2025-08-14T18:55:00-05:00 2024-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 18500 VON KARMAN AVE 10TH FLOOR IRVINE CA 92612 990 2023-10-01 941156461 ALDERSLY ALDE 4154537425 326 MISSION AVENUE SAN RAFAEL CA 949013484 PETER SCHAKOW PRESIDENT 4154537425 2025-08-12 1 0 BRIAN YACKER P00401346 9492222999 2025-08-12 2023 2025-03-06 01:10:19Z SHANNON BROWN 326 MISSION AVENUE SAN RAFAEL CA 949013484 30805813 0 X WWW.ALDERSLY.COM X 1921 CA PROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS. 11 11 101 18 0 0 3153726 1098758 7373956 8125258 2176310 1899146 27307 -6848 12731299 11116314 0 0 0 0 5297558 5101047 0 0 254484 5676999 7262182 10974557 12363229 1756742 -1246915 106254004 113293437 75383132 79283783 30870872 34009654 X PROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS. 0 0 7379663 2961233 INDEPENDENT LIVING FEES: IL INCLUDES LIVING UNIT ACCOMMODATION, 3 MEALS PER DAY, UTILITIES, WINDOW AND FLOOR COVERINGS, TOWELS & BED LINENS, WEEKLY LAUNDRY SERVICE FOR TOWELS & BED LINENS, HOUSEKEEPING SERVICES EVERY TWO WEEKS, SOCIAL/RECREATIONAL ACTIVITIES, MAINTENANCE OF BUILDINGS AND GROUNDS. 1785178 3091746 ASSISTED LIVING FEES: AL INCLUDES ALL ITEMS PROVIDED IN IL PLUS THE FOLLOWING: ASSISTANCE WITH DRESSING, GROOMING, BATHING & OTHER PERSONAL HYGIENE; ASSISTANCE WITH MEDICATION; ARRANGEMENT OF MEDICAL/DENTAL APPOINTMENTS; SUPERVISION OF RESIDENTS' SCHEDULES/ACTIVITIES; MONITORING OF FOOD INTAKE/SPECIAL DIETS; CARRYING OUT PHYSICIAN'S ORDERS.EXTENDED CARE FEES: EXTENDED CARE INCLUDES ALL ITEMS PROVIDED IN IL & AL AND IS A NATURAL EXTENSION OF THE COZY, COMFORTABLE, CONNECTED ATMOSPHERE RESIDENTS ENJOY THROUGHOUT ALL OF ALDERSLY. WHETHER A RESIDENT NEEDS TRANSITIONAL CARE AFTER A HOSPITAL OR SKILLED NURSING STAY, OR 24-HOUR MONITORED CARE FOR MANAGEABLE CHRONIC CONDITIONS, WE HAVE ALL THE NURSING CARE AND SUPPORT NECESSARY TO PROVIDE GREAT CARE ALONG WITH A HIGH LEVEL OF INDEPENDENCE. 672091 2072279 MEMORY CARE LIVING FEES: MC INCLUDES ALL ITEMS PROVIDED IN IL & AL PLUS THE FOLLOWING: TECHNOLOGICALLY ADVANCED MEMORY CARE RESIDENCES WITH AN ARRAY OF STATE-OF THE ART FEATURES CREATED TO ENHANCE THE LIFE EXPERIENCE AND WELLNESS OF THOSE WITH ALZHEIMER'S DISEASE OR OTHER RELATED DEMENTIAS. OUR COMPASSIONATE, HIGHLY TRAINED TEAM EMPLOYS REMINISCENCE TOOLS TO HELP RESIDENTS' FAMILY MEMBERS AND LOVED ONES CAPTURE THE DETAILS OF RESIDENTS' LIVES, THEIR CAREERS, HOBBIES, LIKES AND DISLIKES. WE THEN APPLY THE INSIGHTS GAINED FROM EACH LIFE STORY TO CREATE AN INDIVIDUALIZED CARE PLAN THAT PROMOTES PHYSICAL AND EMOTIONAL WELL-BEING, PROLONGS DAILY FUNCTIONING, AND MAINTAINS A SENSE OF PURPOSE, SATISFACTION, AND QUALITY OF LIFE. 9836932 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 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 0 0 0 0 1 45 0 1 101 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X THE ORGANIZATION 4154537425 326 MISSION AVENUE SAN RAFAEL CA 949013484 SHANNON BROWN EXECUTIVE DIRECTOR 40.00 X 227208 0 34897 MELANIE FENN HEALTH & WELLNESS DIRECTOR 40.00 X 135586 0 11284 FRANK FERRONI DIRECTOR OF PLANT OPERATIONS 40.00 X 110468 0 11790 SOURABH SINGH RESIDENT CARE MANAGER 40.00 X 114022 0 4541 JOSHUA SEIBERT DIRECTOR OF FOOD SERVICES 40.00 X 110841 0 4258 PETER SCHAKOW PRESIDENT 10.00 X X 0 0 0 PAUL CASTRO SENIOR VP 10.00 X X 0 0 0 PER CAROE VP 8.00 X X 0 0 0 SUSAN PETERSEN TREASURER 8.00 X X 0 0 0 RUTH ANN VOSMEK SECRETARY 8.00 X X 0 0 0 MARK DAVIS DIRECTOR 8.00 X 0 0 0 MICHAEL B HANSEN DIRECTOR 8.00 X 0 0 0 BIRGIT JACOBSON DIRECTOR 8.00 X 0 0 0 NIELSEN KVAAVIK DIRECTOR 8.00 X 0 0 0 JEPPE LARSEN DIRECTOR 8.00 X 0 0 0 ED LEWIS DIRECTOR 8.00 X 0 0 0 ROBERT WILHELM DIRECTOR (THROUGH JULY 24) 8.00 X 0 0 0 698125 0 66770 5 0 1 1 LIFE CARE SERVICES LLC 400 LOCUST STREET SUITE 820 DES MOINES IA 50309 MANAGEMENT COMPANY SERVICES 650028 GREENBRIER DEVELOPMENT LLC 3232 MCKINNEY AVENUE SUITE 1160 DALLAS TX 75204 EXPANSION CONSTRUCTION MANAGEMENT 361417 BAKER TILLY US LLP 50 FREMONT STREET SUITE 4000 SAN FRANCISCO CA 94105 AUDIT AND TAX SERVICES 123205 COBLENTZ PATCH DUFF & BASS LLP 1 MONTGOMERY ST 3000 SAN FRANCISCO CA 94104 LEGAL SERVICES 111083 4 1098758 1098758 ASSISTED LIVING FEES 623000 3091746 3091746 INDEPENDENT LIVING FEE 623000 2961233 2961233 MEMORY CARE LIVING FEE 623000 2072279 2072279 8125258 678415 678415 83264 93620 -10356 -10356 -10356 20816610 19595879 1220731 1220731 1220731 REBATES 900099 2896 2896 MISCELLANEOUS REVENUE 900099 612 612 3508 11116314 8114902 0 1902654 237570 23757 190056 23757 3644773 3464013 127447 53313 54041 48835 4119 1087 848958 790894 43342 14722 315705 285293 24061 6351 591866 591866 136622 136622 140082 140082 462406 462406 177765 103643 74122 1032763 123838 774184 134741 57315 45570 11745 264618 245531 17047 2040 447162 402789 42947 1426 9382 1315 5847 2220 1405466 1307489 91247 6730 913513 854205 55371 3937 364000 338677 23632 1691 MEALS 563225 563225 REPAIRS & MAINTENANCE 433929 416095 15777 2057 PROPERTY TAXES 131167 122651 8516 RESIDENT ACTIVITIES 89373 89373 41528 17873 23243 412 12363229 9836932 2271813 254484 468023 1679595 3779671 2797467 135115 0 95751 182925 31630 37932 802869 666392 61584136 15899032 23564123 45685104 12957399 15770161 64419423 46473861 106254004 113293437 2129515 8242622 4417827 3094914 64013138 63887970 4822652 4058277 75383132 79283783 X 30860168 33998950 10704 10704 30870872 34009654 106254004 113293437 X -1246915 4297872 87825 X X 0 1 X 1 0 X 1362931 109151 7828760 3153726 1098758 13553326 8735549 8335856 8013402 7457956 8208522 40751285 10098480 8445007 15842162 10611682 9307280 54304611 5000 8693 13693 0 5000 8693 13693 54290918 511980 433166 324769 905860 678415 2854190 511980 433166 324769 905860 678415 2854190 9480 51134 8671 4734 3508 77527 10619940 8929307 16175602 11522276 9989203 57236328 0.94850 0.94990 0.04990 0.04870 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 9,480. 2020 AMOUNT: $ 51,134. 2021 AMOUNT: $ 8,671. 2022 AMOUNT: $ 155. 2023 AMOUNT: $ 612. REBATES - 2022 AMOUNT: $ 3,231. 2023 AMOUNT: $ 2,896. REFUND - 2022 AMOUNT: $ 1,348. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4155003 1112231 290357 4976877 7051020 4167330 1243663 8307010 4155003 10890136 -3512412 326704 7051020 8837093 2318156 265113 10890136 8313572 772928 249407 8837093 1.00000 0.00000 0.00000 0 0 1222822 1222822 24501767 11520997 12980770 4015791 2888708 1127083 1275226 900257 374969 30568530 589070 29979460 45685104 ASSETS WHOSE USE IS LIMITED OR RESTRICTED 46473861 46473861 DEPOSITS 2705849 GUARANTEED REFUNDS 1352428 4058277 X PART V, LINE 4: THE ORGANIZATION HAS A BOARD DESIGNATED ENDOWMENT FUND TO PROVIDE FOR GENERAL SUPPORT OF THE ORGANIZATION. THIS FUND IS CLASSIFIED AS UNRESTRICTED NET ASSETS. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE, SECTION 23701D EXCEPT AS NOTED FOR THE LLC. ACCORDINGLY, IT HAS NOT PROVIDED FOR INCOME TAXES IN THESE CONSOLIDATED FINANCIAL STATEMENTS. THE LLC'S NET EARNINGS (LOSSES) ARE REPORTED ON THE FEDERAL EXEMPT ORGANIZATION TAX RETURN OF ITS PARENT COMPANY. THE LLC FILES A SEPARATE STATE TAX RETURN IN CALIFORNIA AND IS SUBJECT TO AN ANNUAL MINIMUM FRANCHISE TAX OF $800. EACH YEAR, MANAGEMENT CONSIDERS WHETHER ANY MATERIAL TAX POSITION THE ORGANIZATION HAS TAKEN IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY. MANAGEMENT BELIEVES THAT ANY POSITIONS THE ORGANIZATION HAS TAKEN ARE SUPPORTED BY SUBSTANTIAL AUTHORITY AND, HENCE, DO NOT NEED TO BE MEASURED OR DISCLOSED IN THESE CONSOLIDATED FINANCIAL STATEMENTS. 0 0 0 0 0 0 0 0 0 SHANNON BROWN EXECUTIVE DIRECTOR 204500 0 22708 0 0 0 0 0 34897 0 262105 0 0 0 ADDITIONAL INFORMATION LIFE CARE SERVICES (LCS), AN UNRELATED ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION. THE ORGANIZATION'S EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES AND RECEIVES COMPENSATION ONLY FROM LCS. THE CONTRACTOR PAYMENTS TO LCS REPORTED ON FORM 990, PART VII-B INCLUDE THE EXECUTIVE DIRECTOR'S COMPENSATION. 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LIFE CARE SERVICES, AND LCS COMPANY, IS ONE OF THE MOST WELL-ESTABLISHED SENIOR LIVING MANAGEMENT COMPANIES IN THE UNITED STATES. LEARN MORE AT HTTP://WWW.SENIOR-LIVING-MANAGEMENT.COM/ MANAGEMENT COMPENSATION PAYMENTS REPORTED IN PART VII-A ARE INCLUDED IN THE LCS CONTRACTOR PAYMENTS REPORTED IN PART VII-B. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE GOVERNING BODY ARE ELECTED AND VOTED FOR AT THE ANNUAL MEETING. THE BOARD MUST INCLUDE AT LEAST ONE ALDERSLY RESIDENT. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS SETS POLICIES AND GOVERNS THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS REVIEWED BY THE ACCOUNTANT OF THE ORGANIZATION'S MANAGEMENT COMPANY AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. A COPY OF THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY PREPARES AND FURNISHES EACH DIRECTOR A STATEMENT OF ANY TRANSACTION OR INDEMNIFICATION WITHIN ONE HUNDRED TWENTY (120) DAYS AFTER THE END OF THE ORGANIZATION'S FISCAL YEAR. FORM 990, PART VI, SECTION B, LINE 15 MANAGEMENT SERVICES ARE OUTSOURCED TO LIFE CARE SERVICES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: BAD DEBT RECOVERY 87,825. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. HC ANDERSEN PROPERTIES LLC 326 MISSION AVE SAN RAFAEL CA 94901 941156461 REAL ESTATE HOLDINGS CA 83264 1865539 ALDERSLY