2024-08-14T18:35:38-05:00 2023-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 18500 VON KARMAN AVE 10TH FLOOR IRVINE CA 92612 990 2022-10-01 941156461 ALDERSLY ALDE 4154537425 326 MISSION AVENUE SAN RAFAEL CA 949013484 PETER SCHAKOW PRESIDENT 4154537425 2024-08-14 1 0 BRIAN YACKER P00401346 9492222999 2024-08-14 2022 2024-08-08 14:25:15Z SHANNON BROWN 326 MISSION AVENUE SAN RAFAEL CA 949013484 29984358 0 X WWW.ALDERSLY.COM X 1921 CA PROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS. 11 11 106 11 0 0 7828760 3153726 7929402 7373956 1794018 2176310 29390 27307 17581570 12731299 0 0 0 0 4759771 5297558 0 0 1475 4972695 5676999 9732466 10974557 7849104 1756742 43324427 106254004 14506695 75383132 28817732 30870872 X PROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS. 0 0 7076970 2816292 INDEPENDENT LIVING FEES: IL INCLUDES LIVING UNIT ACCOMMODATION, 3 MEALS PER DAY, UTILITIES, WINDOW AND FLOOR COVERINGS, TOWELS & BED LINENS, WEEKLY LAUNDRY SERVICE FOR TOWELS & BED LINENS, HOUSEKEEPING SERVICES EVERY TWO WEEKS, SOCIAL/RECREATIONAL ACTIVITIES, MAINTENANCE OF BUILDINGS AND GROUNDS. 982739 1348317 ASSISTED LIVING FEES: AL INCLUDES ALL ITEMS PROVIDED IN IL PLUS THE FOLLOWING: ASSISTANCE WITH DRESSING, GROOMING, BATHING & OTHER PERSONAL HYGIENE; ASSISTANCE WITH MEDICATION; ARRANGEMENT OF MEDICAL/DENTAL APPOINTMENTS; SUPERVISION OF RESIDENTS' SCHEDULES/ACTIVITIES; MONITORING OF FOOD INTAKE/SPECIAL DIETS; CARRYING OUT PHYSICIAN'S ORDERS. 950840 1016973 EXTENDED CARE FEES: EXTENDED CARE INCLUDES ALL ITEMS PROVIDED IN IL & AL AND IS A NATURAL EXTENSION OF THE COZY, COMFORTABLE, CONNECTED ATMOSPHERE RESIDENTS ENJOY THROUGHOUT ALL OF ALDERSLY. WHETHER A RESIDENT NEEDS TRANSITIONAL CARE AFTER A HOSPITAL OR SKILLED NURSING STAY, OR 24-HOUR MONITORED CARE FOR MANAGEABLE CHRONIC CONDITIONS, WE HAVE ALL THE NURSING CARE AND SUPPORT NECESSARY TO PROVIDE GREAT CARE ALONG WITH A HIGH LEVEL OF INDEPENDENCE. 345485 2214947 MEMORY CARE LIVING FEES: MC INCLUDES ALL ITEMS PROVIDED IN IL & AL PLUS THE FOLLOWING: TECHNOLOGICALLY ADVANCED MEMORY CARE RESIDENCES WITH AN ARRAY OF STATE-OF THE ART FEATURES CREATED TO ENHANCE THE LIFE EXPERIENCE AND WELLNESS OF THOSE WITH ALZHEIMER'S DISEASE OR OTHER RELATED DEMENTIAS. OUR COMPASSIONATE, HIGHLY TRAINED TEAM EMPLOYS REMINISCENCE TOOLS TO HELP RESIDENTS' FAMILY MEMBERS AND LOVED ONES CAPTURE THE DETAILS OF RESIDENTS' LIVES, THEIR CAREERS, HOBBIES, LIKES AND DISLIKES. WE THEN APPLY THE INSIGHTS GAINED FROM EACH LIFE STORY TO CREATE AN INDIVIDUALIZED CARE PLAN THAT PROMOTES PHYSICAL AND EMOTIONAL WELL-BEING, PROLONGS DAILY FUNCTIONING, AND MAINTAINS A SENSE OF PURPOSE, SATISFACTION, AND QUALITY OF LIFE. ENTRANCE FEES: CONTINUING CARE CONTRACT WHICH NCLUDES ACCESS TO ALL ITEMS PROVIDED IN IL PLUS ACCESS TO AL, MC & EC (BASED ON NEED) AT A DISCOUNTED RATE FOR THE TERM OF THE CONTRACT. 345485 2214947 9356034 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 50 0 1 106 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X THE ORGANIZATION 4154537425 326 MISSION AVENUE SAN RAFAEL CA 949013484 SHANNON BROWN EXECUTIVE DIRECTOR 40.00 X 200000 0 21628 DOLMA TSERING LVN 40.00 X 107323 0 15645 JOSHUA SEIBERT EXECUTIVE CHEF 40.00 X 105343 0 4047 FRANK FERRONI PLANT DIRECTOR 40.00 X 104053 0 3900 ZHAILANI AQUINO ACCOUNTING DIR. (STARTED 10/27/22) 40.00 X 18394 0 0 PETER SCHAKOW PRESIDENT 10.00 X X 0 0 0 PAUL CASTRO SENIOR VICE PRESIDENT 10.00 X X 0 0 0 PER CAROE VICE PRESIDENT 8.00 X X 0 0 0 RUTH VOSMEK SECRETARY 8.00 X X 0 0 0 SUSAN PETERSEN TREASURER 8.00 X X 0 0 0 ED LEWIS DIRECTOR 8.00 X 0 0 0 JEPPE LARSEN DIRECTOR 8.00 X 0 0 0 LIZETTE BURTIS DIRECTOR 8.00 X 0 0 0 MICHAEL BO HANSEN DIRECTOR 8.00 X 0 0 0 NIELS KVAAVIK DIRECTOR 8.00 X 0 0 0 ROBERT WILHELM DIRECTOR 8.00 X 0 0 0 535113 0 45220 4 0 1 1 CAHILL CONTRACTORS LLC 425 CALIFORNIA STREET SUITE 2200 SAN FRANCISCO CA 94104 CONSTRUCTION OF EXPANSION 1146862 PERKINS EASTMAN ARCHITECTS PC 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECTURAL DRAWINGS FOR EXPANSION 1032634 LCS HOLDING COMPANY LLC 400 LOCUST STREET SUITE 820 DES MOINES IA 503092334 MANAGEMENT COMPANY SERVICES 695382 ORCHARD DIGITAL MARKETING 708 WALNUT STREET SUITE 400 CINCINNATI OH 45202 MARKETING 376956 GREENBRIER DEVELOPMENT LLC 3232 MCKINNEY AVENUE SUITE 1160 DALLAS TX 75204 EXPANSION CONSTRUCTION MANAGEMENT 349396 11 3153726 3153726 INDEPENDENT LIVING FEE 623000 2807697 2807697 ASSISTED LIVING FEES 623000 1344202 1344202 MEMORY CARE LIVING FEE 623000 1153842 1153842 ENTRANCE FEES 623000 1054346 1054346 EXTENDED CARE 623000 1013869 1013869 7373956 905860 905860 84000 61427 22573 22573 22573 18462082 17191632 1270450 1270450 1270450 REBATES 900099 3231 3231 REFUND 900099 1348 1348 MISCELLANEOUS REVENUE 900099 155 155 4734 12731299 7396529 0 2181044 388575 341563 47012 3606150 3176808 429342 59848 51271 8577 929553 796341 133212 313432 268515 44917 629774 629774 21640 21640 158435 158435 102620 102620 155600 110671 44929 355029 227020 128009 167448 137946 28027 1475 192162 181266 10896 374091 354106 19985 11384 11384 849861 801671 48190 853067 807234 45833 526974 282945 244029 MEALS 516939 516939 REPAIRS & MAINTENANCE 299423 282444 16979 PROGRAM SUPPLIES 211873 211873 PROPERTY TAXES 107106 101033 6073 143573 76614 66959 10974557 9356034 1617048 1475 514916 468023 606724 3779671 7769542 135115 364825 95751 26451 31630 761078 802869 38578443 15014320 20038030 23564123 12480849 12957399 762012 64419423 43324427 106254004 1067255 2129515 4960361 4417827 5675623 64013138 2803456 4822652 14506695 75383132 X 20971955 30860168 7845777 10704 28817732 30870872 43324427 106254004 1756742 296398 0 X X 0 1 X 1 0 X 293446 1362931 109151 7828760 3153726 12748014 8586316 8735549 8335856 8013402 7457956 41129079 8879762 10098480 8445007 15842162 10611682 53877093 5000 5000 0 5000 5000 53872093 585951 511980 433166 324769 905860 2761726 585951 511980 433166 324769 905860 2761726 2323 9480 51134 8671 4734 76342 9468036 10619940 8929307 16175602 11522276 56715161 0.94990 0.95420 0.04870 0.04430 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 2,323. 2019 AMOUNT: $ 9,480. 2020 AMOUNT: $ 51,134. 2021 AMOUNT: $ 8,671. 2022 AMOUNT: $ 155. REBATES - 2022 AMOUNT: $ 3,231. REFUND - 2022 AMOUNT: $ 1,348. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7051020 4167330 1243663 8307010 4155003 10890136 -3512412 326704 7051020 8837093 2318156 265113 10890136 8313572 772928 249407 8837093 8217790 95782 8313572 1.00000 0.00000 0.00000 0 0 1222822 1222822 24389653 10954356 13435297 3897334 2710640 1186694 1057073 777545 279528 8011561 571779 7439782 23564123 ASSETS WHOSE USE IS LIMITED OR RESTRICTED 64419423 64419423 DEPOSITS 2905772 GUARANTEED REFUNDS 1916880 4822652 X PART V, LINE 4: THE ORGANIZATION HAS A BOARD DESIGNATED ENDOWMENT FUND TO PROVIDE FOR GENERAL SUPPORT OF THE ORGANIZATION. THIS FUND IS CLASSIFIED AS UNRESTRICTED NET ASSETS. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE, SECTION 23701D EXCEPT AS NOTED FOR THE LLC. ACCORDINGLY, IT HAS NOT PROVIDED FOR INCOME TAXES IN THESE CONSOLIDATED FINANCIAL STATEMENTS. THE LLC'S NET EARNINGS (LOSSES) ARE REPORTED ON THE FEDERAL EXEMPT ORGANIZATION TAX RETURN OF ITS PARENT COMPANY. THE LLC FILES A SEPARATE STATE TAX RETURN IN CALIFORNIA AND IS SUBJECT TO AN ANNUAL MINIMUM FRANCHISE TAX OF $800. EACH YEAR, MANAGEMENT CONSIDERS WHETHER ANY MATERIAL TAX POSITION THE ORGANIZATION HAS TAKEN IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY. MANAGEMENT BELIEVES THAT ANY POSITIONS THE ORGANIZATION HAS TAKEN ARE SUPPORTED BY SUBSTANTIAL AUTHORITY AND, HENCE, DO NOT NEED TO BE MEASURED OR DISCLOSED IN THESE CONSOLIDATED FINANCIAL STATEMENTS. X X X X 0 0 0 0 0 0 0 0 0 SHANNON BROWN EXECUTIVE DIRECTOR 200000 0 0 0 0 0 0 0 21628 0 221628 0 0 0 ADDITIONAL INFORMATION LIFE CARE SERVICES (LCS), AN UNRELATED ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION. THE ORGANIZATION'S EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES AND RECEIVES COMPENSATION ONLY FROM LCS. THE CONTRACTOR PAYMENTS TO LCS REPORTED ON FORM 990, PART VII-B INCLUDE THE EXECUTIVE DIRECTOR'S COMPENSATION. A CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SGG3 2015-02-24 7095830 TO REFINANCE THE 2002 BONDS & RETAIN EMPLOYMENT AT THE EXISTING FACILITIES 0 0 0 B CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VK23 2023-06-08 575000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 C CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VK31 2023-06-08 605000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 D CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VK49 2023-06-08 635000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 A 7095830 514961 231059 51864 0 0 0 1 B 575000 0 0 0 1 C 605000 0 0 0 1 D 635000 0 0 0 1 A 0 0 0 0 0 0 1 A 1 0 0 0 0 0 A 1 B 1 C 1 D 1 A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VK56 2023-06-08 665000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 B CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VK64 2023-06-08 700000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 C CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VK72 2023-06-08 735000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 D CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VK80 2023-06-08 775000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 A 665000 0 0 0 1 B 700000 0 0 0 1 C 735000 0 0 0 1 D 775000 0 0 0 1 A 1 B 1 C 1 D 1 A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VK98 2023-06-08 810000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 B CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VL22 2023-06-08 850000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 C CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VL30 2023-06-08 6745000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 D CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VL48 2023-06-08 1735000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 A 810000 0 0 0 1 B 850000 0 0 0 1 C 6745000 0 0 0 1 D 1735000 0 0 0 1 A 1 B 1 C 1 D 1 A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VL55 2023-06-08 10645000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 B CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VL63 2023-06-08 5535000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 C CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VL71 2023-06-08 7125000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 D CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VL89 2023-06-08 17950000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 A 10645000 0 0 0 1 B 5535000 0 0 0 1 C 7125000 0 0 0 1 D 17950000 0 0 0 1 A 1 B 1 C 1 D 1 A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VL97 2023-06-08 5215000 REFUND THE OUTSTANDING PRINCIPAL AMNT OF THE CA STATEWIDE COMM DEV AUTH 0 0 0 A 5215000 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES IS THE MANAGEMENT COMPANY CHOSEN BY THE BOARD OF DIRECTORS TO MANAGE THE COMMUNITY. LIFE CARE SERVICES, AND LCS COMPANY, IS ONE OF THE MOST WELL-ESTABLISHED SENIOR LIVING MANAGEMENT COMPANIES IN THE UNITED STATES. LEARN MORE AT HTTP://WWW.SENIOR-LIVING-MANAGEMENT.COM/ MANAGEMENT COMPENSATION PAYMENTS REPORTED IN PART VII-A ARE INCLUDED IN THE LCS CONTRACTOR PAYMENTS REPORTED IN PART VII-B. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE GOVERNING BODY ARE ELECTED AND VOTED FOR AT THE ANNUAL MEETING. THE BOARD MUST INCLUDE AT LEAST ONE ALDERSLY RESIDENT. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS SETS POLICIES AND GOVERNS THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS REVIEWED BY THE ACCOUNTANT OF THE ORGANIZATION'S MANAGEMENT COMPANY AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. A COPY OF THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY PREPARES AND FURNISHES EACH DIRECTOR A STATEMENT OF ANY TRANSACTION OR INDEMNIFICATION WITHIN ONE HUNDRED TWENTY (120) DAYS AFTER THE END OF THE ORGANIZATION'S FISCAL YEAR. FORM 990, PART VI, SECTION B, LINE 15 MANAGEMENT SERVICES ARE OUTSOURCED TO LIFE CARE SERVICES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. HC ANDERSEN PROPERTIES LLC 326 MISSION AVE SAN RAFAEL CA 94901 941156461 REAL ESTATE HOLDINGS CA 84000 1896347 ALDERSLY