2018-11-12T18:23:23-06:00 2017-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2017-01-01 680201024 O'CONNOR WOODS HOUSING CORPORATION OCON 2094676500 3400 WAGNER HEIGHTS ROAD STOCKTON CA 95209 JOHN BERNADICOU BOARD CHAIR 2094676500 2018-11-05 1 TRACY S PAGLIA P00366884 2099556100 2018-11-05 12.129.7.100 2018-11-05 13:07:02 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 68BC8D16007A635797B63211188E0ACDDC1C3CBF 2017 2019-02-21 02:37:17Z JOHN BERNADICOU 3400 WAGNER HEIGHTS ROAD STOCKTON CA 95209 45411895 0 X WWW.OCONNORWOODS.ORG X 1988 CA SEE SCHEDULE O.TO PROVIDE EXCEPTIONAL LIVING AND A NETWORK OF SERVICES FOR SENIORS IN OUR REGION THAT SUPPORT AND INSPIRE THE HUMAN SPIRIT BY FOSTERING WELL-BEING, INDEPENDENCE AND A SENSE OF COMMUNITY. 11 10 520 18 0 0 138559 122005 30919286 32095540 122554 1161083 184849 210559 31365248 33589187 0 15773 0 0 17317545 17557311 0 0 131591 14006958 15096952 31324503 32670036 40745 919151 83234260 83470476 60540787 59544978 22693473 23925498 X TO PROVIDE EXCEPTIONAL LIVING AND A NETWORK OF SERVICES FOR SENIORS IN OUR REGION THAT SUPPORT AND INSPIRE THE HUMAN SPIRIT BY FOSTERING WELL-BEING, INDEPENDENCE AND A SENSE OF COMMUNITY. 0 0 11418840 0 12887962 SKILLED NURSING - LICENSED BY THE CALIFORNIA DEPT OF PUBLIC HEALTH AND CERTIFIED BY THE FEDERAL GOVERNMENT FOR PARTICIPATION IN MEDICARE. EXTENSIVE IN-PATIENT AND OUT-PATIENT THERAPIES PROVIDED IN ORDER TO RETURN RESIDENTS TO THEIR HOME OR ALLOW THEM TO BE AS INDEPENDENT AS POSSIBLE. 7678697 0 9822059 INDEPENDENT LIVING - PROVIDES PHYSICAL, CIVIC, CULTURAL, SOCIAL AND RECREATIONAL ACTIVITIES AND OVERALL ENVIRONMENT CONDUCIVE TO DIGNITY AND INDEPENDENCE. SERVICES PROVIDED INCLUDE: HOUSING, MEALS, HOUSEKEEPING, VARIOUS WELLNESS, FITNESS, HEALTH, SOCIAL, SPIRITUAL AND RECREATIONAL PROGRAMS AND ACTIVITIES. THE FACILITY IS SPECIALLY DESIGNED TO ENHANCE THE OLDER ADULT'S ABILITY TO REMAIN AS INDEPENDENT AS POSSIBLE. 7156106 0 8893981 ASSISTED LIVING - LICENSED BY THE STATE OF CALIFORNIA AS A RESIDENTIAL CARE FACILITY FOR THE ELDERLY, THE ASSISTED LIVING FACILITIES PROVIDE 24 HOUR CARE AND SUPERVISION IN A RESIDENTIAL ENVIRONMENT.MEMORY CARE - OPENED IN MAY 2014; LICENSED BY THE STATE OF CALIFORNIA FACILITY TO PROVIDE 24 HOUR MEMORY SUPPORT SERVICES FOR THOSE WHO HAVE AGE-RELATED DEMENTIA OR ALZHEIMER'S DISEASES; A-DAY-AWAY - OPENED IN MAY 2014; LICENSED BY THE STATE OF CALIFORNIA FACILITY TO PROVIDE A SAFE, ENGAGING PLACE FOR LOVED ONES FOR A FEW HOURS OR EVEN A FULL DAY. 1224124 15773 491538 ANCILLARY FACILITIES ENHANCE A SENSE OF COMMUNITY BY PROVIDING ENRICHMENT ACTIVITIES AND SUPPORT SERVICES FOR RESIDENTS. AMENITIES INCLUDE PRIVATE DINING AND ACTIVITY ROOMS, A CHAPEL AND NATURE PATHS, A MULTI-PURPOSE HEALTH CLUB, SWIMMING POOL AND SPA, A GREENHOUSE, WOOD-WORKING AND CERAMIC ACTIVITIES, BEAUTY AND BARBER SHOPS, ON-PREMISES BANKING, A LIBRARY, HEALTH CLINIC, TRANSPORTATION AND EMERGENCY RESPONSE SERVICES. 1224124 15773 491538 27477767 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 61 0 1 520 1 0 0 0 0 0 1 1 0 0 0 0 X 11 10 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 CA X MARK JENKINS - ESKATON PROPERTIES INC 9163340810 5105 MANZANITA AVENUE CARMICHAEL CA 95608 R SCOT SINCLAIR PRESIDENT/CEO 40.00 X X 361211 0 71348 JOHN BERNADICOU BOARD CHAIR 1.00 X X 0 0 0 GARY SPAUGH BOARD VICE CHAIR 1.00 X X 0 0 0 BOB FAY BOARD TREASURER 1.00 X X 0 0 0 JOE SERRA BOARD SECRETARY 1.00 X X 0 0 0 TOM BOWE BOARD MEMBER 1.00 X 0 0 0 GREG DOE BOARD MEMBER 1.00 X 0 0 0 SISTER MAUREEN MCINERNEY BOARD MEMBER 1.00 X 0 0 0 LOU MEYER BOARD MEMBER 1.00 X 0 0 0 MARK ORNELLAS BOARD MEMBER 1.00 X 0 0 0 BARBARA TOGNOLI BOARD MEMBER 1.00 X 0 0 0 RAY FITCHETTE COO 40.00 X 153410 0 10451 PENNY MALLETTE AL ADMINISTATOR 40.00 X 116149 0 8571 MARCIA FITZGERALD IL ADMINISTATOR 40.00 X 146134 0 13693 ARNITA BRADSHAW DIRECTOR OF HR 40.00 X 114137 0 8389 MIDOURI GIER UNIT MANAGER 40.00 X 110258 0 7194 TAMMY NGUYEN COORDINATOR OF RESIDENT ASSESSMENT 40.00 X 102538 0 7451 1103837 0 127097 7 0 1 0 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 303682289 DINING SERVICES 1575268 THERAPY SPECIALISTS 3760 CONVOY STREET SUITE 204 SAN DIEGO CA 92111 CONTRACT THERAPY 1271637 VMR CONSTRUCTION INC 9120 S ENDOW ROAD FRENCH CAMP CA 95231 CONSTRUCTION 833298 ESKATON PROPERTIES INC 5105 MANZANITA AVENUE CARMICHAEL CA 95608 INFO TECH AND FINANCIAL SERVICES 822302 PACIFIC WEST PHARMACY 4363 PACIFIC STREET ROCKLIN CA 95677 MEDICAL NEEDS 456597 18 41000 81005 122005 HOUSING/ASSISTED LIVING 623990 18311151 18311151 PATIENT SERVICES 623990 12865402 12865402 ANCILLARY REVENUE 900099 918987 918987 32095540 347653 347653 12625414 11811984 813430 813430 813430 10202 41000 10724 -522 -522 CAFETERIA/FOOD/MEALS 721000 162735 162735 NON-PATIENT ROOM RENTALS 721000 48346 48346 211081 33589187 32095540 0 1371642 15773 15773 596420 596420 13640183 12008208 1563218 68757 97268 66665 29494 1109 2269062 2042002 217488 9572 954378 792156 157409 4813 744670 744670 49212 49212 68944 68944 130405 130405 1308669 979645 327184 1840 125338 11846 113121 371 905473 588146 305963 11364 102954 82364 20590 1653739 1351282 302457 56679 16511 40168 29659 11957 17702 2117792 2117792 4029107 4029107 241569 241569 FOOD SERVICES CONTRACTO 1548369 1548369 ANCILLARY COSTS 889277 889277 FOOD FOR RESIDENTS/PATI 496257 496257 BAD DEBT 250000 250000 348839 180410 134664 33765 32670036 27477767 5060678 131591 4369626 6137498 4787178 3571604 6700 0 1931301 1996832 447854 314552 95681543 42820585 54701668 52860958 13631967 15895745 3357966 2693287 83234260 83470476 3464071 3318984 2245146 1301379 47040000 46150000 21427 0 7770143 8774615 60540787 59544978 X 21432729 22658108 299538 297138 961206 970252 22693473 23925498 83234260 83470476 X 919151 310024 2850 X 0 1 X 1 0 X 1859339 141643 524093 138559 122005 2785639 26502821 28014408 29984311 30919286 32095540 147516366 21555 23400 23750 0 10202 78907 28383715 28179451 30532154 31057845 32227747 150380912 0 1273122 1273122 1273122 1273122 149107790 489811 307283 389974 385852 347653 1920573 489811 307283 389974 385852 347653 1920573 210399 211807 179728 184849 211081 997864 29083925 28698541 31101856 31628546 32786481 153299349 0.97270 0.97290 0.01250 0.01170 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA - 2013 AMOUNT: $ 149,272. 2014 AMOUNT: $ 147,432. 2015 AMOUNT: $ 141,118. 2016 AMOUNT: $ 139,362. 2017 AMOUNT: $ 162,735. NON-PATIENT ROOM RENTAL - 2013 AMOUNT: $ 36,512. 2014 AMOUNT: $ 41,483. 2015 AMOUNT: $ 38,610. 2016 AMOUNT: $ 45,487. 2017 AMOUNT: $ 48,346. PARKING - 2013 AMOUNT: $ 24,615. 2014 AMOUNT: $ 22,892. 4325171 4325171 77709265 34260447 43448818 9007439 6464097 2543342 4639668 2096041 2543627 52860958 BOND ISSUANCE PREMIUM 2384131 REFUNDABLE FEES 6339510 CHARITABLE TRUST LIABILITY 50974 8774615 33785521 310024 310024 33475497 124233 -10543 113690 33589187 32556527 0 32556527 124233 -10724 113509 32670036 PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN VALUATION 181. FUNDRAISING EXPENSES -10,724. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -10,724. A TASTE OF THE WOODS 51202 41000 10202 1016 8854 500 354 51202 41000 10202 1016 8854 500 354 10724 -522 1 RESIDENT ASSISTANCE 1 15773 PART I, LINE 2: RESIDENT ASSISTANCE IS GIVEN IN THE FORM OF A SUBSIDY TOWARD RESIDENT MONTHLY FEES. X 0 0 X X X 1 0 0 0 0 0 0 1 0 R SCOT SINCLAIR PRESIDENT/CEO 361211 0 0 0 0 0 57407 0 13941 0 432559 0 0 0 RAY FITCHETTE COO 153410 0 0 0 0 0 0 0 10451 0 163861 0 0 0 MARCIA FITZGERALD IL ADMINISTATOR 146134 0 0 0 0 0 0 0 13693 0 159827 0 0 0 PART I, LINE 1A BOARD MEMBERS' SPOUSES ATTENDED AN OUT OF TOWN CONFERENCE WHICH EXPENSES WERE PAID FOR BY THE ORGANIZATION. PART I, LINE 4A ARNITA BRADSHAW RECEIVED SEVERANCE PAYMENT IN THE AMOUNT OF $16,023 IN 2017. PART I, LINE 7 PENNY MALLETTE AND TAMMY NGUYEN RECEIVED BONUSES. A ABAG FINANCE AUTHORITY FOR NONPROFIT CORPORATIONS 943130123 00037CVC1 2013-06-12 52495809 REFUND PRIOR ISSUES AND NEW CONSTRUCTIONS 0 0 0 A 2965000 52619715 3231875 600399 17646020 2946720 10525075 17562486 1409 2016 0 1 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 PART II, LINE 3: THE DIFFERENCE BETWEEN PART II, LINE 3 AND ISSUE PRICE IN PART I IS DUE TO INVESTMENT INCOME. FORM 990, PART VI, SECTION A, LINE 3 ESKATON PROPERTIES INC. WAS ENGAGED AS THE MANAGEMENT COMPANY EFFECTIVE OCTOBER 1, 2017. FORM 990, PART VI, SECTION B, LINE 11B DATA TO PREPARE THE FORM 990 IS GATHERED BY THE MANAGEMENT COMPANY. A DRAFT IS PREPARED BY A PROFESSIONAL ACCOUNTING FIRM AND IS REVIEWED BY THE MANAGEMENT COMPANY CFO, THEN BY THE BOARD CHAIR AND AUDIT COMMITTEE. THE FINAL RETURN IS REVIEWED AND SIGNED BY THE BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 12C DURING AN ANNUAL BOARD MEETING, THE BOARD DISCUSSES POTENTIAL CONFLICT OF INTEREST. AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT IS ALSO COMPLETED AND DISTRIBUTED TO BOARD MEMBERS DURING THAT MEETING. BOARD MEMBERS REVIEW, SIGN AND RETURN COPIES OF THE STATEMENT. FORM 990, PART VI, SECTION B, LINE 15A FOR THE PRESIDENT AND EXECUTIVE DIRECTOR, MARKET COMPETITIVE DATA IS GATHERED FROM A PROFESSIONAL FIRM WITH EXPERIENCE IN COMPARABLE POSITIONS, ANNUAL PERFORMANCE EVALUATIONS ARE CONDUCTED AND FINDINGS ARE PRESENTED TO THE BOARD FOR CONCURRENCE ON APPROPRIATE COMPENSATION. THE ORGANIZATION HAS NO OTHER COMPENSATED OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 9: CHANGE IN VALUATION -181. ADJUSTMENT TO NET ASSETS 3,031. O'CONNOR WOODS A CALIFORNIA CORPORATION 3400 WAGNER HEIGHTS ROAD STOCKTON CA 95209 680152283 NONE CA 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0