2018-05-15T16:34:58-05:00 2017-06-30 943158857 RINA ACCOUNTANCY CORPORATION 625 MARKET STREET 15TH FLOOR SAN FRANCISCO CA 94105 990 2016-07-01 941312411 CALIFORNIA - NEVADA METHODIST HOMES CALI 5108938989 201 - 19TH STREET SUITE 100 OAKLAND CA 946124117 ROBERT HUBBARD PRESIDENT 5108938989 2018-05-14 1 TRACY TEALE P01290862 4157774488 2018-05-14 2016 2022-09-23 18:48:47Z ROBERT HUBBARD 201 19TH STREET NO 100 OAKLAND CA 94612 20758570 0 X WWW.CNMH.ORG X 1954 CA RETIREMENT AND LONG-TERM HEALTH CARE 11 11 285 0 0 0 23866 27129 18775087 19134574 138512 101757 -995593 70937 17941872 19334397 0 0 0 0 9850460 10264031 0 0 10500 10518746 11231015 20369206 21495046 -2427334 -2160649 68081565 64296473 76420641 74476433 -8339076 -10179960 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 20500456 19140057 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 6/30/17. 20500456 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 94 0 285 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 242853 0 0 ROBERT L LEEPER VP & CFO 40.00 X 125841 0 0 MINDY HAN EMPLOYEE 40.00 X 141559 0 0 LESLIE CURTIS EMPLOYEE 40.00 X 147296 0 0 ROSETTA CHAN EMPLOYEE 40.00 X 120299 0 0 777848 0 0 5 0 1 0 JEFFREY GUY ODELL 309 A CROCKER AVE PACIFIC GROVE CA 93950 APARTMENT RENOVATION 592711 PHARMERICA PO BOX 409251 ATLANTA GA 30384 PHARMACY SERVICES 181736 CORINTHIAN MEDICAL STAFFING 1300 CLAY STREET SUITE 600 OAKLAND CA 94612 RECRUITMENT SERVICES 157895 3 27129 27129 RESIDENT CARE FEES 623990 11561697 11561697 PATIENT FEES 623000 4506217 4506217 AMORTIZATION OF ENTRANCE SUBSCRIP 623000 2952276 2952276 OTHER 623000 114384 114384 19134574 89273 89273 105491 34554 70937 70937 70937 1402103 1389619 12484 12484 12484 19334397 19147058 0 160210 1331865 801118 530747 6797964 6632351 165613 314188 300785 13403 1180688 1122710 57978 639326 597845 41481 2172871 2172871 78516 77558 958 71251 66437 4814 51802 51802 864663 864533 130 104625 96436 8189 2114 2114 22972 21161 1811 1280145 1280145 2350261 2319620 30641 271582 271582 UTILITIES 1034105 1017594 16511 OTHER PURCHASED SVCS 288333 268571 9262 10500 MAINT & OPERATION 250247 215750 34497 MEDICAL CARE 247995 247995 2139533 2071478 68055 21495046 20500456 984090 10500 646133 417648 659366 588132 274452 306920 87615115 36778687 50149297 50836428 13037955 8981539 3314362 3165806 68081565 64296473 3412128 3019996 37132436 36417944 486111 319444 35389966 34719049 76420641 74476433 X -8364649 -10222186 25573 42226 -8339076 -10179960 68081565 64296473 X -2160649 319405 360 X 0 0 0 X 65282 92812 289339 23866 27487 498786 17556380 18425557 19201846 18680239 19020189 92884211 17621662 18518369 19491185 18704105 19047676 93382997 0 0 0 93382997 129158 126478 128110 125753 89273 598772 129158 126478 128110 125753 89273 598772 17750820 18644847 19619295 18829858 19136949 93981769 0.99360 0.99180 0.00640 0.00820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 834624 834624 80503159 32827097 47676062 337637 200107 137530 5617455 3751483 1865972 322240 322240 50836428 DEFERRED COMPENSATION 110129 ENTRANCE DEPOSITS 854255 UNAMORTIZED ENTRANCE SUBSCRIPTIONS 33602586 OTHER LIABILITIES 152079 34719049 19688716 319405 360 319765 19368951 -34554 -34554 19334397 21529600 34554 34554 21495046 0 21495046 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN PRESENT VALUE OF CHARITABLE REMAINDER TRUST 360. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -34,554. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 34,554. 0 FINANCIAL HOUSING ASSISTANCE 9 89358 FMV DISCOUNT OF FEES DUE X X X X 0 0 0 0 0 0 0 0 0 ROBERT E HUBBARD PRESIDENT & CEO 242853 0 0 0 0 0 0 0 0 0 242853 0 0 0 A CALIFORNIA NEVADA METHODIST HOMES 2006-05-03 42280000 CONSTRUCTION OF FACILITIES AT FOREST HILL MANOR 0 1 0 B 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 360.