2022-08-03T14:06:39-05:00 2022-02-28 390758449 WIPFLI LLP 7733 FORSYTH BLVD SUITE 1200 ST LOUIS MO 63105 990 2021-03-01 941485533 CHANNING HOUSE CHAN 6503270950 850 WEBSTER STREET PALO ALTO CA 943012849 RHONDA BEKKEDAHL CEO 6503270950 2022-07-22 1 RHONDA BEKKEDAHL 999009999 KARYN A NUNN P00958489 3148622070 2022-07-22 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z RHONDA BEKKEDAHL 850 WEBSTER STREET PALO ALTO CA 943012849 37349281 0 X WWW.CHANNINGHOUSE.ORG X 1960 CA PROVIDES HOUSING AND HEALTH CARE SERVICES WITHIN A LIFE CARE COMMUNITY. 15 15 235 70 0 0 2235521 816210 20084347 21499489 633657 715388 23986 46445 22977511 23077532 3000 5650 0 0 10778303 13227504 8000 8000 8000 15867894 15439665 26657197 28680819 -3679686 -5603287 166783404 165798063 155132230 160058944 11651174 5739119 CHANNING HOUSE BELIEVES THAT OLDER ADULTS THRIVE IN A VIBRANT SETTING THAT SUPPORTS ACTIVE, ENGAGED AND HEALTHY LIVING. OUR MISSION IS TO PROVIDE A SUITABLE, INNOVATIVE COMMUNITY THAT PROMOTES THIS LIFESTYLE, WHILE EMBRACING RESPECT AND DIGNITY FOR ALL WHO LIVE AND WORK HERE. 0 0 23969493 5650 21499489 PROVIDE HOUSING, ASSISTED LIVING, AND SKILLED NURSING SERVICES WHICH INCLUDE DINING SERVICES, MAINTENANCE, HOUSEKEEPING, AND NURSING CARE. DURING FY2022 WE SERVED AN AVERAGE OF 240 RESIDENTS WITH A TOTAL OF 5,832 SERVICE DAYS OF SKILLED NURSING; 8,830 SERVICE DAYS OF ASSISTED LIVING; AND 72,225 DAYS OF RESIDENTIAL CARE SERVICES. 0 0 0 CHANNING HOUSE HOSTS VARIOUS COMMUNITY MEETINGS AND PARTNERS IN EMERGENCY PREPAREDNESS PROGRAMS. WE COORDINATE WITH THE CITY OF PALO ALTO AND WITH SANTA CLARA COUNTY TO PROVIDE EMERGENCY COMMUNICATIONS AND ACT AS A BACK-UP OPERATIONAL COMMAND CENTER IN THE EVENT OF A NATURAL (OR OTHER) DISASTER. OUR COMMUNITY SUPPORTS MANY OTHER ORGANIZATIONS WITH THOUSANDS OF HOURS OF VOLUNTEER TIME. EXPENSES PERTAINING TO THESE PROGRAMS ARE NEGLIGIBLE AND COULD NOT BE REASONABLY QUANTIFIED. 23969493 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 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 0 0 0 0 1 35 0 235 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JAISIE LOZANO 6503247560 850 WEBSTER STREET PALO ALTO CA 94301 HELENE BUTLER CHAIR 2.00 X X 0 0 0 PATTY FISHER VICE CHAIR 2.00 X X 0 0 0 ROBIN RIDDLE SECRETARY 2.00 X X 0 0 0 TOM HOFSTEDT TREASURER 2.00 X X 0 0 0 JOHN BOGGS MD BOARD MEMBER 1.00 X 0 0 0 CALVIN BRENNEMAN MD BOARD MEMBER 1.00 X 0 0 0 ZENG YU CHEN BOARD MEMBER 1.00 X 0 0 0 DAVID GOLDEN BOARD MEMBER 1.00 X 0 0 0 JEAN MCCOWN BOARD MEMBER 1.00 X 0 0 0 MARCIA PUGSLEY BOARD MEMBER 1.00 X 0 0 0 JOHN SINK BOARD MEMBER 1.00 X 0 0 0 BRUCE MCFARLANE BOARD MEMBER 1.00 X 0 0 0 FRED KURLAND BOARD MEMBER 1.00 X 0 0 0 MAUREEN SHEEHAN BOARD MEMBER 1.00 X 0 0 0 STEPHNE LENCIONI BOARD MEMBER 1.00 X 0 0 0 RHONDA BEKKEDAHL CHIEF EXECUTIVE OFFICER 40.00 X 284044 0 33101 JAISIE LYNN LOZANO CHIEF FINANCIAL OFFICER 40.00 X 186978 0 19109 YADIRA SOFIA ALDANA ADMINISTRATOR 40.00 X 193006 0 35271 KIMBERLY JANE KURTIS HUMAN RESOURCES DIRECTOR 40.00 X 171981 0 36271 CHRIS LEE HOEBEL FACILITIES DIRECTOR 40.00 X 170558 0 23730 IZVETH LEON DIRECTOR OF NURSING 40.00 X 168279 0 26398 KIMBERLY KREBS MARKETING DIRECTOR 40.00 X 178665 0 12914 ANGELA LAMOTHE ENVIRONMENTAL SERVICES DIRECTOR 40.00 X 150599 0 31370 CHRISTOPHER N BILLAWALA FACILITIES MANAGER 40.00 X 155969 0 15094 JOY Q NAVA NURSING - RN 40.00 X 153942 0 17294 VANESSA R PLATT TECHNOLOGY DIRECTOR 40.00 X 139470 0 5383 RANDON SAGNEP ASST DIRECTOR OF NURSING 40.00 X 136569 0 10534 REMELYN BONDOC NURSING - RN 40.00 X 125979 0 26650 MARJORIE CALINAWAN WELLNESS NURSE SUPERVISOR 40.00 X 120505 0 12902 2336544 0 306021 19 0 1 0 VANCE BROWN INC 3197 PARK BLVD PALO ALTO CA 943062233 CONSTRUCTION CONTRACTOR 8126060 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE PROVIDER 1547634 GENTLE TRANSITIONS OF CA INC 1726 MANHATTAN BEACH BLVD SUITE G MANHATTAN BEACH CA 90266 RESIDENTIAL MOVE COORDINATORS 479854 PROVINET SOLUTIONS 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 IT SERVICE PROVIDER 332829 US FOODS INC 9399 W HIGGINS RD STE 100 ROSEMONT IL 60018 FOOD SERVICE PROVIDER 258794 16 301120 515090 5169 816210 MONTHLY CARE FEES 623000 15884370 15884370 RESIDENT ENTRANCE FEES 623000 5148501 5148501 OTHER OPERATING REVENUE 623000 457118 457118 PROCESSING FEES 623000 9500 9500 21499489 432494 432494 39327 0 39327 39327 39327 14503743 37428 14219490 38787 284253 -1359 282894 282894 20590 13472 7118 7118 23077532 21499489 0 761833 5650 5650 1743034 1743034 8898388 8728873 169515 305954 263717 42237 1404648 1178807 225841 875480 727056 148424 59573 59573 53628 53628 1000 1000 8000 8000 1335476 1127487 207989 19811 19811 252735 44350 208385 190706 190706 1209755 1056931 152824 9225 1875 7350 3423569 3264379 159190 6329421 6012948 316473 410520 410520 FOOD & BEVERAGE 759835 759835 SUPPLIES 354699 354669 30 REPAIRS & MAINTENANCE 243463 242634 829 LICENSES AGREEMENTS 154220 154220 632029 199282 432747 28680819 23969493 4703326 8000 2152166 4688419 386621 502574 980011 3429 34838 634269 534046 181866667 55434839 119524892 126431828 43949251 32659729 16823 0 0 82571 166783404 165798063 6370607 6013014 45780842 51734286 100716942 100047805 2263839 2263839 155132230 160058944 X 11254321 5293008 396853 446111 11651174 5739119 166783404 165798063 X -5603287 -337662 28894 X 0 1 X 1 0 X 173728 149713 598127 2235521 816210 3973299 19201263 20233756 18990387 20084347 21499489 100009242 15185 33537 41477 2556 20590 113345 19390176 20417006 19629991 22322424 22336289 104095886 1000 2500 51271 590758 0 645529 0 1000 2500 51271 590758 0 645529 103450357 469050 726389 753027 611190 471821 3031477 469050 726389 753027 611190 471821 3031477 19859226 21143395 20383018 22933614 22808110 107127363 0.96570 0.96390 0.02830 0.02990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 1000 0 0 0 0 0 1000 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: LETTERS TO LEGISLATORS AND/OR THEIR STAFFS REGARDING LEGISLATION RELATED TO LONG-TERM CARE, LICENSING AGENCIES, AND OTHER RELATED TOPICS. 936951 936951 170501791 52857222 117644569 8592696 2577617 6015079 1835229 1835229 126431828 ENTRANCE FEES REFUNDABLE UPON REOCCUPANCY 2263839 2263839 X 22768764 -337662 28894 -308768 23077532 0 23077532 28680819 0 28680819 0 28680819 PART X, LINE 2: CHANNING HOUSE HAS BEEN GRANTED TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE FINANCIAL STATEMENTS. CHANNING HOUSE ADOPTED THE PROVISIONS OF FASB ASC TOPIC 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS ON MARCH 1, 2008. THE ORGANIZATION HAD NO UNRECOGNIZED TAX BENEFITS AT FEBRUARY 28, 2022 OR 2021. CHANNING HOUSE FILES FEDERAL AND CALIFORNIA EXEMPT ORGANIZATION RETURNS. PART XI, LINE 2D - OTHER ADJUSTMENTS: OTHER COMPONENTS OF NET PERIODIC PENSION COST -89,567. CHANGE IN PENSION OBLIGATION 118,461. 1 STAFF SCHOLARSHIP 2 5650 PART I, LINE 2: PRIOR TO ENROLLING IN ANY CLASSES OR PROGRAM, EMPLOYEES SHOULD DISCUSS EDUCATIONAL PLANS WITH HUMAN RESOURCES AND SUBMIT A CHANNING HOUSE SCHOLARSHIP APPLICATION TO HUMAN RESOURCES. THE REVIEWING COMMITTEE WILL INCLUDE HUMAN RESOURCES DIRECTOR, FINANCE DIRECTOR AND CEO. IF AWARDED A SCHOLARSHIP, EMPLOYEES MAY OBTAIN REIMBURSEMENT. EXPENSES MUST BE SUPPORTED BY ORIGINAL RECEIPTS AND A COPY OF THE FINAL GRADE OR CERTIFICATION RECEIVED. X X 0 0 0 0 0 0 0 0 0 RHONDA BEKKEDAHL CHIEF EXECUTIVE OFFICER 283993 0 0 0 51 0 26774 0 6327 0 317145 0 0 0 YADIRA SOFIA ALDANA ADMINISTRATOR 192930 0 0 0 76 0 18578 0 16693 0 228277 0 0 0 KIMBERLY JANE KURTIS HUMAN RESOURCES DIRECTOR 171930 0 0 0 51 0 17554 0 18717 0 208252 0 0 0 JAISIE LYNN LOZANO CHIEF FINANCIAL OFFICER 186927 0 0 0 51 0 17318 0 1791 0 206087 0 0 0 IZVETH LEON DIRECTOR OF NURSING 168228 0 0 0 51 0 15385 0 11013 0 194677 0 0 0 CHRIS LEE HOEBEL FACILITIES DIRECTOR 170558 0 0 0 0 0 12572 0 11158 0 194288 0 0 0 KIMBERLY KREBS MARKETING DIRECTOR 153864 0 0 0 24801 0 12914 0 0 0 191579 0 0 0 ANGELA LAMOTHE ENVIRONMENTAL SERVICES DIRECTOR 150538 0 0 0 61 0 11229 0 20141 0 181969 0 0 0 JOY Q NAVA NURSING - RN 150998 0 0 0 2944 0 6337 0 10957 0 171236 0 0 0 CHRISTOPHER N BILLAWALA FACILITIES MANAGER 145621 0 0 0 10348 0 6581 0 8513 0 171063 0 0 0 REMELYN BONDOC NURSING - RN 122311 0 0 0 3668 0 5473 0 21177 0 152629 0 0 0 A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048TZ63 2017-04-18 58413722 REFUND BOND ISSUED 7/8/2010 0 0 0 B CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048T7N7 2017-10-25 50469360 CONSTRUCT, EQUIP, AND RENOVATE FACILITY 0 0 0 A 1770000 58493100 2122678 963278 1732948 53674196 0 1 1 1 B 51713198 1226833 912135 2735573 37671890 9166767 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART II, LINE 3 THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN SCHEDULE K, PART I, COLUMN (E) AND THE TOTAL PROCEEDS OF ISSUE IN SCHEDULE K, PART II, LINE 3 PERTAINS TO INVESTMENT EARNINGS ON PROCEEDS IN RESERVE FUNDS OR UNSPENT BOND FUNDS FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE REVIEWS A DRAFT OF THE FORM 990 ON BEHALF OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. THE DRAFT, AS REVIEWED BY THE AUDIT COMMITTEE, IS THEN MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS AS WELL. THIS PROCESS INCLUDES DOCUMENTING WHO CONDUCTED THE REVIEW, WHEN IT WAS CONDUCTED, AND TO WHAT EXTENT (DETAIL OR SUMMARY) THE FORM WAS REVIEWED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH BOARD MEMBERS AND KEY STAFF MEMBERS. POTENTIAL CONFLICTS ARE REVIEWED AT THE MANAGEMENT AND THE BOARD LEVEL; SHOULD A CONFLICT OF INTEREST ARISE, THE BOARD MEMBER / EMPLOYEE DOES NOT PARTICIPATE IN DECISIONS RELATED TO THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE PERSONNEL COMMITTEE (A BOARD COMMITTEE COMPRISED OF 4 TRUSTEES) IS RESPONSIBLE FOR THE PERFORMANCE APPRAISAL OF THE CEO. THE PERFORMANCE APPRAISAL IS NORMALLY ON AN ANNUAL BASIS, WITH THE PERIOD UNDER REVIEW BASED ON THE PREVIOUS FISCAL YEAR. THE COMMITTEE, IN ITS EVALUATION, MAY SOLICIT INPUT FROM OTHER TRUSTEES, RESIDENTS, AND STAFF OF CHANNING HOUSE. THE PERSONNEL COMMITTEE SUBMITS ANY RECOMMENDED CHANGES TO THE CEO'S SALARY/BENEFITS TO THE BOARD OF TRUSTEES FOR APPROVAL. ANY ACTION TAKEN BY THE BOARD ON PERSONNEL COMMITTEE RECOMMENDATIONS IS RECORDED IN THE BOARD MINUTES. COMPENSATION ADJUSTMENTS FOR THE CEO IS ESTABLISHED IN CONJUNCTION WITH A REVIEW OF COMPENSATION STUDIES AVAILABLE FROM BOTH NATIONAL AND STATEWIDE SOURCES, AS WELL AS OTHER SOURCES AS AVAILABLE (SUCH AS FROM A CONSULTANT). THE CEO IS RESPONSIBLE FOR ANNUAL EVALUATIONS AND IMPLEMENTING ANY SALARY ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES; COMPENSATION ADJUSTMENTS FOR THESE INDIVIDUALS ARE BASED ON BUDGETED AMOUNTS AVAILABLE, AS WELL AS STATEWIDE COMPENSATION STUDIES. FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS ARE POSTED IN THE RESIDENT LIBRARY, ATTACHED TO NEW RESIDENT CONTRACTS, AND ARE AVAILABLE ON REQUEST FROM THE ACCOUNTING DEPARTMENT. ALL BOARD MINUTES AND CHANGES TO BYLAWS ARE POSTED IN THE CHANNING HOUSE RESIDENT LIBRARY. COPIES OF MEETING MINUTES ARE AVAILABLE FOR A PRIOR THREE-YEAR PERIOD. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON REQUEST FROM THE ACCOUNTING DEPARTMENT. FORM 990, PART XI, LINE 9: OTHER COMPONENTS OF NET PERIODIC PENSION COST -89,567. CHANGE IN PENSION OBLIGATION 118,461.