2021-10-10T16:04:12-05:00 2021-02-28 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2020-03-01 941485533 CHANNING HOUSE CHAN 6503270950 850 WEBSTER STREET PALO ALTO CA 94301 RHONDA BEKKEDAHL CEO 6503270950 2021-10-10 1 RHONDA BEKKEDAHL 999009999 MICHAEL LUMSDEN P01262236 4159561500 2021-10-10 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z RHONDA BEKKEDAHL 850 WEBSTER STREET PALO ALTO CA 94301 34479475 0 X WWW.CHANNINGHOUSE.ORG X 1960 CA PROVIDES HOUSING AND HEALTH CARE SERVICES WITHIN A LIFE CARE COMMUNITY. 15 15 169 70 0 0 598127 2235521 18990387 20084347 694912 633657 37779 23986 20321205 22977511 0 3000 0 0 8717352 10778303 8000 8000 8000 15374324 15867894 24099676 26657197 -3778471 -3679686 166868441 166783404 153313023 155132230 13555418 11651174 THE MISSION OF CHANNING HOUSE, AS AN EXPRESSION OF ITS CHARITABLE PURPOSE, IS TO PROVIDE A HIGH QUALITY LIVING ENVIRONMENT THAT ENHANCES EACH RESIDENTS' INDEPENDENCE, WELL-BEING AND SECURITY. 0 0 22330648 3000 20084347 PROVIDE HOUSING, ASSISTED LIVING, AND SKILLED NURSING SERVICES WHICH INCLUDE DINING SERVICES, MAINTENANCE, HOUSEKEEPING, AND NURSING CARE. DURING FY2021 WE SERVED AN AVERAGE OF 241 RESIDENTS WITH A TOTAL OF 7,817 SERVICE DAYS OF SKILLED NURSING; 8,456 SERVICE DAYS OF ASSISTED LIVING; AND 75,008 DAYS OF RESIDENTIAL CARE SERVICES. 0 0 0 CHANNING HOUSE IS A NEIGHBORHOOD POLLING LOCATION, 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 ALSO TUTORS CHILDREN FROM DISADVANTAGED NEIGHBORHOODS AND SUPPORTS MANY OTHER ORGANIZATIONS WITH THOUSANDS OF HOURS OF VOLUNTEER TIME. EXPENSES PERTAINING TO THESE PROGRAMS ARE NEGLIGIBLE AND COULD NOT BE REASONABLY QUANTIFIED. 22330648 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 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 1 169 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 RHONDA BEKKEDAHL CEO 40.00 X 272718 0 21284 YADIRA ALDANA DIRECTOR OF OPERATIONS 40.00 X 192934 0 21708 KIMBERLY KURTIS HR DIRECTOR 40.00 X 167435 0 34467 CHRIS HOEBEL FACILITIES DIRECTOR 40.00 X 176631 0 21915 JAISIE LOZANO FINANCE DIRECTOR 40.00 X 181067 0 15199 IZVETH LEON DIRECTOR OF NURSING 40.00 X 167030 0 15728 JOY NAVA NURSING - RN 40.00 X 147783 0 16284 ANGELA LAMOTHE SAFETY OFFICER 40.00 X 138111 0 23940 KIMBERLY KREBS MARKETING DIRECTOR 40.00 X 134533 0 7800 CHRISTOPHER BILLAWALA FACILITIES MANAGER 40.00 X 134799 0 6339 REMELYN BONDOC NURSING - RN 40.00 X 119732 0 17429 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 SOMITA BASU BOARD MEMBER THROUGH 6/2020 1.00 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 VICKIE GROVE BOARD MEMBER THROUGH 5/2020 1.00 X 0 0 0 FRED KURLAND BOARD MEMBER 1.00 X 0 0 0 STEPHNE LENCIONI BOARD MEMBER 1.00 X 0 0 0 JEAN MCCOWN BOARD MEMBER 1.00 X 0 0 0 BURCE MCFARLANE BOARD MEMBER 1.00 X 0 0 0 MARCIA PUGSLEY BOARD MEMBER 1.00 X 0 0 0 BELLA ROZENKRANTS BOARD MEMBER THROUGH 6/2020 1.00 X 0 0 0 MAUREEN SHEEHAN BOARD MEMBER 1.00 X 0 0 0 JOHN SINK BOARD MEMBER 1.00 X 0 0 0 PAMELA D VON WIEGAND BOARD MEMBER THROUGH 6/2020 1.00 X 0 0 0 1832773 0 202093 19 0 1 0 VANCE BROWN INC 3197 PARK BLVD PALO ALTO CA 943062233 CONSTRUCTION CONTRACTOR 5326166 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE PROVIDER 3847481 PROVINET SOLUTIONS 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 IT SERVICE PROVIDER 384607 GENTLE TRANSITIONS OF CA INC 1726 MANHATTAN BEACH BLVD SUITE G MANHATTAN BEACH CA 90266 RESIDENTIAL MOVE COORDINATORS 225270 MISSION LINEN SUPPLY 6590 CENTRAL AVENUE NEWARK CA 94560 LAUNDRY AND LINEN SERVICE PROVIDER 178970 9 1525275 710246 2235521 MONTHLY CARE FEES 623000 15255032 15255032 RESIDENT ENTRANCE FEES 623000 4489042 4489042 OTHER OPERATING REVENUE 623000 335773 335773 PROCESSING FEES 623000 4500 4500 20084347 526234 526234 45209 45209 39747 0 39747 39747 39747 11497861 48000 11468927 14720 28934 33280 62214 62214 2556 18317 -15761 -15761 22977511 20084347 0 657643 X 3000 3000 1285130 1285130 7800050 7091066 708984 251030 245990 5040 842791 701577 141214 599302 471894 127408 88375 88375 76563 76563 8000 8000 4878006 4456353 421653 434116 227693 206423 170290 5108 165182 1072295 1018680 53615 9079 1225 7854 26012 10735 15277 2162546 2061992 100554 6302824 5665504 637320 REPAIRS & MAINTENANCE 246318 246318 LICENSES AGREEMENTS 139231 139231 HIRING/RECRUITMENT 77560 10 77550 DUES AND SUBSCRIPTIONS 61284 2225 59059 123395 121278 2117 26657197 22330648 4318549 8000 1764102 2152166 71433 502574 3429 3429 475316 634269 168666379 49141487 117019332 119524892 47526702 43949251 8127 16823 166868441 166783404 5670079 6370607 43996384 45780842 101381078 100716942 2265482 2263839 153313023 155132230 X 13147800 11254321 407618 396853 13555418 11651174 166868441 166783404 X -3679686 1714439 61003 X 0 1 X 1 0 X 775968 173728 149713 598127 2235521 3933057 18892740 19201263 20233756 18990387 20084347 97402493 19850 15185 33537 41477 2556 112605 19688558 19390176 20417006 19629991 22322424 101448155 5000 1000 2500 51271 590758 650529 0 5000 1000 2500 51271 590758 650529 100797626 566803 469050 726389 753027 611190 3126459 566803 469050 726389 753027 611190 3126459 20255361 19859226 21143395 20383018 22933614 104574614 0.96390 0.96820 0.02990 0.03160 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: LETTERS TO LEGISLATORS AND/OR THEIR STAFFS REGARDING LEGISLATION RELATED TO LONG-TERM CARE, LICENSING AGENCIES, AND OTHER RELATED TOPICS. 936951 936951 157293019 42880435 114412584 6413053 6261052 152001 4023356 4023356 119524892 ENTRANCE FEES REFUNDABLE UPON REOCCUPANCY 2263839 2263839 X 24752953 1714439 61003 1775442 22977511 0 22977511 26657197 0 26657197 0 26657197 PART X, LINE 2: CHANNING HOUSE HAS BEEN GRANTED TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE 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. THEY HAD NO UNRECOGNIZED TAX BENEFITS AT FEBRUARY 28, 2021 AND FEBRUARY 29, 2020. CHANNING HOUSE FILES FEDERAL AND CALIFORNIA EXEMPT ORGANIZATION RETURNS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN PENSION OBLIGATION 135,762. OTHER COMPONENTS OF NET PERIODIC PENSION COST -46,937. CHANGE IN VALUE OF SPLIT INTEREST GIFTS -27,822. X X 0 0 0 0 0 0 0 0 0 RHONDA BEKKEDAHL CEO 262591 0 0 0 10127 0 15406 0 5878 0 294002 0 0 0 YADIRA ALDANA DIRECTOR OF OPERATIONS 177151 0 15100 0 683 0 9532 0 12176 0 214642 0 0 0 KIMBERLY KURTIS HR DIRECTOR 161326 0 6000 0 109 0 14896 0 19571 0 201902 0 0 0 CHRIS HOEBEL FACILITIES DIRECTOR 169974 0 6000 0 657 0 4375 0 17540 0 198546 0 0 0 JAISIE LOZANO FINANCE DIRECTOR 173958 0 7000 0 109 0 12917 0 2282 0 196266 0 0 0 IZVETH LEON DIRECTOR OF NURSING 160470 0 4125 0 2435 0 4249 0 11479 0 182758 0 0 0 JOY NAVA NURSING - RN 145145 0 0 0 2638 0 4284 0 12000 0 164067 0 0 0 ANGELA LAMOTHE SAFETY OFFICER 130902 0 7100 0 109 0 2949 0 20991 0 162051 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 1265000 58513955 2143533 963278 1732948 53674196 0 1 1 1 B 51725556 1239191 912135 2735573 27639274 19199383 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 EXECUTIVE DIRECTOR. THE PERFORMANCE APPRAISAL IS NORMALLY ON AN ANNUAL BASIS, WITH THE PERIOD UNDER REVIEW BASED ON THE EXECUTIVE DIRECTOR'S DATE OF HIRE. THE COMMITTEE, IN ITS EVALUATION, MAY SOLICIT INPUT FROM OTHER TRUSTEES, RESIDENTS, AND STAFF OF CHANNING HOUSE. THE SALARY AND BENEFITS OF THE CEO ARE ALSO REVIEWED ON AN ANNUAL BASIS. THE PERSONNEL COMMITTEE SUBMITS ANY RECOMMENDED CHANGES TO THE CEO'S SALARY/BENEFITS TO THE BOARD OF TRUSTEES FOR APPROVAL. SUCH RECOMMENDATION WILL BE SUBMITTED FOR REVIEW AND APPROVAL TO THE BOARD AT THE REGULARLY SCHEDULED MEETING PRIOR TO THE CEO'S HIRE DATE ANNIVERSARY. 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 IX, LINE 11G FOOD SERVICE FEES: PROGRAM SERVICE EXPENSES 3,761,378. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,761,378. PAYROLL/HR SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 40,246. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,246. REGISTRY: PROGRAM SERVICE EXPENSES 42,108. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,108. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 652,867. MANAGEMENT AND GENERAL EXPENSES 381,407. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,034,274. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST GIFTS -27,822. CHANGE IN PENSION OBLIGATION 135,762. OTHER COMPONENTS OF NET PERIODIC PENSION COSTS -46,937.