2016-05-16T16:23:16-05:00 2015-06-30 943158857 RINA ACCOUNTANCY CORPORATION 100 MONTGOMERY ST 2075 SAN FRANCISCO CA 94104 990 2014-07-01 941312411 CALIFORNIA - NEVADA METHODIST HOMES CALI 5108938989 201 - 19TH STREET SUITE 100 NO 100 OAKLAND CA 946124117 ROBERT HUBBARD PRESIDENT 5108938989 2016-05-13 1 TRACY TEALE P01290862 4157774488 2014 2016-08-17 19:52:53Z ROBERT HUBBARD 201 19TH STREET NO 100 OAKLAND CA 94612 21412746 0 X WWW.CNMH.ORG X 1954 CA RETIREMENT AND LONG-TERM HEALTH CARE 11 11 315 0 0 0 91812 289339 18462564 19285979 160712 167869 7384 62132 18722472 19805319 0 0 0 0 9793055 9803334 0 0 18800 10612596 10929851 20405651 20733185 -1683179 -927866 66824763 64015022 69629292 69997267 -2804529 -5982245 X CALIFORNIA-NEVADA METHODIST HOMES IS A NON-PROFIT CHARITABLE CORPORATION WITH A PRIMARY MISSION OF ENHANCING THE WELL-BEING OF SENIORS FOR THE REMAINING YEARS OF THEIR LIVES THROUGH THE CREATION AND ETHICAL ADMINISTRATION OF RESIDENTIAL AND HEALTH CARE FACILITIES IN WHICH THE INDEPENDENCE, DIGNITY, TRADITIONAL VALUES AND INDIVIDUAL RIGHTS OF EACH PERSON ARE HELD IN HIGH REGARD. 0 0 19659933 19285979 THE CORPORATION OPERATED TWO RETIREMENT RESIDENCES THAT PROVIDED ROOM AND BOARD, MEDICAL, PERSONAL, AND HEALTH CARE SERVICES FOR AN AVERAGE OF 275 RESIDENTS DURING THE YEAR ENDED 6/30/15. 19659933 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 96 0 1 315 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X ROBERT L LEEPER 5108938989 201 19TH ST SUITE 100 OAKLAND CA 946124117 PAUL S THOMSEN VICE CHAIR 1.00 X X 0 0 0 REV PAMELA CUMMINGS TRUSTEE 1.00 X 0 0 0 HERMAN A TRUTNER SECRETARY 1.00 X X 0 0 0 PAUL EXTRUM-FERNANDEZ TRUSTEE 1.00 X 0 0 0 JAMES R WARK TRUSTEE 1.00 X 0 0 0 MARLENE P GETCHELL CHAIR 1.00 X X 0 0 0 ALLAN D FISHER TRUSTEE 1.00 X 0 0 0 JAMES C RIEWERTS TRUSTEE 1.00 X 0 0 0 GARETT B CROSS TRUSTEE 1.00 X 0 0 0 REV DALE BAKER TRUSTEE 1.00 X 0 0 0 ROBERT E HUBBARD PRESIDENT & CEO 40.00 X 269577 0 0 ROBERT L LEEPER VP & CFO 40.00 X 121885 0 0 BRYAN SALMONSEN EMPLOYEE 40.00 X 154967 0 0 LESLIE CURTIS EMPLOYEE 40.00 X 199923 0 0 LIOUDMILA TARBOX EMPLOYEE 40.00 X 137166 0 0 ROSETTA CHAN EMPLOYEE 40.00 X 120436 0 0 PAIGE RYAN EMPLOYEE 40.00 X 154469 0 0 1158423 0 0 7 0 1 0 IMPAQ 178 DENSLOWE DRIVE SAN FRANCISCO CA 94132 PHYSICAL THERAPY 440971 PHARMERICA PO BOX 40925 ATLANTA GA 30384 PHARMACY SERVICES 167636 CLARE COMPUTER SOLUTIONS 2400 CAMINO RAMON STE 195 SAN RAMON CA 94583 COMPUTER SERVICES 120603 DAVIS WRIGHT TREAMAINE LLC 1201 THIRD AVE SEATTLE WA 98101 LEGAL SERVICES 120564 4 289339 289339 RESIDENT CARE FEES 623990 12457662 12457662 PATIENT FEES 623000 3547096 3547096 AMORTIZATION OF ENTRANCE SUBSCRIP 623000 3197088 3197088 OTHER 623000 84133 84133 19285979 128110 128110 97937 35805 62132 62132 62132 1611381 1571622 39759 39759 39759 19805319 19285979 0 230001 1158423 766961 391462 6578664 6239487 339177 290912 263417 27495 1215249 1156833 58416 560086 516973 43113 2116869 2116869 227643 206690 20953 66995 62950 4045 328999 328499 500 826452 826452 287569 278255 9314 4922 879 4043 1434566 1434566 2142496 2115693 26803 251472 251472 UTILITIES 938231 924446 13785 OTHER PURCHASED SVCS 327510 315339 12171 MEDICAL CARE 250496 250496 PHYSICAL THERAPY FEES 224949 224949 1500682 1378707 103175 18800 20733185 19659933 1054452 18800 2272041 1308775 498049 532588 380005 328453 82257327 32269270 51307270 49988057 10958231 10591921 1409167 1265228 66824763 64015022 2653277 3323799 30004437 29261417 36971578 37412051 69629292 69997267 X -2872722 -6014240 68193 31995 -2804529 -5982245 66824763 64015022 X -927866 -50517 -2199577 -2400 X 0 0 1 0 X 66952 287383 65282 92812 289339 801768 15045270 16553114 17556380 18425557 19201846 86782167 15112222 16840497 17621662 18518369 19491185 87583935 0 0 0 87583935 249288 214668 129158 126478 128110 847702 249288 214668 129158 126478 128110 847702 15361510 17055165 17750820 18644847 19619295 88431637 0.99040 0.98610 0.00960 0.01390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 834624 834624 76999082 28755902 48243180 268306 180962 87344 4098265 3332406 765859 57050 57050 49988057 DEFERRED COMPENSATION 110129 ENTRANCE DEPOSITS 197924 UNAMORTIZED ENTRANCE SUBSCRIPTIONS 36520420 OTHER LIABILITIES 83578 LINE OF CREDIT 500000 37412051 19788207 -50517 -2400 -52917 19841124 -35805 -35805 19805319 20768990 35805 35805 20733185 0 20733185 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN PRESENT VALUE OF CHARITABLE REMAINDER TRUST -2,400. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -35,805. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 35,805. 0 FINANCIAL HOUSING ASSISTANCE 9 215304 FMV DISCOUNT OF FEES DUE X X X X 0 0 0 0 0 0 0 0 0 ROBERT E HUBBARD PRESIDENT & CEO 269577 0 0 0 0 0 0 0 0 0 269577 0 0 0 BRYAN SALMONSEN EMPLOYEE 154967 0 0 0 0 0 0 0 0 0 154967 0 0 0 LESLIE CURTIS EMPLOYEE 199923 0 0 0 0 0 0 0 0 0 199923 0 0 0 PAIGE RYAN EMPLOYEE 154469 0 0 0 0 0 0 0 0 0 154469 0 0 0 A CALIFORNIA NEVADA METHODIST HOMES 2006-05-03 42280000 CONSTRUCTION OF FACILITIES AT FOREST HILL MANOR 0 1 0 A 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11 YES, A COPY OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE FOR REVIEW AND RECOMMENDATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION CHECKS ANNUALLY WITH TRUSTEES REGARDING CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES HAS A COMPENSATION COMMITTEE, RESPONSIBLE FOR REVIEWING AND SETTING EXECUTIVE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN PRESENT VALUE OF CHARITABLE REMAINDER TRUST -2,400.