2019-03-28T14:22:33-05:00 2018-09-30 330835986 SQUAR MILNER LLP 135 MAIN STREET 9TH FLOOR SAN FRANCISCO CA 941051815 990 2017-10-01 941156461 ALDERSLY ALDE 4154537425 326 MISSION AVENUE SAN RAFAEL CA 949013484 GILBERT CARRASCO EXEC. DIRECTOR 4154537425 2019-03-25 1 DEBORAH KAMINSKI P00645581 4157812500 207.38.18.164 2019-03-25 09:51:28 PD P 6036B04D9C6BEFB66C998240E7E64E5C4D3E23EB 6036B04D9C6BEFB66C998240E7E64E5C4D3E23EB 2017 2019-02-21 02:37:17Z GILBERT CARRASCO 326 MISSION AVENUE SAN RAFAEL CA 949013484 20068688 0 X WWW.ALDERSLY.COM X 1921 CA PROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS. 9 9 118 70 0 0 22772 42370 8141074 7778697 1513929 1575917 153719 536502 9831494 9933486 0 0 0 0 4093956 4368092 52105 52105 48526 5020476 5051431 9166537 9471628 664957 461858 37024599 36070429 15545484 13782517 21479115 22287912 PROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS. 0 0 6552648 7778697 MAINTAINED RESIDENTIAL HEALTH CARE FACILITIES FOR SENIOR CITIZENS WHO HAVE ENTERED INTO A CONTINUING CARE AND LODGING AGREEMENT; MAINTAINED NURSING SERVICES HEALTH CARE/ASSISTED LIVING. APPROXIMATELY 100 SENIORS WERE SERVED. 6552648 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 63 0 1 118 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X GILBERT CARRASCO 4154537425 326 MISSION AVENUE SAN RAFAEL CA 94901 PETER SCHAKOW PRESIDENT 10.00 X X 0 0 0 ALBERT BORO SENIOR VICE PRESIDENT 10.00 X X 0 0 0 CYR MILLER SECOND VICE PRESIDENT 10.00 X X 0 0 0 GRANT HELLAR SECRETARY/TREASURER 8.00 X X 0 0 0 DAVID TORP FIRST VICE PRESIDENT 8.00 X X 0 0 0 TORBEN O BJORN DIRECTOR 8.00 X 0 0 0 HERDIS VOGL DIRECTOR 8.00 X 0 0 0 ROBERT WILHELM DIRECTOR 8.00 X 0 0 0 JEPPE LARSEN DIRECTOR 8.00 X 0 0 0 GILBERT CARRASCO EXECUTIVE DIRECTOR 40.00 X 231547 0 19052 231547 0 19052 1 0 1 0 LIFE CARE SERVICE 400 LOCUST STREET STE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 786234 SODEXHO INC & AFFILIATES DEPT 880328 LOS ANGELES CA 90088 DIETARY MANAGEMENT/SUPPLIES 775617 THE POLARIS GROUP POBOX 95265 GRAPEVINE TX 760999752 CLINIC SUPPORT FOR HEALTH CENTER 226044 AC ENTERPRISES 21965 MEEKLAND AVE HAYWARD CA 94541 CONSTRUCTION SERVICES 166189 REHABCARE GROUP INC POBOX 277365 ATLANTA GA 30384 REHAB CLINICAL SERVICES 129938 5 22066 20304 20304 42370 RESIDENT CARE FEES 623000 2780031 2780031 ASSISTED LIVING FEES 623000 2228950 2228950 HEALTH CARE CENTER FEES 623000 1967934 1967934 ENTRANCE FEES AMORTIZATION 623000 801782 801782 7778697 540594 540594 537488 0 537488 537488 537488 11166831 9794208 337300 1372623 -337300 1035323 1035323 115 22066 3694 -3579 -3579 MISCELLANEOUS REVENUE 900099 2593 2593 2593 9933486 7778697 0 2112419 X 250599 221917 28682 3206166 2847984 358182 39923 34122 5801 606792 540369 66423 264612 235174 29438 295999 295999 58222 58222 49341 49341 52105 52105 119328 119328 1243541 637788 605753 229124 229124 373756 232665 141091 9820 9820 396781 278281 118500 33378 1336 32042 315452 315452 868167 526119 342048 CATERING & FOOD 439230 439230 MAINTENANCE & REPAIRS 324419 287788 36631 THERAPY & DRUGS 166921 166921 ACTIVITIES 82244 82244 45708 20710 28577 -3579 9471628 6552648 2870454 48526 702804 717218 661992 240803 250511 219569 252344 326472 21870238 12334527 9603816 9535711 19884944 21403803 1028387 514997 4639801 3111856 37024599 36070429 890120 963864 6010032 5858911 8645332 6959742 15545484 13782517 X 21396151 22204776 82964 83136 21479115 22287912 37024599 36070429 X 461858 367243 -20304 X X 0 1 X 1 0 X 850522 98424 66781 22772 22066 1060565 7903792 8137408 7997207 8311090 8316185 40665682 8754314 8235832 8063988 8333862 8338251 41726247 800000 800000 0 800000 800000 40926247 441147 527707 614662 543717 540594 2667827 441147 527707 614662 543717 540594 2667827 -64645 97612 2593 35560 9130816 8763539 8776262 8877579 8881438 44429634 0.92110 0.90230 0.06000 0.05690 X 7358156 859634 8217790 6541213 4000 812943 7358156 5461252 575955 504006 6541213 5242133 234865 -15745 5461253 4732894 6272 502967 5242133 1.00000 0 0 232822 232822 15615816 8831099 6784717 3522725 1633066 1889659 1810346 1344352 465994 688529 526010 162519 9535711 CONSTRUCTION IN PROGRESS 82516 INTEREST AND DIVIDENDS RECEIVABLE 2343 OTHER ASSETS 5582 INVESTMENTS IN RESIDENTIAL REAL ESTATE 1792793 ASSETS WHOSE USE IS LIMITED OR RESTRICTED 1228622 3111856 DEPOSITS LIABILITY 37109 UNEARNED PORTION OF ACCOMMODATION FEES - REFUNDABLE 1696238 UNEARNED PORTION OF ACCOMMODATION FEES - NON-REFUNDABLE 2340132 GUARANTEED REFUNDS 2300473 UNEARNED VENDOR CREDIT 12011 BOND PREMIUM 573779 6959742 X 10164676 367243 3579 370822 9793854 119328 20304 139632 9933486 9355879 3579 3579 9352300 119328 119328 9471628 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: ALDERSLY 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 $800 MINIMUM TAX. 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 3,579. PART XI, LINE 4B - OTHER ADJUSTMENTS: DONATED EQUIPMENT FROM VENDOR 20,304. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 3,579. 1 JEFFREY LEIDALL 12 SANTA FE AVENUE POINT RICHMOND CA 94801 FUNDRAISING AND DONOR DEVELOPMENT 0 0 52105 -52105 52105 -52105 ALDERSLY SPEC'L EVENTS 22181 22066 115 3009 685 22181 22066 115 3009 685 3694 -3579 0 0 0 0 0 0 0 0 0 GILBERT CARRASCO EXECUTIVE DIRECTOR 161782 0 22190 0 47575 0 13902 0 5150 0 250599 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 IN PART VII-B INCLUDE THE EXECUTIVE DIRECTOR'S COMPENSATION. A CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SGG3 2015-02-24 7095830 TO REFINANCE THE 2002 BONDS AND RETAIN EMPLOYMENT AT THE EXISTING FACILITIES 0 0 0 A 205000 7095830 468625 127200 53581 1843991 2040 0 0 0 1 A 0 0 0 0 0 0 1 A 1 0 0 0 0 0 A 1 GILBERT CARRASCO EXECUTIVE DIRECTOR (EMPLOYEE OF LIFE CARE SERVICES) 250599 LIFE CARE SERVICES, 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 LIFE CARE SERVICES. PAYMENTS TO LIFE CARE SERVICES REPORTED IN PART VII-B INCLUDE THE EXECUTIVE DIRECTOR'S COMPENSATION. 0 FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES IS THE MANAGEMENT COMPANY CHOSEN BY THE BOARD OF DIRECTORS TO MANAGE THE COMMUNITY. 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 IX, LINE 11G CONTRACT SERVICES : PROGRAM SERVICE EXPENSES 14,535. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,535. FOOD SERVICE CONTRACT : PROGRAM SERVICE EXPENSES 258,479. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 258,479. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 86,788. MANAGEMENT AND GENERAL EXPENSES 68,384. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 155,172. RECRUITING: PROGRAM SERVICE EXPENSES 26,562. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,562. TEMPORARY STAFFING : PROGRAM SERVICE EXPENSES 23,678. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,678. CONSULTANTS : PROGRAM SERVICE EXPENSES 15,191. MANAGEMENT AND GENERAL EXPENSES 14,208. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,399. MASTER PLAN CONSULTING : PROGRAM SERVICE EXPENSES 212,555. MANAGEMENT AND GENERAL EXPENSES 143,577. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 356,132. CONTRACT PERSONNEL (LCS): PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 363,726. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 363,726. EMPLOYEE RELATED EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,858. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,858. FORM 990, PART XI, LINE 9: DONATED EQUIPMENT FROM VENDOR -20,304. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. HCANDERSEN PROPERTIES LLC 326 MISSION AVE SAN RAFAEL CA 94901 941156461 REAL ESTATE HOLDINGS CA 80406 2153863 ALDERSLY