FURP.ORG / PUBLIC DATA EXPLORER

HOLLENBECK PALMS: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HOLLENBECK PALMS (EIN 71-0876594)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-04-15
IRS object ID
202201059349300945
Schema version
2020v4.2
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)
Return2022-04-15T13:50:12-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12210 EAST ROUTE 66AddressLine1Txt
CityGLENDORACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91740ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710876594EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLLENBECK PALMSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOLLBusinessNameControlTxt
Phone3232636195PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1573 SOUTH BOYLE AVENUEAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90033ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMORRIS SHOCKLEYPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone3232636195PhoneNum
Signature2022-04-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMORRISPersonFirstNm
Person LastSHOCKLEYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTINA HENTONPreparerPersonNm
PTINP00630282PTIN
Phone6268577300PhoneNum
Preparation2022-04-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMORRIS SHOCKLEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1573 SOUTH BOYLE AVENUEAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90033ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,206,410GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOLLENBECKPALMS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTHE VERY FIRST NON-PROFIT, LICENSED CONTINUING CARE RETIREMENT COMMUNITY IN CALIFORNIA, HOLLENBECK PALMS PROVIDES FOR AND SERVES ITS ELDERLY RESIDENTS WITH GREAT COMPASSION, HONEST DIGNITY AND GENUINE LOVE THROUGH RESIDENTIAL, ASSISTED AND SKILLED NURSING LIVING. WE OFFER A REWARDING AND GRATIFYING LIFESTYLE, FULL OF ACTIVITIES, PROGRAMS AND SERVICES, AND ALL LEVELS OF CARE THEY MAY NEED AT VARIOUS STAGES OF THEIR LIVES.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee191TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$326,015PYContributionsGrantsAmt
CY Contributions Grants$3,453,587CYContributionsGrantsAmt
PY Program Service Revenue$13,803,684PYProgramServiceRevenueAmt
CY Program Service Revenue$14,618,615CYProgramServiceRevenueAmt
PY Investment Income$3,955,946PYInvestmentIncomeAmt
CY Investment Income$4,116,762CYInvestmentIncomeAmt
PY Other Revenue$227,809PYOtherRevenueAmt
CY Other Revenue$162,702CYOtherRevenueAmt
PY Total Revenue$18,313,454PYTotalRevenueAmt
CY Total Revenue$22,351,666CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,933,493PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,188,118CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$167,561CYTotalFundraisingExpenseAmt
PY Other Expenses$8,891,130PYOtherExpensesAmt
CY Other Expenses$9,710,181CYOtherExpensesAmt
PY Total Expenses$18,824,623PYTotalExpensesAmt
CY Total Expenses$19,898,299CYTotalExpensesAmt
PY Revenues Less Expenses-$511,169PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,453,367CYRevenuesLessExpensesAmt
Total Assets BOY$83,559,690TotalAssetsBOYAmt
Total Assets EOY$91,601,425TotalAssetsEOYAmt
Total Liabilities BOY$41,945,222TotalLiabilitiesBOYAmt
Total Liabilities EOY$40,867,722TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$41,614,468NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$50,733,703NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHOLLENBECK PALMS IS COMMITTED TO PROVIDING A RESIDENCE FOR THOSE IN THE LATER YEARS OF THEIR LIVES THAT ENCOMPASSES A HEALTHY ENVIRONMENT OF COMFORT, SAFETY, AND ENJOYMENT; THAT ATTENDS TO THEIR PHYSICAL, MENTAL, AND SPIRITUAL NEEDS; AND THAT IS QUICK TO RESPOND TO AND ASSIST IN THOSE NEEDS WHETHER IMMEDIATE OR LONG TERM, AND TO DO SO WITH GREAT COMPASSION, HONESTY, DIGNITY AND GENUINE LOVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,619,853ExpenseAmt
Revenue$14,650,973RevenueAmt
DescHOLLENBECK PALMS PROVIDES CARE FOR THE AGING, INCLUDING RESIDENTIAL, ASSISTED LIVING, AND SKILLED NURSING CARE LIVING ARRANGEMENTS FOR THEIR MEMBERS. DURING THE YEAR, SERVICES WERE PROVIDED TO APPROXIMATELY 200 MEMBERS.Desc
Total Program Service Expenses$15,619,853TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee191EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHNNY YOUNGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3232636195PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1573 SOUTH BOYLE AVENUEAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90033ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MORRIS SHOCKLEY
PRESIDENT/CEO40.00Yes (X)$219,549$0$28,224
GARY ZUPPARDO
CHIEF ENGINEER40.00$173,035$0$20,640Yes (X)
JOHNNY YOUNG
CFO40.00Yes (X)$140,834$0$25,181
IVANIA RAMIREZ
DIRECTOR OF NURSING40.00$155,208$0$2,845Yes (X)
ZHANA DUBIN
ADMISSIONS DIRECTOR40.00$137,020$0$14,012Yes (X)
AKHERE OSEZUA
ASSISTANT DIRECTOR OF NURSING40.00$138,142$0$10,470Yes (X)
JESSE ALEJANDRINO
RN CHARGE NURSE40.00$123,063$0$3,111Yes (X)
PATRICIA MURPHY
VICE PRESIDENT1.00Yes (X)$0$0$0
CAROL A JOHNSTON
BOARD CHAIR1.00$0$0$0Yes (X)
CASEY ADAMS
SECRETARY1.00$0$0$0Yes (X)
MICHAEL DAVIS
BOARD MEMBER1.00$0$0$0Yes (X)
EDWARD S GARLOCK
BOARD MEMBER1.00$0$0$0Yes (X)
WILLIAM KUMAGAI
BOARD MEMBER1.00$0$0$0Yes (X)
ROSAMOND FLORES
RESIDENT REPRESENTATIVE1.00$0$0$0Yes (X)
KATHERINE A KIRCHHOFF
BOARD MEMBER1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,086,851TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$104,483TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LE WATERS CONSTRUCTION CO
6767 FOREST LAWN DR 300LOS ANGELESCA90068CONSTRUCTION$3,300,678
SODEXO AMERICA LLC
600 CITY PARKWAY WEST SUITE 610ORANGECA92868FOOD SERVICES$2,203,543
TEAM REHAB INC
6531 SILENT HARBOR DRHUNTINGTON BEACHCA92648THERAPY$471,056
SKILLED NURSING PHARMACY
16666 E JOHNSON DRIVECITY OF INDUSTRYCA91745PHARMACY$241,418
GSSI INC
639 N MARINE AVEWILMINGTONCA90744SECURITY SERVICES$183,629
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Government Grants$2,149,466GovernmentGrantsAmt
All Other Contributions$1,304,121AllOtherContributionsAmt
Noncash Contributions$40,494NoncashContributionsAmt
Total Contributions$3,453,587TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSING/RESIDENTIAL623000$9,757,530$9,757,530
MEDICARE/MEDICAID623000$4,861,085$4,861,085
FieldValueIRS element (for citing)
Total Program Service Revenue$14,618,615TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$849,145TotalRevenueColumnAmt
Exclusion$849,145ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,732TotalRevenueColumnAmt
Exclusion$52,732ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$77,612RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$77,612RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,612TotalRevenueColumnAmt
Exclusion$77,612ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,122,361SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,854,744SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,267,617SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,267,617TotalRevenueColumnAmt
Exclusion$3,267,617ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business623000BusinessCd
Total Revenue Column$32,358TotalRevenueColumnAmt
Related Or Exempt Func Income$32,358RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$32,358OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,351,666TotalRevenueColumnAmt
Related Or Exempt Func Income$14,650,973RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,247,106ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$407,194TotalAmt
Program Services$194,640ProgramServicesAmt
Management And General$200,507ManagementAndGeneralAmt
Fundraising$12,047FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,060,374TotalAmt
Program Services$5,951,213ProgramServicesAmt
Management And General$1,000,082ManagementAndGeneralAmt
Fundraising$109,079FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$229,599TotalAmt
Program Services$209,754ProgramServicesAmt
Management And General$16,611ManagementAndGeneralAmt
Fundraising$3,234FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,877,575TotalAmt
Program Services$1,587,107ProgramServicesAmt
Management And General$259,970ManagementAndGeneralAmt
Fundraising$30,498FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$613,376TotalAmt
Program Services$515,522ProgramServicesAmt
Management And General$87,803ManagementAndGeneralAmt
Fundraising$10,051FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$135,777TotalAmt
Management And General$135,777ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$113,129TotalAmt
Management And General$113,129ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$90,185TotalAmt
Management And General$90,185ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,527,765TotalAmt
Program Services$1,784,910ProgramServicesAmt
Management And General$742,206ManagementAndGeneralAmt
Fundraising$649FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$127,854TotalAmt
Management And General$127,854ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$73,430TotalAmt
Management And General$73,430ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$813,972TotalAmt
Program Services$794,913ProgramServicesAmt
Management And General$18,389ManagementAndGeneralAmt
Fundraising$670FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$41,028TotalAmt
Program Services$19,893ProgramServicesAmt
Management And General$21,122ManagementAndGeneralAmt
Fundraising$13FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,612TotalAmt
Program Services$5,881ProgramServicesAmt
Management And General$7,731ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,179,883TotalAmt
Management And General$1,179,883ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,556,700TotalAmt
Program Services$1,527,181ProgramServicesAmt
Management And General$28,481ManagementAndGeneralAmt
Fundraising$1,038FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$341,937TotalAmt
Program Services$333,930ProgramServicesAmt
Management And General$7,725ManagementAndGeneralAmt
Fundraising$282FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
VARIOUS MEDICAL EXPENSE$1,758,356$1,758,356
FOOD EXPENSE$936,553$936,553

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,898,299TotalAmt
Program Services$15,619,853ProgramServicesAmt
Management And General$4,110,885ManagementAndGeneralAmt
Fundraising$167,561FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,946,910BOYAmt
EOY$1,989,955EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,924,341BOYAmt
EOY$2,815,865EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,993BOYAmt
EOY$103,982EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,374,312BOYAmt
EOY$1,556,804EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$105,848BOYAmt
EOY$97,570EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$295,354BOYAmt
EOY$284,735EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$63,454,895LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,953,395LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$35,679,634BOYAmt
EOY$38,501,500EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$33,931,150BOYAmt
EOY$39,149,031EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,298,148BOYAmt
EOY$7,101,983EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$83,559,690BOYAmt
EOY$91,601,425EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,565,856BOYAmt
EOY$4,387,883EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,100,343BOYAmt
EOY$3,689,697EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,964,721BOYAmt
EOY$16,179,967EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,104,737BOYAmt
EOY$12,826,945EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,479,100BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,730,465BOYAmt
EOY$3,783,230EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,945,222BOYAmt
EOY$40,867,722EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,876,989BOYAmt
EOY$46,735,421EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,737,479BOYAmt
EOY$3,998,282EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$41,614,468BOYAmt
EOY$50,733,703EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$83,559,690BOYAmt
EOY$91,601,425EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,453,367ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,504,167NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,161,701OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$193,524CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$241,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$235,937CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$326,015CurrentTaxYearMinus1YearAmt
Current Tax Year$3,453,587CurrentTaxYearAmt
Total$4,450,978TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,498,822CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,134,990CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,261,109CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,803,684CurrentTaxYearMinus1YearAmt
Current Tax Year$14,618,615CurrentTaxYearAmt
Total$69,317,220TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,692,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,376,905CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,497,046CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,129,699CurrentTaxYearMinus1YearAmt
Current Tax Year$18,072,202CurrentTaxYearAmt
Total$73,768,198TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51,766CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,042CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,957CurrentTaxYearMinus1YearAmt
Current Tax Year$952,516CurrentTaxYearAmt
Total$1,140,281TotalAmt

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$40,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51,766CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,042CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,957CurrentTaxYearMinus1YearAmt
Current Tax Year$952,516CurrentTaxYearAmt
Total$1,140,281TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$72,627,917PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,485,757CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,436,749CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,552,103CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,116,072CurrentTaxYearMinus1YearAmt
Current Tax Year$4,247,106CurrentTaxYearAmt
Total$18,837,787TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,485,757CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,436,749CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,552,103CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,116,072CurrentTaxYearMinus1YearAmt
Current Tax Year$4,247,106CurrentTaxYearAmt
Total$18,837,787TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$137,491CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$131,420CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$143,015CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,593CurrentTaxYearMinus1YearAmt
Current Tax Year$32,361CurrentTaxYearAmt
Total$507,880TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,315,594CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,945,074CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,192,164CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,309,364CurrentTaxYearMinus1YearAmt
Current Tax Year$22,351,669CurrentTaxYearAmt
Total$93,113,865TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.78000PublicSupportCY509Pct
Public Support PY5090.80190PublicSupportPY509Pct
Investment Income CY0.20230InvestmentIncomeCYPct
Investment Income PY0.18890InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationICE CREAM AND GUEST MEALS AND ROOM - 2016 AMOUNT: $ 32,349. 2017 AMOUNT: $ 32,534. 2018 AMOUNT: $ 27,142. 2019 AMOUNT: $ 22,338. 2020 AMOUNT: $ 1,714. BAZAAR - 2016 AMOUNT: $ 26,020. 2017 AMOUNT: $ 9,406. 2018 AMOUNT: $ 10,992. 2019 AMOUNT: $ 6,084. 2020 AMOUNT: $ 4,451. BEAUTY AND BARBER SHOP - 2016 AMOUNT: $ 47,449. 2017 AMOUNT: $ 54,550. 2018 AMOUNT: $ 42,496. 2019 AMOUNT: $ 32,974. 2020 AMOUNT: $ 12,957. MISCELLANEOUS - 2016 AMOUNT: $ 31,673. 2017 AMOUNT: $ 34,930. 2018 AMOUNT: $ 62,385. 2019 AMOUNT: $ 2,197. 2020 AMOUNT: $ 13,239.ExplanationTxt

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,737,479BeginningYearBalanceAmt
Investment Earnings Or Losses$683,809InvestmentEarningsOrLossesAmt
Other Expenditures$300,000OtherExpendituresAmt
End Year Balance$3,121,288EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,759,362BeginningYearBalanceAmt
Investment Earnings Or Losses$152,116InvestmentEarningsOrLossesAmt
Other Expenditures$173,999OtherExpendituresAmt
End Year Balance$2,737,479EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,604,960BeginningYearBalanceAmt
Investment Earnings Or Losses$154,402InvestmentEarningsOrLossesAmt
End Year Balance$2,759,362EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,361,530BeginningYearBalanceAmt
Investment Earnings Or Losses$243,430InvestmentEarningsOrLossesAmt
End Year Balance$2,604,960EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,087,491BeginningYearBalanceAmt
Investment Earnings Or Losses$274,039InvestmentEarningsOrLossesAmt
End Year Balance$2,361,530EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.24780PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.75220TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,412OtherCostOrOtherBasisAmt
Book Value$32,412BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,181,245OtherCostOrOtherBasisAmt
Depreciation$20,986,596DepreciationAmt
Book Value$32,194,649BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,709,675OtherCostOrOtherBasisAmt
Depreciation$3,966,799DepreciationAmt
Book Value$1,742,876BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,531,563OtherCostOrOtherBasisAmt
Book Value$4,531,563BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,501,500TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CORPORATE BONDS$5,540,224F
MORTGAGE-BACKED SECURITIES$497,204F
MUNICIPAL BONDS$899,884F
ANNUITY AND LIFE INSURANCE POLICIES$162,840F
OIL INTEREST$1,831F
FieldValueIRS element (for citing)
Total Book Value Securities$7,101,983TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescASSIGNED ASSETS, NETDesc
Amt$3,783,230Amt
FieldValueIRS element (for citing)
Total Liability$3,783,230TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$28,927,349TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$5,504,167NetUnrealizedGainsInvstAmt
Other Revenue$1,161,701OtherRevenueAmt
Revenue Not Reported$6,665,868RevenueNotReportedAmt
Revenue Subtotal$22,261,481RevenueSubtotalAmt
Investment Expenses Not Incld$90,185InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$90,185RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$22,351,666TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$19,808,114TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$19,808,114ExpensesSubtotalAmt
Investment Expenses Not Incld2$90,185InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$90,185ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$19,898,299TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE PALMS' ENDOWMENT CONSISTS OF FUNDS ESTABLISHED TO PROVIDE LIFE CARE MEMBERSHIP FOR SENIORS WHOSE LIMITED RESOURCES PREVENT THEIR ENTRY INTO THE PALMS WITHOUT SUCH ASSISTANCE.
PART X, LINE 2:THE PALMS IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM CALIFORNIA FRANCHISE TAXES SECTION 23701D OF THE CALIFORNIA REVENUE AND TAXATION CODE. THE PALMS IS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS LISTED IN INTERNAL REVENUE SERVICE PUBLICATION 78 AS A CHARITABLE ORGANIZATION QUALIFIED TO RECEIVE DONATIONS. THE PALMS MAINTAINS ITS TAX-EXEMPT STATUS THROUGH DEVOTING ITS RESOURCES TO MEET THE PRIMARY NEEDS OF AGED PERSONS. THESE NEEDS ARE FOR HOUSING, HEALTH CARE, AND FINANCIAL SECURITY. THE PALMS HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED ARE RELATED TO THE PALMS' CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE PALMS FILES INFORMATIONAL RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. THE STATUTE OF LIMITATIONS FOR FEDERAL AND CALIFORNIA STATE PURPOSES IS GENERALLY THREE AND FOUR YEARS, RESPECTIVELY.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN PENSION LIABILITY 1,161,701.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MORRIS SHOCKLEY
PRESIDENT/CEO$219,549$0$0$0$0$0$19,377$0$8,847$0$247,773$0$0$0
GARY ZUPPARDO
CHIEF ENGINEER$173,035$0$0$0$0$0$2,434$0$18,206$0$193,675$0$0$0
JOHNNY YOUNG
CFO$140,834$0$0$0$0$0$15,205$0$9,976$0$166,015$0$0$0
IVANIA RAMIREZ
DIRECTOR OF NURSING$155,208$0$0$0$0$0$2,845$0$0$0$158,053$0$0$0
ZHANA DUBIN
ADMISSIONS DIRECTOR$137,020$0$0$0$0$0$1,692$0$12,320$0$151,032$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN680164610BondIssuerEIN
Bond Issued2016-12-01BondIssuedDt
Issue Price$20,435,000IssuePriceAmt
PurposeRETIRE SERIES 2007 BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$4,020,000RetiredAmt
Total Proceeds$20,435,000TotalProceedsAmt
Issuance Costs From Proceeds$304,908IssuanceCostsFromProceedsAmt
Other Spent Proceeds$20,130,092OtherSpentProceedsAmt
Substantial Completion2017SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$40,494NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
Explanation2 STOCK DONATIONSExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE GOVERNING BODY HAS DELEGATED TO THE AUDIT COMMITTEE, CONSISTING OF MIKE DAVIS AND EDWARD GARLOCK, THE AUTHORITY TO OVERSEE THE FINANCIAL AND DISCLOSURE PROCESS, MONITOR ACCOUNTING POLICIES, AND THE HIRING AND PERFORMANCE OF THE EXTERNAL AUDITORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE GOVERNING BODY HAS DELEGATED TO THE AUDIT COMMITTEE THE AUTHORITY TO REVIEW THE FORM 990. A COMPLETE COPY OF THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE AUDIT COMMITTEE FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING IS DONE REGULARLY BY THE OFFICERS TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AS ISSUES ARISE. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, ANY INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES. AFTER DISCLOSURE AND DISCUSSION, THE TRUSTEES WILL DETERMINE IF A CONFLICT OF INTEREST EXISTS, AND IF SO, DETERMINE THE PROPER COURSE OF ACTION.
FORM 990, PART VI, SECTION B, LINE 15BOARD OF TRUSTEES DETERMINES COMPENSATION FOR ALL OFFICERS AND KEY EMPLOYEES, BASED ON COMPARABLE SALARIES IN THE LOCAL AREA.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL AND CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,150,405. MANAGEMENT AND GENERAL EXPENSES 303,600. FUNDRAISING EXPENSES 500. TOTAL EXPENSES 1,454,505. PROGRAM ACTIVITIES: PROGRAM SERVICE EXPENSES 31,205. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,205. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 55,215. MANAGEMENT AND GENERAL EXPENSES 1,219. FUNDRAISING EXPENSES 26. TOTAL EXPENSES 56,460. MISCELLANEOUS EXPENSES: PROGRAM SERVICE EXPENSES 548,085. MANAGEMENT AND GENERAL EXPENSES 437,387. FUNDRAISING EXPENSES 123. TOTAL EXPENSES 985,595.
FORM 990, PART XI, LINE 9:CHANGE IN PENSION LIABILITY 1,161,701.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE YEAR.