2020-03-06T23:04:03-06:00 2019-06-30 330835986 SQUAR MILNER LLP 135 MAIN STREET 9TH FLOOR SAN FRANCISCO CA 941051815 990 2018-07-01 942940176 BAYWOOD COURT BAYW 5107332102 21966 DOLORES STREET CASTRO VALLEY CA 94546 BRUCE UDELF TREASURER 5107332102 2020-03-03 1 JOUA V LO P01225144 4157812500 71.6.48.101 2020-03-03 11:16:26 PS P 8646073251B02F9CF01ED885C65CFF2D08DF6640 E3250BAD77834DAF86699E2663CF40F9DFFDFCC1 2018 2020-09-23 17:36:50Z BRUCE UDELF 21966 DOLORES STREET CASTRO VALLEY CA 94546 21231499 0 X WWW.BAYWOODCOURT.ORG X 1984 CA OPERATION OF A SKILLED NURSING, AND INDEPENDENT AND ASSISTED LIVING FACILITY. 9 9 309 70 0 0 18585 12212 18538813 19438011 681372 316616 21669 21919 19260439 19788758 38558 35112 0 0 9535330 10333190 0 0 0 7492138 7792753 17066026 18161055 2194413 1627703 33595032 35155225 17025239 16343779 16569793 18811446 BAYWOOD COURT IS COMMITTED TO SENIORS SO THAT THEY MAY LIVE IN HEALTH, HAPPINESS AND DIGNITY. 0 0 7185926 7871978 SKILLED NURSING: THE 56 BED HEALTH CENTER PROVIDES SKILLED NURSING CARE TO BAYWOOD COURT RESIDENTS AND THE SURROUNDING CASTRO VALLEY COMMUNITY. 5997933 8179895 INDEPENDENT LIVING:BAYWOOD COURT PROVIDES 170 SENIOR INDEPENDENT LIVING UNITS WITH A WIDE RANGE OF SOCIAL ACTIVITIES DESIGNED TO KEEP SENIORS ENGAGED. 2750236 35112 3386138 ASSISTED LIVING:BAYWOOD COURT HAS 49 ASSISTED LIVING UNITS THAT PROVIDE A GREATER LEVEL OF CARE FOR SENIORS THAT REQUIRE ADDITIONAL ASSISTANCE. 15934095 1 0 0 0 0 0 0 0 0 1 1 0 0 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 1 0 0 0 1 52 0 1 309 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X LISA RAY 5107332404 21966 DOLORES STREET CASTRO VALLEY CA 94546 BRUCE D JOHNSON CHAIR 2.00 X X 0 0 0 KATHY RATTO VICE CHAIR 2.00 X X 0 0 0 BRUCE BARNES TREASURER 2.00 X X 0 0 0 VIRGINIA ALLERTON SECRETARY 2.00 X X 0 0 0 NANCY DYAR BOARD MEMBER 2.00 X 0 0 0 DEV MAHADEVAN BOARD MEMBER 2.00 X 0 0 0 MIKE MAHONEY BOARD MEMBER (THRU 10/2019) 2.00 X 0 0 0 FRANCISCO C RICO BOARD MEMBER 2.00 X 0 0 0 ELKE SOMMER BOARD MEMBER 2.00 X 0 0 0 BRUCE UDELF CEO (THRU 1/2020) 40.00 X 180140 0 12863 SHEILA DELAVEGA DIRECTOR OF NURSING 40.00 X 119105 0 7061 JODY HOLDSWORTH MARKETING DIRECTOR 40.00 X 107849 0 14816 407094 0 34740 3 0 1 0 REHABCARE PO BOX 4503534 ST LOUIS MO 63150 THERAPY 761449 PHARMERICA PO BOX 409251 ATLANTA GA 30384 PHARMACY 279001 RICA CONSTRUCTION 3252 ROWE PLACE FREMONT CA 94536 CONTRACTOR 258801 GARY MOISEFF 180 SHAWNEE PASS PORTOLA VALLEY CA 94028 CONSULTANT 146991 FERNANDO DINGLASAN 1811 WELFORD LANE HAYWARD CA 94544 CONTRACTOR 145007 6 12212 12212 BAYWOOD COURT FACILITY 623000 11566030 11566030 HEALTH CENTER 623000 7871981 7871981 19438011 428049 428049 1295517 1275256 131694 20261 -131694 -111433 -111433 48168 35791 12377 12377 BEAUTY SHOP RENTAL 900099 9542 9542 9542 19788758 19438011 0 338535 35112 35112 193003 193003 7916510 7916510 205573 205573 1416150 1416150 601954 601954 18546 18546 53400 53400 108054 108054 874358 874358 126664 126664 902904 902904 341022 341022 674209 674209 544177 544177 1298002 1298002 150723 150723 HEALTH CENTER ANCILLARI 1264861 1264861 FOOD SERVICES 1111023 1111023 BOND FINANCING FEES 178980 178980 PROVISION FOR BAD DEBT 120029 120029 25801 25801 18161055 15934095 2226960 0 1250 1250 2178621 1816678 902080 1015834 20365 24895 209296 243158 36709989 26833295 9173328 9876694 18710014 19951626 2400078 2225090 33595032 35155225 1164354 1320886 15066694 14221707 794191 801186 17025239 16343779 X 16520688 18758729 49105 52717 16569793 18811446 33595032 35155225 1627703 613950 0 X 0 1 X 1 0 X X 1 EDEN TOWNSHIP HEALTHCARE DISTRICT 946003788 6 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART I, LINE 12A EDEN TOWNSHIP HOSPITAL DISTRICT (ETHD) HAS NO POWER OR AUTHORITY TO APPOINT OR ELECT A MAJORITY OF THE DIRECTORS OR TRUSTEES OF THE BAYWOOD COURT. HOWEVER, UNDER THE ARTICLES OF INCORPORATION, ETHD DOES HAVE POWER TO DISSOLVE BAYWOOD AND RECEIVE ITS ASSETS SHOULD THE BOARD OF DIRECTORS OF ETHD DETERMINE THAT THIS CORPORATION IS NO LONGER OPERATING FOR THE BENEFIT OF, PERFORMING FUNCTIONS OF OR CARRYING OUT THE PURPOSES OF ETHD. SCHEDULE A, PART IV, SECTION B, LINE 1 EDEN TOWNSHIP HOSPITAL DISTRICT (ETHD) HAS NO POWER OR AUTHORITY TO APPOINT OR ELECT A MAJORITY OF THE DIRECTORS OR TRUSTEES OF THE BAYWOOD COURT. HOWEVER, UNDER THE ARTICLES OF INCORPORATION, ETHD DOES HAVE POWER TO DISSOLVE BAYWOOD AND RECEIVE ITS ASSETS SHOULD THE BOARD OF DIRECTORS OF ETHD DETERMINE THAT THIS CORPORATION IS NO LONGER OPERATING FOR THE BENEFIT OF, PERFORMING FUNCTIONS OF OR CARRYING OUT THE PURPOSES OF ETHD. 26475 26475 26475 26475 26475 56 56 26475 26475 26475 26475 174 174 26475 1.00000 0 0 2227540 2227540 16403056 14003241 2399815 18079393 12830054 5249339 9876694 ACCRUED INVESTMENT INTEREST 77309 DEFERRED FINANCING COSTS 2147781 2225090 TENANT DEPOSITS 801186 801186 19536385 613950 613950 18922435 108054 758269 866323 19788758 17294732 0 17294732 108054 758269 866323 18161055 PART V, LINE 4: PROVIDE GRANTS FOR RESIDENT HARDSHIP IN MEETING RENT OBLIGATIONS. RESIDENTS THAT HAVE LIVED AT BAYWOOD LONGER THAN FIVE YEARS CAN APPLY AND, IF THEY MEET THE FINANCIAL CRITERIA THAT PROVES A HARDSHIP, A GRANT WILL BE CONSIDERED. PART XI, LINE 4B - OTHER ADJUSTMENTS: BOND INTEREST EXPENSE 544,177. BOND FINANCING FEE 178,980. HOUSING DISCOUNT 35,112. PART XII, LINE 4B - OTHER ADJUSTMENTS: BOND INTEREST EXPENSE 544,177. BOND FINANCING FEE 178,980. HOUSING DISCOUNT 35,112. 1 HOUSING DISCOUNT 2 35112 FMV PART I, LINE 2: A RESIDENT APPLIES FOR FINANCIAL AID BY FILLING OUT THE AID FORM AND IDENTIFYING ASSETS AND INCOME. THE COMMITTEE CONSISTING OF A BOARD MEMBER AND THE EXECUTIVE DIRECTOR REVIEW THE ANONYMOUS AID FORM REQUESTS AND CALCULATES THE AMOUNT OF FINANCIAL AID THE RESIDENT QUALIFIES FOR INDEPENDENT LIVING AND ASSISTED LIVING RESIDENTS THAT HAVE LIVED AT BAYWOOD COURT FOR 5 YEARS OR LONGER ARE ELIGIBLE TO APPLY. RESIDENTS MUST APPLY ANNUALLY FOR AID. THE AID IS SUBTRACTED MONTHLY FROM RENT OWED TO BAYWOOD. X 0 0 0 0 0 0 0 0 0 BRUCE UDELF CEO (THRU 1/2020) 168319 0 11821 0 0 0 6675 0 6188 0 193003 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A EDEN TOWNSHIP HEALTHCARE DISTRICT HAS THE POWER TO APPOINT THE CHIEF EXECUTIVE OFFICER OF THE DISTRICT AS AN EX OFFICIO BOARD MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S BYLAWS CANNOT BE CHANGED WITHOUT THE APPROVAL OF THE EDEN TOWNSHIP HEALTHCARE DISTRICT. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD RECEIVES THE DRAFT OF THE 990 VIA EMAIL AND HAS TIME TO RESPOND WITH QUESTIONS/CONCERNS. THEN THE 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS POTENTIAL FINANCIAL OR FIDUCIARY CONFLICTS OF INTEREST CONFRONTING OFFICERS, INCLUDING BOARD MEMBERS, AND EMPLOYEES AND RELATIONSHIPS BETWEEN THE CORPORATION AND OTHER ENTITIES GIVING RISE TO POTENTIAL CONFLICTS. REPORTING ACTUAL OR POTENTIAL CONFLICTS IS TO BE MADE TO THE CORPORATION THROUGH MANAGEMENT OR THE BOARD OF DIRECTORS, AS APPROPRIATE. THE FULL BOARD OR A COMMITTEE EVALUATES BOARD LEVEL CONFLICT SITUATIONS AND SENIOR MANAGEMENT WOULD REVIEW ANY MANAGEMENT LEVEL CONFLICT SITUATIONS. CONFLICTS ARE HANDLED BY REMOVING THE CONFLICTED INDIVIDUAL FROM THE DECISION MAKING PROCESS OR BY NOT PROCEEDING WITH THE TRANSACTION GIVING RISE TO THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD HAS REVIEWED THE SALARY FOR COMPARABLE POSITIONS, DONE A REVIEW OF PERFORMANCE AND ADDRESSED THE BASIC COMPENSATION AND BONUS, BASED ON GOALS SET. THE COMPENSATION WAS LAST REVIEWED JULY 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY REQUEST OF THE EXECUTIVE DIRECTOR. EDEN TOWNSHIP HEALTH CARE DISTRICT 20410 LAKE CHABOT ROAD CASTRO VALLEY CA 94546 946003788 A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA CA 501(C)(3) LINE 6 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0