2019-05-14T13:29:34-05:00 2018-06-30 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2017-07-01 943101464 ON LOK INC ONLO 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 GARY P CAMPANELLA CFO 4152928888 2019-05-10 1 KATY BROWN P00650274 9257902600 2019-05-10 38.111.205.16 2019-05-10 17:00:30 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1BF88008A19D766D41DA0E3F00E89E8C5C027F9E 2017 2019-02-21 02:37:17Z GRACE LI HARPER 1333 BUSH STREET SAN FRANCISCO CA 94109 42311109 0 X WWW.ONLOK.ORG X 1989 CA DEVELOP & SUPPORT HEALTH CARE MODELS FOR THE WELL-BEING AND DIGNITY OF ELDERLY & CHRONICALLY ILL. 14 13 81 4 -742303 -742303 425863 361440 9102735 10785953 305618 463441 -1056367 -666255 8777849 10944579 401635 2113191 0 0 6632893 8485536 0 0 921960 3644821 3355548 10679349 13954275 -1901500 -3009696 16521682 17682926 1172936 1752919 15348746 15930007 DEVELOP & SUPPORT HEALTH CARE MODELS FOR THE WELL-BEING AND DIGNITY OF ELDERLY & CHRONICALLY ILL. 0 0 10889760 2113191 10694449 PROVIDE VARIOUS MANAGEMENT SUPPORT SERVICES (SUCH AS EXECUTIVE OVERSIGHT, STRATEGIC PLANNING, FINANCIAL MANAGEMENT AND ACCOUNTING, HUMAN RESOURCES MANAGEMENT, INFORMATION SYSTEMS, FUNDRAISING) TO AFFILIATED 501(C)(3) NONPROFIT ORGANIZATIONS, WHICH PROVIDE HOUSING AND COMPREHENSIVE HEALTH CARE TO THE FRAIL ELDERLY AND OTHER SERVICES TO INDIVIDUALS AGE 60 AND OLDER. 155358 91504 PROVIDE TECHNICAL ASSISTANCE AND ADMINISTRATIVE SUPPORT SERVICES TO ORGANIZATIONS DEVELOPING OR OPERATING A PACE PROGRAM (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY). 11045118 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 82 0 1 81 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X GARY P CAMPANELLA 4152928888 1333 BUSH STREET SAN FRANCISCO CA 94109 WELLMAN TSANG MD CHAIR 2.00 2.00 X X 0 0 0 IRENE RILEY VICE CHAIR 2.00 X X 0 0 0 JOHN JENKS TREASURER 2.00 2.00 X X 0 0 0 WILLIAM LOCK SECRETARY 2.00 X X 0 0 0 JOSEPH BARBACCIA MD DIRECTOR 1.00 1.00 X 0 0 0 GREGORY CHUN DIRECTOR 1.00 1.00 X 0 0 0 ELIZABETH FERGUSON DIRECTOR 1.00 2.50 X 0 0 0 ERIC HARRISON DIRECTOR 1.00 0.50 X 0 0 0 KEVIN GERBER DIRECTOR 1.00 1.00 X 0 0 0 ALINA LAGUNA DIRECTOR 1.00 1.00 X 0 0 0 CANDY RUPP DIRECTOR 1.00 3.00 X 0 0 0 SHARON YOW DIRECTOR 1.00 2.50 X 0 0 0 DARLENE MAR EX-OFFICIO DIRECTOR 1.00 X 0 0 0 CYNTHIA YE EX-OFFICIO DIRECTOR (THUR 12/17) 1.00 X 0 0 0 GRACE LI HARPER CEO, ON LOK INC. 40.00 9.00 X X 477726 0 16462 GARY P CAMPANELLA CFO 40.00 X 309584 0 20262 JAY S LUXENBERG CHIEF MEDICAL OFFICER 20.00 20.00 X 0 307045 16299 NEIL B WRIGHT CIO 40.00 X 232162 0 15499 JOY A MOORE CHIEF HUMAN RESOURCES OFFC 40.00 X 211037 0 11508 JOHN B BLAZEK CHIEF DEVELOPMENT OFFICER 40.00 X 209285 0 2600 DIANA C YIN SNR DIR STRATEGIC PLAN 40.00 X 169538 0 0 MICHELE C FORGE CONTROLLER 40.00 X 153273 0 16308 ROBERT T JENKINS DIR FIN PLAN & BUS ANALY 40.00 X 150387 0 19047 IAN N KENNEDY DIR INFRA ENG & ARCH 40.00 X 152800 0 4584 BRIDGET A WILSON ASSISTANT CONTROLLER 40.00 X 145400 0 11214 2211192 307045 133783 18 0 1 0 ACS US INC 15461 SPRINGDALE STREET HUNTINGTON BEACH CA 92649 CONTRACT SERVICE 181231 AJILON PROFESSIONAL STAFFING DEPT CH 14031 PALATINE IL 60055 CONTRACT SERVICE 175569 LANDIS COMMUNICATIONS 1388 SUTTER ST SUITE 901 SAN FRANCISCO CA 94109 CONTRACT SERVICE 174240 MAINLINE INFORMATION PO BOX 11407 DEPT 1659 BIRMINGHAM AL 35246 CONTRACT SERVICE 110071 4 101572 259868 361440 MGMT SUPPORT CONTRACT 561000 10635704 10635704 TECHNICAL ASSISTANCE 541900 91504 91504 OTHER PROGRAM REVENUE 900099 58745 58745 10785953 183538 183538 31185352 247482 30898702 254229 286650 -6747 279903 279903 289647 101572 213599 76048 76048 S-CORP INCOME 621610 -742303 -742303 -742303 10944579 10785953 -742303 539489 2113191 2113191 1506125 800053 494187 211885 5530702 4662064 471329 397309 141124 109876 23000 8248 825917 329600 451292 45025 481668 379931 46656 55081 1103900 998934 99878 5088 106113 43384 62729 14577 14577 44970 44970 1104722 992213 48564 63945 108307 68413 30714 9180 443457 407540 34482 1435 81009 3460 77549 OTHER EXPENSES 348493 121882 101847 124764 13954275 11045118 1987197 921960 830720 882179 25214 36680 4441373 2925454 366246 715825 2943202 1152318 1553829 1790884 7750960 8113564 1553340 3218340 16521682 17682926 1161436 1637180 11500 5025 0 110714 1172936 1752919 X 15321857 15810007 6889 100000 20000 20000 15348746 15930007 16521682 17682926 X -3009696 -75298 3666255 X X 0 1 X 1 0 X 363544 382366 566992 425863 361440 2100205 363544 382366 566992 425863 361440 2100205 17421 2082784 78718 223991 220232 181267 183538 887746 289647 289647 3277598 41013091 0.63550 0.60440 X 20175 804 20979 20073 102 20175 20016 57 20073 20000 16 20016 1.00000 0 0 52606 50427 2179 2483479 1077971 1405508 407117 23920 383197 1790884 INVESTMENT IN CARE AT HOME 3218340 F 3218340 PAYABLE TO OLDS 110714 110714 X 11535536 -75298 -75298 11610834 -666255 -666255 10944579 13954275 0 13954275 0 13954275 PART V, LINE 4: ENDOWMENT FUNDS ARE INTENDED TO GENERATE INVESTMENT INCOME TO BE USED FOR OPERATING SUPPORT, ACCORDING TO THE BOARD'S DISCRETION. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) SUBSECTION (C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE WHEREBY ONLY UNRELATED BUSINESS INCOME, AS DEFINED BY SECTION 512(A)(1) OF THE INTERNAL REVENUE CODE AND SIMILAR CODE SECTIONS OF THE CALIFORNIA REVENUE AND TAXATION CODE IS SUBJECT TO INCOME TAX. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED FOR IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION IS REQUIRED TO FILE ANNUAL INFORMATIONAL RETURNS WITH THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD. MANAGEMENT HAS EVALUATED ITS CURRENT TAX POSITION AND HAS CONCLUDED AS OF JUNE 30, 2018, THE ORGANIZATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY. THE TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES GENERALLY FOR THREE YEARS AND FOUR YEARS FOR FEDERAL AND STATE, RESPECTIVELY, STARTING WITH THE DATE OF FILING OR THE DUE DATE OF THE TAX RETURN, WHICHEVER IS LATER. PART XI, LINE 4B - OTHER ADJUSTMENTS: NET ACTIVITY FROM FUNDRAISING 76,048. S-CORP PASSTHROUGH LOSS -742,303. GALA 2018 343356 97802 245554 23380 84638 50670 36762 FRIENDS OF ON LOK 47863 3770 44093 1700 8632 450 7367 391219 101572 289647 1700 23380 93270 51120 44129 213599 76048 0 ON LOK DAY SERVICES 1333 BUSH STREET SAN FRANCISCO CA 94109 943101292 501(C)(3) 2098463 GENERAL PROGRAM SUPPORT 1 0 X X X 0 0 0 0 0 0 0 0 0 GRACE LI HARPER CEO, ON LOK INC. 477726 0 0 0 0 0 8100 0 8362 0 494188 0 0 0 GARY P CAMPANELLA CFO 309584 0 0 0 0 0 5983 0 14279 0 329846 0 0 0 JAY S LUXENBERG CHIEF MEDICAL OFFICER 0 307045 0 0 0 0 0 8100 0 8199 0 323344 0 0 NEIL B WRIGHT CIO 232162 0 0 0 0 0 7168 0 8331 0 247661 0 0 0 JOY A MOORE CHIEF HUMAN RESOURCES OFFC 211037 0 0 0 0 0 3424 0 8084 0 222545 0 0 0 JOHN B BLAZEK CHIEF DEVELOPMENT OFFICER 209285 0 0 0 0 0 2012 0 588 0 211885 0 0 0 DIANA C YIN SNR DIR STRATEGIC PLAN 169538 0 0 0 0 0 0 0 0 0 169538 0 0 0 MICHELE C FORGE CONTROLLER 153273 0 0 0 0 0 4698 0 11610 0 169581 0 0 0 ROBERT T JENKINS DIR FIN PLAN & BUS ANALY 150387 0 0 0 0 0 4663 0 14384 0 169434 0 0 0 IAN N KENNEDY DIR INFRA ENG & ARCH 152800 0 0 0 0 0 4584 0 0 0 157384 0 0 0 BRIDGET A WILSON ASSISTANT CONTROLLER 145400 0 0 0 0 0 3130 0 8084 0 156614 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990 HAS BEEN DELEGATED TO THE CHIEF FINANCIAL OFFICER OF ON LOK, INC. AFTER REVIEW AND APPROVAL, THE 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO DIRECTORS, OFFICERS AND SENIOR MANAGEMENT, ALONG WITH ANNUAL DISCLOSURE OF CONFLICT OF INTEREST FORMS WHICH ARE REQUIRED TO BE COMPLETED, SIGNED AND RETURNED TO THE COMPLIANCE OFFICER EACH YEAR. THESE FORMS ARE REVIEWED CAREFULLY BY THE COMPLIANCE OFFICER AND THE CHIEF EXECUTIVE OFFICER SO THAT ANY POTENTIAL CONFLICTS ARE HANDLED APPROPRIATELY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE DETERMINES THE COMPENSATION OF THE CEO AND CFO OF THE ORGANIZATION, BASED ON COMPARABILITY DATA PROVIDED BY A FIRM SPECIALIZING IN COMPENSATION. IN ADDITION TO THE BASE COMPENSATION, THE EXECUTIVE COMMITTEE MAY ALSO ESTABLISH INCENTIVE COMPENSATION AT A PRE-DETERMINED LEVEL BASED ON SPECIFIC GOALS TO BE ACHIEVED BY YEAR-END. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER FROM RELATED ORGANIZATION 3,000,000. S-CORP PASSTHROUGH INCOME NOT RECORDED IN FINANCIAL STATEMENTS 742,303. NET FUNDRAISING ACTIVITY NOT RECORDED IN SEPARATE FINANCIAL STATEMENTS -76,048. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. ON LOK SENIOR HEALTH SERVICES 1333 BUSH STREET SAN FRANCISCO CA 94109 942162549 MEDICAL & SUPPORTIVE CARE FOR FRAIL ELDERLY CA 501(C)(3) LINE 10 ON LOK INC 1 ON LOK DAY SERVICES 1333 BUSH STREET SAN FRANCISCO CA 94109 943101292 VARIOUS SERVICES FOR SENIORS CA 501(C)(3) LINE 10 ON LOK INC 1 ON LOK COMMUNITY HOUSING INC 1333 BUSH STREET SAN FRANCISCO CA 94109 943053383 HOUSING FOR LOW-INCOME SENIORS CA 501(C)(3) LINE 10 ON LOK INC 1 ON LOK HOUSE 1333 BUSH STREET SAN FRANCISCO CA 94109 942326678 HOUSING FOR LOW-INCOME FRAIL ELDERLY CA 501(C)(3) LINE 7 ON LOK INC 1 CARE AT HOME INC 1333 BUSH STREET SAN FRANCISCO CA 94109 770578465 ASSIST WITH ADULT AND PEDIATRIC CARE WITHIN THE PATIENT'S HOME CA ON LOK INC S -584864 806816 1.00000 1 0 1 1 1 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 ON LOK DAY SERVICES B 2098463 CASH ON LOK SENIOR HEALTH SERVICES C 3000000 CASH CARE AT HOME D 120000 CASH ON LOK COMMUNITY HOUSING INC K 137283 CASH ON LOK SENIOR HEALTH SERVICES K 222080 CASH CARE AT HOME L 148867 CASH ON LOK COMMUNITY HOUSING INC L 191631 CASH ON LOK DAY SERVICES L 213554 CASH ON LOK SENIOR HEALTH SERVICES L 10045160 CASH ON LOK COMMUNITY HOUSING INC M 37091 CASH ON LOK SENIOR HEALTH SERVICES M 32983 CASH ON LOK HOUSING O 86516 CASH