2019-07-15T17:07:19-05:00 2018-08-31 330690020 LAVINE LOFGREN MORRIS & ENGELBERG LLP 4180 LA JOLLA VILLAGE DR STE 300 LA JOLLA CA 92037 990 2017-09-01 330853316 COMMUNITY ELDERCARE OF SAN DIEGO COMM 6192396900 328 MAPLE STREET SAN DIEGO CA 92103 CHERYL WILSON CEO 6192396900 2019-07-11 1 ROBERT E LOFGREN P00647580 8584551200 24.43.33.117 2019-07-11 08:19:41 PD P D45572A5985A79A1643719D49D9060D5983EBE45 6CFD80EB4E1E316B272423E746AA006C3548E544 2017 2019-02-21 02:37:17Z ST PAUL'S PACE CHERYL WILSON 328 MAPLE STREET SAN DIEGO CA 92103 75596952 0 X WWW.STPAULSPACE.ORG X 1999 CA TO BE THE LEADER IN PROVIDING ALL-INCLUSIVE INNOVATIVE SOLUTIONS TO THE HEALTH AND SOCIAL SERVICE NEEDS OF SAN DIEGO'S ELDERLY. 10 10 187 10 0 131605 128037 1807678 52508146 66885610 32569 155223 0 38428 52668752 68886939 0 0 0 0 8278431 10554838 0 0 0 31720843 39345067 39999274 49899905 12669478 18987034 38737184 52451628 5456303 9217116 33280881 43234512 TO BE THE LEADER IN PROVIDING ALL-INCLUSIVE INNOVATIVE SOLUTIONS TO THE HEALTH AND SOCIAL SERVICE NEEDS OF SAN DIEGO'S ELDERLY. 0 0 44506162 66924038 OPERATES A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY ("PACE") IN SAN DIEGO. THE PACE PROGRAM PROVIDES COORDINATED MEDICAL AND SOCIAL SERVICES TO THOSE AGE 55 AND OLDER WHO WISH TO CONTINUE LIVING IN THEIR OWN HOME OR COMMUNITY ENVIRONMENT. THE PACE PROGRAM PROVIDES INDIVIDUALIZED QUALITY CARE BY A TEAM OF GERIATRIC CARE PROFESSIONALS WHO, TOGETHER WITH PARTICIPANTS AND CAREGIVERS, ADDRESS EACH INDIVIDUAL'S SPECIFIC NEEDS. 44506162 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 234 0 187 1 1 1 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X X ORGANIZATION 6192396900 328 MAPLE STREET SAN DIEGO CA 92103 LAURY GRAVES CHAIR 2.00 0.00 X X 0 0 0 JANE FLAHERTY VICE CHAIR 2.00 0.00 X X 0 0 0 BILL MCCOLL TREASURER 2.00 0.00 X X 0 0 0 MIKE MATALON ASSISTANT SECRETARY 2.00 0.00 X X 0 0 0 RANDY TRUAX PAST BOARD CHAIR 1.00 0.00 X 0 0 0 SUSIE STONE HAYES DIRECTOR 1.00 0.00 X 0 0 0 DAN LARSEN DIRECTOR 1.00 0.00 X 0 0 0 JERRY RINDONE DIRECTOR 1.00 0.00 X 0 0 0 JASON SATTERLY DIRECTOR 1.00 0.00 X 0 0 0 RUSS VUICH DIRECTOR 1.00 0.00 X 0 0 0 CHERYL WILSON CEO & SECRETARY 42.00 18.00 X X 0 325093 37255 ROBIN JENSEN CFO 36.00 14.00 X 0 195555 15479 TIM FRAZIER CAO 42.00 8.00 X 0 165385 16090 ELLEN SCHMEDING COO 10.00 40.00 X 0 126091 4352 CAROL HUBBARD EXECUTIVE DIRECTOR 50.00 0.00 X 163822 0 19160 VICTOR LEE PHYSICIAN 40.00 0.00 X 327349 0 31688 ANDREW PHOON PHYSICIAN 40.00 0.00 X 282136 0 27910 JAMIE PORTS PHYSICIAN ASSISTANT 40.00 0.00 X 120091 0 8883 RICARDO ROMERO PHYSICIAN 40.00 0.00 X 284181 0 23319 MARK WOODRUFF CENTER DIRECTOR 40.00 0.00 X 117717 0 9002 1295296 812124 193138 8 0 1 0 ST PAUL'S EPISCOPAL HOME INC 328 MAPLE STREET SAN DIEGO CA 92103 MANAGEMENT AND PROGRAM 3668934 SCRIPPS HEALTH 4275 CAMPUS POINT CT SAN DIEGO CA 921211513 MEDICAL & HEALTH 2733793 SECURE TRANSPORTATION 434 E BROADWAY LONG BEACH CA 90802 TRANSPORTATION 2430503 GENESIS ELDERCARE REHABILITATION SERVICE PO BOX 821322 PHILADELPHIA PA 191821322 MEDICAL & HEALTH 1607588 GRANITE HILLS SENIOR LIVING INC 768 DOROTHY ST EL CAJON CA 92019 MEDICAL & HEALTH 678841 33 1788800 18878 1807678 CAPITATION REVENUE 524114 66764656 66764656 SENIOR CARE 624100 120954 120954 66885610 175310 175310 6689926 6710013 -20087 -20087 -20087 BANK EARNINGS CREDIT 900099 38428 38428 38428 68886939 66924038 0 155223 X 190215 190215 8672806 8303609 369197 469135 443176 25959 628199 593990 34209 594483 559387 35096 3021744 3021744 1463 1463 24782 24782 47969 47969 25160 25160 11712271 11624760 87511 349779 349779 1414387 199787 1214600 259570 133948 125622 127875 104581 23294 237825 237825 169923 169923 PATIENT SERVICES 20991711 20991711 0 MATERIALS & SUPPLIES 691316 668107 23209 OTHER OPERATING EXPENSE 254322 110609 143713 BAD DEBT 14970 14970 0 49899905 44506162 5393743 0 5492626 15474586 6020006 7454787 10514120 8191328 254345 91905 5571563 1884346 964394 3687217 9959520 8639396 5532173 8912409 38737184 52451628 2152586 2796037 2817 1947279 3300900 4473800 5456303 9217116 X 33280881 43234512 33280881 43234512 38737184 52451628 X 18987034 -33406 -8999997 X X 0 1 X 1 0 X 103005 73459 57395 128037 1807678 2169574 28547149 34280289 45075429 52508146 66885610 227296623 28650154 34353748 45132824 52636183 68693288 229466197 0 0 0 229466197 10301 1973 2684 46332 175310 236600 10301 1973 2684 46332 175310 236600 31460 2309 15433 38428 87630 28691915 34358030 45150941 52682515 68907026 229790427 0.99860 0.99930 0.00100 0.00040 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2013 AMOUNT: $ 31,460. 2014 AMOUNT: $ 2,309. 2015 AMOUNT: $ 15,433. 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 38,428. 0 0 0 0 0 0 0 0 1 47969 47969 0 PART II-B, LINE 1: THE ORGANIZATION ENGAGES IN ADVOCACY THROUGH: 1)MEMBERSHIPS IN ORGANIZATIONS REPRESENTING AND ADVOCATING FOR NON-PROFIT PACE PROVIDERS AT BOTH THE FEDERAL AND STATE LEVELS, PRIMARILY AT THE POLICY LEVEL WITH GOVERNMENT STAFF, BUT ALSO PERIODICALLY WITH LEGISLATORS AND THEIR STAFF, AND 2) DIRECT ADVOCACY WITH LEGISLATORS AND POLICY MAKERS AT THE FEDERAL, STATE, AND LOCAL LEVELS. DIRECT ADVOCACY IS CARRIED OUT BY THE ORGANIZATION'S STAFF REPRESENTS A DE MINIMUS PERCENTAGE OF THEIR TOTAL TIME. SUCH STAFF HAVE FULL-TIME DUTIES AND RESPONSIBILITIES FOCUSED ON THE ORGANIZATION'S SERVICES AND OPERATIONS. THE ORGANIZATION DOES NOT HIRE STAFF SPECIFICALLY TO ENGAGE IN LOBBYING OR ADVOCACY. LIMITED ADDITIONAL ADVOCACY IS PROVIDED BY REGISTERED LOBBYISTS AND NATIONAL AND STATE MEMBER ORGANIZATIONS TO BENEFIT THOSE SERVED BY PACE PROGRAMS. 4750798 1230398 3520400 820765 653948 166817 3687217 DUE FROM RELATED ORGANIZATIONS 8912409 8912409 INCURRED BUT NOT REPORTED CLAIMS LIABILITY 4473800 4473800 X 68828373 -33406 -33406 68861779 25160 25160 68886939 49874745 0 49874745 25160 25160 49899905 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE, AND HAS BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE ORGANIZATION DETERMINED NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF AUGUST 31, 2018. IF APPLICABLE, THE ORGANIZATION WILL RECOGNIZE INTEREST AND PENALTIES RELATED TO UNDERPAYMENT OF INCOME TAXES AS INCOME TAX EXPENSE. AS OF AUGUST 31, 2018, THE ORGANIZATION HAD NO AMOUNTS RELATED TO UNRECOGNIZED INCOME TAX BENEFITS AND NO AMOUNTS RELATED TO ACCRUED INTEREST AND PENALTIES. THE ORGANIZATION DOES NOT ANTICIPATE ANY SIGNIFICANT CHANGES TO UNRECOGNIZED TAX BENEFITS OVER THE NEXT YEAR. MANAGEMENT OF THE ORGANIZATION BELIEVES ITS ACTIVITIES ALLOW IT TO CONTINUE AS AN ORGANIZATION EXEMPT FROM INCOME TAX AND BELIEVES THERE ARE NO ACTIVITIES SUBJECT TO UNRELATED BUSINESS INCOME TAX. THE ORGANIZATION BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION'S RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE TAX YEARS ENDED AUGUST 31, 2017, 2016, AND 2015, ARE OPEN FOR EXAMINATION AND MANAGEMENT ANTICIPATES THE STATUTE OF LIMITATIONS FOR THE TAX RETURN FOR THE YEAR ENDED AUGUST 31, 2018, WILL EXPIRE IN FEBRUARY 2022. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES X X X X X 0 0 0 0 0 0 0 0 0 CHERYL WILSON CEO & SECRETARY 0 297282 0 25000 0 2811 0 22359 0 14896 0 362348 0 0 ROBIN JENSEN CFO 0 186046 0 5000 0 4509 0 11911 0 3568 0 211034 0 0 TIM FRAZIER CAO 0 162518 0 0 0 2867 0 9319 0 6771 0 181475 0 0 CAROL HUBBARD EXECUTIVE DIRECTOR 142198 0 20000 0 1624 0 13824 0 5336 0 182982 0 0 0 VICTOR LEE PHYSICIAN 325852 0 0 0 1497 0 26352 0 5336 0 359037 0 0 0 ANDREW PHOON PHYSICIAN 281758 0 0 0 378 0 22696 0 5214 0 310046 0 0 0 RICARDO ROMERO PHYSICIAN 282510 0 0 0 1671 0 22767 0 552 0 307500 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 ST. PAUL'S EPISCOPAL HOME, INC. PROVIDES THE FOLLOWING MANAGEMENT DUTITES FOR THE ORGANIZATION: FINANCE (ACCOUNTING, BUDGETING, AND PAYROLL); STRATEGIC PLANNING AND PROGRAM DEVELOPMENT; HUMAN RESOURCES (EMPLOYEE HIRING, COMPENSATION, EMPLOYEE RELATIONS, AND EMPLOYEE EVALUATIONS); MARKETING, INFORMATION TECHNOLOGY SUPPORT, AND CONTRACTS. ST. PAUL'S EPISCOPAL HOME, INC., IS A RELATED ORGANIZATION. SEE PART VII SECTION A FOR COMPENSATION PAID BY ST. PAUL'S EPISCOPAL HOME, INC. TO OFFICERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 ST. PAUL'S EPISCOPAL HOME, INC., IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS ARE APPROVED ANNUALLY BY ST. PAUL'S EPISCOPAL HOME, INC. FORM 990, PART VI, SECTION A, LINE 7B DIRECTORS AND GOVERNING DOCUMENTS OF THE ORGANIZATION ARE APPROVED BY THE BOARD OF ST. PAUL'S EPISCOPAL HOME, INC. FORM 990, PART VI, SECTION B, LINE 11B AFTER REVIEW AND APPROVAL BY MANAGEMENT, THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR THEIR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS SIGN CONFLICT OF INTEREST POLICY STATEMENT ANUALLY. COMPLIANCE WITH THE POLICY IS MONITORED BY THE CEO AND BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 15 ANNUAL PERFORMANCE EVALUATION AND COMPENSATION REVIEW OF CEO AND OTHER OFFICERS CONDUCTED BY EXECUTIVE COMMITTEE/COMPENSATION COMMITTEE ON THE BOARD'S BEHALF. FORM 990, PART VI, SECTION C, LINE 18 DOCUMENTS AVAILABLE FOR INSPECTION MADE AVAILABLE AT PHYSICAL LOCATION AND UPON WRITTEN REQUESTS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE FOR INSPECTION MADE AVAILABLE AT PHYSICAL LOCATION AND UPON WRITTEN REQUESTS. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 10,798,338. MANAGEMENT AND GENERAL EXPENSES 87,511. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,885,849. REGISRTY: PROGRAM SERVICE EXPENSES 826,422. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 826,422. FORM 990, PART XI, LINE 9: TRANSFER TO RELATED ORGANIZATION -9,000,000. ROUNDING 3. PART XII, LINE 2- CHANGE OF OVERSIGHT OR SELECTION PROCESS NO CHANGE IN THE SELECTION OR OVERSIGHT PROCESS OF THE AUDIT FIRM. ST PAUL'S EPISCOPAL HOME INC 328 MAPLE STREET SAN DIEGO CA 92103 952111196 HOUSING AND SENIOR SERVICES CA 501(C)(3) LINE 10 N/A 0 ST PAUL'S RETIREMENT HOMES FOUNDATION 328 MAPLE STREET SAN DIEGO CA 92103 330627795 PROVIDE FUNDRAISING SUPPORT TO PROGRAMS CA 501(C)(3) LINE 7 ST PAUL'S EPISCOPAL HOME INC 0 ST PAUL'S VILLA INC 328 MAPLE STREET SAN DIEGO CA 92103 200157629 LEASE OF REAL PROPERTY TO ST. PAUL'S CA 501(C)(3) LINE 10 ST PAUL'S EPISCOPAL HOME INC 0 0 0 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 STPAUL'S EPISCOPAL HOME INC C 2754 GAAP STPAUL'S EPISCOPAL HOME INC D 50372685 GAAP STPAUL'S EPISCOPAL HOME INC K 1234520 GAAP STPAUL'S EPISCOPAL HOME INC P 6063349 GAAP STPAUL'S EPISCOPAL HOME INC R 9000000 GAAP STPAUL'S EPISCOPAL HOME INC M 4884039 GAAP ST PAUL'S RETIREMENT HOMES FOUNDATION C 1786046 GAAP