ELDER CARE ALLIANCE OF SAN MATEO: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ELDER CARE ALLIANCE OF SAN MATEO (EIN 94-0831870)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-10
IRS object ID
201130419349300438
Schema version
2009v1.7
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)
Timestamp2011-02-10T14:45:53-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN940831870EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SALEM LUTHERAN HOME ASSOCIATION OF THE BAYBusinessNameLine1
Business Name Line2CITIESBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSALENameControl
Phone5107692700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 MARINA VILLAGE PARKWAYAddressLine1
CityALAMEDACity
StateCAState
ZIP Code94501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANICE WASHBURNName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2011-02-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJESSE JANTZENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11301 MARINA VILLAGE PKWY 210AddressLine1
CityALAMEDACity
StateCAState
ZIP Code94501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13942095GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.SALEMLUTHERANHOME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1924YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionA NONPROFIT ORGANIZATION COMMITTED TO SERVING AND ENRICHING THE PHYSICAL, EMOTIONAL, AND SPIRITUAL WELL-BEING OF OLDER ADULTS THROUGH A PROFESSIONAL, FAITH-CENTERED CARE COMMUNITY AND SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees205TotalNbrEmployees
Total Nbr Volunteers43TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1159682ContributionsGrantsPriorYear
Contributions Grants Current Year382092ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10697602ProgramServiceRevenuePriorYear
Program Service Revenue CY10798997ProgramServiceRevenueCY
Investment Income Prior Year42804InvestmentIncomePriorYear
Investment Income Current Year114842InvestmentIncomeCurrentYear
Other Revenue Prior Year37976OtherRevenuePriorYear
Other Revenue Current Year7348OtherRevenueCurrentYear
Total Revenue Prior Year11938064TotalRevenuePriorYear
Total Revenue Current Year11303279TotalRevenueCurrentYear
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 Year6664885SalariesEtcPriorYear
Salaries Etc Current Year6305766SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year78604TotalFundrsngExpCurrentYear
Other Expense Prior Year4217935OtherExpensePriorYear
Other Expenses Current Year4868556OtherExpensesCurrentYear
Total Expenses Prior Year10882820TotalExpensesPriorYear
Total Expenses Current Year11174322TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1055244RevenuesLessExpensesPriorYear
Revenues Less Expenses CY128957RevenuesLessExpensesCY
Total Assets BOY14885174TotalAssetsBOY
Total Assets EOY15027149TotalAssetsEOY
Total Liabilities BOY7114778TotalLiabilitiesBOY
Total Liabilities EOY6915515TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7770396NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8111634NetAssetsOrFundBalancesEOY
Mission DescriptionA NONPROFIT ORGANIZATION COMMITTED TO SERVING AND ENRICHING THE PHYSICAL, EMOTIONAL, AND SPIRITUAL WELL-BEING OF OLDER ADULTS THROUGH A PROFESSIONAL, FAITH-CENTERED CARE COMMUNITY AND SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5923144Expense
Revenue5410582Revenue
DescriptionSALEM'S CARE CENTER IS LICENSED FOR 48 SKILLED NURSING RESIDENTS. THE CARE CENTER PROVIDES SKILLED NURSING CARE TO 47 OLDER ADULT RESIDENTS IN AN AVERAGE MONTH, FOR AN ANNUAL TOTAL OF 17,155 RESIDENT DAYS. 54% OF RESIDENTS ARE PRIVATE PAY, WHILE 4% HAVE MEDI-CAL, 38% HAVE MEDICARE AND 4% HAVE OTHER INSURANCE COVERAGE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1346169Expense
Revenue2175316Revenue
DescriptionSALEM'S ASSISTED LIVING UNIT PROVIDES HOUSING FOR UP TO 61 OLDER ADULT RESIDENTS THAT REQUIRE SOME ASSISTANCE WITH MEDICATION OR DAILY ACTIVITIES. THIS YEAR WE PROVIDED ASSISTED LIVING HOUSING FOR 56 RESIDENTS EACH MONTH ON AVERAGE, EXCLUDING SECOND PERSONS IN EACH UNIT, FOR AN ANNUAL TOTAL OF 20,440 RESIDENT DAYS. ASSISTED LIVING RESIDENTS ARE OFFERED FOUR LEVELS OF CARE IN ADDITION TO THE BASE LEVEL OF CARE SO THAT THEIR INDIVIDUAL NEEDS CAN BE MET. THERE ARE MANY ACTIVITIES PROVIDED FOR OUR ASSISTED LIVING RESIDENTS, INCLUDING SOME THAT REFLECT OUR FAITH-BASED MISSION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1166680Expense
Revenue2010076Revenue
DescriptionSALEM'S TERRACE MEMORY CARE UNIT PROVIDES HOUSING FOR 30 OLDER ADULT RESIDENTS WHO HAVE DEMENTIA OR MEMORY LOSS. THIS YEAR WE PROVIDED MEMORY CARE HOUSING FOR 28 RESIDENTS EACH MONTH ON AVERAGE FOR A TOTAL OF 10,220 RESIDENT DAYS. THE TERRACE HAS MANY DAILY ACTIVITIES DESIGNED FOR DEMENTIA OR MEMORY LOSS RESIDENTS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp538468TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1203023TotalOfOtherProgramServiceRev
Total Program Service Expense8974461TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees205NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJANICE WASHBURNNamePerson
Telephone Number5107692727TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11301 MARINA VILLAGE PARKWAY SUITEAddressLine1
CityALAMEDACity
StateCAState
ZIP Code94501ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
REVEREND RONALD M RENTNER
CHAIR2.0XX000
SCOTT TAYLOR
SECRETARY UNTIL MARCH 20102.0XX000
SISTER SHERRY DOLAN RSM
VICE CHAIR UNTIL NOV. 20092.0XX000
TOM BERTELSEN
DIRECTOR UNTIL NOV. 20092.0X000
PATRICIA CONOLLY MD
DIRECTOR2.0X000
FRED WENTKER
SECRETARY BEG. MARCH 20102.0XX000
ROBERT JOHNSON
VICE CHAIR BEG. NOV. 20092.0XX000
JIM METCALFE
DIRECTOR2.0X000
SISTER MARY GEMMA O'KEEFFE RSM
DIRECTOR UNTIL NOV. 20092.0X000
STEPHEN PIUMA
DIRECTOR UNTIL NOV. 20092.0X000
CHARLES RUTHROFF
DIRECTOR2.0X000
CHRISTINE WHELAN
DIRECTOR2.0X000
JEAN JACKSON
DIRECTOR2.0X000
REVEREND PAMELA GRIFFITH POND
DIRECTOR BEG. NOV. 20092.0X000
LINDA ORRICK
DIRECTOR BEG. MARCH 20102.0X000
SISTER KATHLEEN KEARNEY
DIRECTOR BEG. NOV. 20092.0X000
JOAN RYAN
DIRECTOR BEG. NOV. 20092.0X000
MICHAEL TELLEEN
DIRECTOR BEG. NOV. 20092.0X000
JESSE JANTZEN
CEO40.0X000
JANICE WASHBURN
CFO40.0X000
REBECCA KURLAND
ASSISTANT SECRETARY3.0X1321274690
HOLLAND CHERESE
EXECUTIVE DIRECTOR40.01324560950X
FieldValueIRS element (for citing)
Total Reportable Comp From Org133777TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs27469TotalReportableCompFrmRltdOrgs
Total Other Compensation950TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonREHABCARE GROUP INCNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 50353AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63150ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesSKILLED NURSINGDescriptionOfServices
Compensation146409Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events20259FundraisingEvents
All Other Contributions361833AllOtherContributions
Total Contributions382092TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PAT. SERV. REVENUE62300054054505405450
RESIDENT SERVICES62300053489985348998
OTHER P/S REVENUE6230004454944549
FieldValueIRS element (for citing)
Total Program Service Revenue10798997TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column72792TotalRevenueColumn
Exclusion$72,792ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real12651Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real12651Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column12651TotalRevenueColumn
Exclusion$12,651ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2666743Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2614352Securities
Other10341Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities52391Securities
Other-10341Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column42050TotalRevenueColumn
Exclusion$42,050ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events8820GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events20259CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses14123FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-5303TotalRevenueColumn
Exclusion-$5,303ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11303279TotalRevenueColumn
Related Or Exempt Function Income10798997RelatedOrExemptFunctionIncome
Exclusion$122,190ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1321Total
Management And General1321ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5029333Total
Program Services4541797ProgramServices
Management And General430830ManagementAndGeneral
Fundraising56706Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total137213Total
Program Services129031ProgramServices
Management And General8182ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total715341Total
Program Services653322ProgramServices
Management And General53015ManagementAndGeneral
Fundraising9004Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total422558Total
Program Services375621ProgramServices
Management And General42674ManagementAndGeneral
Fundraising4263Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total809074Total
Management And General809074ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25475Total
Management And General24815ManagementAndGeneral
Fundraising660Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39888Total
Management And General39888ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total14250Total
Management And General14250ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total691620Total
Program Services582860ProgramServices
Management And General108280ManagementAndGeneral
Fundraising480Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total105985Total
Program Services7247ProgramServices
Management And General98408ManagementAndGeneral
Fundraising330Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total965943Total
Program Services876486ProgramServices
Management And General84756ManagementAndGeneral
Fundraising4701Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9637Total
Management And General9637ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total550834Total
Program Services532997ProgramServices
Management And General17837ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total23201Total
Program Services12494ProgramServices
Management And General10697ManagementAndGeneral
Fundraising10Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total17859Total
Program Services6517ProgramServices
Management And General10948ManagementAndGeneral
Fundraising394Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total334207Total
Program Services265180ProgramServices
Management And General69027ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total861632Total
Program Services683617ProgramServices
Management And General178015ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total118419Total
Program Services93953ProgramServices
Management And General24466ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES & SUBSCRIPTIONS45336103244304
EMPLOYEE EXPENSES42411157840833
MISCELLANEOUS365015942056
MEDICAL SUPPLIES209135209135

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11174322Total
Program Services8974461ProgramServices
Management And General2121257ManagementAndGeneral
Fundraising78604Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY169701BOY
EOY82634EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1607237BOY
EOY194978EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY388847BOY
EOY1332900EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY50804BOY
EOY78907EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24513806LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14693832LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9965221BOY
EOY9819974EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2703146BOY
EOY3517756EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY218BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14885174BOY
EOY15027149EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY733465BOY
EOY674900EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY762300BOY
EOY822524EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY2414BOY
EOY2059EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5273902BOY
EOY4981906EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY342697BOY
EOY434126EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7114778BOY
EOY6915515EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6364656BOY
EOY6551366EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY105343BOY
EOY259871EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1300397BOY
EOY1300397EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7770396BOY
EOY8111634EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14885174BOY
EOY15027149EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years370611CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years176366CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years210194CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1159682CurrentTaxYearMinus1Year
Current Tax Year382092CurrentTaxYear
Total2298945Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9581755CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10030372CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9923946CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10697602CurrentTaxYearMinus1Year
Current Tax Year10798997CurrentTaxYear
Total51032672Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9952366CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10206738CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10134140CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11857284CurrentTaxYearMinus1Year
Current Tax Year11181089CurrentTaxYear
Total53331617Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75389CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63832CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71018CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year85534CurrentTaxYearMinus1Year
Current Tax Year165831CurrentTaxYear
Total461604Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75389CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63832CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71018CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year85534CurrentTaxYearMinus1Year
Current Tax Year165831CurrentTaxYear
Total461604Total
FieldValueIRS element (for citing)
Public Support Total50952870013PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years97631CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99240CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174676CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80780CurrentTaxYearMinus1Year
Current Tax Year94263CurrentTaxYear
Total546590Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years97631CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99240CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174676CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80780CurrentTaxYearMinus1Year
Current Tax Year94263CurrentTaxYear
Total546590Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10049997CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10305978CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10308816CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11938064CurrentTaxYearMinus1Year
Current Tax Year11275352CurrentTaxYear
Total53878207Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98129PublicSupportPercentage509
Prior Year Support Percentage0.97960PriorYearSupportPercentage
Investment Income Percentage0.01015InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00460PriorYrInvestIncomePercentage
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationTHE ORGANIZATION IS A MEMBER OF SEVERAL ORGANIZATIONS WHOSE PURPOSE IS TO DIRECT, DEVELOP, OR AFFECT PUBLIC POLICY AND LEGISLATION WITH REGARD TO HEALTHCARE ISSUES. THE AMOUNT SPENT ON DUES ALLOCABLE TO LOBBYING ACTIVITIES IS NOT SPECIFICALLY KNOWN; HOWEVER, SUCH AMOUNTS ARE INSUBSTANTIAL.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1667030BeginningOfYearBalance
Investment Earnings Or Losses190531InvestmentEarningsOrLosses
End Of Year Balance1857561EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1942767BeginningOfYearBalance
Investment Earnings Or Losses-275737InvestmentEarningsOrLosses
End Of Year Balance1667030EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.10660BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.89340PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis191733OtherCostOrOtherBasis
Book Value191733BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17879842OtherCostOrOtherBasis
Depreciation10115721Depreciation
Book Value7764121BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3132779OtherCostOrOtherBasis
Depreciation1679832Depreciation
Book Value1452947BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3284629OtherCostOrOtherBasis
Depreciation2898279Depreciation
Book Value386350BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24823OtherCostOrOtherBasis
Book Value24823BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9819974TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED PARTIES$89,263
ASSET RETIREMENT OBLIGATION$344,863
FieldValueIRS element (for citing)
Total Of Amounts434126TotalOfAmounts
Total Revenue11303279TotalRevenue
Total Expenses11174322TotalExpenses
Excess Or Deficit For Year128957ExcessOrDeficitForYear
Net Unrealized GL On Investments212281NetUnrealizedGLOnInvestments
Total Adjustments212281TotalAdjustments
Excess Or Deficit Per FS341238ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11525774TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments212281NetUnrealizedGainsInvestments
Revenue Not Rptd F990212281RevenueNotRptdF990
Revenue Subtotal11313493RevenueSubtotal
Investment Expenses Not Included14250InvestmentExpensesNotIncluded
Other Revenues Not Included-24464OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-10214RevenueNotRptdOnFinStmt
Total Revenue Per Form99011303279TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11184536TotExpensesEtcAuditedFinclStmt
Other Expenses Included24464OtherExpensesIncluded
Expenses Not Rptd F99024464ExpensesNotRptdF990
Expenses Subtotal11160072ExpensesSubtotal
Investment Expenses Not Included214250InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt14250ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011174322TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 DISCLOSURESCHEDULE D, PART X, LINE 2THE ORGANIZATION ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ECA-CORPORATE AND ITS SUBORDINATE ORGANIZATIONS ARE EACH EXEMPT FROM INCOME TAXES UNDER THE INTERNAL CODE SECTION 501(C)(3) AND THE LAWS OF THE STATE IN WHICH THEY OPERATE. HOWEVER, ECA IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. EFFECTIVE IN FISCAL YEAR ENDED JUNE 30, 2010, ECA BEGAN TO DETERMINE WHETHER ANY UNCERTAIN TAX POSITIONS EXISTED IN ACCORDANCE WITH ASC TOPIC 740. UNDER ECA'S POLICY, IF AN UNCERTAIN TAX POSITION IS IDENTIFIED, ECA FIRST EVALUATES THE TAX POSITION FOR RECOGNITION BY DETERMINING IF THE WEIGHT OF THE AVAILABLE EVIDENCE INDICATED THAT IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WOULD BE SUSTAINED UPON AUDIT, INCLUDING RESOLUTION OF RELATED APPEALS OR LITIGATIONS PROCESSES, IF ANY. ECA THEN MEASURES THE TAX BENEFIT OR LIABILITY AS THE LARGEST AMOUNT THAT IS MORE THAN 50% LIKELY TO BE REALIZED OR INCURRED UPON SETTLEMENT. COMPLIANCE WITH THIS GUIDANCE HAD NO EFFECT ON ECA'S CONSOLIDATED FINANCIAL STATEMENTS.
OTHER REVENUE INCLUDED ON FORM 990 NOT ON AUDITED FINANCIAL STATEMENTSSCHEDULE D, PART XII, LINE 4B(10,341) LOSS ON SALE OF ASSETS (14,123) SPECIAL EVENTS EXPENSE
OTHER EXPENSE INCLUDED ON AUDITED FINANCIAL STATEMENTS NOT ON FORM 990SCHEDULE D, PART XIII, LINE 2D10,341 LOSS ON SALE OF ASSETS 14,123 SPECIAL EVENTS EXPENSE
ESCROW ACCOUNT LIABILITYSCHEDULE D, PART IV, LINE 2BTHE ORGANIZATION HAS A SMALL SEPARATE TRUST BANK ACCOUNT AND CASH BOX HELD FOR RESIDENTS.
ENDOWMENT PURPOSESCHEDULE D, PART V, LINE 4THERE ARE THREE ENDOWMENT FUNDS, ALL OF WHICH REQUIRE THE INCOME TO BE USED FOR CHARITABLE CARE OF RESIDENTS.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SALEM SALUTESNameOfEvent1
Gross Receipts Event129079GrossReceiptsEvent1
Charitable Contributions Event120259CharitableContributionsEvent1
Gross Revenue Event18820GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event19800FoodAndBeverageEvent1
Entertainment Event1300EntertainmentEvent1
Other Direct Expenses Event14023OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total29079GrossReceiptsTotal
Charitable Contributions Total20259CharitableContributionsTotal
Gross Revenue Total Events8820GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events9800FoodAndBeverageTotalEvents
Entertainment Total Events300EntertainmentTotalEvents
Other Direct Expenses Total Events4023OtherDirectExpensesTotalEvents
Direct Expense Summary Events14123DirectExpenseSummaryEvents
Net Income Summary-5303NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4DOTHER PROGRAM SERVICES INCLUDE INDEPENDENT LIVING, WHICH CONSISTS OF 34 APARTMENT-STYLE UNITS AND 8 COTTAGES.
AUDITED FINANCIAL STATEMENTSFORM 990, PART IV, LINE 12 AND PART XI, LINES 2BTHE ORGANIZATION RECEIVES AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH THE RELATED ORGANIZATIONS LISTED ON SCHEDULE R, PART II. ELDER CARE ALLIANCE, SALEM'S SOLE CORPORATE MEMBER AND MANAGEMENT COMPANY, HAS AN AUDIT COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT.
DELEGATION OF MANAGEMENT DUTIESFORM 990, PART VI, SECTION A, LINE 3SALEM HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE, A NON-PROFIT PUBLIC BENEFIT CORPORATION THAT IS THE SOLE CORPORATE MEMBER OF SALEM, TO PROVIDE MANAGEMENT SERVICES INCLUDING, BUT NOT LIMITED TO, MARKETING, HUMAN RESOURCES, ACCOUNTING, INFORMATION TECHNOLOGY SERVICES, CLINICAL OVERSIGHT AND INSURANCE.
MEMBERSFORM 990, PART VI, SECTION A, LINES 6, 7A, & 7BTHE ORGANIZATION'S SOLE CORPORATE MEMBER IS ELDER CARE ALLIANCE. APPOINTMENT OF DIRECTORS: (A) THE BOARD OF DIRECTORS OF THE CORPORATION SHALL INCLUDE NO GREATER THAN THIRTEEN (13) INDIVIDUALS APPOINTED IN ACCORDANCE WITH THE FOLLOWING: (I) FIVE (5) INDIVIDUALS APPOINTED BY THE FACILITY AND PROGRAM SPONSOR, THE SIERRA PACIFIC SYNOD OF THE EVANGELICAL LUTHERAN CHURCH OF AMERICA; (II) FIVE (5) INDIVIDUALS APPOINTED BY THE CO-SPONSOR OF THE CORPORATE MEMBER, THE BURLINGAME REGIONAL COMMUNITY OF THE SISTERS OF MERCY OF THE AMERICAS, WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH; (III)A MAXIMUM OF TWO (2) INDIVIDUALS JOINTLY APPOINTED BY THE FACILITY AND PROGRAM SPONSOR AND BY THE CO-SPONSOR OF THE CORPORATE MEMBER; AND (IV) ONE (1) INDIVIDUAL NOMINATED BY THE RESIDENT COUNCIL OF SALEM LUTHERAN HOME, THE CONTINUING CARE RETIREMENT COMMUNITY OWNED AND OPERATED BY THE CORPORATION (THE "CCRC") AND APPOINTED BY THE APPOINTEES NAMED PURSUANT TO SUBPARAGRAPHS (I), (II) AND (III) ABOVE, WHICH NOMINEE MUST BE A RESIDENT OF THE CCRC AND WHO WILL NOT HAVE VOTING RIGHTS BUT SHALL HAVE THE SAME FIDUCIARY DUTIES, INCLUDING THE DUTIES OF LOYALTY, CARE AND CONFIDENTIALITY, TO THE CORPORATION AS EVERY OTHER MEMBER OF THE BOARD. NOMINATION OF DIRECTORS: (A) SPONSOR AND CO-SPONSOR APPOINTEES. THE BOARD DEVELOPMENT COMMITTEE OF THE CORPORATE MEMBER SHALL IDENTIFY AND EVALUATE QUALIFIED INDIVIDUALS TO SERVE AS DIRECTORS OF THE CORPORATION AND SHALL RECOMMEND THEM TO THE FACILITY AND PROGRAM SPONSOR AND THE CO-SPONSOR OF THE CORPORATE MEMBER FOR APPOINTMENT OF THE SPONSOR AND CO-SPONSOR APPOINTEES. (B) RESIDENT REPRESENTATIVE. THE RESIDENT REPRESENTATIVE SHALL BE NOMINATED BY THE RESIDENT COUNCIL OF THE CCRC IN ANY MANNER DETERMINED BY THE RESIDENT COUNCIL THAT IS REASONABLY CALCULATED TO ENCOURAGE RESIDENT INVOLVEMENT IN SELECTING AND/OR SERVING AS THE RESIDENT REPRESENTATIVE, SO LONG AS THE RESIDENT COUNCIL CONVENES A MEETING FOR SUCH PURPOSE UPON NO LESS THAN THIRTY (30) DAYS' NOTICE. NOTICE OF THE MEETING SHALL BE POSTED IN A CONSPICUOUS PLACE WITHIN THE CCRC AND SHALL STATE THAT THE PURPOSE OF THE MEETING IS TO NOMINATE A RESIDENT TO THE BOARD OF THE CORPORATION. THE FOLLOWING ACTIONS REGARDING SALEM LUTHERAN HOME ("SALEM") SHALL NOT BE IMPLEMENTED WITHOUT THE SPECIFIC APPROVAL OF ELDER CARE ALLIANCE'S CORPORATE MEMBER, SIERRA PACIFIC SYNOD: (A) THE SALE, PURCHASE LEASE OR ENCUMBRANCE OF THE REAL PROPERTY OF SALEM; (B) ANY INCREMENT OR ADDITIONS TO THE CAPITAL DEBT LIMITATION OF SALEM OR ANY OTHER NEGOTIATION, MODIFICATION OR OTHER CHANGE IN THE EXISTING CAPITAL DEBT OF SALEM; (C) ANY ACTION SEEKING BANKRUPTCY OR OTHER DEBTOR PROTECTION FOR SALEM; AND (D) ANY OTHER MATTERS WHICH MAY BE REQUIRED BY CIVIL LAW TO BE SUBMITTED TO THE SIERRA PACIFIC SYNOD, OR WHICH THE BOARD OF DIRECTORS MAY REQUEST BE SUBMITTED.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11ATHE FINAL FORM 990 IS PROVIDED BY E-MAIL TO ALL MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING. ELDER CARE ALLIANCE, SALEM'S SOLE CORPORATE MEMBER AND MANAGEMENT COMPANY, HAS AN AUDIT COMMITTEE ON ITS BOARD OF DIRECTORS THAT REVIEWS THE FORM 990 BEFORE FILING. ALSO, THE EXECUTIVE DIRECTOR, CEO, AND CFO ALL REVIEW THE FORM 990 BEFORE FILING.
CONFLICT OF INTEREST POLICY COMPLIANCEFORM 990, PART VI, SECTION B, LINE 12CANNUALLY THE ASSISTANT SECRETARY OF ELDER CARE ALLIANCE, SALEM'S SOLE CORPORATE MEMBER AND MANAGEMENT COMPANY, REQUESTS UPDATED CONFLICT OF INTEREST FORMS FROM THE BOARD OF DIRECTORS. THE ASSISTANT SECRETARY REVIEWS THOSE FORMS AND INFORMS THE CHAIRMAN OF THE BOARD OF DIRECTORS OF ANY APPARENT CONFLICT OF INTEREST. IF A CONFLICT OF INTEREST ARISES, THE AFFECTED BOARD MEMBER WOULD BE REQUIRED TO ABSTAIN FROM VOTING ON THE ISSUE.
COMPENSATION DETERMINATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BSALEM HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE. INCLUDED IN THE SERVICES PROVIDED UNDER THIS MANAGEMENT CONTRACT ARE THE SERVICES OF THE CEO AND CFO. COMPENSATION REVIEWS OF THE CEO AND CFO WERE CONDUCTED IN FY 2010 BY THE ELDER CARE ALLIANCE BOARD OF DIRECTORS. THE COMPENSATION REVIEW OF THE EXECUTIVE DIRECTORS AND OTHER KEY EMPLOYEES WAS PERFORMED IN FY 2010 BY THE FINANCE COMMITTEE OF ELDER CARE ALLIANCE AS PART OF THE BUDGET REVIEW PROCESS. THE COMPENSATION FOR THE CEO AND CFO WAS REVIEWED AGAINST COMPARABLES PROVIDED BY THE VICE PRESIDENT OF HUMAN RESOURCES OF LIFE CARE SERVICES, ELDER CARE ALLIANCE'S MANAGEMENT COMPANY.
GOVERNING DOCUMENT AVAILABILITYFORM 990, PART VI, SECTION C, LINE 19BECAUSE SALEM IS A CONTINUING CARE RETIREMENT COMMUNITY, AN ANNUAL REPORT MUST BE FILED WITH THE STATE OF CALIFORNIA CONTAINING THE ORGANIZATION'S FINANCIAL STATEMENTS. THERE IS A NON-VOTING MEMBER OF THE BOARD OF DIRECTORS THAT REPRESENTS THE SALEM RESIDENTS WHO HAS ACCESS TO ALL GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE CONFLICT OF INTEREST POLICY FOR SALEM. ALL REQUESTS MUST BE IN WRITING TO ELDER CARE ALLIANCE, SALEM'S MANAGEMENT COMPANY, AND WILL BE PROVIDED VIA THE US MAIL OR BY FAX, IF SO REQUESTED.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ELDER CARE ALLIANCE
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943260975MANAGEMENTCA501(C)(3)11 B IINA
MERCY RETIREMENT AND CARE CENTER
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501941156579ELDERLY CARECA501(C)(3)9NA
ELDER CARE ALLIANCE OF CAMARILLO
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943351613ELDERLY CARECA501(C)(3)9NA
ELDER CARE ALLIANCE OF SAN FRANCISCO
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943351615ELDERLY CARECA501(C)(3)9NA
ELDER CARE ALLIANCE OF UNION CITY
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943377985ELDERLY CARECA501(C)(3)9NA
ELDER CARE ALLIANCE OF SAN RAFAEL
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501760730971ELDERLY CARECA501(C)(3)9NA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.