2023-11-10T11:23:27-06:00 2022-12-31 450250958 EIDE BAILLY LLP 10681 FOOTHILL BLVD STE 300 RANCHO CUCAMONGA CA 917303831 990 2022-01-01 951652915 MONTE VISTA GROVE HOMES MONT 6267966135 2889 SAN PASQUAL STREET PASADENA CA 91107 DEBORAH A HERBERT CHIEF EXECUTIVE OFFICER 6267966135 2023-11-09 1 DEBORAH HERBERT 999009999 0 CATHERINE L GRAY CPA P01294460 9094664410 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DEBORAH A HERBERT 2889 SAN PASQUAL STREET PASADENA CA 91107 14429211 0 X WWW.MVGH.ORG X 1924 CA SENIOR COMMUNITY COMMITTEED TO BEST PRACTICES IN OUR CARE OF PEOPLE, FINANCES, TIME & ENVIRONMENT 19 18 119 40 0 0 4847702 1631755 6343196 6164144 1322520 730326 205300 7403 12718718 8533628 0 0 0 0 6350530 5705139 0 0 145422 3964215 3496727 10314745 9201866 2403973 -668238 29166964 27838408 3588162 5703648 25578802 22134760 X MONTE VISTA GROVE HOMES (MVGH) IS A HOLISTIC AND VIBRANT SENIOR COMMUNITY FILLED WITH CREATIVITY, LOVE AND COMPASSION. THE HISTORIC MISSION HAS BEEN TO BE A CHRIST-CENTERED COMMUNITY THAT MEETS THE NEEDS OF QUALIFIED RETIRED CHURCH WORKERS OF THE PRESBYTERIAN CHURCH (USA). CONSISTENT WITH CHANGING VOCATIONAL PATTERNS, MVGH NOW WELCOMES RESIDENTS FROM FIVE DENOMINATIONS WITH WHICH THE PRESBYTERIAN CHURCH (USA) IS IN FULL COMMUNION. IN ADDITION TO INDEPENDENT LIVING FOR THESE QUALIFIED CHURCH WORKERS, MVGH OFFERS FURTHER LEVELS OF CARE, REGARDLESS OF RELIGIOUS AFFILIATION. MVGH'S ASSISTED LIVING, MEMORY CARE, AND SKILLED NURSING ARE OPEN TO THE WIDER COMMUNITY. 0 0 3158430 2232704 RESIDENTIAL CARE FACILITY FOR ENHANCED ASSISTED LIVING FOR BEDRIDDEN/WHEELCHAIR BOUND RESIDENTS. 2176793 2030493 PROVIDE UNLICENSED INDEPENDENT HOUSING IN 75 APARTMENTS ON CAMPUS. PROVIDE DIETARY ASSISTANCE, AND OTHER PROGRAM SERVICES. 1433426 1077937 OPERATION OF 10 ROOM RESIDENTIAL CARE FACILITY FOR MEMORY CARE, PROVIDE DIETARY ASSISTANCE, AND OTHER PROGRAM SERVICES. 1002845 830413 OPERATION OF 16-APARTMENT RESIDENTIAL CARE FACILITY. PROVIDE DIETARY ASSISTANCE, AND OTHER PROGRAM SERVICES. 1002845 830413 7771494 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 58 0 1 119 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 18 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X MONTE VISTA GROVE HOMES - KIM HOUSER CFO 6267966135 2889 SAN PASQUAL STREET PASADENA CA 91107 GERALD HERTER ASSISTANT TREASURER 3.00 X X 0 0 0 JANET LOUIE PRESIDENT 3.00 X X 0 0 0 AL BOEGH TREASURER 3.00 X X 0 0 0 REX MCDANIEL VICE PRESIDENT 3.00 X X 0 0 0 JIM CRONK TRUSTEE 2.00 X X 0 0 0 ARNOLFO BONG BRINGAS TRUSTEE 2.00 X 0 0 0 REV DR LYNN CHEYNEY TRUSTEE 2.00 X 0 0 0 HILARY DORSEY SECRETARY 3.00 X X 0 0 0 DENISE JACKSON TRUSTEE 2.00 X 0 0 0 REV MARK HONG TRUSTEE 2.00 X 0 0 0 REV DR MARILYN MANNING TRUSTEE 2.00 X 0 0 0 DR PATRICIA MARTINEZ-MILLER TRUSTEE 2.00 X 0 0 0 MICHAEL ROMO TRUSTEE 2.00 X 0 0 0 JANET WELLS TRUSTEE 2.00 X 0 0 0 REV DR NORMAN THOMAS TRUSTEE 2.00 X 0 0 0 KATHLEEN TINGUS TRUSTEE 2.00 X 0 0 0 KAREN WALTER TRUSTEE 2.00 X 0 0 0 DEBORAH HERBERT CHIEF EXECUTIVE OFFICER 40.00 X 165583 0 14723 KIM HOUSER CHIEF FINANCIAL OFFICER 40.00 X 157211 0 15163 EDEN CONORA DIRECTOR OF NURSING 40.00 X 142839 0 14738 465633 0 44624 3 0 1 0 CDG BUILLDERS INC 24 EXECUTIVE PARK SUITE 150 IRVINE CA 92614 GENERAL CONSTRUCTION SERVICES 1581352 UNIDINE CORPORATION PO BOX 102289 ATLANTA GA 303682289 FOOD & DINING MGMT SERVICES 771295 JDE CONSTRUCTION INC 2850 WALNUT AVENUE SIGNAL HILL CA 90755 CONTRACTOR - INDEPENDENT LIVING REMODELS 699244 SHELTER LLP 87 N RAYMOND AVE 217 PASADENA CA 91103 ARCHITECURAL SERVICES 111426 4 1631755 134544 1631755 SKILLED NURSING-HEALTH 623000 1626987 1626987 INDEPENDENT LIVING 623000 1391232 1391232 DIETARY REVENUES 623000 1013089 1013089 ANCILLARY SERVICES & F 623990 826832 826832 MEMORY CARE 623000 793957 793957 512047 512047 6164144 409815 409815 6148012 68082 5816428 79155 331584 -11073 320511 320511 COVID CREDITS 900099 7403 7403 7403 8533628 6171547 0 730326 397167 161960 218379 16828 4233894 3667722 489937 76235 92446 80315 9778 2353 688051 626423 57083 4545 293581 256274 31667 5640 59941 59941 83676 83676 62298 62298 658747 564895 89145 4707 7333 7333 7836 897 6417 522 301326 284650 16555 121 7655 4239 3115 301 66 66 1007791 990381 17388 22 343020 277791 55227 10002 DIETARY FOOD SUPPLY 357722 350472 6468 782 SUPPLIES AND EQUIPMENT 243604 214452 28596 556 SUNDRY 165134 116191 28183 20760 RESIDENTIAL FINANCIAL A 112736 112736 77842 62096 13698 2048 9201866 7771494 1284950 145422 137887 427239 120309 33346 32912 9525 735216 994430 2021049 1977557 14292 350237 210778 36670968 24567193 10015966 12103775 13687990 10850827 1467520 723743 583586 507188 29166964 27838408 612227 1076303 1951087 2940225 1024848 1687120 3588162 5703648 X 22911805 19055148 2666997 3079612 25578802 22134760 29166964 27838408 X -668238 -2617783 -158021 X 0 1 X 1 0 X 1137570 1387517 1391247 2350398 1631755 7898487 6891333 7301198 7394673 6343196 6164144 34094544 8028903 8688715 8785920 8693594 7795899 41993031 45474 46966 76844 77540 37850 284674 16032 8690 243662 185947 454331 61506 55656 320506 263487 37850 739005 41254026 367908 442324 397791 386256 347517 1941796 367908 442324 397791 386256 347517 1941796 7836 7079 12834 0 27749 127551 192466 7403 327420 8396811 9138875 9318341 9285150 8150819 44289996 0.93150 0.90500 0.04380 0.06940 X SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: BEQUEST AMOUNT: 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3123014 24512 -260739 95074 15294 2776419 3056917 35684 118046 71649 15984 3123014 3027420 22601 159715 137270 15549 3056917 2813137 11351 353661 135173 15556 3027420 3078718 11812 -133265 -129068 -15060 2813137 0.00308 0.00692 0.00000 0 0 97108 97108 30103339 21377869 8725470 3866750 3189324 677426 2603771 2603771 12103775 LIABILITY FOR REFUNDABLE AND REPAYABLE ENTRANCE FEES 856712 DEPOSITS AND OTHER LIABILITIES 303269 OPERATING LEASE LIABILTIES 94648 REFUNDABLE ADVANCE 432491 1687120 X 5721852 -2617783 -131695 -2749478 8471330 62298 62298 8533628 9165894 26326 26326 9139568 62298 62298 9201866 PART V, LINE 4: RICHMOND ENDOWMENT - ENDOWMENT FUNDS SUBJECT TO RESTRICTIONS REQUIRING THAT THE PRINCIPAL BE INVESTED IN PERPETUITY. INCOME FROM THE INVESTMENTS CAN BE UTILIZED AT THE DISCRETION OF THE BOARD OF TRUSTEES FOR THE HEALTH CENTER AND THE ORGANIZATION'S OPERATING EXPENSES AND IS RECORDED AS REVENUE WITHOUT DONOR RESTRICTIONS. QUALITY OF LIFE - ENDOWMENT FUNDS SUBJECT TO RESTRICTIONS REQUIRING THAT THE PRINCIPAL BE INVESTED IN PERPETUITY. INCOME IS TO BE USED TO PROVIDE HEALTH CARE SERVICES TO LOW INCOME RESIDENTS AND IS RECORDED AS REVENUE WITH DONOR RESTRICTIONS. RIDINGS FUND - ENDOWMENT FUNDS SUBJECT TO RESTRICTIONS REQUIRING THAT THE PRINCIPAL BE INVESTED IN PERPETUITY. INCOME FROM THE INVESTMENTS CAN BE UTILIZED AT THE DISCRETION OF THE BOARD OF TRUSTEES FOR THE HEALTH CENTER AND THE ORGANIZATION'S OPERATING EXPENSES AND IS RECORDED AS REVENUE WITHOUT DONOR RESTRICTIONS. PART X, LINE 2: MANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. MVGH AND THE LLC WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE - SPLIT INTEREST AGREEMENTS -8,850. CHANGE IN VALUE OF BENEFICIAL INTERESTS IN PERPETUAL TRUSTS -83,402. IMPAIRMENT OF MASTER DEVELOPMENT PLAN -39,443. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON UNCOLLECTIBLE PROGRAM REVENUE 26,326. 1 X X X 0 0 0 0 0 0 0 0 0 DEBORAH HERBERT CHIEF EXECUTIVE OFFICER 165583 0 0 0 0 0 5973 0 8750 0 180306 0 0 0 KIM HOUSER CHIEF FINANCIAL OFFICER 157211 0 0 0 0 0 5590 0 9573 0 172374 0 0 0 EDEN CONORA DIRECTOR OF NURSING 142839 0 0 0 0 0 5165 0 9573 0 157577 0 0 0 X 4 50543 FAIR MARKET VALUE X BUILDING IMPROVEMENTS 10 84001 FMV - REPLACEMENT CO 0 1 0 PART I, COLUMN (B): THE NUMBER REPRESENTS THE NUMBER OF CONTRIBUTIONS FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS DELEGATES THE POWER OF AUTHORITY TO THE EXECUTIVE COMMITTEE IN ACCORDANCE WITH THE BYLAWS. THE EXECUTIVE COMMITTEE THEN HAS THE AUTHORITY TO CARRY OUT GOVERNANCE AS OUTLINED IN THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE MANAGEMENT COMMITTEE OF THE BOARD OF TRUSTEES AUTHORIZES THE CHIEF FINANCIAL OFFICER TO REVIEW THE FORM 990 IN DETAIL PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C A COMPREHENSIVE POLICY ON CONFLICTS OF INTEREST AND DISCLOSURE OF CERTAIN INTERESTS HAS BEEN ADOPTED AS A BOARD POLICY THAT IS REVIEWED ANNUALLY BY EACH MEMBER. FORM 990, PART VI, SECTION B, LINE 15 THE PERSONNEL COMMITTEE (WHICH IS A SUB-COMMITTEE OF THE MANAGEMENT COMMITEE) COLLABORATES WITH THE EXECUTIVE COMMITEE OF THE BOARD OF DIRECTORS TO OVERSEE THE ANNUAL PERFORMANCE EVALUATION/SALARY REVIEW OF THE CHIEF EXECUTIVE OFFICER. IN ADDITION, THE PERSONNEL COMMITEE PROVIDES COUNSEL AND SUPPORT TO THE CEO IN REGARDS TO MVGH SENIOR STAFF. THE CEO IS TO MAKE PROCEDURAL AND SALARY RECOMMENDATIONS TO THE MANAGEMENT COMMITTEE AS NECESSARY. PER THE MANAGEMENT COMMITTEE POLICIES AND PROCEDURES, THE MANAGEMENT COMMITEE APPROVES THE COMPENSATION PACKAGES FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE - SPLIT INTEREST AGREEMENTS -8,850. LOSS ON UNCOLLECTIBLE PROGRAM REVENUE -26,326. CHANGE IN VALUE OF BENEFICIAL INTERESTS IN PERPETUAL TRUSTS -83,402. IMPAIRMENT OF MASTER DEVELOPMENT PLAN -39,443. THE GROVE CAMPUS LLC 2889 SAN PASQUAL STREET PASADENA CA 91107 462229596 OPERATION OF UNLICENSED SENIOR HOUSING (INDEPENDENT LIVING) CA 1485478 10860032 MONTE VISTA GROVE HOMES