2018-02-06T16:01:39-06:00 2017-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-07-01 760730971 ELDER CARE ALLIANCE OF SAN RAFAEL % MARJORIE BAILEY ELDE 5107692700 1301 MARINA VILLAGE PARKWAY STE 210 ALAMEDA CA 94501 MARJORIE BAILEY CFO 2017-10-18 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920180375000003 2018-02-06 P 35B2FEF9FD89B74F90B63698513A1BB518488CA1 9ED1AFD43ECA266599EA2022F4AABFE45DA09571 2016 2021-01-29 14:40:06Z ALMAVIA OF SAN RAFAEL ADRIENE IVERSON 1301 MARINA VILLAGE PKWY 210 ALAMEDA CA 94501 10422122 false X WWW.ALMAVIAOFSANRAFAEL.ORG X 2003 CA ALMAVIA OF SAN RAFAEL SERVES AND ENRICHES THE LIVES OF OLDER ADULTS BY PROVIDING HOUSING AND SERVICES AT ITS MEMORY CARE AND ASSISTED LIVING NEIGHBORHOODS. 4 3 133 30 0 0 0 9631908 9986331 12185 78686 32257 15860 9676350 10080877 0 0 0 0 3721573 4032301 0 0 0 4570164 4977426 8291737 9009727 1384613 1071150 24570650 24137780 31833245 31227609 -7262595 -7089829 A NONPROFIT ORGANIZATION COMMITTED TO SERVING AND ENRICHING THE PHYSICAL, EMOTIONAL, AND SPIRITUAL WELL-BEING OF OLDER ADULTS THROUGH A PROFESSIONAL, FAITH-CENTERED CARE COMMUNITY AND SERVICES. false false 5133785 8086289 ALMAVIA OF SAN RAFAEL'S ASSISTED LIVING PROVIDES HOUSING AND SERVICES FOR UP TO 115 OLDER ADULT RESIDENTS THAT REQUIRE SOME ASSISTANCE WITH MEDICATION OR DAILY ACTIVITIES. THIS YEAR AVSR PROVIDED ASSISTED LIVING HOUSING FOR 98 RESIDENTS EACH MONTH ON AVERAGE, EXCLUDING SECOND PERSONS IN EACH APARTMENT, FOR AN ANNUAL TOTALOF 35,731 RESIDENT DAYS. THE ASSISTED LIVING RESIDENTS ARE OFFERED FIVE LEVELS OF CARE IN ADDITION TO THE BASE LEVEL OF CARE SO THAT THEIR INDIVIDUAL NEEDS CAN BE MET. THERE ARE MANY ACTIVITIES PROVIDED FOR ASSISTED LIVING RESIDENTS, INCLUDING SOME THAT REFLECTTHE FAITH-BASED MISSION. 1584767 1900042 ALMAVIA OF SAN RAFAEL'S MEMORY CARE NEIGHBORHOOD PROVIDES HOUSING AND SERVICES FOR UP TO 22 OLDER ADULT RESIDENTS WHO HAVE DEMENTIA OR MEMORY LOSS. THIS YEAR AVSR PROVIDED MEMORY CARE HOUSING FOR 21 RESIDENTS EACH MONTH ON AVERAGE FOR A TOTAL OF 7,768 RESIDENT DAYS. THE MEMORY CARE NEIGHBORHOOD HAS MANY DAILY ACTIVITIES DESIGNED FOR DEMENTIA OR MEMORY LOSS RESIDENTS. 6718552 true false false true false false false false false true true false false false true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 38 0 true 133 true false false false false false false false false false false X 4 3 true true false false true true true true true false false true true true true true true false false false CA X MARJORIE BAILEY 5107692758 1301 MARINA VILLAGE PARKWAY SUITE ALAMEDA CA 94501 ADRIENE IVERSON CHIEF EXECUTIVE OFFICER 1.0 46.0 X X 0 355521 15942 CHRISTINE WHELAN CHAIR 1.0 10.0 X X 0 0 0 SISTER KATHLEEN KEARNEY SECRETARY 1.0 10.0 X X 0 0 0 VERN STIGGE VICE CHAIR 1.0 10.0 X X 0 0 0 MARJORIE BAILEY CHIEF FINANCIAL OFFICER 1.0 46.0 X 0 282079 2959 WENDY CORNEJO EXECUTIVE DIRECTOR 40.0 0.0 X 104057 0 4515 MAX HEILMEIER ASST EXECUTIVE DIRECTOR 40.0 0.0 X 100837 0 7019 204894 637600 30435 2 false true false UNIDINE PO BOX 360639 PITTSBURGH PA 15251 CULINARY CONSULTANT 660583 RAB-COM 25613 DOLLAR ST 11 HAYWARD CA 94544 IT EQUIPMENT/SVCS 122178 2 0 RESIDENT SERVICES 623000 9977190 9977190 OTHER PROGRAM SERVICE REVENUE 623000 9141 9141 9986331 28484 28484 0 0 15860 15860 0 15860 15860 391447 339593 1652 51854 -1652 50202 50202 0 0 0 0 0 0 0 0 0 0 10080877 9986331 94546 0 0 0 0 0 0 3231255 2704866 526389 36283 30774 5509 527192 458332 68860 237571 199084 38487 649997 649997 265 265 42452 42452 0 0 8613 8613 446651 444518 2133 223830 223830 837029 721355 115674 27464 2093 25371 0 550129 474448 75681 34464 25012 9452 0 26921 3248 23673 1104224 876900 227324 0 818489 649989 168500 85818 68151 17667 RECRUITING & RETENTION 53741 15273 38468 MEDICAL SUPPLIES & DRUGS 43858 43858 LICENSES, DUES, SUBCRIPTIONS 23206 111 23095 BAD DEBT 275 275 9009727 6718552 2291175 0 1732686 1881132 1054280 1170186 0 0 54758 45860 0 0 0 0 0 0 0 0 205867 158521 27803544 8126556 20323656 19676988 1054022 1199774 0 0 0 0 0 0 145381 5319 24570650 24137780 460159 690401 0 0 0 0 0 0 0 0 0 0 30871806 30114755 0 0 501280 422453 31833245 31227609 X -8237740 -8000740 975145 910911 0 0 -7262595 -7089829 24570650 24137780 X 1071150 72967 -971351 X false true X true true true X 4675 28837 600 0 0 34112 9291199 8754343 9563011 9631908 9986331 47226792 0 0 0 9295874 8783180 9563611 9631908 9986331 47260904 0 43770 363632 134500 110441 146055 798398 43770 363632 134500 110441 146055 798398 46462506 27634 10481 18341 26825 44344 127625 0 27634 10481 18341 26825 44344 127625 0 0 9323508 8793661 9581952 9658733 10030675 47388529 0.98046 0.98240 0.00269 0.00250 X false false false false false false false false true false SCHEDULE C, PART II-B, LINE 11 OTHER LOBBYING ACTIVITIES: THE ORGANIZATION IS A MEMBER OF SEVERAL ORGANIZATIONS WHOSE PURPOSE IS TO DIRECT, DEVELOP, OR AFFECT PUBLIC POLICY AND LEGISLATION WITH REGARDS TO HEALTHCARE ISSUES. THE AMOUNT SPENT ON DUES ALLOCABLE TO LOBBYING ACTIVITIES IS NOT SPECIFICALLY KNOWN; HOWEVER, SUCH AMOUNTS ARE INSUBSTANTIAL. 1086353 141358 3259 1224452 1040437 47788 1872 1086353 1019421 24880 3864 1040437 894613 129545 4737 1019421 814326 85344 5057 894613 1.00000 false false 2357136 2357136 21919914 6313824 15606090 1650000 424785 1225215 1795719 1383741 411978 80775 4206 76569 19676988 0 DUE TO RELATED PARTIES 422453 422453 10211117 72967 208926 281893 9929224 8613 143040 151653 10080877 9002766 1652 1652 9001114 8613 8613 9009727 SCHEDULE D, PART V, LINE 4 ENDOWMENT PURPOSE: THE INCOME FROM THIS FUND IS TO BE USED FOR CHARITY CARE OF RESIDENTS. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 208,926 NET ASSETS RELEASED FROM RESTRICTION SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 144,692 TEMPORARILY RESTRICTED INVESTMENT INCOME ( 1,652) LOSS ON SALE OF ASSET ---------- $ 143,040 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 1,652 LOSS ON SALE OF ASSET false false false false false false false false false ADRIENE IVERSON CHIEF EXECUTIVE OFFICER 0 354831 0 0 0 690 0 7223 0 8719 0 371463 0 0 MARJORIE BAILEY CHIEF FINANCIAL OFFICER 0 280789 0 0 0 1290 0 2959 0 0 0 285038 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION OF THE TOP MANAGEMENT OFFICIAL: THE MANAGEMENT COMPANY AND RELATED ORGANIZATION, ELDER CARE ALLIANCE (ECA), USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP: ADRIENE IVERSON, CEO, AND MARJORIE BAILEY, CFO, ARE EMPLOYED BY ELDER CARE ALLIANCE, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 3 DELEGATION OF MANAGEMENT DUTIES: ALMAVIA OF SAN RAFAEL HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE, A NON-PROFIT PUBLIC BENEFIT CORPORATION THAT IS THE SOLE CORPORATE MEMBER OF ALMAVIA OF SAN RAFAEL, TO PROVIDE MANAGEMENT SERVICES INCLUDING, BUT NOT LIMITED TO, MARKETING, HUMAN RESOURCES, ACCOUNTING, INFORMATION TECHNOLOGY SERVICES, RISK MANAGEMENT, CLINICAL OVERSIGHT AND INSURANCE. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ELDER CARE ALLIANCE. APPOINTMENT, TERM OF OFFICE AND QUALIFICATION OF DIRECTORS: A. ALL DIRECTORS SHALL BE APPOINTED BY THE BOARD OF DIRECTORS OF ELDER CARE ALLIANCE, EXCEPT FOR THE EX OFFICIO DIRECTOR AND THE INITIAL DIRECTORS APPOINTED BY THE INCORPORATOR. B. THE PRESIDENT/CHIEF EXECUTIVE OFFICER (OR ACTING PRESIDENT/CHIEF EXECUTIVE OFFICER) OF ELDER CARE ALLIANCE SHALL SERVE ON THE BOARD AS AN EX OFFICIO DIRECTOR WITH FULL VOTING RIGHTS FOR AS LONG AS HE OR SHE HOLDS THE OFFICE OF PRESIDENT/CHIEF EXECUTIVE OFFICER OF ELDER CARE ALLIANCE. SUCH EX OFFICIO DIRECTOR SHALL CEASE TO BE A DIRECTOR AS OF THE DATE SUCH EX OFFICIO DIRECTOR CEASES TO BE PRESIDENT/CHIEF EXECUTIVE OFFICER OF ELDER CARE ALLIANCE. C. EXCEPT FOR THE INITIAL DIRECTORS APPOINTED BY THE INCORPORATOR AND THE EX OFFICIO DIRECTOR, THE TERM OF OFFICE FOR EACH DIRECTOR SHALL BE AS FOLLOWS. ANY DIRECTOR APPOINTED TO THE BOARD FOR THE FIRST TIME OR AFTER HAVING BEEN OFF THE BOARD FOR THE HIATUS PERIOD (AS HEREINAFTER DEFINED) SHALL SERVE FOR A TERM OF ONE (1) YEAR. THEREAFTER, A DIRECTOR WILL BE ELIGIBLE FOR APPOINTMENT FOR UP TO TWO (2) CONSECUTIVE THREE-YEAR TERMS; PROVIDED, HOWEVER, THAT AT THE ELECTION OF THE BOARD OF DIRECTORS OF ELDER CARE ALLIANCE, ANY SUCH TERM MAY BE FOR LESS THAN THREE (3) YEARS TO ALLOW FOR THE STAGGERING OF TERMS OR TO PERMIT A DIRECTOR TO SERVE THE MAXIMUM NUMBER OF CONSECUTIVE YEARS ALLOWED HEREUNDER. NO DIRECTOR MAY SERVE MORE THAN A MAXIMUM OF SEVEN (7) CONSECUTIVE YEARS ON THE BOARD; HOWEVER, HE OR SHE WILL AGAIN BE ELIGIBLE FOR APPOINTMENT UNDER THE PROVISIONS HERE OF ONE (1) YEAR AFTER THE CONCLUSION OF SUCH A SEVEN-YEAR PERIOD "THE HIATUS PERIOD". D. APPOINTMENT OF DIRECTORS APPOINTED BY ELDER CARE ALLIANCE SHALL TAKE PLACE ANNUALLY AT A REGULAR MEETING OR A SPECIAL MEETING OF THE CORPORATION. RESERVED RIGHTS OF CORPORATE MEMBER: THE FOLLOWING ACTIONS OF ELDER CARE ALLIANCE OF SAN RAFAEL (THE CORPORATION) SHALL NOT BE IMPLEMENTED WITHOUT THE APPROVAL OF THE CORPORATE MEMBER: (A) ADOPTION OR AMENDMENT OF PHILOSOPHY AND MISSION OF THE CORPORATION; (B) APPROVAL OF STRATEGIC AND LONG RANGE PLANS OF THE CORPORATION; (C) REORGANIZATION, MERGER, CONSOLIDATION OR CHANGE OF CONTROL OF THE CORPORATION; (D) ANY CHANGE IN THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (E) ADOPTION OF AND ANY CHANGE IN THE MISSION STATEMENT OR VALUES STATEMENT OF THE CORPORATION; (F) ADOPTION OF AND ANY CHANGE IN CHARITABLE CARE POLICIES OF THE CORPORATION; (G) SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (H) DISSOLUTION OF THE CORPORATION; (I) ADOPTION OR APPROVAL OF OPERATING AND CAPITAL BUDGETS OF THE CORPORATION, AND ANY CAPITAL EXPENDITURES OR BORROWINGS IN EXCESS OF LIMITS ESTABLISHED BY ELDER CARE ALLIANCE POLICY; (J) CREATION OF A NEW CORPORATION, OR PARTICIPATION IN A JOINT VENTURE REQUIRING CAPITAL COMMITMENTS IN EXCESS OF LIMITS ESTABLISHED BY ELDER CARE ALLIANCE POLICY; OR (K) ANY UNBUDGETED ACQUISITION OF ASSETS WITH A PURCHASE PRICE IN EXCESS OF LIMITS ESTABLISHED BY ELDER CARE ALLIANCE POLICY. IN ADDITION, APPROVAL IS REQUIRED BY THE SECRETARY OF HOUSING AND URBAN DEVELOPMENT (HUD) FOR ANY PROVISIONS REQUIRED TO BE AMENDED BY HUD. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. ELDER CARE ALLIANCE'S AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE FORM 990 BEFORE FILING. ALSO, THE CEO AND CFO REVIEW THE FORM 990 BEFORE FILING. THE FINAL FORM 990 IS THEN PROVIDED BY E-MAIL TO ALL MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE: ANNUALLY, THE SECRETARY OF ELDER CARE ALLIANCE REQUESTS UPDATED CONFLICT OF INTEREST DISCLOSURE FORMS FROM THE BOARD OF DIRECTORS, OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED AUTHORITY. THE SECRETARY PREPARES A TABLE SUMMARIZING THE DISCLOSURES MADE AND PRESENTS THE TABLE TO THE BOARD OF DIRECTORS FOR THEIR INFORMATION. IF AN APPARENT CONFLICT OF INTEREST IS IDENTIFIED, THE MATTER IS REFERRED TO A COMMITTEE OF THE BOARD FOR REVIEW AND ACTION. IF DEEMED NECESSARY, THE BOARD OR COMMITTEE MAY TAKE ACTION SUCH AS REQUIRING AN INTERESTED DIRECTOR TO RECUSE HIMSELF OR HERSELF FROM A VOTE ON THE MATTER OR TERMINATING A BUSINESS RELATIONSHIP ENTERED INTO IN VIOLATION OF THE POLICY. FORM 990, PART VI, SECTION C, LINE 15A & 15B COMPENSATION DETERMINATION: ALMAVIA OF SAN RAFAEL HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE. INCLUDED IN THE SERVICES PROVIDED UNDER THIS MANAGEMENT CONTRACT ARE THE SERVICES OF THE CEO AND CFO. THE COMPENSATION FOR THE CEO AND CFO WAS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF ELDER CARE ALLIANCE. COMPARABLE COMPENSATION INFORMATION WAS PROVIDED TO THE EXECUTIVE COMMITTEE FROM A COMPENSATION STUDY COMPILED BY FUTURESENESE, INC., A FIRM THAT SPECIALIZES IN COMPENSATION PROGRAMS. SIMILARLY, COMPENSATION INFORMATION FOR EXECUTIVE DIRECTORS AND KEY EMPLOYEES WAS GATHERED FROM MULTIPLE COMPENSATION SURVEY SOURCES, INCLUDING FUTURESENSE, INC. AND RECOMMENDED COMPENSATION WAS DEVELOPED BY HUMAN RESOURCES. THIS WAS INCLUDED IN THE BUDGET AND APPROVED FOR FISCAL YEAR 2017 BY THE FINANCE COMMITTEE OF ELDER CARE ALLIANCE AS PART OF THE BUDGET REVIEW PROCESS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON WRITTEN REQUEST TO ELDER CARE ALLIANCE, ALMAVIA OF SAN RAFAEL'S MANAGEMENT COMPANY. DOCUMENTS WILL BE PROVIDED VIA EMAIL, US MAIL, OR BY FAX IF SO REQUESTED. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ (971,351) TRANSFER TO AFFILIATE ELDER CARE ALLIANCE 1301 MARINA VILLAGE PKWY 210 ALAMEDA CA 94501 943260975 MANAGEMENT CA 501(C)(3) 12 B II NA false MERCY RETIREMENT AND CARE CENTER 1301 MARINA VILLAGE PKWY 210 ALAMEDA CA 94501 941156579 ELDERLY CARE CA 501(C)(3) 10 ECA false ELDER CARE ALLIANCE OF CAMARILLO 1301 MARINA VILLAGE PKWY 210 ALAMEDA CA 94501 943351613 ELDERLY CARE CA 501(C)(3) 10 ECA false ELDER CARE ALLIANCE OF SAN FRANCISCO 1301 MARINA VILLAGE PKWY 210 ALAMEDA CA 94501 943351615 ELDERLY CARE CA 501(C)(3) 10 ECA false ELDER CARE ALLIANCE OF SAN MATEO 1301 MARINA VILLAGE PKWY 210 ALAMEDA CA 94501 940831870 ELDERLY CARE CA 501(C)(3) 10 ECA false ELDER CARE ALLIANCE OF UNION CITY 1301 MARINA VILLAGE PKWY 210 ALAMEDA CA 94501 943377985 ELDERLY CARE CA 501(C)(3) 10 ECA false false false false false false false false false false false false false true true true true false true false