2019-05-15T17:31:54-05:00 2018-06-30 943158857 RINA ACCOUNTANCY CORPORATION 150 POST STREET SUITE 200 SAN FRANCISCO CA 94108 990 2017-07-01 941312411 CALIFORNIA - NEVADA METHODIST HOMES CALI 5108938989 201 - 19TH STREET SUITE 100 OAKLAND CA 946124117 ROBERT HUBBARD PRESIDENT 5108938989 2019-05-14 1 TRACY TEALE P01290862 4157774488 2019-05-14 209.234.190.250 2019-05-14 19:34:44 PD P 262A5F787B32E309468E8803F52FC996F95AB226 1FAA08A1AF36CC5847F50770D13F0060834FEB6D 2017 2019-02-21 02:37:17Z ROBERT HUBBARD 201 19TH STREET NO 100 OAKLAND CA 94612 20760207 0 X WWW.CNMH.ORG X 1954 CA RETIREMENT AND LONG-TERM HEALTH CARE 11 11 310 0 0 0 27487 63567 19140057 18910429 101757 237931 70968 71485 19340269 19283412 0 0 0 0 10264031 10712040 0 0 0 11236527 11712238 21500558 22424278 -2160289 -3140866 64296473 61292518 74476433 74480024 -10179960 -13187506 X CALIFORNIA-NEVADA METHODIST HOMES IS A NON-PROFIT CHARITABLE CORPORATION WITH A PRIMARY MISSION OF ENHANCING THE WELL-BEING OF SENIORS FOR THE REMAINING YEARS OF THEIR LIVES THROUGH THE CREATION AND ETHICAL ADMINISTRATION OF RESIDENTIAL AND HEALTH CARE FACILITIES IN WHICH THE INDEPENDENCE, DIGNITY, TRADITIONAL VALUES AND INDIVIDUAL RIGHTS OF EACH PERSON ARE HELD IN HIGH REGARD. 0 0 21129760 18910429 THE CORPORATION OPERATED TWO RETIREMENT RESIDENCES THAT PROVIDED ROOM AND BOARD, MEDICAL, PERSONAL, AND HEALTH CARE SERVICES FOR AN AVERAGE OF 275 RESIDENTS DURING THE YEAR ENDED 6/30/18. 21129760 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 92 0 310 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X ROBERT L LEEPER 5108938989 201 19TH ST SUITE 100 OAKLAND CA 946124117 DAVID HOLLEY TRUSTEE 1.00 X 0 0 0 REV PAMELA CUMMINGS TRUSTEE 1.00 X 0 0 0 HERMAN A TRUTNER SECRETARY 1.00 X X 0 0 0 PAUL EXTRUM-FERNANDEZ TRUSTEE 1.00 X 0 0 0 JAMES R WARK TRUSTEE 1.00 X 0 0 0 MARLENE P GETCHELL CHAIR 1.00 X X 0 0 0 REV MARK S BOLLWINKEL TRUSTEE 1.00 X 0 0 0 JAMES C RIEWERTS TRUSTEE 1.00 X 0 0 0 GARETT B CROSS TRUSTEE 1.00 X 0 0 0 REV DALE BAKER TRUSTEE 1.00 X 0 0 0 PAUL S THOMPSON VICE CHAIR 1.00 X X 0 0 0 ROBERT E HUBBARD PRESIDENT & CEO 40.00 X 240103 0 0 ROBERT L LEEPER VP & CFO 40.00 X 129616 0 0 MINDY HAN EMPLOYEE 40.00 X 155389 0 0 LESLIE CURTIS EMPLOYEE 40.00 X 223252 0 0 ROSETTA CHAN EMPLOYEE 40.00 X 124599 0 0 ROGER EWING EMPLOYEE 40.00 X 157016 0 0 ANNMARIE CHARLES EMPLOYEE 40.00 X 151440 0 0 PAMELA MILLS EMPLOYEE 40.00 X 145927 0 0 ROBERTA GODDEN EMPLOYEE 40.00 X 118757 0 0 1446099 0 0 9 0 1 0 PHARMERICA PO BOX 409251 ATLANTA GA 30384 PHARMACY SERVICES 109450 1 63567 63567 RESIDENT CARE FEES 623990 10856307 10856307 PATIENT FEES 623000 5200317 5200317 AMORTIZATION OF ENTRANCE SUBSCRIP 623000 2684137 2684137 OTHER 623000 169668 169668 18910429 99382 99382 108332 36847 71485 71485 71485 1578497 1439948 138549 138549 138549 19283412 18910429 0 309416 369719 222386 147333 8143670 7629427 514243 344970 321210 23760 1210216 1146398 63818 643465 602764 40701 2103366 2083496 19870 510842 225261 285581 78207 72065 6142 71582 66782 4800 753951 753280 671 252164 188177 63987 1075138 1060085 15053 48008 44433 3575 1276653 1276653 2578412 2548576 29836 292599 292599 OTHER PURCHASED SERVICE 355147 336411 18736 MEDICAL CARE 253112 253112 MAINTENANCE & OPERATION 250126 218724 31402 SECURITY 246335 245115 1220 1566596 1542806 23790 22424278 21129760 1294518 0 417648 1003464 588132 544542 306920 299947 88822373 39361429 50836428 49460944 8981539 6960659 3165806 3022962 64296473 61292518 3019996 3616115 36417944 34975712 319444 848483 34719049 35039714 74476433 74480024 X -10222186 -13212469 42226 24963 -10179960 -13187506 64296473 61292518 X -3140866 133870 -550 X 0 1 X 1 0 X 92812 289339 23866 27487 63017 496521 18425557 19201846 18680239 19020189 18714218 94042049 18518369 19491185 18704105 19047676 18777235 94538570 0 0 0 94538570 126478 128110 125753 89273 99382 568996 126478 128110 125753 89273 99382 568996 18644847 19619295 18829858 19136949 18876617 95107566 0.99400 0.99360 0.00600 0.00640 X 834624 834624 81805429 35101974 46703455 337637 212151 125486 5844683 4047304 1797379 49460944 DEFERRED COMPENSATION 110129 ENTRANCE DEPOSITS 254015 UNAMORTIZED ENTRANCE SUBSCRIPTIONS 34518945 OTHER LIABILITIES 156625 35039714 19453579 133870 -550 133320 19320259 -36847 -36847 19283412 22461125 36847 36847 22424278 0 22424278 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN PRESENT VALUE OF CHARITABLE REMAINDER TRUST -550. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -36,847. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 36,847. 0 FINANCIAL HOUSING ASSISTANCE 352365 FMV DISCOUNT OF FEES DUE X X X X 0 0 0 0 0 0 0 0 0 ROBERT E HUBBARD PRESIDENT & CEO 240103 0 0 0 0 0 0 0 0 0 240103 0 0 0 MINDY HAN EMPLOYEE 155389 0 0 0 0 0 0 0 0 0 155389 0 0 0 LESLIE CURTIS EMPLOYEE 223252 0 0 0 0 0 0 0 0 0 223252 0 0 0 ROGER EWING EMPLOYEE 157016 0 0 0 0 0 0 0 0 0 157016 0 0 0 ANNMARIE CHARLES EMPLOYEE 151440 0 0 0 0 0 0 0 0 0 151440 0 0 0 A CALIFORNIA NEVADA METHODIST HOMES 2015-10-01 32920000 CONSTRUCTION OF FACILITIES AT FOREST HILL MANOR & LAKE PARK 0 1 0 A 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11B YES, A COPY OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE FOR REVIEW AND RECOMMENDATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION CHECKS ANNUALLY WITH TRUSTEES REGARDING CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES HAS A COMPENSATION COMMITTEE, RESPONSIBLE FOR REVIEWING AND SETTING EXECUTIVE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN PRESENT VALUE OF CHARITABLE REMAINDER TRUST -550.