HOLLENBECK PALMS: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HOLLENBECK PALMS (EIN 71-0876594)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-12-21
IRS object ID
201643569349300794
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-12-21T14:38:36-08:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN952242818PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VICENTI LLOYD & STUTZMANBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12210 E ROUTE 66 STE 100AddressLine1Txt
CityGLENDORACityNm
State AbbreviationCAStateAbbreviationCd
ZIP917404676ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710876594EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLLENBECK PALMSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOLLBusinessNameControlTxt
Phone3232636195PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1573 SOUTH BOYLE AVENUEAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90033ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMORRIS SHOCKLEYPersonNm
Person TitleCFOPersonTitleTxt
Phone3232636195PhoneNum
Signature2016-12-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIMOTHY D EVANS CPAPreparerPersonNm
PTINP00050546PTIN
Phone6268577300PhoneNum
Preparation2016-12-14PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMORRIS SHOCKLEYPrincipalOfficerNm
Gross Receipts$22,826,338GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOLLENBECKPALMS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionHOLLENBECK PALMS IS COMMITTED TO PROVIDING A RESIDENCE FOR THOSE IN THE LATER YEARS OF THEIR LIVES THAT ENCOMPASSES A HEALTHY ENVIRONMENT OF COMFORT, SAFETY, AND ENJOYMENT; THAT ATTENDS TO THEIR PHYSICAL, MENTAL, AND SPIRITUAL NEEDS; AND THAT IS QUICK TO RESPOND TO AND ASSIST IN THOSE NEEDS WHETHER IMMEDIATE OR LONG TERM, AND TO DO SO WITH GREAT COMPASSION, HONESTY, DIGNITY AND GENUINE LOVE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee230TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$507,524PYContributionsGrantsAmt
CY Contributions Grants$231,151CYContributionsGrantsAmt
PY Program Service Revenue$13,874,368PYProgramServiceRevenueAmt
CY Program Service Revenue$15,989,024CYProgramServiceRevenueAmt
PY Investment Income$3,185,089PYInvestmentIncomeAmt
CY Investment Income$2,058,337CYInvestmentIncomeAmt
PY Other Revenue$142,808PYOtherRevenueAmt
CY Other Revenue$149,584CYOtherRevenueAmt
PY Total Revenue$17,709,789PYTotalRevenueAmt
CY Total Revenue$18,428,096CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,441,471PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,758,822CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$1,645CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,645CYTotalFundraisingExpenseAmt
PY Other Expenses$8,276,417PYOtherExpensesAmt
CY Other Expenses$8,675,943CYOtherExpensesAmt
PY Total Expenses$16,717,888PYTotalExpensesAmt
CY Total Expenses$17,436,410CYTotalExpensesAmt
PY Revenues Less Expenses$991,901PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$991,686CYRevenuesLessExpensesAmt
Total Assets BOY$88,623,374TotalAssetsBOYAmt
Total Assets EOY$87,207,152TotalAssetsEOYAmt
Total Liabilities BOY$45,086,276TotalLiabilitiesBOYAmt
Total Liabilities EOY$42,422,016TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$43,537,098NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$44,785,136NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHOLLENBECK PALMS IS COMMITTED TO PROVIDING A RESIDENCE FOR THOSE IN THE LATER YEARS OF THEIR LIVES THAT ENCOMPASSES A HEALTHY ENVIRONMENT OF COMFORT, SAFETY, AND ENJOYMENT; THAT ATTENDS TO THEIR PHYSICAL, MENTAL, AND SPIRITUAL NEEDS; AND THAT IS QUICK TO RESPOND TO AND ASSIST IN THOSE NEEDS WHETHER IMMEDIATE OR LONG TERM, AND TO DO SO WITH GREAT COMPASSION, HONESTY, DIGNITY AND GENUINE LOVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$10,253,881ExpenseAmt
Revenue$15,989,024RevenueAmt
DescHOLLENBECK PALMS PROVIDES CARE FOR THE AGING, INCLUDING RESIDENTIAL AND SKILLED NURSING CARE LIVING ARRANGEMENTS FOR THEIR MEMBERS.Desc
Total Program Service Expenses$10,253,881TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document201IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee230EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOHNNY YOUNGPersonNm
Phone3232636195PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1573 SOUTH BOYLE AVENUEAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90033ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID ADAMS
BOARD MEMBER1.00Yes (X)$0$0$0
CAROL A JOHNSTON
BOARD CHAIR1.00Yes (X)$0$0$0
MICHAEL DAVIS
BOARD MEMBER1.00Yes (X)$0$0$0
CASEY ADAMS
SECRETARY1.00Yes (X)$0$0$0
TRACY HIRREL
BOARD MEMBER1.00Yes (X)$0$0$0
EDWARD S GARLOCK
BOARD MEMBER1.00Yes (X)$0$0$0
BETTY J FOGT
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIAM KUMAGAI
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIAM HEIDEMAN
PRESIDENT/CE40.00$256,155$0$64,666Yes (X)
MORRIS SHOCKLEY
CFO40.00$160,937$0$52,035Yes (X)
JOHNNY YOUNG
CONTROLLER40.00$111,727$0$35,926Yes (X)
PEGGY L HEIDEMAN
ADMISSIONS D40.00$125,910$0$47,322Yes (X)
RAY SHIVELY
CHIEF ENGINE40.00$122,857$0$31,101Yes (X)
JOHN M SHIVELY
ENGINEER40.00$115,400$0$34,066Yes (X)
IVANIA RAMIREZ
DIRECTOR OF40.00$109,190$0$26,862Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,002,176TotalReportableCompFromOrgAmt
Total Other Compensation$291,978TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TEAM REHAB INC
6531 SILENT HARBOR DRHUNTINGTON BEACHCA92648THERAPY$416,215
CREATIVE LANDSCAPE & MAINT
23944 NOMAR STWOODLAND HILLSCA91367LANDSCAPING$216,931
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$231,151AllOtherContributionsAmt
Total Contributions$231,151TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSING/RESIDENTIAL$11,964,967$11,964,967
MEDICARE/MEDICAID$4,024,057$4,024,057
FieldValueIRS element (for citing)
Total Program Service Revenue$15,989,024TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,009,371TotalRevenueColumnAmt
Exclusion$1,009,371ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,447,208SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,398,242SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,048,966SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,048,966TotalRevenueColumnAmt
Exclusion$1,048,966ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BEAUTY/BARBER SHOP$57,652$57,652
GUEST MEAL/ICE CREAM$23,877$23,877
RENT REVENUES$22,801$22,801

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,254TotalRevenueColumnAmt
Related Or Exempt Func Income$45,254RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$149,584OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,428,096TotalRevenueColumnAmt
Related Or Exempt Func Income$16,138,608RelatedOrExemptFuncIncomeAmt
Exclusion$2,058,337ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$681,446TotalAmt
Management And General$681,446ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,598,898TotalAmt
Program Services$4,787,781ProgramServicesAmt
Management And General$811,117ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,478,478TotalAmt
Program Services$1,936,514ProgramServicesAmt
Management And General$541,964ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$52,981TotalAmt
Management And General$52,981ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$117,867TotalAmt
Management And General$117,867ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$1,645TotalAmt
Fundraising$1,645FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$230,507TotalAmt
Program Services$83,559ProgramServicesAmt
Management And General$146,948ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$271,910TotalAmt
Management And General$271,910ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$908,268TotalAmt
Program Services$736,031ProgramServicesAmt
Management And General$172,237ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$592,825TotalAmt
Management And General$592,825ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,812TotalAmt
Management And General$4,812ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,502TotalAmt
Program Services$2,231ProgramServicesAmt
Management And General$14,271ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$103,970TotalAmt
Management And General$103,970ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,133,395TotalAmt
Management And General$1,133,395ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$250,985TotalAmt
Management And General$250,985ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER EXPENSES$2,162,656$213,950$1,948,706
PURCHASED SERVICES$1,027,251$748,069$279,182
FOOD EXPENSES$813,008$813,008
OTHER MEDICAL & MEDICARE$764,443$764,443

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$224,563TotalAmt
Program Services$168,295ProgramServicesAmt
Management And General$56,268ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,436,410TotalAmt
Program Services$10,253,881ProgramServicesAmt
Management And General$7,180,884ManagementAndGeneralAmt
Fundraising$1,645FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,032,395BOYAmt
EOY$11,143,363EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,187,760BOYAmt
EOY$740,637EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$988,284BOYAmt
EOY$838,277EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,691,232BOYAmt
EOY$1,485,234EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$162,538BOYAmt
EOY$145,213EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$197,020BOYAmt
EOY$187,096EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$50,669,477LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,464,517LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,842,035BOYAmt
EOY$29,204,960EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$40,599,746BOYAmt
EOY$40,963,702EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,922,364BOYAmt
EOY$2,498,670EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$88,623,374BOYAmt
EOY$87,207,152EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,321,962BOYAmt
EOY$3,694,626EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,815,000BOYAmt
EOY$21,180,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,000,000BOYAmt
EOY$10,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,949,314BOYAmt
EOY$7,547,390EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,086,276BOYAmt
EOY$42,422,016EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,018,809BOYAmt
EOY$40,039,082EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,744,966BOYAmt
EOY$3,972,731EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$773,323BOYAmt
EOY$773,323EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$43,537,098BOYAmt
EOY$44,785,136EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$88,623,374BOYAmt
EOY$87,207,152EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$991,686ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$256,352OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$80,559CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,288,426CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,086,911CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$507,524CurrentTaxYearMinus1YearAmt
Current Tax Year$231,151CurrentTaxYearAmt
Total$3,194,571TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,010,627CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,859,676CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,770,443CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,874,368CurrentTaxYearMinus1YearAmt
Current Tax Year$15,989,024CurrentTaxYearAmt
Total$76,504,138TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,091,186CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,148,102CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,857,354CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,381,892CurrentTaxYearMinus1YearAmt
Current Tax Year$16,220,175CurrentTaxYearAmt
Total$79,698,709TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$79,698,709PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$949,652CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,067,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,087,659CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,011,754CurrentTaxYearMinus1YearAmt
Current Tax Year$1,009,371CurrentTaxYearAmt
Total$5,126,351TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$949,652CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,067,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,087,659CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,011,754CurrentTaxYearMinus1YearAmt
Current Tax Year$1,009,371CurrentTaxYearAmt
Total$5,126,351TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,040,838CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,216,017CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,945,013CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,393,646CurrentTaxYearMinus1YearAmt
Current Tax Year$17,229,546CurrentTaxYearAmt
Total$84,825,060TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93960PublicSupportCY509Pct
Public Support PY5090.93980PublicSupportPY509Pct
Investment Income CY0.06000InvestmentIncomeCYPct
Investment Income PY0.06000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,092OtherCostOrOtherBasisAmt
Book Value$28,092BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,499,289OtherCostOrOtherBasisAmt
Depreciation$17,180,964DepreciationAmt
Book Value$27,318,325BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,142,096OtherCostOrOtherBasisAmt
Depreciation$4,283,553DepreciationAmt
Book Value$1,858,543BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,204,960TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LIABILITIESDesc
Amt$7,547,390Amt
FieldValueIRS element (for citing)
Total Liability$7,547,390TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$18,428,096TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$18,428,096RevenueSubtotalAmt
Total Revenue Per Form990$18,428,096TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,436,410TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$17,436,410ExpensesSubtotalAmt
Total Expenses Per Form990$17,436,410TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationHOLLENBECK PALMS HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSTIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED ARE RELATED TO THE 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 (GREATER THAN 50%) OF BEING SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
WILLIAM HEIDEMAN
PRESIDENT/CEO$256,155$64,666$320,821
MORRIS SHOCKLEY
CFO$160,937$52,035$212,972
PEGGY L HEIDEMAN
ADMISSIONS DIRECTOR$125,910$47,322$173,232
RAY SHIVELY
CHIEF ENGINEER$122,857$31,101$153,958

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA STATEWIDE COMMUNITIES DEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN710876594BondIssuerEIN
CUSIP13079GAA1CUSIPNum
Bond Issued2007-02-01BondIssuedDt
Issue Price$25,300,000IssuePriceAmt
PurposeBOND PROCEEDS WERE USED TO DEMOLISH CERTAIN EXISTING BUILDINGS, CONSTRUCT APurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintfalseAdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K - PURPOSE OF ISSUE DESCRIPTIONFormAndLineReferenceDesc
ExplanationCALIFORNIA STATEWIDE COMMUNITIES DEV NEW THREE-STORY BUILDING CONSISTING OF RESIDENTIAL UNITS, UNDERGROUND PARKING, AND RELATED FACILITIES. ADDITIONAL CUSIP NUMBERS FOR SERIES A BONDS: 13079GAB9, 13079GAC7, 13079GAD5, 13079GAE3, 13079GAF0, 13079GAG8, 13079GAH6, 13079GAJ2.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONHOLLENBECK PALMS IS COMMITTED TO PROVIDING A RESIDENCE FOR THOSE IN THE LATER YEARS OF THEIR LIVES THAT ENCOMPASSES A HEALTHY ENVIRONMENT OF COMFORT, SAFETY, AND ENJOYMENT; THAT ATTENDS TO THEIR PHYSICAL, MENTAL, AND SPIRITUAL NEEDS; AND THAT IS QUICK TO RESPOND TO AND ASSIST IN THOSE NEEDS WHETHER IMMEDIATE OR LONG TERM, AND TO DO SO WITH GREAT COMPASSION, HONESTY, DIGNITY AND GENUINE LOVE.
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 12CCONFLICT OF INTEREST STATEMENTS ARE SIGNED BY TRUSTEES ANNUALLY AND REVIEWED BY MANAGEMENT.
FORM 990, PAGE 6, PART VI, LINE 15ABOARD OF TRUSTEES DETERMINES COMPENSATION FOR THE TOP OFFICIAL BASED ON COMPARABLE SALARIES IN THE LOCAL AREA.
FORM 990, PAGE 6, PART VI, LINE 15BBOARD OF TRUSTEES DETERMINES COMPENSATION FOR ALL OFFICERS AND KEY EMPLOYEES, BASED ON COMPARABLE SALARIES IN THE LOCAL AREA.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990, PART XI, LINE 9UNREALIZED GAIN / (LOSS) ON INVESTMENTS 846,012 CHANGE IN PENSION LIABILITY -574,119 PLEDGES DISCOUNT -15,541 TOTAL 256,352

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