HOLLENBECK PALMS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOLLENBECK PALMS (EIN 71-0876594)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-12-02
IRS object ID
201313369349300131
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-12-02T12:15:11-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN952242818EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1VICENTI LLOYD & STUTZMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12210 E ROUTE 66 SUITE 100AddressLine1
CityGLENDORACity
StateCAState
ZIP Code91740ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710876594EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOLLENBECK PALMSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOLLNameControl
Phone3232636195Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1573 SOUTH BOYLE AVENUEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90033ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHNNY YOUNGName
TitleCONTROLLERTitle
Phone3232636195Phone
Date Signed2013-11-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTIMOTHY D EVANS CPAName
PTINP00050546PTIN
Phone6268577300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHNNY YOUNGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1573 SOUTH BOYLE AVENUEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90033ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22650855GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOLLENBECKPALMS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionHOLLENBECK PALMS IS COMMITTED TO PROVIDING A RESIDENCE FOR THOSE IN THE LATER YEARS OF THEIR LIVES THAT ENCOMPASSES A HEALTHY ENVIRONMENT OF COMFORT, SAFETY, AND ENJOYMENT; THAT ATTENDS TO THEIR PHYSICAL, MENTAL, AND SPIRTUAL NEEDS; AND THAT IS QUICK TO RESPOND TO AND ASSIST IN THOSE NEEDS WHETHER IMMEDIATE OR LONG TERM, AND TO DO SO WITH GREAT COMPASSION, HONESTY, DIGNITY, AND GENUINE LOVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees204TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year80559ContributionsGrantsPriorYear
Contributions Grants Current Year1343818ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16010627ProgramServiceRevenuePriorYear
Program Service Revenue CY16859676ProgramServiceRevenueCY
Investment Income Prior Year1642529InvestmentIncomePriorYear
Investment Income Current Year1545326InvestmentIncomeCurrentYear
Other Revenue Prior Year308101OtherRevenuePriorYear
Other Revenue Current Year403880OtherRevenueCurrentYear
Total Revenue Prior Year18041816TotalRevenuePriorYear
Total Revenue Current Year20152700TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7885889SalariesEtcPriorYear
Salaries Etc Current Year7990730SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8243071OtherExpensePriorYear
Other Expenses Current Year8147777OtherExpensesCurrentYear
Total Expenses Prior Year16128960TotalExpensesPriorYear
Total Expenses Current Year16138507TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1912856RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4014193RevenuesLessExpensesCY
Total Assets BOY75356168TotalAssetsBOY
Total Assets EOY78107280TotalAssetsEOY
Total Liabilities BOY41723708TotalLiabilitiesBOY
Total Liabilities EOY37607049TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33632460NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY40500231NetAssetsOrFundBalancesEOY
Mission DescriptionNONEMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10110548Expense
Revenue17263556Revenue
DescriptionHOLLENBECK PALMS PROVIDES CARE FOR THE AGING, INCLUDING RESIDENTIAL AND SKILLED NURSING CARE LIVING ARRANGEMENTS FOR THEIR MEMBERS.Description
Total Program Service Expense10110548TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees204NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHNNY YOUNGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3232636195TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1573 SOUTH BOYLE AVENUEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90033ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DAVID ADAMS
ASST. TREASURER1.00X000
MICHAEL DAVIS
BOARD MEMBER1.00X000
CAROL A JOHNSTON
BOARD CHAIR1.00X000
CHARLENE LEIBAU
SECRETARY1.00X000
CASEY ADAMS
BOARD MEMBER1.00X000
TRACY HIRREL
BOARD MEMBER1.00X000
WILLIAM HEIDEMAN
PRESIDENT/CEO40.00181983057855X
MORRIS SHOCKLEY
ADMINISTRATOR - VICE PRES.40.00141539040501X
JOHNNY YOUNG
CONTROLLER40.0095294026757X
RAY SHIVELY
CHIEF ENGINEER40.00139991032330X
CAMILLE GOLDSMITH
DIRECTOR OF NURSING40.00140521031412X
JOHN M SHIVELY
ENGINEER40.00113014027622X
FieldValueIRS element (for citing)
Total Reportable Comp From Org812342TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation216477TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CREATIVE LANDSCAPE & MAINTBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line114877 SHETLAND LNAddressLine1
CityFONTANACity
StateCAState
ZIP Code92336ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLANDSCAPINGDescriptionOfServices
Compensation130091Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions1343818AllOtherContributions
Total Contributions1343818TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SNF & RESIDENTIAL CARE6239901273386812733868
MEDICARE/MEDICAID PAYMENTS62399041258084125808
FieldValueIRS element (for citing)
Total Program Service Revenue16859676TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1067915TotalRevenueColumn
Exclusion$1,067,915ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2975566Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2498155Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities477411Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column477411TotalRevenueColumn
Exclusion$477,411ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROYALTIES900099257082257082
BEAUTY/BARBER SHOP9000995688656886
MISCELLANEOUS REV9000992350323503

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column66409TotalRevenueColumn
Related Or Exempt Function Income66409RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue403880TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20152700TotalRevenueColumn
Related Or Exempt Function Income17263556RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,545,326ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total546372Total
Management And General546372ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5386401Total
Program Services4680929ProgramServices
Management And General705472ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2057957Total
Program Services1762248ProgramServices
Management And General295709ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13544Total
Management And General13544ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total120543Total
Management And General120543ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total189215Total
Program Services77506ProgramServices
Management And General111709ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total181387Total
Management And General181387ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total841660Total
Program Services691872ProgramServices
Management And General149788ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total622123Total
Management And General622123ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2258Total
Management And General2258ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9712Total
Program Services4569ProgramServices
Management And General5143ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total243896Total
Management And General243896ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1152766Total
Management And General1152766ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total254276Total
Management And General254276ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES1067934813707254227
OTHER MEDICAL & MEDICAR990285990285
FOOD EXPENSES726347726347
SERVICES19517914454650633

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1536652Total
Program Services218539ProgramServices
Management And General1318113ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16138507Total
Program Services10110548ProgramServices
Management And General6027959ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4109009BOY
EOY2919489EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY556732BOY
EOY617419EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY1214608EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1791704BOY
EOY1832856EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY170415BOY
EOY176333EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY215653BOY
EOY213295EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45725159LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18242132LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28109126BOY
EOY27483027EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY37095275BOY
EOY40514067EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3308254BOY
EOY3136186EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY75356168BOY
EOY78107280EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3794988BOY
EOY2959942EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY23540000BOY
EOY22995000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14388720BOY
EOY11652107EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41723708BOY
EOY37607049EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY32034985BOY
EOY37531814EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY824152BOY
EOY2195094EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY773323BOY
EOY773323EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33632460BOY
EOY40500231EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75356168BOY
EOY78107280EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4014193ReconcilationRevenueExpenses
Reconcilation Other Changes2853578ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years389590CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years192962CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years553614CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80559CurrentTaxYearMinus1Year
Current Tax Year1288426CurrentTaxYear
Total2505151Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11279803CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13224245CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14872593CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16010627CurrentTaxYearMinus1Year
Current Tax Year16859676CurrentTaxYear
Total72246944Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11669393CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13417207CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15426207CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16091186CurrentTaxYearMinus1Year
Current Tax Year18148102CurrentTaxYear
Total74752095Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50974752095PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1006691CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years911599CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years941580CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year949652CurrentTaxYearMinus1Year
Current Tax Year1067915CurrentTaxYear
Total4877437Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1006691CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years911599CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years941580CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year949652CurrentTaxYearMinus1Year
Current Tax Year1067915CurrentTaxYear
Total4877437Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years198408CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years149207CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years190090CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year308101CurrentTaxYearMinus1Year
Current Tax Year403880CurrentTaxYear
Total1249686Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12874492CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14478013CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16557877CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17348939CurrentTaxYearMinus1Year
Current Tax Year19619897CurrentTaxYear
Total80879218Total
FieldValueIRS element (for citing)
Public Support Percentage5090.92420PublicSupportPercentage509
Prior Year Support Percentage0.90950PriorYearSupportPercentage
Investment Income Percentage0.06030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.07690PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis28092OtherCostOrOtherBasis
Book Value28092BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis39896745OtherCostOrOtherBasis
Depreciation14519827Depreciation
Book Value25376918BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis266736OtherCostOrOtherBasis
Depreciation184225Depreciation
Book Value82511BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5533586OtherCostOrOtherBasis
Depreciation3538080Depreciation
Book Value1995506BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings27483027TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED REVENUE FROM ACCOMODATION FEES$4,099,030
ASSIGNED ASSETS$7,553,077
FieldValueIRS element (for citing)
Total Of Amounts11652107TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt23006278TotRevenueEtcAuditedFinclStmt
Other Revenues2853578OtherRevenues
Revenue Not Rptd F9902853578RevenueNotRptdF990
Revenue Subtotal20152700RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99020152700TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16138507TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16138507ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016138507TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE PALMS HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED ARE RELATED TO THE PALMS CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE IS UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS ARE MORE LIKELY THAN NOT (>50%) OF BEING SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE PALMS FILES INFORMATIONAL RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. THE STATUTE OF LIMITATIONS FOR FEDERAL AND CALIFORNIA STATE PURPOSES IS GENERALLY THREE AND FOUR YEARS, RESPECTIVELY.
PART XI, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED GAIN ON INVESTMENTS 2,908,970. DISCOUNT ON PLEDGES RECEIVABLE -55,392.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM HEIDEMAN
PRESIDENT/CEO1819830000000578550239838000
MORRIS SHOCKLEY
ADMINISTRATOR - VICE PRES.1415390000000405010182040000
RAY SHIVELY
CHIEF ENGINEER1399910000000323300172321000
CAMILLE GOLDSMITH
DIRECTOR OF NURSING1405210000000314120171933000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
A13079GAH62007-02-015525000THE BONDS PROCEEDS WERE USED BY HOLLENBECK PALMS TO DEMOLISH CERTAIN000
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
B10379GAJ22007-02-0115035000EXISTING BUILDINGS, CONTRUCT A NEW THREE-STORY BUILDING CONSISTING OF000
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
C13079GAK92007-02-012700000RESIDENTIAL UNITS, UNDERGROUND PARKING, AND RELATED FACILITIES.000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A0000
B0000
C0000

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000000
B0000000
C0000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000000000
B000000000
C000000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11NO REVIEW WAS OR WILL BE CONDUCTED
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST STATEMENTS ARE SIGNED BY TRUSTEES ANNUALLY AND REVIEWED BY MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 15BOARD OF TRUSTEES DETERMINES COMPENSATION FOR ALL ORGANIZATIONS AND KEY EMPLOYEES, BASED ON COMPARABLE SALARIES IN THE LOCAL AREA.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990, PART XI, LINE 9:UNREALIZED GAIN ON INVESTMENTS 2,271,822. CHANGE IN PENSION LIABILITY 637,148. DISCOUNT ON PLEDGES RECEIVABLE -55,392.CHANGES IN NET ASSETS OR FUND BALANCES:
990 PART XI LINE 24FPROGRAM: SUPPORT: REPAIR & MAINTENANCE 84,901 4,723 MISC 109,109 1,183,478 DUES 24,529 129,912 TOTAL 218,539 1,318,113DETAIL OF OTHER EXPENSES

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