2015-02-05T11:17:45-06:00 2014-06-30 943158857 RINA ACCOUNTANCY CORPORATION 100 MONTGOMERY STREET SUITE 2075 SAN FRANCISCO CA 94104 990 2013-07-01 941312411 CALIFORNIA - NEVADA METHODIST HOMES CALI 5108938989 201 - 19TH STREET SUITE 100 NO 100 OAKLAND CA 946124117 ROBERT HUBBARD PRESIDENT 5108938989 2015-01-30 1 TRACY TEALE P01290862 4157774488 2015-01-30 2013 2016-03-07 17:11:31Z ROBERT HUBBARD 201 19TH STREET NO 100 OAKLAND CA 94612 20466481 0 X WWW.CNMH.ORG X 1954 CA RETIREMENT AND LONG-TERM HEALTH CARE 11 11 292 0 0 0 65282 91812 17987331 18462564 195570 160712 210 7384 18248393 18722472 0 0 0 0 9619074 9793055 0 0 19319 10242507 10612596 19861581 20405651 -1613188 -1683179 65320220 66824763 66671891 69629292 -1351671 -2804529 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 19390906 18501935 THE CORPORATION OPERATED TWO RETIREMENT RESIDENCES THAT PROVIDED ROOM AND BOARD, MEDICAL, PERSONAL, AND HEALTH CARE SERVICES FOR AN AVERAGE OF 271 RESIDENTS DURING THE YEAR ENDED 6/30/14. 19390906 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 0 0 0 0 1 92 0 1 292 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 321015 0 0 ROBERT L LEEPER VP & CFO 40.00 X 114912 0 0 LUBETH B ESPIRITU EMPLOYEE 40.00 X 111363 0 0 KELLY WEIST EMPLOYEE 40.00 X 210953 0 0 LESLIE CURTIS EMPLOYEE 40.00 X 206356 0 0 LIOUDMILA SAVAGE EMPLOYEE 40.00 X 129709 0 0 1094308 0 0 6 0 1 0 IMPAQ 178 DENSLOWE DRIVE SAN FRANCISCO CA 94132 PHYSICAL THERAPY 427414 PHARMERICA PO BOX 40925 ATLANTA GA 30384 PHARMACY SERVICES 175622 2 91812 91812 RESIDENT CARE FEES 623990 11796010 11796010 PATIENT FEES 623000 3891701 3891701 AMORTIZATION OF ENTRANCE SUBSCRIP 623000 2698475 2698475 OTHER 623000 76378 76378 18462564 126478 126478 44584 37200 7384 7384 7384 1740780 263 1706809 0 33971 263 34234 34234 18722472 18462564 0 168096 1094308 658382 435926 6612122 6355211 256911 309454 281001 28453 1216420 1160895 55525 560751 519806 40945 2056229 2056110 119 151921 145936 5985 65541 63923 1618 72711 72711 796844 794996 1848 245677 237489 8188 11358 7785 3573 1483046 1483046 2213616 2187627 25989 232232 232232 UTILITIES 924717 912175 12542 OTHER PURCHASED SVCS 333470 318873 14597 MEDICAL CARE 331536 331536 PHYSICAL THERAPY FEES 253708 253708 1439990 1317464 103207 19319 20405651 19390906 995426 19319 1289275 2272041 310302 498049 357975 380005 81423244 30115974 52145088 51307270 9706072 10958231 1511508 1409167 65320220 66824763 3069171 2653277 30716375 30004437 32886345 36971578 66671891 69629292 X -1411570 -2872722 59899 68193 -1351671 -2804529 65320220 66824763 X -1683179 232921 -2600 X 0 0 0 X 58580 66952 287383 65282 92812 571009 13520364 15045270 16553114 17556380 18425557 81100685 13578944 15112222 16840497 17621662 18518369 81671694 0 0 0 81671694 432123 249288 214668 129158 126478 1151715 432123 249288 214668 129158 126478 1151715 14011067 15361510 17055165 17750820 18644847 82823409 0.98610 0.97700 0.01390 0.02300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 834624 834624 76305661 26790792 49514869 268306 171240 97066 3982045 3153942 828103 32608 32608 51307270 DEFERRED COMPENSATION 110129 ENTRANCE DEPOSITS 375853 UNAMORTIZED ENTRANCE SUBSCRIPTIONS 36252866 OTHER LIABILITIES 59119 LINE OF CREDIT 173611 36971578 X 18989993 232921 -2600 230321 18759672 -37200 -37200 18722472 20442851 37200 37200 20405651 0 20405651 PART X, LINE 2: THE CORPORATION RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF AN UNCERTAIN TAX POSITION ONLY AFTER CONSIDERING THE PROBABLILITY THAT A TAX AUTHORITY WOULD SUSTAIN THE POSITION IN AN EXAMINATION. FOR TAX POSITIONS MEETING A "MORE-LIKELY-THAN-NOT" THRESHOLD, THE AMOUNT RECOGNIZED IN THE FINANCIAL STATEMETNS IS THE BENEFIT EXPECTED TO BE REALIZED UPON SETTLEMENT WITH THE TAX AUTHORITY. FOR TAX POSITIONS NOT MEETING THE THRESHOLD, NO FINANCIAL STATEMENT BENEFIT IS RECOGNIZED. AS OF JUNE 30, 2012, THE CORPRATION HAS HAD NO UNCERTAIN TAX POSTIIONS. THE CORPORATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNCERTAIN TAX POSITIONS AS INCOME TAX EXPENSE. INCOME TAX RETURNS FOR THE YEARS PRIOR TO 2007 ARE NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES. THE CORPRATION IS RELYING ON ITS TAX-EXEMPT STATUS AND ITS ADHERENCE TO ALL APPLICABLE LAWS AND REGULATIONS TO PRESERVE THAT STATUS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN PRESENT VALUE OF CHARITABLE REMAINDER TRUST -2,600. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -37,200. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 37,200. 0 FINANCIAL HOUSING ASSISTANCE 11 244829 FMV DISCOUNT OF FEES DUE X X X X 0 0 0 0 0 0 0 0 0 ROBERT E HUBBARD PRESIDENT & CEO 321015 0 0 0 0 0 0 0 0 0 321015 0 0 0 KELLY WEIST EMPLOYEE 210953 0 0 0 0 0 0 0 0 0 210953 0 0 0 LESLIE CURTIS EMPLOYEE 206356 0 0 0 0 0 0 0 0 0 206356 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 -2,600.