 34157 MICHELLE SMITH SNF ADMINISTRATOR 40.00 0.00 X 156942 0 11005 TAMMY NGUYEN DIRECTOR OF NURSING 40.00 0.00 X 158100 0 9299 LEAH ELEMEN LICENSED VOCATIONAL NURSE 40.00 0.00 X 134230 0 11483 HECTOR VARGAS CASE MANAGER 40.00 0.00 X 128609 0 11612 ROSEMARIE ARCEO DIR. OF STAFF DEVELOPMENT 40.00 0.00 X 119030 0 9196 JOSE AGUILERA MANAGER OF ENVIRONMENTAL SVCS 40.00 0.00 X 110649 0 8998 MARGARET STEPHENS CHAIR 1.00 0.00 X X 0 0 0 MARK ORNELLAS VICE CHAIR 1.00 0.00 X X 0 0 0 BOB FAY TREASURER 1.00 0.00 X X 0 0 0 RUDY CROCE SECRETARY 1.00 0.00 X X 0 0 0 GREG DOE BOARD MEMBER 1.00 0.00 X 0 0 0 KRISTIN FLETCHER BOARD MEMBER 1.00 0.00 X 0 0 0 SISTER KATHERINE HAMILTON BOARD MEMBER 1.00 0.00 X 0 0 0 LOU MEYER BOARD MEMBER 1.00 0.00 X 0 0 0 JERILYN RATTO BOARD MEMBER 1.00 0.00 X 0 0 0 GARY SPAUGH BOARD MEMBER 1.00 0.00 X 0 0 0 ANITRA WILLIAMS BOARD MEMBER 1.00 0.00 X 0 0 0 1005524 0 95750 8 0 1 1 UNIDINE CORPORATION 1 MARINA PARK DRIVE SUITE 702 BOSTON MA 02118 DINING SERVICES 2728830 ESKATON PROPERTIES INC 5105 MANZANITA AVENUE CARMICHAEL CA 95608 MANAGEMENT FEES 1562500 A TO Z CONSTRUCTION 7405 GREENBACK LANE SUITE 198 CITRUS HEIGHTS CA 95610 CONSTRUCTION 801680 TWOMAGNETS INC PO BOX 103125 PASADENA CA 91189 NURSING REGISTRY 779278 THERAPY SPECIALISTS PO BOX 69268 BALTIMORE MD 21264 CONTRACT THERAPY 682078 16 74368 74368 CCRC HOUSING/ASSISTED LIVING 623000 19779370 19779370 CCRC PATIENT SERVICES 623000 11210225 11210225 CCRC ANCILLARY REVENUE 623000 371623 371623 31361218 677133 677133 15446150 14202570 1243580 1243580 1243580 CAFETERIA/FOOD/MEALS 722514 36724 36724 NON-PATIENT ROOM RENTALS 721000 22011 22011 58735 33415034 31361218 0 1979448 X 66606 66606 400068 400068 13472902 12220105 1247028 5769 89051 85272 3779 2313837 2086287 227542 8 1070963 951615 118907 441 1562500 1558963 3537 90249 90249 114544 114544 147789 147789 4086698 3652290 434408 163380 163380 826274 543848 282155 271 99111 79289 19822 2150976 1937683 213293 60859 27956 32903 11170 2083 9087 1736918 1736918 4806600 4760423 46177 460196 21894 438302 FOOD SERVICES CONTRACTO 2927156 2927156 ANCILLARY COSTS 579189 579189 LOSS ON REFINANCING 508459 508459 BAD DEBT 282489 282489 373381 242975 127420 2986 38401365 32204078 6184275 13012 4653491 4095424 2986845 2524968 1272637 2207572 98600 1255000 159633 156041 603416 621947 111725918 63962690 47943805 47763228 29962585 19153849 0 0 2559241 1838754 90240253 79616783 3034834 4361265 2256756 2523182 42230000 35595000 12812128 18070058 60333718 60549505 X 26368578 15977152 3537957 3090126 29906535 19067278 90240253 79616783 X -4986331 -5838110 -14816 X 0 1 X 1 0 X 29539 259745 5839540 308079 74368 6511271 32867187 32779747 30897267 30272290 31361218 158177709 5000 5000 32901726 33039492 36736807 30580369 31435586 164693980 1510516 1510516 0 1510516 1510516 163183464 476670 586966 507520 656962 677133 2905251 476670 586966 507520 656962 677133 2905251 179318 157323 112188 37990 58735 545554 33557714 33783781 37356515 31275321 32171454 168144785 0.97050 0.97170 0.01730 0.01530 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA - 2018 AMOUNT: $ 122,831. 2019 AMOUNT: $ 105,263. 2020 AMOUNT: $ 43,366. 2021 AMOUNT: $ 27,246. 2022 AMOUNT: $ 36,724. NON-PATIENT ROOM RENTAL - 2018 AMOUNT: $ 56,487. 2019 AMOUNT: $ 52,060. 2020 AMOUNT: $ 13,812. 2021 AMOUNT: $ 10,744. 2022 AMOUNT: $ 22,011. MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 55,010. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3256245 67235 -415674 56606 2851200 2893923 3616 367306 8600 3256245 1228385 1564672 147634 46768 2893923 915260 230939 128638 46452 1228385 925973 9936 -20649 915260 0.00000 1.00000 0.00000 0 0 4325171 4325171 90992999 52457125 38535874 4023674 2653108 1370566 10662781 8852457 1810324 1721293 1721293 47763228 UNAMORTIZED BOND PREMIUM 5191649 REFUNDABLE CCRC ENTRANCE FEES 12027273 CHARITABLE TRUST LIABILITY 14650 DEPOSITS 836486 18070058 27347713 -5838110 -14816 -5852926 33200639 147789 66606 214395 33415034 37396022 0 37396022 147789 857554 1005343 38401365 PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO PROVIDE RESIDENT ASSISTANCE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHARITABLE ANNUITY TRUST VALUATION ADJUSTMENT -14,816. PART XI, LINE 4B - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE 66,606. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 282,489. RESIDENT ASSISTANCE 66,606. LOSS ON REFINANCING 508,459. 1 RESIDENT ASSISTANCE 2 56606 SCHOLARSHIPS 7 6400 CARING CLUB 6 3600 PART I, LINE 2: RESIDENT ASSISTANCE IS APPLIED DIRECTLY TO THE RESIDENT ACCOUNT. NO FORMAL MONITORING IS REQUIRED. 0 0 0 0 0 0 0 1 0 PENNY MALLETTE EXECUTIVE DIRECTOR 197964 0 0 0 0 0 4656 0 29501 0 232121 0 0 0 MICHELLE SMITH SNF ADMINISTRATOR 156942 0 0 0 0 0 3180 0 7825 0 167947 0 0 0 TAMMY NGUYEN DIRECTOR OF NURSING 158100 0 0 0 0 0 1587 0 7712 0 167399 0 0 0 PART I, LINE 7 LEAH ELEMEN, ROSEMARIE ARCEO, AND JOSE AGUILERA RECEIVED EXTRA DUTY AND/OR YEAR-END PERFORMANCE BONUSES IN 2022. SCHEDULE J, PART II: PENNY MALLETTE SERVED IN THE EXECUTIVE DIRECTOR POSITION FOR THE ORGANIZATION FOR THE TAX YEAR. PENNY MALLETTE WAS PAID BY AN UNRELATED ORGANIZATION, ESKATON PROPERTIES, INC. (EPI), WHICH HAS A MANAGEMENT SERVICES CONTRACT IN PLACE. PENNY MALLETTE'S COMPENSATION WAS 100% REIMBURSED BY THE FILING ORGANIZATION TO EPI. PENNY MALLETTE'S COMPENSATION PAID DIRECTLY BY THE FILING ORGANIZATION AND REIMBURSED TO EPI FOR SERVICE IN THE EXECUTIVE DIRECTOR POSITION IS REPORTED IN SCHEDULE J, PART II. A CALIFORNIA PUBLIC FINANCE AUTHORITY 474447476 13057EEW0 2022-10-04 40885260 TO REFUND PRIOR TAX-EXEMPT BOND ISSUE DATED 06/12/13. 0 0 0 A 40885260 1357900 39051765 817705 969298 46492 2022 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 ESKATON PROPERTIES, INC. IS THE MANAGEMENT AGENT FOR O'CONNOR WOODS. FORM 990, PART VI, SECTION B, LINE 11B DATA TO PREPARE THE FORM 990 IS GATHERED BY THE MANAGEMENT AGENT. A DRAFT IS PREPARED BY A PROFESSIONAL ACCOUNTING FIRM AND IS REVIEWED BY THE MANAGEMENT AGENT CFO, THEN BY THE BOARD CHAIR AND AUDIT COMMITTEE. THE FINAL RETURN IS REVIEWED AND SIGNED BY THE BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS THE BOARD OF DIRECTORS, OFFICERS, AND CERTAIN KEY MANAGEMENT EMPLOYEES. COVERED PERSONS MUST COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON THE OCCURRENCE OF AN EVENT WHERE THE INDIVIDUAL IS COVERED BY THE POLICY AND ANNUALLY, THEREAFTER. COVERED PERSONS HAVE A DUTY TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THAT ARISE BETWEEN DISCLOSURES. THE COVERED PERSON MAY, WITH THE APPROVAL OF THE BOARD CHAIR, PARTICIPATE IN DISCUSSIONS REGARDING THE AFFECTED BUSINESS TRANSACTION, SO LONG AS THEY ARE EXCUSED FROM THE MEETING PRIOR TO COMPLETION OF THE DISCUSSION, AND DO NOT RETURN UNTIL DISCUSSION AND VOTING ON THE MATTER HAVE BEEN CONCLUDED. THE BOARD WILL MAKE DETERMINATIONS AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND MUST AUTHORIZE THE TRANSACTION IN GOOD FAITH BY A MAJORITY VOTE OF THE DIRECTORS WITHOUT COUNTING THE VOTE OF THE COVERED PERSON WITH A CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 86,504. MANAGEMENT AND GENERAL EXPENSES 84,980. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 171,484. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,518,613. MANAGEMENT AND GENERAL EXPENSES 341,468. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,860,081. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,047,173. MANAGEMENT AND GENERAL EXPENSES 7,960. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,055,133. FORM 990, PART XI, LINE 9: CHARITABLE ANNUITY TRUST VALUATION ADJUSTMENT -14,816. CHARITABLE REMAINDER UNITRUST (1) INVESTMENT CA O'CONNOR WOODS HOUSING CORPORATION T 1 CHARITABLE REMAINDER ANNUITY TRUST (4) INVESTMENT CA O'CONNOR WOODS HOUSING CORPORATION T 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0