2022-11-15T11:58:30-06:00 2021-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2021-01-01 941437728 SEQUOIA LIVING INC SEQU 4152027800 1525 POST STREET SAN FRANCISCO CA 94109 CHARLIE SHOEMAKE CFO 4152027800 2022-11-14 1 CHARLIE SHOEMAKE XXX-XX-XXXX QI WEN LIANG P01270238 4159561500 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z SARA MCVEY 1525 POST STREET SAN FRANCISCO CA 94109 149786287 0 X WWW.SEQUOIALIVING.ORG X 1958 CA SEQUOIA LIVING, INC. PROVIDES ORGANIZATIONAL STRUCTURE AND LEADERSHIP TO MEET THE NEEDS AND IMPROVE THE QUALITY OF LIFE OF OLDER PERSONS BY OFFERING HOUSING AND PROGRAMS. 13 13 738 125 0 0 4676737 2012831 84594159 97871261 8162524 24176717 10196 957809 97443616 125018618 0 0 0 0 51273060 47320126 0 0 286241 36811708 58476038 88084768 105796164 9358848 19222454 385107797 412512571 240893132 231543200 144214665 180969371 X SEQUOIA LIVING, INC. WILL, WITHIN ITS HUMAN RESOURCES AND FINANCIAL CAPABILITIES, PROVIDE ORGANIZATIONAL STRUCTURE AND LEADERSHIP TO MEET THE NEEDS AND IMPROVE THE QUALITY OF LIFE OF OLDER PERSONS FROM ALL ECONOMIC LEVELS AND VARIED CULTURAL BACKGROUNDS THROUGH DIVERSIFIED OPERATIONS WHICH OFFER HOUSING AND PROGRAMS OF PHYSICAL, SOCIAL, HEALTH AND SPIRITUAL CARE. 0 0 93828440 97871261 CONTINUING CARE RETIREMENT COMMUNITIES:SEQUOIA LIVING, INC. PROVIDES APARTMENTS, MEALS, LAUNDRY, HOUSEKEEPING, SOCIAL AND CULTURAL ACTIVITIES, AND MEDICAL CARE FOR AROUND 984 RESIDENTS. NEARLY ALL OCCUPANTS HAVE EXECUTED LIFE CARE RESIDENCE AND CARE AGREEMENTS THAT GIVE THEM ACCESS TO ASSISTED LIVING, DEMENTIA CARE, AND SKILLED NURSING IF NEEDED AS THEY AGE AND BECOME FRAILER. A MAJOR PROBLEM FOR THE ELDERLY IS ISOLATION AND DEPRESSION CAUSED BY ECONOMIC, SOCIAL, AND PHYSICAL BARRIERS TO PARTICIPATION IN ACTIVITIES AND CIVIC LIFE. CONTINUING CARE COMMUNITIES REMOVE THESE BARRIERS AND FACILITATE THE ACTIVE ENGAGEMENT OF RESIDENTS. THEY ALSO SMOOTH OUT DIFFICULT AND DISRUPTIVE TRANSITIONS OCCASIONED WHEN PEOPLE NEED HIGHER LEVELS OF PROFESSIONAL ASSISTANCE. IN THE EVENT THAT A RESIDENT RUNS SHORT OF RESOURCES TO COVER THE COST OF CARE, SEQUOIA LIVING WILL WORK WITH THEM AND THEIR FAMILIES AND THROUGH ITS FOUNDATION, WILL SUBSIDIZE EXPENSES SO THAT RESIDENTS ARE NOT FORCED TO MOVE. 93828440 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 1 1 1 1 0 0 1 107 0 1 738 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X CHARLIE SHOEMAKE 4152027800 1525 POST STREET SAN FRANCISCO CA 94109 MICHELE STRATTON CHAIR 0.70 0.30 X X 0 0 0 DIANNE SPAULDING VICE CHAIR 0.70 0.30 X X 0 0 0 DAVID JAMISON BOARD MEMBER 0.70 0.30 X 0 0 0 GARY FREEMAN BOARD MEMBER 0.70 0.30 X 0 0 0 GAYLE S GEARY BOARD MEMBER 0.70 0.30 X 0 0 0 GORDON HOWIE BOARD MEMBER (THRU 4/21) 0.70 0.30 X 0 0 0 RICHARD CORRIEA BOARD MEMBER 0.70 0.30 X 0 0 0 MARIANNE LIM BOARD MEMBER 0.70 0.30 X 0 0 0 NANCY MAYEDA BOARD MEMBER 0.70 0.30 X 0 0 0 NEAL MCNAMARA BOARD MEMBER 0.70 0.30 X 0 0 0 PATRICIA LYNN BOARD MEMBER 0.70 0.30 X 0 0 0 PHILLIP R PLACIER BOARD MEMBER (THRU 4/21) 0.70 0.30 X 0 0 0 REX JAMISON MD BOARD MEMBER 0.70 0.30 X 0 0 0 STEVEN H HERMAN BOARD MEMBER 0.70 0.30 X 0 0 0 VAL AGOSTINO BOARD MEMBER 0.70 0.30 X 0 0 0 SARA MCVEY PRESIDENT & CEO 36.00 4.00 X 558073 0 24706 MARTHA ATWOOD CHIEF HUMAN RESOURCE & COMPLIANCE OFFICER 36.00 4.00 X 263461 0 41133 CHARLIE SHOEMAKE CHIEF FINANCIAL OFFICER 36.00 4.00 X 336370 0 23968 DAVID LATINA CHIEF BUSINESS DEVELOPMENT OFFICER 30.00 10.00 X 326324 0 32379 ROBERT HAYS EXECUTIVE DIRECTOR, PV (THRU 11/21) 40.00 X 251556 0 12231 GLEN ALAN GODDARD EXECUTIVE DIRECTOR, SSF 40.00 X 239064 0 16703 STEVE HIEGER CHIEF INFORMATION SYSTEMS OFFICER 40.00 X 234855 0 28648 MARK MIZUHARA VP OF HUMAN RESOURCES 40.00 X 199906 0 5691 ELAINE LIAO CONTROLLER 40.00 X 199140 0 26121 WESLEY BARD EXECUTIVE DIRECTOR, TMP (THRU 9/21) 40.00 X 192636 0 12763 RAY BOUDEWYN VP OF FACILITY MANAGEMENT 40.00 X 185788 0 28851 CHERYL CARTNEY ADMINISTRATOR, PORTOLA VALLEY 40.00 X 177524 0 26843 SOURABH SINGH LVN 40.00 X 171730 0 15030 SAMIR PATEL DIRECTOR OF BUSINESS DEVELOPMENT 40.00 X 165767 0 14869 JANINE TIMOTEO RN 40.00 X 168129 0 14928 JEANIE PRESSEY ADMINISTRATOR, SEQUOIA SAN FRANCISCO 40.00 X 164643 0 13921 3834966 0 338785 87 0 1 0 PINNACLE BUILDING & DESIGN 5157 ABBEY DRIVE FAIRFIELD CA 94534 BUILDING & DESIGN 3133600 C J REED CONSTRUCTION 1658 SEQUOIA DR PETALUMA CA 94954 CONSTRUCTION 2630357 GREENBRIER DEVELOPMENT LLC 3232 MCKINNEY AVENUE DALLAS TX 75204 CONSTRUCTION 445842 MOSS ADAMS PO BOX 101822 PASADENA CA 91189 AUDIT/ADVISORY/CONSULTING SERVICES 406573 GREENOUGH CONSULTING GROUP 1350 OLD BAYSHORE HWY BURLINGAME CA 94010 ADVISORY/CONSULTING SERVICES 273045 9 1134449 878382 2012831 MONTHLY CARE FEES 623000 57879959 57879959 FEES FOR SERVICE TO RESIDENTS 623990 20187942 20187942 AMORTIZATION OF ENTRANCE FEES 623000 18838364 18838364 RENTAL INCOME 721000 964996 964996 97871261 7733261 7733261 28651587 12559538 20843915 3923754 7807672 8635784 16443456 16443456 OTHER INCOME 900001 957809 957809 957809 125018618 97871261 0 25134526 X 1558523 1558523 35347644 32678133 2503685 165826 292830 171015 91616 30199 7700243 7021475 641596 37172 2420886 2274283 132551 14052 414124 414124 523966 523966 461210 461210 268173 268173 23821750 23464358 357392 96341 96341 3003826 2900058 103768 1595055 1224908 370147 4396116 4405381 -9265 59086 57245 1841 196610 187320 9290 2492263 2492263 11881587 11881587 847852 847852 REPAIR AND MAINTENANCE 2798623 2738873 59750 FOOD 410935 410935 OTHER TAXES AND LICENSE 372173 372173 DEVELOPMENT 48862 17429 31433 4787486 3884975 894952 7559 105796164 93828440 11681483 286241 982036 11269475 26876875 41458999 104898390 104898390 2582059 1584099 320064117 187226721 133047225 132837396 109510195 113784376 7211017 6679836 385107797 412512571 17594393 16591960 122080987 128712631 60232884 58677891 2000000 3900000 38984868 23660718 240893132 231543200 X 144214665 180969371 144214665 180969371 385107797 412512571 X 19222454 -910861 58506 18384607 X 0 1 X 1 1 1 X 5671725 4576949 11450617 4676737 2012831 28388859 62133474 68698598 66850554 84594159 97871261 380148046 67805199 73275547 78301171 89270896 99884092 408536905 2323877 2095420 1634924 1814415 1134449 9003085 0 2323877 2095420 1634924 1814415 1134449 9003085 399533820 4025295 4872569 4455784 7060364 7733261 28147273 4025295 4872569 4455784 7060364 7733261 28147273 6306 83376 72850 10196 957809 1130537 71836800 78231492 82829805 96341456 108575162 437814715 0.91260 0.91570 0.06430 0.05960 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2017 AMOUNT: $ 6,306. 2018 AMOUNT: $ 83,376. 2019 AMOUNT: $ 72,850. 2020 AMOUNT: $ 10,196. 2021 AMOUNT: $ 957,809. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1813295 1813295 279528169 158508613 121019556 18887342 13329657 5557685 19835311 15388451 4446860 132837396 REFUNDABLE DEPOSITS 92676 PENSION LIABILITY 6460103 OTHER LONG TERM LIABILITIES 17107939 23660718 X X X X 1 0 0 0 0 0 0 1 0 SARA MCVEY PRESIDENT & CEO 505875 0 50300 0 1898 0 13980 0 10726 0 582779 0 0 0 CHARLIE SHOEMAKE CHIEF FINANCIAL OFFICER 322485 0 300 0 13585 0 1501 0 22467 0 360338 0 0 0 DAVID LATINA CHIEF BUSINESS DEVELOPMENT OFFICER 259294 0 62475 0 4555 0 8190 0 24189 0 358703 0 0 0 MARTHA ATWOOD CHIEF HUMAN RESOURCE & COMPLIANCE OF 251968 0 5300 0 6193 0 6702 0 34431 0 304594 0 0 0 ROBERT HAYS EXECUTIVE DIRECTOR, PV (THRU 11/21) 229202 0 0 0 22354 0 2441 0 9790 0 263787 0 0 0 STEVE HIEGER CHIEF INFORMATION SYSTEMS OFFICER 222287 0 300 0 12268 0 6181 0 22467 0 263503 0 0 0 GLEN ALAN GODDARD EXECUTIVE DIRECTOR, SSF 235708 0 0 0 3356 0 5977 0 10726 0 255767 0 0 0 ELAINE LIAO CONTROLLER 163999 0 20300 0 14841 0 0 0 26121 0 225261 0 0 0 RAY BOUDEWYN VP OF FACILITY MANAGEMENT 180930 0 300 0 4558 0 4662 0 24189 0 214639 0 0 0 MARK MIZUHARA VP OF HUMAN RESOURCES 192721 0 300 0 6885 0 5070 0 621 0 205597 0 0 0 WESLEY BARD EXECUTIVE DIRECTOR, TMP (THRU 9/21) 189427 0 0 0 3209 0 4816 0 7947 0 205399 0 0 0 CHERYL CARTNEY ADMINISTRATOR, PORTOLA VALLEY 176646 0 0 0 878 0 2654 0 24189 0 204367 0 0 0 SOURABH SINGH LVN 167835 0 3895 0 0 0 4305 0 10725 0 186760 0 0 0 JANINE TIMOTEO RN 166569 0 1560 0 0 0 4203 0 10725 0 183057 0 0 0 SAMIR PATEL DIRECTOR OF BUSINESS DEVELOPMENT 163925 0 300 0 1542 0 4144 0 10725 0 180636 0 0 0 JEANIE PRESSEY ADMINISTRATOR, SEQUOIA SAN FRANCISCO 162068 0 0 0 2575 0 4131 0 9790 0 178564 0 0 0 PART I, LINE 4A ROBERT HAYS RECEIVED A SEVERANCE PAYMENT FOR $20,700. PART I, LINE 7 THE NON-FIXED PAYMENTS ARE CONTRACTUALLY DRIVEN BY THE TERMS OF EMPLOYEE EMPLOYMENT AGREEMENTS. THESE ARE AWARDED AND ARE BASED UPON ACCOMPLISHMENT OF KEY DEPARTMENTAL OBJECTIVES. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033L7N1 2015-04-15 70844640 TO IMPROVE FACILITIES & REFUND 0 0 0 A 7475000 71285325 4039775 132560 888676 2122766 14515917 49137364 448269 2020 1 0 1 1 A 0 1 1 1 0 0.01000 0.00000 0.01000 0 0 1 A 0 0 1 1 0 0 0 0 1 A 1 SCHEDULE K, PART I, COLUMN (F): THE BOND ISSUE REFUNDS THE SERIES 2004 (ISSUED 09/15/04) AND THE SERIES 1998 (ISSUED 07/29/98). SCHEDULE K, PART II, LINE 3: THE DIFFERENCE BETWEEN PART I (E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. SCHEDULE K, PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. SCHEDULE K, PART IV, LINE 2(B): THE CURRENT REFUNDING PORTION OF THE BOND ISSUE MEETS THE 6-MONTH SPENDING EXCEPTION. SCHEDULE K, PART IV, LINE 2(C): NO REBATE DUE PER BLX INTERIM ARBITRAGE REBATE ANALYSIS DATED MAY 13, 2020. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY MOSS ADAMS, LLP, BASED ON THE INFORMATION PROVIDED BY THE ORGANIZATION'S STAFF. PRIOR TO FILING, THE FORM 990 IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. ONCE THE FORM 990 IS APPROVED BY THE COMMITTEE, MOSS ADAMS, LLP SIGNS AS PREPARER AND THE CHIEF FINANCIAL OFFICER SIGNS ON BEHALF OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 12C SEQUOIA LIVING, INC. ANNUALLY REVIEWS ANY CONFLICT DISCLOSED BY ITS BOARD MEMBERS. ANY QUESTIONS THAT ARISE REGARDING POTENTIAL CONFLICT ARE ADDRESSED IMMEDIATELY. BOARD MEMBERS WHO HAVE A CONFLICT OF INTEREST DO NOT VOTE ON ANY MATTER RELATED TO THE ISSUE FOR WHICH THEY HAVE THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 SALARY RANGES ARE ESTABLISHED FOR EACH MANAGEMENT POSITION. THE SALARY RANGES ARE INTENDED TO BE COMPETITIVE WITH SIMILAR ORGANIZATIONS AND ADEQUATE TO ATTRACT HIGHLY QUALIFIED MANAGEMENT STAFF. THE SALARY RANGES ARE REVIEWED AT LEAST EVERY THREE YEARS BY THE PERSONNEL COMMITTEE, WHICH THEN RECOMMENDS ANY ADJUSTMENTS TO THE BOARD. THE PRESIDENT/CEO GENERALLY PERFORMS SALARY REVIEWS OF MANAGEMENT STAFF SIMULTANEOUSLY WITH THEIR ANNUAL PERFORMANCE REVIEWS. THE PRESIDENT/CEO'S PERFORMANCE AND SALARY REVIEWS ARE PERFORMED ANNUALLY BY THE PERSONNEL COMMITTEE, WHICH THEN REPORTS ITS RESULTS TO THE BOARD. THE PRESIDENT/CEO IS RESPONSIBLE FOR RECOMMENDING SALARY ADJUSTMENTS FOR OTHER MANAGEMENT STAFF TO THE PERSONNEL COMMITTEE FOR APPROVAL BASED ON TEH ORGANIZATION'S COMPENSATION PROGRAM. THE PERSONNEL COMMITTEE REPORTS ITS RECOMMENDATION FOR THE PRESIDENT/CEO'S SALARY ADJUSTMENTS ALONG WITH ANY APPROVED ADJUSTMENTS FOR OTHER MANAGEMENT STAFF TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS AND THE FORM 990 ARE AVAILABLE THROUGH THE SEQUOIA LIVING, INC'S WEBSITE. SEQUOIA LIVING ALSO MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 700,441. MANAGEMENT AND GENERAL EXPENSES 105,322. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 805,763. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 1,565,131. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,565,131. LAUNDRY: PROGRAM SERVICE EXPENSES 152,963. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,963. OTHER OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,007,244. MANAGEMENT AND GENERAL EXPENSES 252,070. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,259,314. MEDICAL CARE: PROGRAM SERVICE EXPENSES 3,206,507. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,206,507. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 16,832,072. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,832,072. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY 10,902,985. OTHER ADJUSTMENTS 7,481,622. WPA LLC 1525 POST STREET SAN FRANCISCO CA 94109 462285501 PROPERTY MANAGEMENT CA 1670 1672 SEQUOIA LIVING INC TPT LLC 1525 POST STREET SAN FRANCISCO CA 94109 473918148 PROPERTY MANAGEMENT CA 17302 0 SEQUOIA LIVING INC EPA LLC 1525 POST STREET SAN FRANCISCO CA 94109 831998058 PROPERTY MANAGEMENT CA 617 12000000 SEQUOIA LIVING INC SENIOR SERVICES FOR NORTHERN CALIFORNIA 1525 POST STREET SAN FRANCISCO CA 94109 946615829 SUPPORT SEQUOIA LIVING CA 501(C)(3) LINE 12A, I SEQUOIA LIVING INC 1 NCPHS COMMUNITY SERVICES 1525 POST STREET SAN FRANCISCO CA 94109 452355370 COMMUNITY SVC CA 501(C)(3) LINE 12A, I SEQUOIA LIVING INC 1 SAN FRANCISCO SENIOR CENTER 890 BEACH STREET SAN FRANCISCO CA 94109 941212136 COMMUNITY SVC CA 501(C)(3) LINE 7 SEQUOIA LIVING INC 1 VIAMONTE SENIOR LIVING 1 INC 1525 POST STREET SAN FRANCISCO CA 94109 812951897 ELDERLY CARE CA 501(C)(3) LINE 10 SEQUOIA LIVING INC 1 EASTERN PARK APARTMENTS LP 1525 POST STREET SAN FRANCISCO CA 94109 831986925 REAL ESTATE CA SEQUOIA LIVING INC RELATED -62 147853353 0 1 0.00010 TOWN PARK TOWERS LP 1525 POST STREET SAN FRANCISCO CA 94109 473918148 REAL ESTATE CA SEQUOIA LIVING INC RELATED 16700 28416669 0 1 0.00010 WESTERN PARK APARTMENTS LP 1525 POST STREET SAN FRANCISCO CA 94109 462285501 REAL ESTATE CA SEQUOIA LIVING INC RELATED 1180 27844635 0 1 0.00010 SL SENIOR VENTURES LLC 1525 POST STREET SAN FRANCISCO CA 94109 261847720 PROPERTY MANAGEMENT CA SEQUOIA LIVING INC C 216000 501725 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 SENIOR SERVICES FOR NORTHERN CALIFORNIA C 1134449 FMV SL SENIOR VENTURES LLC L 600000 FMV VIAMONTE SENIOR LIVING INC Q 4550000 FMV