2016-08-15T16:42:08-05:00 2015-12-31 910189318 Moss Adams LLP 101 Second Street Suite 900 San Francisco CA 94105 990 2015-01-01 951683861 Atherton Baptist Homes ATHE 6262894178 214 So Atlantic Blvd Alhambra CA 91801 JOCELYN PASCUAL cfo 6262894178 2016-08-15 1 Renie Burbank P00159653 4159561500 2015 2016-09-27 15:27:22Z Jocelyn Pascual 214 So Atlantic Blvd Alhambra CA 91801 25321694 0 X WWW.ABH.ORG X 1914 CA ATHERTON IS A CHRISTIAN CONTINUING CARE RETIREMENT COMMUNITY. SEE SCH O FOR DESCRIPTION.ATHERTON BAPTIST HOMES' PRINCIPAL MISSION IS SPONSORING A CHRISTIAN RETIREMENT COMMUNITY FOSTERED AND SUPPORTED BY THE AMERICAN BAPTIST CHURCHES, ITS ORIGINAL SPONSORING BODY, TRANSFORMATION MINISTRIES, ITS SUCCESSOR BODY, AND OTHER FRIENDS, OFFERING A FULL RANGE OF LIVING OPTIONS AND SERVICES TO MINISTERS, MISSIONARIES, AND THEIR SPOUSES, AND TO THE LAY COMMUNITY. 14 13 204 200 0 0 526315 294634 16306231 18116804 691975 337312 234583 215961 17759104 18964711 0 0 0 0 8263156 7033003 0 0 113139 12946061 13715769 21209217 20748772 -3450113 -1784061 58218624 57953604 62607696 64855071 -4389072 -6901467 TO PROVIDE A FULL RANGE OF LIVING OPTIONS AND SERVICES TO MINISTERS, MISSIONARIES, THEIR SPOUSES, AND THE LAY COMMUNITY. 0 0 8627449 9692080 OPERATED A RESIDENTIAL CARE FACILITY CONSISTING OF 220 INDEPENDENT LIVING UNITS, 32 ASSISTED LIVING UNITS, AND A 6-BED COMPANION CARE UNIT 8356894 8424724 OPERATED A 99-BED SKILLED NURSING FACILITY 16984343 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 111 0 1 204 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Jocelyn Pascual 6262894178 214 SO ATLANTIC BLVD ALHAMBRA CA 91801 DR KIRK MACKIE CHAIRMAN 0.30 X X 0 0 0 Mr Warren Williams VICE CHAIRMAN 0.30 X X 0 0 0 MR TOM GARDNER Secretary 0.30 X X 0 0 0 MR RICK WENTZEL TREASURER 0.30 X X 0 0 0 MR RONALD BANES BOARD MEMBER 0.30 X 0 0 0 MR ANDREW DELANCEY BOARD MEMBER 0.30 X 0 0 0 Mr Dave Estridge bOARD MEMBER 0.30 X 0 0 0 MR GARY FRUEHOLZ bOARD MEMBER 0.30 X 0 0 0 REV JOHN HOPKINS BOARD MEMBER 0.30 X 0 0 0 REV MARY S POLITE bOARD MEMBER 0.30 X 0 0 0 Mr Donald Smith bOARD MEMBER 0.30 X 0 0 0 REV JAMES WALDEN BOARD MEMBER 0.30 X 0 0 0 DR SOPHIE c WONG BOARD MEMBER 0.30 X 0 0 0 REV CRAIG STATTON President/CEO 40.00 X X 137993 0 20808 JOCELYN PASCUAL Chief Financial Officer 40.00 X 124465 0 34947 Mary E Monnier SNF/RCFE Administrator 40.00 X 100913 0 18304 Angela M Lee Director of Resident Services 40.00 X 89757 0 24944 Willis R Hull III Director of Sales 40.00 X 109604 0 7780 562732 0 106783 5 0 1 0 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 DINING/HSKPG/MGMT SERVICES 4245923 THERAPY SPECIALISTS 3760 CONVOY ST 204 SAN DIEGO CA 92111 REHAB THERAPY SERVICES 594214 RICHARD L WATSON & SON INC 2053 MILAN AVE SOUTH PASADENA CA 91030 CONSTRUCTION/RENOVATION SERVICES 173843 Bennico Inc po box 19151 encino CA 91416 PLUMBING SERVICES 127364 Air Temperature Inc 3140 Maxson Road El Monte CA 91732 A/C Units, Repair & Maintenance Services 110684 5 294634 294634 Residential Care Facility 623990 9692080 9692080 NURSING CENTER REVENUE 623000 4534304 4534304 Medicare/Medicaid 900099 3890420 3890420 18116804 289223 289223 30650 0 30650 30650 30650 6401072 4000 6336962 20021 64110 -16021 48089 48089 miscellaneous revenue 900099 114291 114291 catering revenue 900099 71020 71020 185311 18964711 18116804 0 553273 555192 269962 269350 15880 4362217 3578004 751619 32594 266806 180395 84620 1791 1504528 1245645 255494 3389 344260 272442 68310 3508 50609 50609 54042 54042 98581 98581 69695 68725 970 546485 334430 193721 18334 697881 697881 35967 33708 2259 22768 6942 14584 1242 2461164 2461164 2518887 2145072 373815 348972 348972 food & food management 2438016 2369560 63276 5180 purchased services 1821638 1359179 458388 4071 ancillary Services 735903 735903 Supplies 199317 174479 23103 1735 1615844 701880 888549 25415 20748772 16984343 3651290 113139 55695 118097 1614894 2744335 64250 880329 770691 29000 14000 17957 20270 516781 310637 71790983 33198688 39976025 38592295 10921168 11313015 4206775 4006014 58218624 57953604 3283067 2800000 11121493 12434216 28970000 28610000 50289 38270 19182847 20972585 62607696 64855071 X -4528394 -7158698 139322 257231 -4389072 -6901467 58218624 57953604 X -1784061 -515102 -213232 X X 0 1 X 1 0 X 226896 389204 1842203 526315 294634 3279252 13213686 15611597 16353464 16306231 16116836 77601814 480801 369963 189533 203322 211041 1454660 13921383 16370764 18385200 17035868 16622511 82335726 15005 13710 16235 19165 38155 102270 853845 853845 15005 13710 870080 19165 38155 956115 81379611 454745 365465 313638 325482 289223 1748553 454745 365465 313638 325482 289223 1748553 47386 11393 12169 31261 4920 107129 14423514 16747622 18711007 17392611 16916654 84191408 0.96660 0.94190 0.02080 0.02600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3350093 3350093 57171486 26115203 31056283 10270414 7083485 3186929 998990 998990 38592295 deferred charges 925209 Workers Comp Receivable 624527 resident trust assets 565880 Entrance Fee Receivable 259750 interest receivable 9504 costs of acquiring initial continuing care contracts 1547590 deposits 73554 4006014 Resident trust funds payable 565880 Gift annuities payable 1098297 CHARITABLE REMAINDER TRUSTS & pooled incOME funds LIABILITIES 76779 deposits on entrance fees 518690 pension liability 2985241 Repayable Entrance Fees Liability 15727698 20972585 X 18009308 -515102 -456322 -971424 18980732 -16021 -16021 18964711 20521703 -243090 -243090 20764793 -16021 -16021 20748772 Part X, Line 2: ATHERTON CONSIDERS MANY FACTORS WHEN EVALUATING AND ESTIMATING ITS TAX POSITIONS AND TAX BENEFITS, WHICH MAY REQUIRE PERIODIC ADJUSTMENTS AND WHICH MAY NOT ACCURATELY ANTICIPATE ACTUAL OUTCOMES. ATHERTON EVALUATES ITS UNCERTAIN TAX POSITIONS USING THE PROVISIONS WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA ("GAAP"). THESE STANDARDS REQUIRE MANAGEMENT TO PERFORM AN EVALUATION OF ALL TAX POSITIONS TAKEN, OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE ATHERTON'S TAX RETURNS. MANAGEMENT BELIEVES THE TAX POSITIONS TAKEN MORE LIKELY THAN NOT WILL BE SUSTAINED UNDER EXAMINATION BY THE APPLICABLE TAX AUTHORITIES. Part XI, Line 2d - Other Adjustments: CHANGE IN MINIMUM PENSION LIABILITY -361,197. Change in Associated obligations 147,965. annuity expense reclassified to other expense -243,090. Part XI, Line 4b - Other Adjustments: Reclass Gain/Loss on sale of Assets to revenue section -16,021. Part XII, Line 2d - Other Adjustments: annuity expense reclassified to other expense -243,090. Part XII, Line 4b - Other Adjustments: Reclass Gain/Loss on sale of Assets to revenue section -16,021. X X 0 0 0 0 0 0 0 1 0 REV CRAIG STATTON President/CEO 133993 0 4000 0 0 0 20800 0 8 0 158801 0 0 0 JOCELYN PASCUAL Chief Financial Officer 119773 0 4692 0 0 0 14301 0 20646 0 159412 0 0 0 Part I, Line 7 Officer's received bonuses which were determined based on acheiving organization's goals and paid upon ABH's discretion subject to approval by the Board Chairman. A CITY OF ALHAMBRA CALIFORNIA 956000665 106049AB4 2010-01-01 10685000 NEW COURTYARD BUILDING PROJECT, IMPROVEMENT & REFURBISHMENT OF EXISTING COMM 0 0 0 B CITY OF ALHAMBRA CALIFORNIA 956000665 016049AC2 2010-01-01 18615000 NEW COURTYARD BUILDING PROJECT, IMPROVEMENT & REFURBISHMENT OF EXISTING COMM 0 0 0 C CITY OF ALHAMBRA CALIFORNIA 956000665 016049AD0 2010-01-01 14640000 NEW COURTYARD BUILDING PROJECT, IMPROVEMENT & REFURBISHMENT OF EXISTING COMM 0 0 0 A 10685000 932620 1012124 237773 6261067 2316297 2011 0 0 1 1 B 18615000 1624774 1763284 414239 10907792 4035365 2011 0 0 1 1 C 14640000 969000 1386757 325784 8578570 3173663 2011 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 Form 990, Part VI, Section B, line 11 FORM 990 IS REVIEWED BY THE CFO AND THEN SENT TO the AUDIT COMMITTEE FOR their REVIEW. ONCE APPROVED, the Form 990 is electronically sent via secured portal by the CFO to all Board members for their review prior to filing with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c IN 2009 THE ORGANIZATION FORMALLY ADOPTED A CONFLICT OF INTEREST POLICY AS PROPOSED BY OUR EXTERNAL AUDITORS. CONFLICT OF INTEREST POLICY IS REVIEWED ON AN ANNUAL BASIS AND A SIGNED STATEMENT IS OBTAINED EVERY YEAR. ANY BOARD MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST IN ANY MATTER MUST DISCLOSE THE EXISTENCE AND NATURE OF THE CONFLICT. AFTER DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST TO THE BOARD, THE INTERESTED BOARD MEMBER MUST RECUSE HIM/HERSELF FROM PARTICIPATING IN A BOARD DELIBERATION AND DECISION INVOLVING POSSIBLE COI TRANSACTION. CURRENTLY, THE PRESIDENT/CEO HAS SECURED THE SIGNATURES OF THE BOARD MEMBERS. HERETOFORE, THERE HAVE BEEN NO INSTANCES OF ACTUAL CONFLICT OF INTEREST WITH BOARD MEMBERS SINCE NONE OF THEM DO BUSINESS WITH ATHERTON BAPTIST HOMES. Form 990, Part VI, Section B, line 15 ATHERTON AIMS AT THE MIDPOINT OF COMPENSATION AS REPORTED BY THE ANNUAL AGING SERVICES TRADE PUBLICATION SALARY SURVEY FOR CALIFORNIA. IF INCREASES ARE CONTEMPLATED FOR THE CEO AND/OR CFO FOR NEXT YEAR, THE AUDIT COMMITTEE WILL PERFORM THE REVIEW AS SPECIFIED. WHEN COMPENSATION INCREASE IS GRANTED, IT IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AND DOCUMENTED IN THE BOARD MINUTES. Form 990, Part VI, Section C, line 18 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS AVAILABLE ON WWW.GUIDESTAR.ORG. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, line 9: change in minimum pension liability -361,197. change in value associated w/obligations under CTR & Pooled Income funds 147,965. 990, Part XII, Line 2c Audit Committee AND OVERSIGHT - the process has not changed from prior year. GIFT ANNUITIES (52) PROVIDE SUPPORT CA ATHERTON BAPTIST HOMES 0 CHARITABLE REMAINDER TRUSTS (3) PROVIDE SUPPORT CA ATHERTON BAPTIST HOMES 0 POOLED INCOME FUNDS (5) PROVIDE SUPPORT CA ATHERTON BAPTIST HOMES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0