JEWISH HOME: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- JEWISH HOME (EIN 94-0545320)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-22
- IRS object ID
- 201431429349300818
- Schema version
- 2012v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-22T18:21:43-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEILER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | THREE LAGOON DRIVE STE 400 | AddressLine1 |
| City | REDWOOD CITY | City |
| State | CA | State |
| ZIP Code | 94065 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 940545320 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEBREW HOME FOR AGED DISABLED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % VICTOR MEINKE CFO | InCareOfName |
| Name Control | HEBR | NameControl |
| Phone | 4153342500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 SILVER AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 941121510 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | VICTOR MEINKE | Name |
| Title | CFO | Title |
| Phone | 4155622690 | Phone |
| Date Signed | 2014-05-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBRA K MCCALL | Name |
| Phone | 6503654646 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEWISH HOME OF SAN FRANCISCO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 62588176 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.jhsf.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1871 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | WE ARE A LICENSED NURSING HOME THAT PROVIDES TO SENIORS LIFE ENRICHING SERVICES THAT PROMOTE INDIVIDUAL DIGNITY, ENCOURAGE INDEPENDENCE, AND REFLECT THE SOCIAL, CULTURAL AND SPIRITUAL VALUES OF JEWISH TRADITION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 830 | TotalNbrEmployees |
| Total Nbr Volunteers | 156 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 12236762 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5353094 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 57159646 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 56807953 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4906 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6164 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 177693 | OtherRevenuePriorYear |
| Other Revenue Current Year | 341201 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 69579007 | TotalRevenuePriorYear |
| Total Revenue Current Year | 62508412 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 46176277 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 44649123 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 582770 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22827849 | OtherExpensePriorYear |
| Other Expenses Current Year | 26501813 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 69004126 | TotalExpensesPriorYear |
| Total Expenses Current Year | 71150936 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 574881 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -8642524 | RevenuesLessExpensesCY |
| Total Assets BOY | 122906757 | TotalAssetsBOY |
| Total Assets EOY | 125953405 | TotalAssetsEOY |
| Total Liabilities BOY | 43170970 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 49949985 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 79735787 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 76003420 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION IS A LICENSED SKILLED NURSING FACILITY SPECIALIZING IN PROGRAMS, SERVICES, AND CARE FOR OLDER ADULTS. THE ORGANIZATION IS A NINE-ACRE COMPREHENSIVE SENIOR CARE CENTER WITH FIVE DISTINCT BUILDINGS, SERVING MORE THAN 420 RESIDENTS WITH DIVERSE CARE NEEDS, AND PROVIDING REHABILITATION SERVICES TO NUMEROUS OTHERS SEEKING SHORT-TERM CARE STAYS. OUR MISSION IS TO BECOME A REGIONAL RESOURCE AS AN INTEGRAL PART OF A CONTINUUM OF CARE THROUGHOUT THE BAY AREA THAT PROVIDES SENIOR ADULTS WITH A VARIETY OF LIFE ENRICHING PROGRAMS AND SERVICES THAT ARE ACCESSIBLE, PROMOTE INDIVIDUAL DIGNITY, ENCOURAGE INDEPENDENCE, CONNECT THEM TO THEIR COMMUNITY, AND REFLECT THE SOCIAL, CULTURAL, AND SPIRITUAL VALUES OF JEWISH TRADITION. NON-RESIDENTIAL CARE IS OFFERED THROUGH THE HOME'S SHORT-TERM AND REHABILITATION SERVICES UNIT (STARS) AND ACUTE PSYCHIATRIC SERVICES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 60131411 | Expense |
| Revenue | 56807953 | Revenue |
| Description | The organization provides long-term care, short-term rehabilitation, and acute psych care services. It provides professional and comprehensive programs that include personal and health care to residents in its over 400-bed facility. In the current fiscal year, the organization served an average of 355 residents a day. There were 101 new admissions for long-term care, 704 short-term care patients and 177 patients that required acute psych hospitalization. | Description |
| Total Program Service Expense | 60131411 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | true | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 92 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 830 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | VICTOR MEINKE CFO | NamePerson |
| Telephone Number | 4155622690 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 SILVER AVENUE | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Reportable Comp From OrganizationReportableCompFromOrganization | Other CompensationOtherCompensation | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| RICHARD BAUM | |||||||||
| CHAIR ELECT | 2.0 | X | X | ||||||
| SUSAN FOLKMANPHDTHRU 113 | |||||||||
| TRUSTEE | 2.0 | X | |||||||
| MATTHEW SLEPIN | |||||||||
| SECRETARY/TREASURER | 2.0 | X | X | ||||||
| DAVID ARRICK THRU 102012 | |||||||||
| TREASURER | 2.0 | X | X | ||||||
| STEPHAN KRIEGER | |||||||||
| CHAIR | 2.0 | X | X | ||||||
| ALAN SILVERMAN THRU 102012 | |||||||||
| CHAIR OF AUDIT COMMITTEE | 2.0 | X | |||||||
| JEFFERY STEIN | |||||||||
| TRUSTEE | 2.0 | X | |||||||
| MICHAEL EISLER | |||||||||
| TRUSTEE | 2.0 | X | |||||||
| JACK MUNSON | |||||||||
| TRUSTEE | 2.0 | X | |||||||
| ALEX GERSZNOWICZ | |||||||||
| TRUSTEE | 2.0 | X | 1.0 | ||||||
| SUSAN LOWENBERG | |||||||||
| TRUSTEE | 2.0 | X | |||||||
| DAVID LOWI | |||||||||
| TRUSTEE | 2.0 | X | |||||||
| ALEX MANN | |||||||||
| TRUSTEE | 2.0 | X | |||||||
| BRIAN PERLMAN | |||||||||
| TRUSTEE | 2.0 | X | |||||||
| JORDAN SILLS | |||||||||
| TRUSTEE | 2.0 | X | |||||||
| BENNETT ZIER MD | |||||||||
| TRUSTEE (MEDICAL STAFF REP) | 40.0 | X | 93970 | 280 | |||||
| DANIEL RUTH | |||||||||
| PRESIDENT AND CEO | 21.9 | X | 18.2 | 374527 | 379704 | 607591 | |||
| KEVIN POTTER THRU 12013 | |||||||||
| CFO | 23.5 | X | 16.5 | 83691 | 323298 | ||||
| VICTOR MEINKE STARTED 22013 | |||||||||
| CFO | 8.8 | X | 40.0 | 0 | 0 | ||||
| EDWIN CABIGAO | |||||||||
| CHIEF NURSING OFFICER | 40.0 | 207426 | 22056 | X | |||||
| SHERIE KOSHOVER | |||||||||
| DIRECTOR CORPORATE PLAN | 33.9 | 40.0 | 133930 | 516592 | X | ||||
| ELLIOTT STEIN | |||||||||
| MEDICAL DIRECTOR | 40.0 | 227551 | 2325 | X | |||||
| SANDRA C SIMON | |||||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.0 | 237700 | 96355 | X | |||||
| MICHAEL ABREU | |||||||||
| DIRECTOR NUTRITIONAL SERVICES | 40.0 | 162296 | 36219 | X | |||||
| JANICE B SCHWARTZ | |||||||||
| RESEARCH DIRECTOR | 40.0 | 148134 | 94156 | X | |||||
| THOMAS BOOKWALTER | |||||||||
| DIRECTOR OF PHARMACY | 40.0 | 137061 | 8498 | X | |||||
| JOAN H ACCARINO | |||||||||
| DIRECTOR OF EDUCATION | 40.0 | 120471 | 42621 | X | |||||
| JENNIFER E SERAFIN | |||||||||
| GERIATRIC NURSE PRACTITIONER | 40.0 | 139729 | 24691 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1848865 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1447481 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 924526 | TotalOtherCompensation |
| Number Individuals GT100 K | 28 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ECOLOGICALLY SOUND MED SERVICES | |||||
| 1865 N MACARTHUR DRIVE | TRACY | CA | 95376 | MEDICAL SUPPLIES | 912050 |
| ANGELICA | |||||
| PO BOX 846777 | LOS ANGELES | CA | 90084 | LAUNDRY SERVICE | 814401 |
| BIRITE FOODSERVICE | |||||
| 123 S HILL DRIVE | BRISBANE | CA | 94005 | RESIDENT FOOD SERVIC | 801937 |
| ANKROM MOISAN ARCHITECTS | |||||
| 6720 SW MACADAM AVENUE 100 | PORTLAND | OR | 97219 | INTERIORS/DESIGN | 768370 |
| ONR INC | |||||
| 1101 S CAPITAL OF TEXAS HWY BLDG G | AUSTIN | TX | 78746 | REHAB SERVICES | 565172 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 188421 | GovernmentGrants |
| All Other Contributions | 5164673 | AllOtherContributions |
| Noncash Contributions | 67599 | NoncashContributions |
| Total Contributions | 5353094 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 56807953 | TotalRevenueColumn |
| Related Or Exempt Function Income | 56807953 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 56807953 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6164 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $6,164 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 134759 | GrossSalesOfInventory |
| Cost Of Goods Sold | 79764 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 54995 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| PARKING REVENUE | 900099 | 52122 | $52,122 |
| REIMBURSEMENTS FOR SHARED FACILITIES | 900099 | 168000 | $168,000 |
| OTHER MISCELLANEOUS REVENUE | 900099 | 66084 | $66,084 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 286206 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 62508412 | TotalRevenueColumn |
| Related Or Exempt Function Income | 56807953 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $292,370 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 873059 | Total |
| Program Services | 873059 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31686845 | Total |
| Program Services | 31349710 | ProgramServices |
| Management And General | 161142 | ManagementAndGeneral |
| Fundraising | 175993 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2132218 | Total |
| Program Services | 2113701 | ProgramServices |
| Management And General | 5709 | ManagementAndGeneral |
| Fundraising | 12808 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7547439 | Total |
| Program Services | 7442122 | ProgramServices |
| Management And General | 63179 | ManagementAndGeneral |
| Fundraising | 42138 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2409562 | Total |
| Program Services | 2390792 | ProgramServices |
| Management And General | 7040 | ManagementAndGeneral |
| Fundraising | 11730 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5396091 | Total |
| Program Services | 244126 | ProgramServices |
| Management And General | 5151965 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 651345 | Total |
| Program Services | 435623 | ProgramServices |
| Management And General | 215722 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2712308 | Total |
| Management And General | 2712308 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4803460 | Total |
| Program Services | 4481352 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 322108 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103345 | Total |
| Management And General | 101252 | ManagementAndGeneral |
| Fundraising | 2093 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121217 | Total |
| Program Services | 119145 | ProgramServices |
| Management And General | 595 | ManagementAndGeneral |
| Fundraising | 1477 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8709 | Total |
| Program Services | 550 | ProgramServices |
| Management And General | 8159 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7243 | Total |
| Program Services | 6838 | ProgramServices |
| Management And General | 225 | ManagementAndGeneral |
| Fundraising | 180 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9569 | Total |
| Program Services | 8793 | ProgramServices |
| Management And General | 612 | ManagementAndGeneral |
| Fundraising | 164 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 509996 | Total |
| Program Services | 362483 | ProgramServices |
| Management And General | 147513 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4399910 | Total |
| Program Services | 3255404 | ProgramServices |
| Management And General | 1141683 | ManagementAndGeneral |
| Fundraising | 2823 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 471010 | Total |
| Program Services | 334285 | ProgramServices |
| Management And General | 136725 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| EQUIPMENT RENTAL & MAINTENANCE | 641833 | 384254 | 256176 | 1403 |
| LICENSES AND TAXES | 183518 | 183518 | ||
| RECREATIONAL ACTIVITIES | 55168 | 55168 | ||
| UTILITIES | 1673477 | 1421017 | 252460 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4753614 | Total |
| Program Services | 4669471 | ProgramServices |
| Management And General | 74290 | ManagementAndGeneral |
| Fundraising | 9853 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71150936 | Total |
| Program Services | 60131411 | ProgramServices |
| Management And General | 10436755 | ManagementAndGeneral |
| Fundraising | 582770 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14483 | BOY |
| EOY | 17617 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8388958 | BOY |
| EOY | 5605824 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2716902 | BOY |
| EOY | 2210882 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7481717 | BOY |
| EOY | 9077945 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 800000 | BOY |
| EOY | 800000 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 331192 | BOY |
| EOY | 320021 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 342365 | BOY |
| EOY | 427194 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 103672360 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 48810200 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55799932 | BOY |
| EOY | 54862160 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47031208 | BOY |
| EOY | 52631762 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122906757 | BOY |
| EOY | 125953405 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7824809 | BOY |
| EOY | 8017934 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 750000 | BOY |
| EOY | 700000 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33535000 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1061161 | BOY |
| EOY | 41232051 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43170970 | BOY |
| EOY | 49949985 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28937652 | BOY |
| EOY | 22353870 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14753026 | BOY |
| EOY | 18140610 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36045109 | BOY |
| EOY | 35508940 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79735787 | BOY |
| EOY | 76003420 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122906757 | BOY |
| EOY | 125953405 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -8642524 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 4910157 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11036508 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10672721 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11467323 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12236762 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4812094 | CurrentTaxYear |
| Total | 50225408 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11036508 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10672721 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11467323 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12236762 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4812094 | CurrentTaxYear |
| Total | 50225408 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 2031154 | AmountsSubstContributorsTotal |
| Public Support Total170 | 48194254 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 60906 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11987 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1640 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4906 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6164 | CurrentTaxYear |
| Total | 85603 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 50311011 | TotalSupport |
| Gross Receipts From Admissions Etc | 281928726 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.95793 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.95650 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $100,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 100000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, line i | Identifier |
| Explanation | The organization worked with lobbying firms and industry groups to influence state legislation that was being written related to the Medi-Cal program and planned Medi-Cal rate reductions that would negatively impact the organization. This lobbying activity was not a substantial part of the organization's overall functions. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 37738914 | BeginningOfYearBalance |
| Contributions | 168831 | Contributions |
| Investment Earnings Or Losses | 3820790 | InvestmentEarningsOrLosses |
| Other Expenditures | 705000 | OtherExpenditures |
| End Of Year Balance | 41023535 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 37446593 | BeginningOfYearBalance |
| Contributions | 561020 | Contributions |
| Investment Earnings Or Losses | 401301 | InvestmentEarningsOrLosses |
| Other Expenditures | 670000 | OtherExpenditures |
| End Of Year Balance | 37738914 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 32381562 | BeginningOfYearBalance |
| Contributions | 689786 | Contributions |
| Investment Earnings Or Losses | 5010245 | InvestmentEarningsOrLosses |
| Other Expenditures | 635000 | OtherExpenditures |
| End Of Year Balance | 37446593 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 29666200 | BeginningOfYearBalance |
| Contributions | 122775 | Contributions |
| Investment Earnings Or Losses | 3192587 | InvestmentEarningsOrLosses |
| Other Expenditures | 600000 | OtherExpenditures |
| End Of Year Balance | 32381562 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 38484514 | BeginningOfYearBalance |
| Contributions | 30425 | Contributions |
| Investment Earnings Or Losses | -5085714 | InvestmentEarningsOrLosses |
| Other Expenditures | 3763025 | OtherExpenditures |
| End Of Year Balance | 29666200 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.19980 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.80020 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 90849 | OtherCostOrOtherBasis |
| Book Value | 90849 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 80003652 | OtherCostOrOtherBasis |
| Depreciation | 36447180 | Depreciation |
| Book Value | 43556472 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16749680 | OtherCostOrOtherBasis |
| Depreciation | 11104576 | Depreciation |
| Book Value | 5645104 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6828179 | OtherCostOrOtherBasis |
| Depreciation | 1258444 | Depreciation |
| Book Value | 5569735 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 54862160 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BENEFICIAL INTEREST IN JHSLF | 45152461 |
| TRUSTEE ACCOUNTS | 5471966 |
| OTHER ASSETS | 21815 |
| INTEREST IN NET ASSETS - JHSLF | 1985520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 52631762 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DERIVATIVE FINANCIAL INSTRUMENTS | $484,162 |
| RESIDENTS' TRUST ACCOUNT | $267,889 |
| LOANS PAYABLE FROM JHSLF | $40,480,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 41232051 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 67572156 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 5063744 | OtherRevenues |
| Revenue Not Rptd F990 | 5063744 | RevenueNotRptdF990 |
| Revenue Subtotal | 62508412 | RevenueSubtotal |
| Total Revenue Per Form990 | 62508412 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 71304523 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 153587 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 153587 | ExpensesNotRptdF990 |
| Expenses Subtotal | 71150936 | ExpensesSubtotal |
| Total Expenses Per Form990 | 71150936 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| UNCERTAIN TAX POSITION, PART X | PART X, LINE 2 | THE ORGANIZATION FOLLOWS THE U.S. GAAP ACCOUNTING STANDARD REGARDING ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THIS ACCOUNTING STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE STANDARD REQUIRES the organization TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE TAX POSITIONS TAKEN. THEREFORE, NO LIABILITY HAS BEEN RECORDED. |
| INTENDED USE OF ENDOWMENT FUNDS | PART V, LINE 4 | THE ORGANIZATION'S ENDOWMENT ASSETS CONSIST OF FUNDS ESTABLISHED TO GENERATE OPERATING SUPPORT TO THE ORGANIZATION AND CAPITAL CAMPAIGN FUNDS WHICH THE BOARD OF TRUSTEES MAY USE TO REPAY THE PRINCIPAL PORTION OF THE CONSTRUCTION DEBT AND INCLUDES ACCUMULATED EARNINGS THEREON THAT HAVE NOT YET BEEN EXPENDED. AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. |
| RECONCILIATION OF REVENUE | PART XI | IN-KIND CONTRIBUTION - IMPUTED INTEREST ON BELOW- MARKET LOANS $73,823 INCREASE IN VALUE OF SPLIT INTEREST AGREEMENTS $217,462 INCREASE IN BENEFICIAL INTEREST IN JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $3,934,250 UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT <$34,063> COST OF SALE - GARDEN CAFE AND GIFT SHOP $79,764 IMPUTED INTEREST ON OTHER RECEIVABLES $28,132 BOOK TO TAX ADJUSTMENT CHANGE IN NET ASSETS OF JEWISH HOME & SENIOR LIVING FOUNDATION $1,305,376 PRIOR YEAR RESCINDED PLEDGES <$541,000> ----------- TOTAL $5,063,744 =========== |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 431835 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 431835 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39273270 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37953881 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1319389 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01850 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39705105 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37953881 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1751224 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01860 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 675360 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 188421 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 486939 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00680 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 675360 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 188421 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 486939 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00680 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40380465 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38142302 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2238163 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02540 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $533,987 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 12966521 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10703853 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2262668 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACUTE PSYCHIATRIC HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 SILVER AVENUE | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Other | NONE | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACUTE PSYCHIATRIC HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 350. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Permit Other Actions | X | PermitOtherActions |
| Collection Activities | true | CollectionActivities |
| Other Actions | X | OtherActions |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | false | NondiscrimEmergencyCarePolicy |
| No Emergency Care | X | NoEmergencyCare |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I, LINE 7, COLUMN F | PERCENT OF TOTAL EXPENSE | BAD DEBT EXPENSE IS REPORTED AS A NET ADJUSTMENT TO PATIENT CHARGES AND THEREFORE NOT INCLUDED AS PART OF TOTAL EXPENSES FROM PART IX, LINE 25, COLUMN A. |
| PART I, LINE 7 | COST TO CHARGE RATIO | The cost to charge ratio as determined by worksheet 2 was used to calculate the amounts reported on Line 7b. The costing methodology used on Line 7h was calculated based on actual costs from the organization's general ledger. |
| PART III, LINE 4 & LINE 9B | Uncollected resident accounts are analyzed based on standard procedures for all resident accounts. The result of the analysis is what is recognized as bad debt expense. The organization follows HFMA Statement 15 and therefore no part of bad debt, as defined by statement 15, represents amounts attributable to patients eligible to receive financial assistance. The audited financial statements do not contain a footnote that describes bad debt expense. The audited financial statements contain a footnote describing patient service revenues and charity care which reads as follows: Patient service revenues are recorded on the accrual basis in the period services are provided at established rates regardless of whether collection in full is anticipated. Contractual allowances and the provision for uncollectible accounts are reported as deductions from patient service revenues. Contractual allowances include differences between established billing rates and amounts estimated by management as payable under various contractual arrangements in effect, including those with the Medicare and Medi-Cal programs. Estimation differences between final settlements and amounts accrued in previous years are reported as adjustments to the current year's contractual allowances. The Home accepts residents of the San Francisco Bay Area who meet certain requirements regardless of their ability to pay. A resident is classified as a charity resident by reference to established policies of the Home. Essentially, these policies define charity services as those services for which lesser payment is anticipated. Charity care is included in gross patient service revenue and a corresponding allowance is reflected in determining net patient service revenue. | |
| PART III, LINE 8 | Medicare allowable costs were calculated using a cost-to-charge ratio. The amounts reported in lines 5, 6 and 7 come from the Hospital's filed Medicare Cost report. The total revenue equates to Medicare payments and the Medicare Allowable Costs are determined on the Medicare Cost Report that utilized cost to charge ratios applied to covered Medicare Revenues. | |
| PART V, SECTION B, LINE 3 | NEEDS ASSESSMENT | The organization is a member of Building a Healthier San Francisco (BHSF), a collaboration of San Francisco hospitals, the Department of Public Health, United Way, human services providers, philanthropic foundations, and numerous community-based organizations. BHSF is committed to working toward improving the health status of all people in San Francisco. To that end, BHSF needs-assessment process utilizes the best secondary data available on selected indicators of the health or conditions affecting the well-being of San Francisco's population and subpopulations, and seeks feedback and input from the community to guide the assessment and direct the call to action. The ongoing results of this ongoing assessment are available at their website: http://www.sfhip.org/index.php?module=Article&func=collection&cid=3 |
| PART V, 20D | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | A Resident Services Coordinator staff is available to assist residents and/or their family members or legal representatives through the process of determining their eligibility for all government programs and assist them in the application process. |
| COMMUNITY INFORMATION | The organization serves the most medically/cognitively frail, as well as financially indigent elders (82 percent of the organization residents are indigent and/or Medi-Cal recipients who do not pay the full cost of care), with an average age of 87. It provides professional and comprehensive programs that include personal and health care to the elderly who primarily reside in the greater San Francisco Bay Area. | |
| PROMOTION OF COMMUNITY HEALTH | The Organization is involved in numerous community building activities to promote the health and well-being of the communities it serves as well as to provide training and internship opportunities to the future caretakers and leaders of the communities. Following is a list of some of those activities: The organization's staff attended and presented in conferences related to issues on the care for the elderly. Over the past 39 years, the organization has partnered with San Francisco City College in offering several adult education classes to the general community. Approximately 20 to 25 students enroll each semester in the Creative Arts class. The organization partners with local high schools that aim to involve youth in their community by encouraging them to fulfill needs in their respective milieus. Mutual goals include the promotion of civic responsibility and the development of leadership skills. Students from University of California, San Francisco, Samuel Merritt College, Dominican University, San Jose State University, and San Francisco State University continue to intern with the Organization's physical, occupational, and speech therapists. The organization regularly opens its doors to professional organizations and community groups, offering them free meeting space, and continuing education credits. The organization partners with local organizations, fostering dialogue, collaborations, and ongoing communications with its neighbors. Geriatric fellows from the Hebrew Union College Jewish Institute of Religion in Los Angeles, Calif. (in cooperation with the Kalsman Institute on Judaism and Health), and Hebrew Union College Jewish Institute of Religion (HUC-JIR) in New York receive training at the organization. Fourth-year pharmacy students at UCSF spend 12 hours a week, in 12-week rotations, in the Organization's Pharmacy department. Through its affiliation with the Organization, six to seven Touro University School of Pharmacy students per academic year receive a six-week training in long-term care pharmacy. They learn how the geriatric patient processes drugs differently from a younger population, are exposed to how drugs are dispensed and utilized, and gain an understanding of third-party payers. The Organization collaborates with the San Francisco Jewish Community Center to provide hot, nutritious meals to Jewish seniors. | |
| Part V, Line 17e | PHONE CALLS, EMAILS, LETTERS | |
| Part V, Line 20 | Medi-Cal state rate | |
| PART V, LINE 4 | THE JEWISH HOME HAS PARTNERED WITH THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA AND OTHER HOSPITAL FACILITIES IN CONDUCTING ITS MOST RECENT CHNA. THESE OTHER HOSPITAL FACILITIES ARE AS FOLLOWS: CALIFORNIA PACIFIC MEDICAL CENTER CHINESE HOSPITAL OF SAN FRANCISCO KAISER PERMANENTE HOSPITAL LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER SAINT FRANCIS MEMORIAL HOSPITAL ST. MARY'S MEDICAL CENTER UCSF MEDICAL CENTER VA MEDICAL CENTER SAN FRANCISCO FURTHER INFORMATION ON THESE FACILITIES MAY BE FOUND ON THE WEBSITE http://www.sfhip.org/ AND SELECTING THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA FROM THE LIST OF SPONSORS. | |
| PART V, LINE 16E | PHONE CALLS, EMAILS, LETTERS | |
| STATE FILING OF COMMUNITY BENEFIT REPORT | 990 SCHEDULE H, PART VI | CA, |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs | Bonus Related OrgsBonusRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL ABREU | ||||||||||||
| DIRECTOR NUTRITIONAL SERVICES | 152985 | 9311 | 6206 | 30013 | 198515 | |||||||
| JANICE B SCHWARTZ | ||||||||||||
| RESEARCH DIRECTOR | 148134 | 13916 | 80240 | 242290 | ||||||||
| JOAN H ACCARINO | ||||||||||||
| DIRECTOR OF EDUCATION | 120471 | 12608 | 30013 | 163092 | ||||||||
| DANIEL RUTH | ||||||||||||
| PRESIDENT AND CEO | 299527 | 75000 | 74980 | 111047 | 560554 | 250219 | 357372 | 91167 | 102510 | 801268 | 357372 | |
| KEVIN POTTER THRU 12013 | ||||||||||||
| CFO | 300537 | 9552 | 74139 | 406989 | 22761 | |||||||
| EDWIN CABIGAO | ||||||||||||
| CHIEF NURSING OFFICER | 175744 | 31682 | 7122 | 14934 | 229482 | |||||||
| SHERIE KOSHOVER | ||||||||||||
| DIRECTOR CORPORATE PLAN | 481492 | 35100 | 97027 | 36903 | 650522 | |||||||
| ELLIOTT STEIN | ||||||||||||
| MEDICAL DIRECTOR | 227551 | 0 | 2325 | 229876 | ||||||||
| SANDRA C SIMON | ||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 227612 | 10088 | 15676 | 80679 | 334055 | |||||||
| JENNIFER E SERAFIN | ||||||||||||
| GERIATRIC NURSE PRACTITIONER | 139729 | 9880 | 14811 | 164420 | ||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | CONTRIBUTIONS TO 457(F) PLAN | Identifier |
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | DANIEL RUTH $357,372 DISTRIBUTION FROM AND $64,980 CONTRIBUTION TO A 457(F) PLAN. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DANIEL RUTH | NamePerson |
| Relationship With Organization | CEO/PRESIDENT | RelationshipWithOrganization |
| Purpose Of Loan | COMPENSATION PACKAGE | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $800,000 | OriginalPrincipalAmount |
| Balance Due | 800000 | BalanceDue |
| Default | false | Default |
| Approved By Board | true | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 800000 | TotalBalanceDue |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 200 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest |
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 40 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 360 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 10 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 172817 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV on transfer date | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 4 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | GIFT CERTIFICATE | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 50 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 8 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | true | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCH M, PART I, LINE 32b | Identifier |
| Explanation | CENTER FOR CAR DONATIONS | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| REVIEW OF FORM 990 | FORM 990, PART VI, LINE 11A | A COPY OF THE FORM 990 IS PROVIDED TO ALL BOARD OF TRUSTEES PRIOR TO FILING. MANAGEMENT OF THE ORGANIZATION REVIEWS THE COMPLETED FORM 990 AND FOLLOWS UP WITH THE TAX RETURN PREPARATION FIRM TO ANSWER ANY QUESTIONS PRIOR TO FILING. |
| MONITORING AND ENFORCEMENT OF COMPLIANCE | FORM 990, PART VI, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. EACH TRUSTEE AND PRINCIPAL OFFICER OF THE ORGANIZATION AND EACH MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS ANNUALLY SIGNS THE CONFLICT OF INTEREST STATEMENT AND DISCLOSURE FORM. THE BOARD OF TRUSTEES REVIEWS AND DETERMINES IF ANY CONFLICTS OF INTEREST EXIST AND TAKES THE APPROPRIATE ACTION AS OUTLINED IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. |
| DETERMINATION, REVIEW AND APPROVAL OF OFFICERS' COMPENSATION | FORM 990, PART VI, LINE 15b | THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE ANNUAL COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER BASED ON VARIOUS FACTORS SUCH AS: COMPENSATION DATA OBTAINED FROM SURVEYS, PERFORMANCE APPRAISALS AND NON-PROFIT RESOURCES FOR SIMILAR ORGANIZATIONS IN THE SAME GEOGRAPHICAL AREA. THE BOARD OF TRUSTEES APPROVES THE CHIEF EXECUTIVE OFFICER'S EMPLOYMENT CONTRACT. THE CHIEF EXECUTIVE OFFICER REVIEWS AND APPROVES THE ANNUAL COMPENSATION FOR THE OTHER EXECUTIVE TEAM MEMBERS BASED ON VARIOUS FACTORS SUCH AS ANNUAL COMPENSATION SURVEYS, PERFORMANCE APPRAISALS AND OTHER NON-PROFIT RESOURCES FOR SIMILAR ORGANIZATIONS. THE BOARD OF TRUSTEES APPROVES THE ANNUAL BUDGET THAT INCLUDES COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. |
| AVAILABILITY OF DOCUMENTS FOR PUBLIC INSPECTION | FORM 990, PART VI, LINE 19 | THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN OR ORAL REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. |
| PURPOSE OF A LOAN TO THE CHIEF EXECUTIVE OFFICER | SCHEDULE L, PART II, COL (A) | THE ORGANIZATION MADE A LOAN OF $800,000 IN SEPTEMBER 2002 TO THE CHIEF EXECUTIVE OFFICER AS PART OF HIS COMPENSATION PACKAGE THAT REQUIRED HIM TO RELOCATE TO CALIFORNIA. THE COMPENSATION PACKAGE WHICH INCLUDED THE LOAN WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE AND THE BOARD OF TRUSTEES AS REASONABLE AND FAIR. THE LOAN IS INTEREST FREE AND IS SECURED BY A SECOND DEED OF TRUST. INTEREST EXPENSE IS IMPUTED ANNUALLY USING THE APPLICABLE FEDERAL RATE (AFR) FOR DEMAND LOANS AND REPORTED AS COMPENSATION BY THE OFFICER. |
| RECONCILIATION OF CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 9 | INCREASE IN VALUE OF SPLIT INTEREST AGREEMENTS $217,462 INCREASE IN BENEFICIAL INTEREST IN JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $3,934,250 BOOK TO TAX ADJUSTMENT CHANGE IN NET ASSETS OF JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $1,305,376 UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT <$34,063> IMPUTED INTEREST ON OTHER RECEIVABLES $28,132 PRIOR YEAR RESCINDED PLEDGES <$541,000> ----------- TOTAL $4,910,157 =========== |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| JEWISH SENIOR LIVING GROUP | ||||||||||
| 302 SILVER AVENUE | SAN FRANCISCO CA | CA | 94112 | 800291740 | SEE PART VII | CA | 501(C)(3) | 11A | NO | false |
| BAY AREA JEWISH SENIOR LIFE | ||||||||||
| 302 SILVER AVENUE | SAN FRANCISCO | CA | 94112 | 455092344 | SEE PART VII | CA | 501(C)(3) | 11A | NO | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARITABLE REMAINDER TRUSTS (5) | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legal Domicile State | CA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VARIOUS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | TRUSTS | TypeOfEntity |
| Share Of EOY Assets | 6368448 | ShareOfEOYAssets |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART II, LINE 1, COL (B) | JEWISH SENIOR LIVING GROUP PRIMARY ACTIVITY | TO PROMOTE THE PROVISION OF JEWISH LIVING SERVICES, FACILITIES AND AGING SERVICES IN NORTHERN CALIFORNIA BY PROVIDING SERVICES DESIGNED TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK. |
| PART II, LINE 2, COL (B) | BAY AREA JEWISH SENIOR LIFE PRIMARY ACTIVITY | TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK. |
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