2025-11-13T19:11:29-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 2875 MICHELLE DRIVE 300 IRVINE CA 92606 990 2024-01-01 951691301 PILGRIM PLACE PILG 9093995500 625 MAYFLOWER ROAD CLAREMONT CA 91711 TODD BARRETTA VICE PRESIDENT/CFO 9093995500 2025-11-13 1 1 LISA N RYSSEL CPA P00643670 7149781300 2025-11-13 2024 2025-03-06 01:10:19Z TODD BARRETTA 625 MAYFLOWER ROAD CLAREMONT CA 91711 36852378 0 X PILGRIMPLACE.ORG X 1915 CA FOSTERING A VIBRANT & INCLUSIVE SENIOR COMMUNITY COMMITTED TO JUSTICE, PEACE & CARE FOR THE EARTH. 21 21 255 250 0 0 945570 906774 24183415 26136560 1552707 2241550 203001 280201 26884693 29565085 0 0 0 0 12355517 13626980 0 0 599365 13376529 14472331 25732046 28099311 1152647 1465774 76793691 80135299 45411397 46988925 31382294 33146374 FOSTERING A VIBRANT AND INCLUSIVE SENIOR COMMUNITY COMMITTED TO JUSTICE, PEACE, AND CARE FOR THE EARTH. 0 0 9824706 0 9711093 SKILLED NURSING - PROVIDED SKILLED NURSING SERVICES FOR AN AVERAGE OF 51 RESIDENTS IN 2024. 4759393 0 7428672 ASSISTED LIVING AND MEMORY CARE - PROVIDED ASSISTED LIVING AND MEMORY CARE HOUSING AND SERVICES TO AN AVERAGE OF 59 RESIDENTS IN 2024. 5746333 0 8996795 INDEPENDENT LIVING - PROVIDED INDEPENDENT HOUSING TO AN AVERAGE OF 250 RESIDENTS IN 2024. 20330432 1 1 0 0 0 0 0 1 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 121 0 1 255 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 CA X TODD BARRETTA 9093995500 625 MAYFLOWER RD CLAREMONT CA 91711 RONALD BOLDING FORMER CEO (TERM END 11/22/24) 40.00 X 294989 0 10129 TODD BARRETTA CFO 40.00 X 149758 0 6057 LEIF J CAMERON CFO (START 12/1/24) 40.00 X 9615 0 0 RIKI WOLF CHAIR 5.00 X X 2473 0 0 RICHARD RODAS VP OF HEALTH SERVICES 40.00 X 189853 0 15556 LINDA PARONG MDS COORDINATOR 40.00 X 234814 0 15187 ODIE TOLLEFSON VP OF HR 40.00 X 151794 0 14165 GRACE MONTIJA CASE MANAGER 40.00 X 122674 0 12185 SHEILA SIEGRSMA RN 40.00 X 116589 0 4345 DIANNA FISHER TERM END 724 VP OF ADVANCEMENT 40.00 X 114815 0 2303 BRENT MAIRE VICE CHAIR 5.00 X X 0 0 0 MARK DIMITRUK TREASURER 5.00 X X 0 0 0 KAREN LEVIN SECRETARY 5.00 X X 0 0 0 NYREE GRAY PAST CHAIR 5.00 X 0 0 0 JESS SWICK DIRECTOR 1.00 X 0 0 0 KRUTAV PATEL DIRECTOR 1.00 X 0 0 0 DONNA ORANGE DIRECTOR 1.00 X 0 0 0 ELIZABETH MOORE DIRECTOR 1.00 X 0 0 0 RUBEN MEDINA DIRECTOR 1.00 X 0 0 0 RICH MAYFIELD DIRECTOR 1.00 X 0 0 0 CHRISTINE MARGIOTTA DIRECTOR 1.00 X 0 0 0 DAVID LULL DIRECTOR 1.00 X 0 0 0 KAY HELD DIRECTOR 1.00 X 0 0 0 CONNIE GREEN DIRECTOR 1.00 X 0 0 0 BRIAN GARNER DIRECTOR 1.00 X 0 0 0 SHANNON BARNES DIRECTOR 1.00 X 0 0 0 PHALANA TILLER DIRECTOR 1.00 X 0 0 0 DEREK BALDWIN DIRECTOR 1.00 X 0 0 0 JUSTIN FABISH DIRECTOR 1.00 X 0 0 0 ELAINE WALKER DIRECTOR 1.00 X 0 0 0 1387374 0 79927 10 0 1 0 REHAB ALLIANCE 22995 MILL CREEK DR LAGUNA HILLS CA 92653 REHABILITATION THERAPY 894796 PHARMERICA 805 N WHITTINGTON PKWY LOUISVILLE KY 40222 PHARMACY SERVICES 384409 PRO-SPEC ENTERPRISES 2980 1ST ST N LA VERNE CA 91750 MAINTENANCE AND CAPITAL IMPROVEMENTS 334162 SECURITAS SECURITY SVCS USA INC 437 N AZUSA AVE WEST COVINA CA 91792 SECURITY SERVICES 272267 CLIPBOARD HEALTH 340 S LEMON AVE WALNUT CA 91789 TEMP. NURSING LABOR 261594 19 906774 906774 SKILLED NURSING 623000 9711093 9711093 INDEPENDENT LIVING 623000 8996795 8996795 ENTRANCE FEES 623000 4098051 4098051 ASSISTED LIVING 623000 3213420 3213420 OTHER PROGRAM REVENUE 623000 117201 117201 26136560 706769 706769 8791775 7256994 1534781 1534781 1534781 310500 30299 280201 280201 29565085 26136560 0 2521751 678429 492231 162844 23354 10502415 7704878 2537446 260091 213020 141241 68412 3367 1373367 1000476 342978 29913 859749 639675 196797 23277 23109 7993 15116 79174 79174 313952 313952 1993365 1949536 43829 100589 26499 46655 27435 152445 73868 70903 7674 1268591 1060445 208146 7014 929 6085 104038 13345 87648 3045 1529660 73368 1456292 3057992 2911515 146477 520810 540260 -19450 FOOD AND CONTRACT SERVI 2084791 2084791 PURCHASED SERVICES 1882888 714411 1060865 107612 SUPPLIES AND EQUIPMENT 695802 554839 136299 4664 MISCELLANEOUS EXPENSES 424663 199881 133915 90867 233448 140251 75131 18066 28099311 20330432 7169514 599365 1596803 1578748 5745182 8439378 1728038 2514280 24847 0 388530 328566 100170557 53548161 48632464 46622396 18677827 20651931 76793691 80135299 1660188 1362329 12059628 15247442 30509445 29656150 1182136 723004 45411397 46988925 X 15267033 15689754 16115261 17456620 31382294 33146374 76793691 80135299 1465774 298306 0 X X 0 1 X 1 0 X 1167016 1920417 1492107 945570 906774 6431884 20368383 21951789 17014505 24183415 26136560 109654652 21535399 23872206 18506612 25128985 27043334 116086536 0 0 0 116086536 157960 148303 151180 405739 706769 1569951 157960 148303 151180 405739 706769 1569951 203001 280201 483202 21693359 24020509 18657792 25737725 28030304 118139689 0.98260 0.98860 0.01330 0.00960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X X X 0 20102541 104210 1913564 22120315 17888934 148761 2064846 20102541 18940008 430254 -3651925 419647 164484 15134206 15939119 768621 2674044 250000 191776 18940008 12575696 1030786 2860412 400000 127775 15939119 0.24350 0.75650 0.00000 0 0 1065960 1065960 87936825 44446450 43490375 1112635 1090865 21770 8949771 8010846 938925 1105366 1105366 46622396 CHARITABLE REMAINDER TRUSTS 40768 F EQUITY FUND 12121447 F FIXED INCOME 6755316 F LIMITED PARTNERSHIP 1469194 F OTHER INVESTMENTS 265206 F 20651931 SECURITY DEPOSITS 451360 ANNUITIES PAYABLE 271644 723004 X 29549439 298306 298306 29251133 313952 313952 29565085 27785359 0 27785359 313952 313952 28099311 PART X, LINE 2: PILGRIM PLACE HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITION EVALUATED ARE RELATED TO PILGRIM PLACE'S CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. PILGRIM PLACE FILES INFORMATIONAL RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, PILGRIM PLACE IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES GENERALLY AFTER THREE AND FOUR YEARS, RESPECTIVELY. RESIDENT'S FESTIVAL 310500 310500 30299 310500 310500 30299 30299 280201 X 0 0 0 0 0 0 0 0 0 RONALD BOLDING FORMER CEO (TERM END 11/22/24) 294989 0 0 0 0 0 8838 0 1291 0 305118 0 0 0 TODD BARRETTA CFO 149758 0 0 0 0 0 0 0 6057 0 155815 0 0 0 RICHARD RODAS VP OF HEALTH SERVICES 189853 0 0 0 0 0 6873 0 8683 0 205409 0 0 0 LINDA PARONG MDS COORDINATOR 234814 0 0 0 0 0 7629 0 7558 0 250001 0 0 0 ODIE TOLLEFSON VP OF HR 151794 0 0 0 0 0 5482 0 8683 0 165959 0 0 0 PART I, LINE 1B DIANNA FISHER RECEIVED SEVERANCE PAY OF $22,321 A CAL MUNI FIN AUTH 201563466 13049RAT3 2016-11-30 37380525 NEW CONSTRUCTION 0 0 0 A 5795000 37380525 1114319 265388 1389060 9482949 25128809 2019 0 1 1 1 A 0 0 1 1 0 0 0 0 A 1 1 0 0 0 0 A 1 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT HAVE BEEN GRANTED AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE OF THE BOARD REVIEWS THE INFORMATION IN THE FORM 990 AND THE 990 IS MADE AVAILABLE TO OTHER INTERESTED PARTIES AFTER FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY FOR BOARD MEMBERS, OFFICERS, AND EMPLOYEES. IN CONNECTION WITH ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF ANY OUTSIDE INTEREST, OUTSIDE ACTIVITY, AND FINANCIAL INTEREST TO THE BOARD OF DIRECTORS, OR THE BOARD COMMITTEE DELEGATED THE AUTHORITY TO RECEIVE SUCH DISCLOSURES. MONITORING IS PERFORMED REGULARLY BY THE OFFICERS TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST. ANY QUESTION OF A CONFLICT IS ADDRESSED WITH THE INTERESTED PERSON, WHO IS REQUIRED TO DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST AND BE AFFORDED THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD AND EXECUTIVE DIRECTOR. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE APPROPRIATE ACTION IS TAKEN, INCLUDING LIMITATIONS TO THE INDIVIDUAL'S INFLUENCE ON RELATED BUSINESS MATTERS. FORM 990, PART VI, SECTION B, LINE 15 THROUGH REVIEW BY BOARD EXECUTIVE COMMITTEE COMPOSED OF INDEPENDENT DIRECTORS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.