2022-06-14T11:59:04-05:00 2021-07-31 410746749 CLIFTONLARSONALLEN LLP 2875 MICHELLE DRIVE 300 IRVINE CA 92606 990 2020-08-01 330371280 CASA DE LAS CAMPANAS INC CASA 8585921885 18655 WEST BERNARDO DRIVE SAN DIEGO CA 92127 DAVID JOHNSON CFO 8585921885 2022-06-13 1 DAVID JOHNSON 999009999 LISA N RYSSEL CPA P00643670 7149781300 2022-06-10 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAVID JOHNSON 18655 WEST BERNARDO DRIVE SAN DIEGO CA 92127 62346906 0 X CASADELASCAMPANAS.COM X 1988 CA CASA IS A NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY PROVIDING SENIORS WITH THE HIGHEST QUALITY OF CARE AND SERVICES, HONORING THEIR DIGNITY AND PROMOTING INDEPENDENCE. 8 8 499 50 451 0 1506237 453434 39880855 38607558 3899460 2671374 71436 185665 45357988 41918031 15870 13703 0 0 17182011 16150542 0 0 0 21329218 20526037 38527099 36690282 6830889 5227749 227115881 261081118 163197203 173776539 63918678 87304579 CASA IS A NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY PROVIDING SENIORS WITH THE HIGHEST QUALITY OF CARE AND SERVICES, HONORING THEIR DIGNITY AND PROMOTING INDEPENDENCE. 0 0 33123754 13703 38607558 DURING THE YEAR, CASA PROVIDED CONTINUING CARE FOR INDEPENDENT LIVING, SKILLED NURSING, ASSISTED LIVING, DEMENTIA, AND HOME HEALTH. IN THE SKILLED NURSING UNIT THIS ALSO INCLUDED ANCILLARY SERVICES TO DISABLED AND ELDERLY RESIDENTS AS WELL AS TO NON-CASA RESIDENTS. OVERALL THE POPULATION AVERAGED 543 RESIDENTS. 33123754 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 68 0 1 499 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X DAVID JOHNSON 8585921885 18655 WEST BERNARDO DR SAN DIEGO CA 92127 CRAIG BROWN CHAIRMAN 2.00 X X 0 0 0 JIM ROTH VICE CHAIR 2.00 X X 0 0 0 KATHY LORD SECRETARY 2.00 X X 0 0 0 SONNY GOOGINS DIRECTOR 2.00 X 0 0 0 ALEX MONROE DIRECTOR 2.00 X 0 0 0 JAY RIORDAN DIRECTOR 2.00 X 0 0 0 JIM SEIFERT DIRECTOR 2.00 X 0 0 0 STEVE SPEAR DIRECTOR 2.00 X 0 0 0 DAVID JOHNSON CFO 40.00 X 228594 0 6997 KIM DOMINY EXECUTIVE DIRECTOR 40.00 X 256440 0 48515 MYRNA ALMUETE REGISTERED NURSE 40.00 X 115294 0 2334 PATRICIA NIEMEYER DIRECTOR OF DINING 40.00 X 124841 0 11035 TEODENIA AGONOY REGISTERED NURSE 40.00 X 129704 0 4649 GINGER LYON DIRECTOR OF HR 40.00 X 120714 0 10755 LEONIDA HERNANDEZ REGISTERED NURSE 40.00 X 117825 0 10376 JOEL ALBERTO FORMER DIR. OF NURSING 40.00 X 155071 0 13777 1248483 0 108438 11 1 1 0 DPR CONSTRUCTION 5010 SHOREHAM PL SAN DIEGO CA 92122 CONTRACTOR 2055207 LIFE CARE SERVICES 400 LOCUST STREET STE 800 DES MOINES IA 50309 MANAGEMENT SERVICES 1430428 QUALITY REHAB 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 THERAPY PROVIDER 1041421 ALEX GOMEZ PAINTING 629 11TH STREET RAMONA CA 92065 PAINTING SERVICES 216300 PALOMAR MEDICAL CENTER 2185 CITRACADO PARKWAY ESCONDITO CA 92029 MEDICAL SERVICES 106213 5 168933 284501 453434 RESIDENT SERVICES 623000 38607558 38607558 38607558 2991377 2991377 20108872 17612355 2816520 2496517 -2816520 -320003 -320003 OTHER INCOME 900099 185214 185214 K-1 PASSTHROUGH INCOME 900099 451 451 185665 41918031 38607558 451 2856588 13703 13703 462846 462846 12979714 11276594 1703120 241885 223118 18767 1450758 1261622 189136 1015339 940485 74854 830723 830723 94786 94786 78497 78497 400598 357363 43235 430525 430525 1268033 1215080 52953 391696 391696 4350484 4350484 87475 83622 3853 17775 4017 13758 6539941 6539941 999917 999917 FOOD COSTS 2328684 2328684 OUTSIDE MEDICAL COSTS 1433555 1433555 OTHER EXPENSES 723387 723387 WORKERS COMPENSATION 549961 549961 36690282 33123754 3566528 0 741957 671390 19772269 25950367 974388 1100686 479567 494650 1184537 1428463 197525422 76009480 115784205 121515942 84936121 106324065 136768 104088 2660277 862307 445792 2629160 227115881 261081118 5500738 5875551 61435133 57170236 58642888 0 73865721 37618444 36865031 163197203 173776539 X 63918678 87304579 63918678 87304579 227115881 261081118 X 5227749 18166899 -8747 X X 0 1 X 1 0 X 164689 203999 163241 1506237 453434 2491600 37031560 38105954 38794375 39880855 38607558 192420302 37196249 38309953 38957616 41387092 39060992 194911902 161788 203999 163241 444942 160707 1134677 0 161788 203999 163241 444942 160707 1134677 193777225 2191066 3922038 4125467 2744014 2991377 15973962 2191066 3922038 4125467 2744014 2991377 15973962 -27536 -31015 -44682 72178 185665 154610 39359779 42200976 43038401 44203284 42238034 211040474 0.91820 0.92330 0.07570 0.07110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17979552 17979552 133080495 65422387 67658108 13005084 9558696 3446388 33460291 1028397 32431894 121515942 CAPITAL LEASES 127196 CONTRACTS 1861894 ESTIMATED REFUNDABLE ENTRANCE FEES 28244670 LONG TERM DEBT 1770279 REFUNDS PAYABLE 1009302 WAITLIST DEPOSITS 462630 REFUNDS TO RESIDENTS 473960 PPP LOAN PAYABLE 2915100 36865031 X PART X, LINE 2: CASA AND THE FOUNDATION ARE EXEMPT FROM FEDERAL AND CALIFORNIA INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND CORRESPONDING CALIFORNIA PROVISIONS, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME ("UBTI") AS DEFINED BY THE IRC. CASA AND THE FOUNDATION MAINTAIN THEIR TAX EXEMPT STATUS THROUGH DEVOTING THEIR RESOURCES TO MEET THE PRIMARY NEEDS OF AGED PERSONS, HOUSING, HEALTH CARE, AND FINANCIAL SECURITY. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS THROUGH ITS REVIEW OF THE SOURCES OF INCOME TO IDENTIFY UBTI AND CERTAIN OTHER MATTERS, INCLUDING THOSE WHICH MAY AFFECT ITS TAX EXEMPT STATUS. THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JULY 31, 2021 AND 2020, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTMENTS 268683 0 0 0 0 0 0 268683 0 268683 0 0 0 0 0 0 PART I, LINE 3: ACCRUAL BASIS PART III ACCOUNTING METHOD: 1 CASA RESIDENT ASSOCIATION 18655 WEST BERNARDO DRIVE SAN DIEGO CA 92127 061775568 13703 TO ENGAGE SENIORS W/ART & EDUCATION PART I, LINE 2: GRANTS ARE APPROVED BY THE BOARD OF DIRECTORS. X X X X X X 0 0 0 0 0 0 0 1 0 KIM DOMINY EXECUTIVE DIRECTOR 216611 0 39829 0 0 0 11499 0 37016 0 304955 0 0 0 DAVID JOHNSON CFO 177388 0 28522 0 22684 0 5900 0 1097 0 235591 0 0 0 JOEL ALBERTO FORMER DIR. OF NURSING 149525 0 5546 0 0 0 4888 0 8889 0 168848 0 0 0 PART I, LINE 7 NON-FIXED PAYMENTS RECEIVED BY LISTED PERSONS ON SCHEDULE J, PART II, REPRESENT DISCRETIONARY BONUSES NOT BASED ON A FORMULA SPECIFIED IN CONTRACTS. A CA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 NONEAVAIL 2020-09-01 77000000 REFINANCE AND FINANCE COST OF IMPROVEMENTS AND RENOVATIONS 0 0 0 A 1364000 77000000 60767265 880964 2601546 12750225 1 0 1 1 A 0 1 0 0 0.00300 0.00300 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 LINE 3 EXPLANATION - LIFE CARE SERVICES (LCS) PERFORMS MANAGEMENT DUTIES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - THE FORM 990 IS REVIEWED BY MANAGEMENT. AFTER MANAGEMENT'S APPROVAL COPIES ARE PROVIDED TO THE BOARD AND UPON THEIR APPROVAL TAX RETURNS ARE FILED SUBSEQUENTLY. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE FILED ANNUALLY. ADMINISTRATION AND ACCOUNTING CLOSELY MONITORS VENDOR RELATIONS. IF A PERSON WITH A CONFLICT ARISES THEY ARE NOT ALLOWED TO VOTE ON THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 CASA HAS A SEPARATE COMPENSATION COMMITTEE AND SEVERAL INDEPENDENT SOURCES ARE UTILIZED, INCLUDING WAGE SURVEYS, DUTIES, SIZE OF FACILITY AND OPERATIONS, AND OTHER COMPARABLE DATA IN DETERMINING COMPENSATION. THE PROCESS IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 CONFLICT OF INTEREST STATEMENTS AND FINANCIALS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST - CASA FOUNDATION -8,747. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CASA FOUNDATION INC 18655 W BERNARDO DRIVE SAN DIEGO CA 92127 330632829 SUPPORT TO CASA DE LAS CAMPANAS CA 501(C)(3) LINE 11A, I CASA DE LAS CAMPANAS INC 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 CASA FOUNDATION INC C 168933 CASH CASA FOUNDATION INC P 90757 CASH