2023-11-11T23:48:46-06:00 2022-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-01-01 910679851 WEST VALLEY NURSING HOMES INC WEST 9259247100 1900 HUNTINGTON DRIVE DUARTE CA 91010 ANDREW MCDONALD CFO 9259247100 2023-11-07 1 ANDREW MCDONALD 999009999 0 KERRI N BOGDA CPA P00760402 7177404863 2023-11-07 X 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z THE TERRACES AT SUMMITVIEW JOHN H COCHRANE III 1900 HUNTINGTON DRIVE DUARTE CA 91010 14582958 0 X WWW.HUMANGOOD.ORG X 1958 WA TO HELP OLDER ADULTS LIVE THEIR BEST LIVES POSSIBLE, HOWEVER THEY DEFINE IT. 8 1 315 1 0 0 284426 130186 11866817 14031836 115252 113238 16941 307698 12283436 14582958 5000 0 0 0 7805054 9186556 0 0 0 5229864 6584089 13039918 15770645 -756482 -1187687 29777502 28159634 8373245 8681081 21404257 19478553 X AT HUMANGOOD WE BELIEVE EVERYONE SHOULD HAVE THE OPPORTUNITY TO LIVE WITH ENTHUSIASM, CONFIDENCE AND SECURITY, REGARDLESS OF PHYSICAL, SOCIAL, OR ECONOMIC CIRCUMSTANCES. AND WHEN WE SAY EVERYONE, WE MEAN EVERYONE - INCLUDING YOU. BECAUSE WE BELIEVE THIS, OUR MISSION IS TO INSPIRE YOUR BEST LIFE.WE DO THAT BY WORKING HAND-IN-HAND TO CREATE EXPERIENCES THAT MATTER TO YOU. 0 0 14151957 14031836 WEST VALLEY NURSING HOMES, INC. (DBA THE TERRACES AT SUMMITVIEW) IS A LIFE PLAN COMMUNITY (FORMERLY CONTINUING CARE RETIREMENT COMMUNITY), THAT PROVIDES HOUSING AND HEALTH CARE FOR THE ELDERLY. DIRECT RESIDENT CARE FOR SENIORS INCLUDES INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE, NURSING, AND HOME CARE. IT ALSO PROVIDES OUTREACH AND WELLNESS SERVICES INCLUDING MEALS PROGRAM, HOUSEKEEPING, MAINTENANCE AND ACTIVITIES. 14151957 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 1 0 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 0 1 0 0 0 1 41 0 315 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 1 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X X ANDREW MCDONALD 9259247196 1900 HUNTINGTON DRIVE DUARTE CA 91010 X RANDALL L STAMPER CHAIR 0.50 16.10 X X 0 73000 0 ALBERT W KELLEY VICE CHAIR 0.50 11.10 X X 0 63000 0 H DECLAN BROWN SECRETARY 0.50 13.70 X X 0 63000 0 JUDITH BAKER DIRECTOR 0.50 11.10 X 0 63000 0 REV MICHELLE HOLMES DIRECTOR 0.50 11.70 X 0 63000 0 WILLIAM BATTISON DIRECTOR 0.50 10.10 X 0 63000 0 ALAN GRIFFITH DIRECTOR 0.50 11.70 X 0 63000 0 SUE UHLMAN DIRECTOR 0.50 1.00 X 0 0 0 JOHN H COCHRANE III PRESIDENT/CHIEF EXECUTIVE OFFICER 8.00 32.00 X 0 1032339 39055 DANIEL OGUS CHIEF OPERATING OFFICER 8.00 32.00 X 0 786516 43528 FLEMING MENG CHIEF INFORMATION OFFICER 8.00 32.00 X 0 434627 38817 ANDREW MCDONALD CHIEF FINANCIAL OFFICER 7.00 33.00 X 0 552085 38623 BETHANY GHASSEMI CHIEF LEGAL OFFICER 7.00 33.00 X 0 472179 16199 JAMES PARK VP COMMUNICATIONS 11.00 29.00 X 0 268431 29965 LISA HOLLAND VP REGIONAL OPERATIONS 11.00 29.00 X 0 303290 32597 MARC HERRERA VP HEALTHCARE & QUALITY 11.00 29.00 X 0 308788 31744 ANIKA HARTOUNIAN VP OF FINANCE 7.00 33.00 X 0 331581 38740 SUZANNE NAGEL VP MARKETING 11.00 29.00 X 0 267148 37308 SHACASEY ROGERS VP HUMAN RESOURCES 11.00 29.00 X 0 263168 13804 DENNIS GRADILLAS VP SALES 12.00 28.00 X 0 432794 34787 GREGORY BEARCE VP REGIONAL OPERATIONS 11.00 29.00 X 0 309373 29592 TARA MCGUINESS VP REGIONAL OPERATIONS 11.00 29.00 X 0 309336 32277 TYLER ICHIEN VP REGIONAL OPERATIONS (UNTIL 8/5/22) 11.00 29.00 X 0 241243 31220 JESSICA LOPEZ VP REGIONAL OPERATIONS 11.00 29.00 X 0 280326 35397 DEBBY GONZALES VP REGIONAL OPERATIONS 11.00 29.00 X 0 277036 19692 TRAVIS WALKER EXECUTIVE DIRECTOR 40.00 X 115060 0 24151 DENNIS MALGESINI HEALTH SERVICES ADMINISTRATOR 40.00 X 141839 0 12325 CHRISTIE BOND DIRECTOR WELLNESS 40.00 X 114876 0 9479 JOHN ROGERS DIRECTOR SALES 40.00 X 109071 0 233 ERIC CREASY CHARGE NURSE RN 40.00 X 107266 0 17242 588112 7321260 606775 6 0 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 DINING SERVICES 957216 PREMERE REHAB LLC 8100 SW NYBERG ST SUITE 200 TUALATIN OR 97062 REHAB SERVICES 366076 HG NORCAL 1900 HUNTINGTON DRIVE DUARTE CA 91010 MANAGEMENT SERVICES 301224 GREAT FLOORS LLC 2118 148TH AVE NE REDMOND WA 98052 CONTRACTORS 136534 CAMPBELL & COMPANY SERVICE CORP DBA CAM 101 BUTTERFIELD ROAD YAKIMA WA 98901 CONTRACTORS 118507 5 123100 7086 130186 RESIDENT SERVICE FEE 623990 14031836 14031836 14031836 113238 113238 BISTRO 990009 108433 108433 EMPLOYEE MEALS 990009 11888 11888 BEAUTY & BARBER 990009 9323 9323 178054 178054 307698 14582958 14031836 0 420936 7434918 6932812 502106 85148 79398 5750 985123 918594 66529 681367 635352 46015 301224 301224 16200 16200 65040 65040 223 223 38804 38804 856813 790171 66642 129247 128247 1000 30327 22679 7648 478991 478991 30607 23531 7076 13134 7179 5955 749348 749348 244574 244574 SUPPLIES 1452367 1419705 32662 ANCILLARY EXPENSE 568433 568433 REPAIRS & MAINTANENCE 487882 487882 BAD DEBT EXPENSE 419003 419003 701872 665061 36811 15770645 14151957 1618688 0 2059 553152 6125563 5212160 5351 752610 800908 416984 394222 124204 124204 183011 236754 35401589 18098474 17876469 17303115 4119370 3502487 177232 27281 29777502 28159634 910538 632872 88000 7315000 6670000 5057 8046 54650 1370163 8373245 8681081 X 21137256 19260859 267001 217694 21404257 19478553 29777502 28159634 -1187687 -738017 0 X 1 X 1 X 1 0 X 89863 74403 1569147 284426 130186 2148025 12357487 11984656 12602764 11866817 14031836 62843560 12447350 12059059 14171911 12151243 14162022 64991585 16000 10000 5000 11500 42500 0 16000 10000 5000 11500 42500 64949085 266724 278294 214558 191008 113238 1063822 266724 278294 214558 191008 113238 1063822 307698 307698 12714074 12337353 14386469 12342251 14582958 66363105 0.97870 0.98090 0.01600 0.01840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 223 223 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO LEADING AGE, A PORTION OF WHICH IS CONSIDERED LOBBYING. 0 1 X 3478252 3478252 24363381 14137228 10226153 4994001 2615536 2378465 2565955 1345710 1220245 17303115 DUE TO AFFILIATES 1230939 OTHER LIABILITIES 88974 RESIDENT DEPOSITS 50250 1370163 X 13806137 -738017 -38804 -776821 14582958 0 14582958 15731841 0 15731841 38804 38804 15770645 PART IV, LINE 2B: THE ORGANIZATION IS REQUIRED TO MAKE AVAILABLE TO ALL RESIDENTS THE OPTION OF KEEPING MONEY ON THEIR BEHALF FOR INCIDENTAL PURCHASES. ANY AMOUNT OVER $50 IS KEPT IN AN INTEREST BEARING ACCOUNT, ANY BANK CHARGES FOR THE ACCOUNT CANNOT BE CHARGED TO THE RESIDENTS AND MUST BE PAID BY THE ORGANIZATION. THE ORGANIZATION KEEPS ALL THE MONEY IN AN INTEREST BEARING CHECKING ACCOUNT AND ALL FEES ARE CHARGED TO THE COMPANY'S BANK ACCOUNT. THEREFORE, THE ORGANIZATION IS ONLY HOLDING THE MONEY IN "TRUST AND RECORDS THE ASSET AND OFF-SETTING LIABILITY ON THE BOOKS. PART X, LINE 2: THE CORPORATION ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC TOPIC 740-10, INCOME TAXES. THE CORPORATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE CORPORATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2022, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES NETTED AGAINST INCOME -38,804. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES NETTED AGAINST INCOME 38,804. X X X 1 1 0 1 0 0 0 0 0 1 0 JOHN H COCHRANE III PRESIDENT/CHIEF EXECUTIVE OFFICER 0 520513 0 475000 0 36826 0 13636 0 25419 0 1071394 0 0 DANIEL OGUS CHIEF OPERATING OFFICER 0 401624 0 328000 0 56892 0 12575 0 30953 0 830044 0 0 ANDREW MCDONALD CHIEF FINANCIAL OFFICER 0 325230 0 198000 0 28855 0 12910 0 25713 0 590708 0 0 BETHANY GHASSEMI CHIEF LEGAL OFFICER 0 301298 0 153000 0 17881 0 13162 0 3037 0 488378 0 0 FLEMING MENG CHIEF INFORMATION OFFICER 0 244675 0 189000 0 952 0 13520 0 25297 0 473444 0 0 DENNIS GRADILLAS VP SALES 0 210917 0 211371 0 10506 0 11665 0 23122 0 467581 0 0 ANIKA HARTOUNIAN VP OF FINANCE 0 223635 0 101250 0 6696 0 9708 0 29032 0 370321 0 0 TARA MCGUINESS VP REGIONAL OPERATIONS 0 213181 0 75901 0 20254 0 7903 0 24374 0 341613 0 0 MARC HERRERA VP HEALTHCARE & QUALITY 0 218518 0 74621 0 15649 0 7778 0 23966 0 340532 0 0 GREGORY BEARCE VP REGIONAL OPERATIONS 0 196067 0 90000 0 23306 0 10002 0 19590 0 338965 0 0 LISA HOLLAND VP REGIONAL OPERATIONS 0 194166 0 95000 0 14124 0 11726 0 20871 0 335887 0 0 JESSICA LOPEZ VP REGIONAL OPERATIONS 0 182704 0 91000 0 6622 0 7524 0 27873 0 315723 0 0 SUZANNE NAGEL VP MARKETING 0 185632 0 76000 0 5516 0 6264 0 31044 0 304456 0 0 JAMES PARK VP COMMUNICATIONS 0 178520 0 83250 0 6661 0 9200 0 20765 0 298396 0 0 DEBBY GONZALES VP REGIONAL OPERATIONS 0 193614 0 80899 0 2523 0 8491 0 11201 0 296728 0 0 SHACASEY ROGERS VP HUMAN RESOURCES 0 201327 0 61250 0 591 0 4106 0 9698 0 276972 0 0 TYLER ICHIEN VP REGIONAL OPERATIONS (UNTIL 8/5/2 0 120999 0 106927 0 13317 0 5918 0 25302 0 272463 0 0 DENNIS MALGESINI HEALTH SERVICES ADMINISTRATOR 129824 0 0 0 12015 0 2463 0 9862 0 154164 0 0 0 PART I, LINE 1A FIRST CLASS TRAVEL IS AVAILABLE TO EXECUTIVE TEAM MEMBERS OF THE ORGANIZATION. TRAVEL FOR COMPANIONS IS AVAILABLE FOR EXECUTIVE TEAM MEMBERS. A COST REIMBURSEMENT BENEFIT OF $60/MONTH IS AVAILABLE TO CERTAIN EXECUTIVE TEAM MEMBERS FOR MONTHLY GYM MEMBERSHIP DUES. PART I, LINE 3 COMPENSATION OF THE CEO IS DETERMINED BY HUMANGOOD USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY/STUDY AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE. PART I, LINE 4B CERTAIN KEY EXECUTIVES WERE ALLOWED TO PARTICIPATE IN AN IRC 457(F) PLAN, WHEREBY (SUBJECT TO PLAN AMENDMENT) THE PLAN WILL FUND REGULAR CONTRIBUTIONS AND EARN A RETURN EQUAL TO THE CONSUMER PRICE INDEX RATE PLUS 2.5 PERCENT WITH A CAP OF 6.0 PERCENT. PART I, LINE 7 INCENTIVE COMPENSATION: EXECUTIVE DIRECTORS, REGIONAL MANAGERS AND SENIOR MANAGEMENT ARE ELIGIBLE FOR INCENTIVE COMPENSATION. IN THE CALENDAR YEAR PRECEDING THE INCENTIVE COMPENSATION, GOALS ARE SET FOR EACH INDIVIDUAL THAT ALIGN WITH THE STRATEGIC AND OPERATIONAL OBJECTIVES OF THE ORGANIZATION. THE GOALS OF THE CEO AND EXECUTIVE TEAM ARE REVIEWED BY THE COMPENSATION COMMITTEE AND BOARD. BEFORE ANY PAYMENT IS MADE, THE INCENTIVE COMPENSATION POOL MUST BE FUNDED BY EXCEEDING BUDGETED NET CASH PRODUCTION ARISING FROM THE SUM OF OPERATIONAL PERFORMANCE AND NET TURNOVER ENTRANCE FEES, SUBJECT TO A CAP. IF THE INCENTIVE POOL IS PARTIALLY FUNDED, THE PARTIAL PERCENTAGE IS APPLIED TO THE POTENTIAL PAYMENT FOR EACH TEAM MEMBER'S ATTAINED GOALS. THE ATTAINMENT OF THE GOALS OF THE CEO AND EXECUTIVE TEAM ARE REVIEWED BY THE COMPENSATION COMMITTEE AND BOARD PRIOR TO PAYMENT. FOR OTHER TEAM MEMBERS, THE ATTAINMENT OF EACH INCENTIVE GOAL IS ASSESSED BY THE INCENTIVE-ELIGIBLE TEAM MEMBER'S SUPERVISOR AND ULTIMATELY REVIEWED BY THE CEO PRIOR TO PAYMENT. A WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 939783NXO 2004-06-01 14510000 CONSTRUCTION OF ASSISTED LIVING FACILITY 0 0 0 A 7840000 86667 14510000 14510000 2002 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 SCHEDULE K, PART IV LINE 2B: ORIGINAL BOND WAS DATED OCTOBER 26, 2000, AND THE PROPERTY WAS COMPLETED WITHIN THE TWO YEAR EXCEPTION WINDOW. SCHEDULE K, PART II, LINE 13: ORIGINAL BOND WAS ISSUES IN 2000 AND THEN REISSUED IN 2004. FORM 990, PART VI, SECTION A, LINE 3 HUMANGOOD NORCAL, A RELATED 501(C)(3) ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO WEST VALLEY NURSING HOMES, INC. FORM 990, PART VI, SECTION A, LINE 4 AS PART OF ITS AFFILIATION WITH HUMANGOOD DURING 2022, THE ARTICLES AND BYLAWS OF WEST VALLEY NURSING HOMES, INC. WERE AMENDED TO REFLECT ITS NEW MEMBER, HUMANGOOD CORNERSTONE, AND THE POWERS AND AUTHORITY GRANTED TO THE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 HUMANGOOD CORNERSTONE, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION EXEMPT UNDER IRC SECTION 501(C )(3), IS THE SOLE MEMBER OF WEST VALLEY NURSING HOMES, INC. HUMANGOOD, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION EXEMPT UNDER IRC SECTION 501(C )(3), IS THE SOLE MEMBER OF HUMANGOOD CORNERSTONE. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER EXERCISES ITS MEMBERSHIP RIGHTS THROUGH ITS BOARD GOVERNING BODY OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER, HUMANGOOD CORNERSTONE, SHALL HAVE THE RIGHT TO VOTE, AS SET FORTH IN THESE BYLAWS, ON THE ELECTION AND REMOVAL OF DIRECTORS, THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, ANY MERGER AND ITS PRINCIPAL TERMS AND ANY AMENDMENT OF THOSE TERMS, AND ANY ELECTION TO DISSOLVE THE CORPORATION. IN ADDITION, THE MEMBER SHALL HAVE ALL RIGHTS AFFORDED MEMBERS UNDER THE WASHINGTON NONPROFIT CORPORATION ACT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CFO AND FURNISHED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EVERY YEAR, THE ORGANIZATION'S DIRECTORS AND OFFICERS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE ALONG WITH A STATEMENT OF COMMITMENT. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, DIRECTORS AND OFFICERS MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS RELATED THERETO TO THE DIRECTORS AND MEMBERS OF COMMITTEES. A VOTE IS TAKEN OUTSIDE THE PRESENCE OF THE INDIVIDUAL IN QUESTION TO DETERMINE IF AN ACTUAL CONFLICT EXISTS.IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE PRESIDENT, COO AND CFO OF HUMANGOOD IS REVIEWED ANNUALLY FOR MARKET COMPETITIVENESS BY A COMPENSATION COMMITTEE OF THE HUMANGOOD BOARD. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED BY THE CEO WITH DISCLOSURE TO THE COMPENSATION COMMITTEE. THE HUMANGOOD BOARD MEMBERS AND PRESIDENT ARE INDEPENDENT WITH RESPECT TO THE INDIVIDUALS WHOSE COMPENSATION IS BEING REVIEWED, THE HUMANGOOD BOARD AND PRESIDENT RELY UPON WAGE AND SALARY STUDIES AND/OR REGULAR REVIEW BY A COMPENSATION CONSULTANT TO PROVIDE COMPARABLE SALARY DATA FOR THEIR CONSIDERATION. DECISIONS REGARDING COMPENSATION ARE DOCUMENTED ON A CONTEMPORANEOUS BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION UPON REQUEST. FINANCIAL AND OTHER DATA IS AVAILABLE ON THE ORGANIZATION'S WEBSITE, HUMANGOOD.ORG. FORM 990, PART VII, SECTION A: CERTAIN BOARD MEMBERS RECEIVED A STIPEND FOR 2022 FOR THEIR BOARD AND COMMITTEE WORK RELATED TO HUMANGOOD. NO COMPENSATION IS PAID TO ANY BOARD MEMBERS FOR THEIR ROLE ON THE WEST VALLEY NURSING HOMES, INC. BOARD. BOARD STIPENDS: COMMENCING TWO YEARS AFTER THE MAY 1, 2016 AFFILIATION OF HUMANGOOD NORCAL AND HUMANGOOD SOCAL, THE SEVEN-MEMBER HUMANGOOD BOARD BEGAN RECEIVING STIPENDS FOR THEIR SERVICE TO THE TOP GOVERNING ORGANIZATION, HUMANGOOD. AN EVALUATION WAS PERFORMED OF SIMILARLY COMPLEX NON-PROFIT ORGANIZATIONS TO DETERMINE THE REASONABLENESS OF THE STIPEND AMOUNT FOR THE HOURS COMMITTED TO GOVERNANCE. NO REMUNERATION IS ATTRIBUTABLE TO SERVICE BY THESE SEVEN BOARD MEMBERS ON BOARDS OF OTHER HUMANGOOD AFFILIATES. THE REMUNERATION IS TAXABLE TO EACH OF THE MEMBERS AND REPORTED ANNUALLY ON FORM 1099 IN ADDITION TO DISCLOSURE IN THE FORM 990. BASED ON RECEIVING THIS REMUNERATION AND THE ADVICE OF TAX CONSULTANTS, THESE BOARD MEMBERS ARE NOT REFLECTED AS BEING INDEPENDENT DIRECTORS. ANDRES DUARTE TERRACE 1900 HUNTINGTON DRIVE DUARTE CA 91010 300155849 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 AVENUE OF THE ARTS PRESBYTERIAN-PSC APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 233027613 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 BALA PRESBYTERIAN HOME FOUNDATION 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232834398 FUNDRAISING & SUPPORT PA 501(C)(3) LINE 12B, II HUMANGOOD EAST 0 BANDERA SENIOR HOUSING CORP DBA GEORGE MCDONALD COURT 1900 HUNTINGTON DRIVE DUARTE CA 91010 311538768 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 BAY VISTA SENIOR HOUSING 1900 HUNTINGTON DRIVE DUARTE CA 91010 460777494 AFFORDABLE HOUSING WA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 BEACON SENIOR HOUSING CORP DBA ROSEWOOD COURT 1900 HUNTINGTON DRIVE DUARTE CA 91010 311654224 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 CANTERBURY VILLAGE RETIREMENT CORP 1900 HUNTINGTON DRIVE DUARTE CA 91010 953864198 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 CASTLE ARGYLE 1900 HUNTINGTON DRIVE DUARTE CA 91010 954454256 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 GERMANTOWN INTERFAITH HOUSING INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232211053 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 GOOD SHEPHERD SENIOR HOUSING 1900 HUNTINGTON DRIVE DUARTE CA 91010 262704795 AFFORDABLE HOUSING WA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 GRACE COURT INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232299928 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 GREENWAY PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 861063722 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 HARBORVIEW PROPERTIES INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 916086253 AFFORDABLE HOUSING WA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 HILLCREST SENIOR HOUSING CORP 1900 HUNTINGTON DRIVE DUARTE CA 91010 760801395 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 HUMANGOOD 1900 HUNTINGTON DRIVE DUARTE CA 91010 311558961 PARENT ORGANIZATION CA 501(C)(3) LINE 12A, I N/A 0 HUMANGOOD AFFORDABLE HOUSING 1900 HUNTINGTON DRIVE DUARTE CA 91010 943085296 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD CORNERSTONE 0 HUMANGOOD ARIZONA INC DBA TERRACES OF PHOENIX 1900 HUNTINGTON DRIVE DUARTE CA 91010 860176446 LIFE PLAN COMMUNITY AZ 501(C)(3) LINE 10 HUMANGOOD CORNERSTONE 0 HUMANGOOD CORNERSTONE 1900 HUNTINGTON DRIVE DUARTE CA 91010 300184304 PARENT ORGANIZATION CA 501(C)(3) LINE 12B, II HUMANGOOD 0 HUMANGOOD EAST 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232828862 PARENT ENTITY PA 501(C)(3) LINE 12B, II HUMANGOOD CORNERSTONE 0 HUMANGOOD FOUNDATION SOUTH 1900 HUNTINGTON DRIVE DUARTE CA 91010 911931309 FUNDRAISING, FINANCIAL RESOURCES TO RELATED ENTITIES CA 501(C)(3) LINE 7 HUMANGOOD SOCAL 0 HUMANGOOD FOUNDATION WEST 1900 HUNTINGTON DRIVE DUARTE CA 91010 237039408 SUPPORT FOR NON-PROFIT RESIDENTIAL COMMUNITIES CA 501(C)(3) LINE 12A, I HUMANGOOD NORCAL 0 HUMANGOOD FRESNO DBA THE TERRACES AT SAN JOAQUIN GARDENS 1900 HUNTINGTON DRIVE DUARTE CA 91010 260650298 LIFE PLAN COMMUNITY CA 501(C)(3) LINE 10 HUMANGOOD 0 HUMANGOOD IDAHO DBA TERRACES OF BOISE 1900 HUNTINGTON DRIVE DUARTE CA 91010 203659420 LIFE PLAN COMMUNITY CA 501(C)(3) LINE 10 HUMANGOOD CORNERSTONE 0 HUMANGOOD NEVADA DBA LAS VENTANAS RETIREMENT COMMUNITY 1900 HUNTINGTON DRIVE DUARTE CA 91010 200566413 LIFE PLAN COMMUNITY CA 501(C)(3) LINE 10 HUMANGOOD CORNERSTONE 0 HUMANGOOD NORCAL 1900 HUNTINGTON DRIVE DUARTE CA 91010 941225374 LIFE PLAN COMMUNITIES CA 501(C)(3) LINE 10 HUMANGOOD 0 HUMANGOOD PENNSYLVANIA 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 231547587 PROVIDE SENIOR LIVING OPTIONS, FUNDRAISING & SUPPORT PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 HUMANGOOD SOCAL 1900 HUNTINGTON DRIVE DUARTE CA 91010 951894293 LIFE PLAN COMMUNITIES CA 501(C)(3) LINE 10 HUMANGOOD 0 HUMANGOOD WASHINGTON DBA JUDSON PARK RETIREMENT COMMUNITY 1900 HUNTINGTON DRIVE DUARTE CA 91010 911659735 LIFE PLAN COMMUNITY WA 501(C)(3) LINE 10 HUMANGOOD CORNERSTONE 0 JUDSON TERRACE HOMES 1900 HUNTINGTON DRIVE DUARTE CA 91010 956153706 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 JUDSON TERRACE LODGE 1900 HUNTINGTON DRIVE DUARTE CA 91010 770389124 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 LC HOTCHKISS TERRACE 1900 HUNTINGTON DRIVE DUARTE CA 91010 300155895 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 LIL JACKSON SENIOR COMMUNITY 1900 HUNTINGTON DRIVE DUARTE CA 91010 412205339 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 MAKEMIE AT WHITELAND 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 208523793 INACTIVE PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 MANTUA PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 205006775 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 MOUNTAIN PARK TERRACE INC DBA CLARK TERRACE 1900 HUNTINGTON DRIVE DUARTE CA 91010 954570416 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 OAK KNOLLS HAVEN CORPORATION 1900 HUNTINGTON DRIVE DUARTE CA 91010 953497055 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 OLD CITY PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232778769 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PALMER AVENUE RETIREMENT CORP 1900 HUNTINGTON DRIVE DUARTE CA 91010 953864197 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 PASCHALL SENIOR HOUSING INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 205957419 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PHILADELPHIA PRESBYTERY APARTMENTS OF MORRISVILLE INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 222466663 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PHILADELPHIA PRESBYTERY APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232081651 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PHILADELPHIA PRESBYTERY HOMES WC TRUST 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 237816031 INACTIVE PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PRESBYSERVICES 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 233000326 MASTER PAYROLL COMPANY PA 501(C)(3) LINE 12B, II HUMANGOOD EAST 0 PRESBYTERIAN APARTMENTS AT 58TH STREET INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232605582 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 PRESBYTERIAN HOME AT 58TH STREET 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 231352513 SUPPORT TO AFFILIATES PA 501(C)(3) LINE 12B, II HUMANGOOD EAST 0 REDDING MOUNTAIN VISTAS II 1900 HUNTINGTON DRIVE DUARTE CA 91010 300239400 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 REDLANDS SENIOR HOUSING TWO 1900 HUNTINGTON DRIVE DUARTE CA 91010 311539936 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 REDLANDS SENIOR HOUSING INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 942902763 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 ROSE VIEW TERRACE INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 264333422 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SALISHAN SENIOR HOUSING INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 900504991 AFFORDABLE HOUSING WA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 SAN LEANDRO SENIOR HOUSING INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 912158413 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 SENIOR AFFORDABLE HOUSING CORP #1 DBA OTTO GRUBER HOUSING 1900 HUNTINGTON DRIVE DUARTE CA 91010 311538772 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SENIOR AFFORDABLE HOUSING CORP #2 DBA CLARK TERRACE II 1900 HUNTINGTON DRIVE DUARTE CA 91010 311718833 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SENIOR AFFORDABLE HOUSING CORP #3 DBA HADLEY VILLAS 1900 HUNTINGTON DRIVE DUARTE CA 91010 300032287 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SENIOR AFFORDABLE HOUSING CORP #4 DBA MOUTAIN VISTAS 1900 HUNTINGTON DRIVE DUARTE CA 91010 300032292 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SENIOR AFFORDABLE HOUSING CORP #6 WILLIAM C ARTHUR TERRACE 1900 HUNTINGTON DRIVE DUARTE CA 91010 300204104 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SIERRA GATEWAY SENIOR RESIDENCE 1900 HUNTINGTON DRIVE DUARTE CA 91010 300239445 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SIERRA GATEWAY SENIOR RESIDENCE II 1900 HUNTINGTON DRIVE DUARTE CA 91010 454945583 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SOROPTIMIST GARDENS HOUSING CORP DBA THE GARDENS 1900 HUNTINGTON DRIVE DUARTE CA 91010 953927250 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 SOUTH PHILADELPHIA PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 460477271 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 SOUTHWEST PHILADELPHIA NEIGHBORHOOD RENEWAL PROGRAM 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 233066741 INACTIVE PA 501(C)(3) PF HUMANGOOD EAST 0 SOUTHWEST PHILADELPHIA PRESBYTERY APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232700459 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 TAHOE SENIOR PLAZA INC 1900 HUNTINGTON DRIVE DUARTE CA 91010 943292737 AFFORDABLE HOUSING CA 501(C)(3) LINE 10 HUMANGOOD AFFORDABLE HOUSING 0 TIOGA PRESBYTERIAN APARTMENTS INC 2000 JOSHUA ROAD LAFAYETTE HILL PA 19444 232763902 LOW INCOME HOUSING FOR SENIOR CITIZENS AND HANDICAPPED PA 501(C)(3) LINE 10 HUMANGOOD EAST 0 VENICE SENIOR HOUSING CORP DBA ADDA & PAUL SAFRAN SR HOUSING 1900 HUNTINGTON DRIVE DUARTE CA 91010 954607627 AFFORDABLE HOUSING CA 501(C)(3) LINE 7 HUMANGOOD AFFORDABLE HOUSING 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1