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ALDERSLY INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ALDERSLY INC (EIN 94-1156461)
Tax period
2020-10-01 to 2021-09-30
Filed
2023-02-08
IRS object ID
202310399349301606
Schema version
2020v4.2
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)
Return2023-02-08T15:50:09-06:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118500 VON KARMAN AVE 10TH FLOORAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941156461EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALDERSLYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlALDEBusinessNameControlTxt
Phone4154537425PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 MISSION AVENUEAddressLine1Txt
CitySAN RAFAELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP949013484ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPETER SCHAKOWPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4154537425PhoneNum
Signature2023-01-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPETERPersonFirstNm
Person LastSCHAKOWPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN YACKERPreparerPersonNm
PTINP00401346PTIN
Phone9492222999PhoneNum
Preparation2023-01-10PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGILBERT CARRASCOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 MISSION AVENUEAddressLine1Txt
CitySAN RAFAELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP949013484ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,129,307GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ALDERSLY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1921FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee108TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,362,931PYContributionsGrantsAmt
CY Contributions Grants$109,151CYContributionsGrantsAmt
PY Program Service Revenue$8,735,549PYProgramServiceRevenueAmt
CY Program Service Revenue$8,254,396CYProgramServiceRevenueAmt
PY Investment Income$913,561PYInvestmentIncomeAmt
CY Investment Income$3,429,514CYInvestmentIncomeAmt
PY Other Revenue$17,470PYOtherRevenueAmt
CY Other Revenue$69,082CYOtherRevenueAmt
PY Total Revenue$11,029,511PYTotalRevenueAmt
CY Total Revenue$11,862,143CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,874,426PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,162,317CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$14,951CYTotalFundraisingExpenseAmt
PY Other Expenses$5,186,759PYOtherExpensesAmt
CY Other Expenses$5,029,627CYOtherExpensesAmt
PY Total Expenses$11,061,185PYTotalExpensesAmt
CY Total Expenses$10,191,944CYTotalExpensesAmt
PY Revenues Less Expenses-$31,674PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,670,199CYRevenuesLessExpensesAmt
Total Assets BOY$38,205,152TotalAssetsBOYAmt
Total Assets EOY$40,109,136TotalAssetsEOYAmt
Total Liabilities BOY$15,932,606TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,061,600TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$22,272,546NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$25,047,536NetAssetsOrFundBalancesEOYAmt
MissionPROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,330,677ExpenseAmt
Revenue$8,272,344RevenueAmt
DescMAINTAINED RESIDENTIAL HEALTH CARE FACILITIES FOR SENIOR CITIZENS WHO HAVE ENTERED INTO A CONTINUING CARE AND LODGING AGREEMENT; MAINTAINED NURSING SERVICES HEALTH CARE/ASSISTED LIVING. APPROXIMATELY 100 SENIORS WERE SERVED.Desc
Total Program Service Expenses$8,330,677TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document53IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee108EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4154537425PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 MISSION AVENUEAddressLine1Txt
CitySAN RAFAELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP949013484ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
GILBERT CARRASCO
EXECUTIVE DIRECTOR40.00Yes (X)$249,872$0$20,116
INDERPREET KAUR
ADMINISTRATOR40.00$135,000$0$1,005Yes (X)
FRANK FERRONI
PLANT DIRECTOR40.00$105,219$0$3,900Yes (X)
LOUISE HECKER
ACCOUNTING DIRECTOR40.00$104,018$0$2,800Yes (X)
PETER SCHAKOW
PRESIDENT10.00Yes (X)$0$0$0Yes (X)
SVEND RYGE
SENIOR VICE PRESIDENT10.00Yes (X)$0$0$0Yes (X)
PAUL CASTRO
VICE PRESIDENT10.00Yes (X)$0$0$0Yes (X)
GRANT HELLAR
TREASURER8.00Yes (X)$0$0$0Yes (X)
RUTH VOSMEK
SECRETARY8.00Yes (X)$0$0$0Yes (X)
JEPPE LARSEN
DIRECTOR8.00$0$0$0Yes (X)
ED LEWIS
DIRECTOR8.00$0$0$0Yes (X)
MICHAEL HANSEN
DIRECTOR8.00$0$0$0Yes (X)
LIZETTE BURTIS
DIRECTOR8.00$0$0$0Yes (X)
PER CAROE
DIRECTOR8.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$594,109TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$27,821TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LIFE CARE SERVICE
400 LOCUST STREET STE 820DES MOINESIA50309MANAGEMENT SERVICES$761,927
PERKINS EASTMAN ARCHITECTS PC
115 FIFTH AVENUENEW YORKNY10003ARCHITECTS$258,211
GREENBRIER DEVELOPMENT LLC
3232 MCKINNEY AVE SUITE 1160DALLASTX75204DEVELOPER$210,376
SYSCO FOOD SERVICES OF SF
PO BOX 5019FREMONTCA94537FOOD SUPPLY SERVICES$177,659
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$109,151AllOtherContributionsAmt
Total Contributions$109,151TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT CARE FEES623000$2,948,594$2,948,594
HEALTH CARE CENTER FEE623000$2,118,148$2,118,148
ASSISTED LIVING FEES623000$1,901,544$1,901,544
ENTRANCE FEES623000$1,286,110$1,286,110
FieldValueIRS element (for citing)
Total Program Service Revenue$8,254,396TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$433,166TotalRevenueColumnAmt
Exclusion$433,166ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$81,460RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$63,512RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$17,948RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,948TotalRevenueColumnAmt
Related Or Exempt Func Income$17,948RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,200,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,203,652SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,996,348SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,996,348TotalRevenueColumnAmt
Exclusion$2,996,348ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$51,134TotalRevenueColumnAmt
Exclusion$51,134ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$51,134OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,862,143TotalRevenueColumnAmt
Related Or Exempt Func Income$8,272,344RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,480,648ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$269,988TotalAmt
Program Services$234,397ProgramServicesAmt
Management And General$32,399ManagementAndGeneralAmt
Fundraising$3,192FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,850,124TotalAmt
Program Services$3,342,422ProgramServicesAmt
Management And General$507,702ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$65,417TotalAmt
Program Services$56,829ProgramServicesAmt
Management And General$7,850ManagementAndGeneralAmt
Fundraising$738FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$701,752TotalAmt
Program Services$609,624ProgramServicesAmt
Management And General$84,210ManagementAndGeneralAmt
Fundraising$7,918FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$275,036TotalAmt
Program Services$238,929ProgramServicesAmt
Management And General$33,004ManagementAndGeneralAmt
Fundraising$3,103FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$502,049TotalAmt
Program Services$421,919ProgramServicesAmt
Management And General$80,130ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$93,782TotalAmt
Management And General$93,782ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$89,186TotalAmt
Management And General$89,186ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$114,388TotalAmt
Management And General$114,388ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$653,725TotalAmt
Program Services$323,985ProgramServicesAmt
Management And General$329,740ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$261,180TotalAmt
Management And General$261,180ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$360,635TotalAmt
Program Services$285,726ProgramServicesAmt
Management And General$74,909ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$244,840TotalAmt
Program Services$232,598ProgramServicesAmt
Management And General$12,242ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$473,876TotalAmt
Program Services$451,724ProgramServicesAmt
Management And General$22,152ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,378TotalAmt
Management And General$14,378ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$270,705TotalAmt
Program Services$255,355ProgramServicesAmt
Management And General$15,350ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$712,607TotalAmt
Program Services$672,200ProgramServicesAmt
Management And General$40,407ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$199,855TotalAmt
Program Services$188,522ProgramServicesAmt
Management And General$11,333ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CATERING & FOOD$442,518$442,518
REPAIRS & MAINTENANCE$241,842$228,129$13,713
PROGRAM SUPPLIES$137,958$137,958
HEALTH CARE ANCILLARIES$101,430$101,430

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$114,673TotalAmt
Program Services$106,412ProgramServicesAmt
Management And General$8,261ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,191,944TotalAmt
Program Services$8,330,677ProgramServicesAmt
Management And General$1,846,316ManagementAndGeneralAmt
Fundraising$14,951FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$603,913BOYAmt
EOY$776,544EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,695,744BOYAmt
EOY$2,900,735EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$294,321BOYAmt
EOY$922,563EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$23,355EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$301,987BOYAmt
EOY$682,381EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$28,428,134LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,230,761LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,170,045BOYAmt
EOY$15,197,373EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$19,597,225BOYAmt
EOY$17,130,138EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,541,917BOYAmt
EOY$2,476,047EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$38,205,152BOYAmt
EOY$40,109,136EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,777,473BOYAmt
EOY$1,902,341EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$5,084,396EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,551,670BOYAmt
EOY$5,878,640EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,603,463BOYAmt
EOY$2,196,223EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,932,606BOYAmt
EOY$15,061,600EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,196,936BOYAmt
EOY$24,971,301EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$75,610BOYAmt
EOY$76,235EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,272,546BOYAmt
EOY$25,047,536EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,205,152BOYAmt
EOY$40,109,136EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,670,199ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,104,791NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,772CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,066CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$293,446CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,362,931CurrentTaxYearMinus1YearAmt
Current Tax Year$109,151CurrentTaxYearAmt
Total$1,810,366TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,311,090CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,316,185CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,586,316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,735,549CurrentTaxYearMinus1YearAmt
Current Tax Year$8,335,856CurrentTaxYearAmt
Total$42,284,996TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,333,862CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,338,251CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,879,762CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,098,480CurrentTaxYearMinus1YearAmt
Current Tax Year$8,445,007CurrentTaxYearAmt
Total$44,095,362TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year$5,000CurrentTaxYearAmt
Total$5,000TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$5,000CurrentTaxYearAmt
Total$5,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$44,090,362PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$543,717CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$540,594CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$585,951CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$511,980CurrentTaxYearMinus1YearAmt
Current Tax Year$433,166CurrentTaxYearAmt
Total$2,615,408TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$543,717CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$540,594CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$585,951CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$511,980CurrentTaxYearMinus1YearAmt
Current Tax Year$433,166CurrentTaxYearAmt
Total$2,615,408TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$2,593CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,323CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,480CurrentTaxYearMinus1YearAmt
Current Tax Year$51,134CurrentTaxYearAmt
Total$65,530TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,877,579CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,881,438CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,468,036CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,619,940CurrentTaxYearMinus1YearAmt
Current Tax Year$8,929,307CurrentTaxYearAmt
Total$46,776,300TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.94260PublicSupportCY509Pct
Public Support PY5090.93760PublicSupportPY509Pct
Investment Income CY0.05590InvestmentIncomeCYPct
Investment Income PY0.06000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,837,093BeginningYearBalanceAmt
Investment Earnings Or Losses$2,318,156InvestmentEarningsOrLossesAmt
Other Expenditures$265,113OtherExpendituresAmt
End Year Balance$10,890,136EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,313,572BeginningYearBalanceAmt
Investment Earnings Or Losses$772,928InvestmentEarningsOrLossesAmt
Other Expenditures$249,407OtherExpendituresAmt
End Year Balance$8,837,093EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,217,790BeginningYearBalanceAmt
Contributions$95,782ContributionsAmt
End Year Balance$8,313,572EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,358,156BeginningYearBalanceAmt
Investment Earnings Or Losses$859,634InvestmentEarningsOrLossesAmt
End Year Balance$8,217,790EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,541,213BeginningYearBalanceAmt
Contributions$4,000ContributionsAmt
Investment Earnings Or Losses$812,943InvestmentEarningsOrLossesAmt
End Year Balance$7,358,156EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$232,822OtherCostOrOtherBasisAmt
Book Value$232,822BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,956,669OtherCostOrOtherBasisAmt
Depreciation$9,826,156DepreciationAmt
Book Value$6,130,513BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,682,000OtherCostOrOtherBasisAmt
Depreciation$2,240,204DepreciationAmt
Book Value$1,441,796BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$976,294OtherCostOrOtherBasisAmt
Depreciation$630,531DepreciationAmt
Book Value$345,763BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,580,349OtherCostOrOtherBasisAmt
Depreciation$533,870DepreciationAmt
Book Value$7,046,479BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,197,373TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INVESTMENTS IN RESIDENTIAL REAL ESTATE$1,715,309
ASSETS WHOSE USE IS LIMITED OR RESTRICTED$760,738
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,476,047TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DEPOSITS$20,934
GUARANTEED REFUNDS$2,175,289
FieldValueIRS element (for citing)
Total Liability$2,196,223TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonGILBERT CARRASCOPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$209,503BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$40,369BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$20,116NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$269,988TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ABUSINESS TRAVEL GILBERT CARRASCO
ADDITIONAL INFORMATIONLIFE 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN680164610BondIssuerEIN
CUSIP13080SGG3CUSIPNum
Bond Issued2015-02-24BondIssuedDt
Issue Price$7,095,830IssuePriceAmt
PurposeTO REFINANCE THE 2002 BONDS & RETAIN EMPLOYMENT AT THE EXISTING FACILITIESPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$7,095,830TotalProceedsAmt
In Reserve Fund$514,961InReserveFundAmt
Issuance Costs From Proceeds$231,059IssuanceCostsFromProceedsAmt
Working Capital Expenditures$51,864WorkingCapitalExpendituresAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (1)Form8038TFiledInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3LIFE 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 7AMEMBERS 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 7BTHE BOARD OF DIRECTORS SETS POLICIES AND GOVERNS THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE 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 15MANAGEMENT SERVICES ARE OUTSOURCED TO LIFE CARE SERVICES.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HC ANDERSEN PROPERTIES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 MISSION AVEAddressLine1Txt
CitySAN RAFAELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94901ZIPCd
FieldValueIRS element (for citing)
EIN941156461EIN
Primary ActivitiesREAL ESTATE HOLDINGSPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Total Income$81,460TotalIncomeAmt
End Of Year Assets$1,838,385EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ALDERSLYBusinessNameLine1Txt