2011-11-14T13:01:25-06:00 2010-12-31 MOSS ADAMS LLP 3121 WEST MARCH LANE SUITE 100 STOCKTON CA 952192303 990 2010-01-01 943358174 ESKATON VILLAGE GRASS VALLEY ESKA 9163340810 5105 MANZANITA AVENUE CARMICHAEL CA 95608 BILL PACE 9163340810 2011-11-09 1 TRACY S PAGLIA 2099556100 2010 2016-02-24 21:20:13Z TODD S MURCH 5105 MANZANITA AVENUE CARMICHAEL CA 95608 6419566 0 X WWW.ESKATON.ORG X 2002 CA TO ENHANCE THE QUALITY OF LIFE OF SENIORS THROUGH INNOVATIVE HEALTH, HOUSING AND SOCIAL SERVICES. 13 12 70 0 0 0 0 5983 5557777 5917027 -4462 -2806 0 0 5553315 5920204 0 0 0 0 1950133 2040113 0 0 0 3879476 4350389 5829609 6390502 -276294 -470298 13333216 12648376 25619907 26079204 -12286691 -13430828 ESKATON VILLAGE GRASS VALLEY'S PRIMARY MISSION IS TO ENHANCE THE QUALITY OF LIFE OF SENIORS THROUGH INNOVATIVE HEALTH, HOUSING AND SOCIAL SERVICES. 0 0 5815830 0 5917027 ESKATON VILLAGE GRASS VALLEY IS A MULTI-LEVEL RETIREMENT COMMUNITY THAT OFFERS INDEPENDENT LIVING APARTMENTS WITH SERVICES AND ASSISTED LIVING APARTMENTS. ALL RESIDENTS HAVE AN EMERGENCY RESPONSE SYSTEM WITH 24-HOUR STAFFING, SHUTTLE SERVICE, ACCESS TO THE FITNESS CENTER, SERVICES OF A RECREATION COORDINATOR AND ADVICE NURSE. ADDITIONALLY, ASSISTED LIVING RESIDENTS HAVE ACCESS TO A FULL RANGE OF RECREATIONAL ACTIVITIES THAT MAY INCLUDE GARDENING, ARTS AND CRAFT PROJECTS, CURRENT EVENTS DISCUSSIONS AND EXERCISE. ESKATON VILLAGE GRASS VALLEY OPERATING STATISTICS - RESIDENT DAYS: 45,584. PLEASE VISIT THE ESKATON WEBSITE (WWW.ESKATON.ORG) FOR THE ESKATON ANNUAL & SOCIAL ACCOUNTABILITY REPORT. 5815830 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 92 0 1 70 1 0 0 0 0 0 0 0 0 0 0 X 13 12 0 1 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X X EDUARD BOOGAARD 9163395688 5105 MANZANITA AVENUE CARMICHAEL CA 95608 X TODD MURCH 2.00 X X 0 533666 43607 GAY MARIE BONE 1.00 X X 0 0 0 ANNE BURNS JOHNSON 1.00 X 0 0 0 CARL GERLACH 1.00 X 0 0 0 KATIE HAAS 1.00 X 0 0 0 MARY HOPP 1.00 X 0 0 0 MARK A HYJEK 1.00 X 0 0 0 WES G JUSTYN 1.00 X 0 0 0 LEELAND S KING 1.00 X 0 0 0 MARTHA KUNKEL 1.00 X 0 0 0 GREGORY A NATHANSON 1.00 X 0 0 0 LISA YATES 1.00 X 0 0 0 CLARENCE WILLIAMS 2.00 X X 0 0 0 TREVOR HAMMOND 2.00 X 0 367983 20176 BILL PACE 2.00 X 0 310000 26528 0 1211649 90311 0 0 1 0 ESKATON PROPERTIES INC 5105 MANZANITA AVE CARMICHAEL CA 95608 MANAGEMENT FEE 380642 1 5983 5983 HEALTH CARE RELATED SE 623000 5431860 5431860 HOMEOWNERS ASSOCIATION 623000 221093 221093 ESKATON PROPERTIES INC 623000 134906 134906 CATERING AND MEAL REVE 623000 50082 50082 APPLICANT FEE REVENUE 623000 41300 41300 37786 37786 5917027 348 348 496208 496411 2951 -203 -2951 -3154 -3154 5920204 5917027 0 -2806 1446927 1156000 290927 459958 367966 91992 133228 111623 21605 380642 304514 76128 335 335 55 55 306449 306449 35612 35612 451210 412246 38964 338051 338051 10108 8866 1242 623 623 65870 65870 939422 939422 119705 101893 17812 SWAP PAYMENTS 1010070 1010070 FINANCING FEES 590412 590412 ANCILLARY COST 27111 27111 BAD DEBT 24000 24000 50714 50714 6390502 5815830 574672 0 56300 132300 1261253 1226638 20355 42418 9500 9997 90687 22477 17749786 6797394 11579592 10952392 135701 217197 179828 44957 13333216 12648376 271021 260725 3000 6650 23202686 22721365 2143200 3090464 25619907 26079204 X -12286691 -13430828 -12286691 -13430828 13333216 12648376 X -470298 -673839 X 0 1 1 X 0 X 5983 5983 5380775 5830084 6058597 5557777 5917027 28744260 5380775 5830084 6058597 5557777 5923010 28750243 0 151043 158587 170723 163035 237531 880919 151043 158587 170723 163035 237531 880919 27869324 885311 183714 51262 2525 348 1123160 885311 183714 51262 2525 348 1123160 25000 25000 6266086 6013798 6134859 5560302 5923358 29898403 0.93210 0.91200 0.03760 0.04000 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: ESCROW ACCOUNT REFUND 264818 264818 13853274 5185484 8667790 2282283 780019 1502264 1204242 742071 462171 145169 89820 55349 10952392 INTEREST RATE SWAP AGREEMENT 3090464 3090464 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: PART X - FIN 48 FOOTNOTE ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. RECOGNITION OF A TAX POSITION IS DETERMINED WHEN IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES. A TAX POSITION THAT MEETS THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD IS MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT WITH A TAXING AUTHORITY. 0 1 0 0 0 0 0 0 0 TODD MURCH 0 465333 0 68333 0 0 0 29632 0 13975 0 577273 0 0 TREVOR HAMMOND 0 327483 0 40500 0 0 0 16374 0 3802 0 388159 0 0 BILL PACE 0 282500 0 27500 0 0 0 14125 0 12403 0 336528 0 0 PART I, LINE 4B THE PLAN IS LIMITED TO KEY EMPLOYEES WHO ARE DESIGNATED BY THE COMMITTEE. THE EMPLOYEE BECOMES FULLY VESTED UPON THE EARLIER OF HIS/HER TERMINATION OF EMPLOYMENT AT HIS/HER NORMAL RETIREMENT DATE OR HIS/HER COMPLETION OF 10 YEARS OF SENIOR EXECUTIVE MANAGEMENT SERVICE. FINAL AVERAGE PAY IS CALCULATED BY AVERAGING THE ANNUAL COMPENSATION FOR THE THREE CONSECUTIVE YEARS OUT OF THE LAST TEN YEARS OF SENIOR EXECUTIVE MANAGEMENT SERVICE THAT RESULTS IN THE HIGHEST AVERAGE. TODD MURCH'S CONTRIBUTION AMOUNT WAS $6,366. SUPPLEMENTAL INFORMATION PART III PART I, LINE 3: COMPENSATION FOR THE PRESIDENT AND CEO WAS DETERMINED BY ESKATON PROPERTIES, INC., A RELATED ORGANIZATION, THAT USED ONE OR MORE OF THE METHODS DESCRIBED ON LINE 3 TO ESTABLISH COMPENSATION. FORM 990, PART VI, SECTION A, LINE 3 ESKATON PROPERTIES, INC. PERFORMS THE ORGANIZATION'S MANAGEMENT DUTIES THROUGH COMMON OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CORPORATE MEMBER WITH THE POWER TO APPOINT ALL DIRECTORS OTHER THAN THE PRESIDENT OF THE CORPORATION. AS A SUBSIDIARY CORPORATION TO THE CORPORATE MEMBER, ALL OF THE ASSETS OF THE ORGANIZATION WOULD BE RECEIVED BY THE CORPORATE MEMBER UPON DISSOLUTION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT ALL DIRECTORS OTHER THAN THE PRESIDENT OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 DATA TO PREPARE THE 990 IS GATHERED BY THE LEAD ACCOUNTANT. THE RETURN IS PREPARED BY A PROFESSIONAL ACCOUNTING FIRM AND REVIEWED BY THE DIRECTOR OF FINANCE AND THE CFO. THE FINAL 990 IS SIGNED BY THE CFO. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY DISCLOSE THEIR POTENTIAL CONFLICTS OF INTEREST. DIRECTORS ABSTAIN FROM VOTING AND DO NOT PARTICIPATE IN DISCUSSION OF BOARD ACTIONS RELATED TO POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CEO IS DETERMINED BY A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE UTILIZES THE SERVICES OF A PROFESSIONAL COMPENSATION CONSULTANT THAT PROVIDES DATA FROM A WIDE RANGE OF COMPARABLE ORGANIZATIONS. FOR THE COO, CFO, AND OTHER HIGHLY COMPENSATED EMPLOYEES, COMPENSATION IS DETERMINED BY THE CEO BASED ON ANNUAL (COO AND CFO) OR PERIODIC (OTHER HIGHLY COMPENSATED EMPLOYEES) RECOMMENDATIONS FROM A PROFESSIONAL COMPENSATION CONSULTANT UTILIZING DATA FROM COMPARABLE ORGANIZATIONS. THIS PROCESS IS PERFORMED ANNUALLY. THE LAST REVIEW WAS NOVEMBER 2010. FORM 990, PART VI, SECTION C, LINE 19 ESKATON VILLAGE GRASS VALLEY'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT ROUTINELY AVAILABLE TO THE PUBLIC. THE ESKATON VILLAGE GRASS VALLEY FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH GUIDESTAR AND UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN B: HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: TODD MURCH, TREVOR HAMMOND AND BILL PACE'S TIME IS DIVIDED AS FOLLOWS: ESKATON FOUNDATION 2 HRS ESKATON GOLD RIVER LODGE 2 HRS ESKATON VILLAGE ROSEVILLE 2 HRS ESKATON VILLAGE PLACERVILLE 2 HRS ESKATON 2 HRS ESKATON PROPERTIES, INC 40 HRS CLARENCE WILLIAMS' TIME IS DIVIDED AS FOLLOWS: ESKATON GOLD RIVER LODGE 2 HRS ESKATON VILLAGE ROSEVILLE 2 HRS ESKATON VILLAGE PLACERVILLE 2 HRS ESKATON 2 HRS ESKATON PROPERTIES, INC 2 HRS MARY HOPP AND WES JUSTYN'S TIME IS DIVIDED AS FOLLOWS: ESKATON FOUNDATION 1 HR ESKATON GOLD RIVER LODGE 1 HR ESKATON VILLAGE ROSEVILLE 1 HR ESKATON VILLAGE PLACERVILLE 1 HR ESKATON 1 HR ESKATON PROPERTIES, INC 1 HR ALL OTHER BOARD MEMBERS' TIME IS DIVIDED AS FOLLOWS: ESKATON GOLD RIVER LODGE 1 HR ESKATON VILLAGE ROSEVILLE 1 HR ESKATON VILLAGE PLACERVILLE 1 HR ESKATON 1 HR ESKATON PROPERTIES, INC 1 HR CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 52,669. CHANGE IN FAIR VALUE OF DERIVATIVE ACTIVITIES -726,508. TOTAL TO FORM 990, PART XI, LINE 5: -673,839. FORM 990, PART X, LINE 20: TAX-EXEMPT BOND LIABILITY IS AN ALLOCATED PORTION OF A $48,600,000 BOND. THE REQUIRED SUPPLEMENTAL INFORMATION IS REPORTED ON ESKATON PROPERTIES, INC'S (94-2906316) FORM 990, SCHEDULE K. ESKATON FOUNDATION 5105 MANZANITA AVENUE CARMICHAEL CA 95608 680227233 FUNDRAISING CA 501(C)(3) LINE 7 ESKATON 1 ESKATON GOLD RIVER LODGE 5105 MANZANITA AVENUE CARMICHAEL CA 95608 941663809 SENIOR RESIDENCES & SERVICES CA 501(C)(3) LINE 9 ESKATON 1 ESKATON VILLAGE ROSEVILLE 5105 MANZANITA AVENUE CARMICHAEL CA 95608 680472230 SENIOR RESIDENCES & SERVICES CA 501(C)(3) LINE 9 ESKATON 1 ESKATON VILLAGE PLACERVILLE 5105 MANZANITA AVENUE CARMICHAEL CA 95608 270704516 SENIOR RESIDENCES & SERVICES CA 501(C)(3) LINE 9 ESKATON 1 ESKATON 5105 MANZANITA AVENUE CARMICHAEL CA 95608 942906307 SENIOR HOME-BASED SERVICES CA 501(C)(3) LINE 9 N/A 0 ESKATON PROPERTIES INC 5105 MANZANITA AVENUE CARMICHAEL CA 95608 942906316 SENIOR RESIDENCES & SERVICES CA 501(C )(3) LINE 9 ESKATON 1 CALIFORNIA HEALTH CARE CONSULTANTS 5105 MANZANITA AVENUE CARMICHAEL CA 95608 942761402 LEASED EMPLOYEES FOR SENIOR RESIDENCES CA N/A C LIVABLE DESIGN 5105 MANZANITA AVENUE CARMICHAEL CA 95608 942243808 PROVIDE RESEARCH & DESIGN PRINCIPALS TO HOME BUILDERS CA N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 ESKATON PROPERTIES INC L 380642 FMV ESKATON PROPERTIES INC O 2858000 FMV ESKATON PROPERTIES INC P 134906 FMV