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NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES INC (EIN 94-6050476)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-08-24
IRS object ID
202242369349300534
Schema version
2021v4.0
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)
Return2022-08-24T13:55:11-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN770460195PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1McGilloway Ray Brown & KaufmanBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1379 WEST MARKET STREETAddressLine1Txt
CitySALINASCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93901ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN946050476EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHERN CA CONGREGATIONAL RET HOMESBusinessNameLine1Txt
Business Name Line2CARMEL VALLEY MANORBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone8316241281PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18545 CARMEL VALLEY RDAddressLine1Txt
CityCARMELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93923ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJay ZimmerPersonNm
Person TitlePresident & CEOPersonTitleTxt
Signature2022-08-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJayPersonFirstNm
Person LastZimmerPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPatricia M Kaufman CPAPreparerPersonNm
PTINP00312047PTIN
Phone8314242737PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJay ZimmerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18545 CARMEL VALLEY RDAddressLine1Txt
CityCARMELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93923ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,457,649GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CVMANOR.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTo provide high quality life care for older adults in a safe, attractive, and congenial environment, where residents can live and enjoy an active and socially responsible role in the community.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee186TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,645,396PYContributionsGrantsAmt
CY Contributions Grants$1,533,160CYContributionsGrantsAmt
PY Program Service Revenue$17,925,537PYProgramServiceRevenueAmt
CY Program Service Revenue$17,214,236CYProgramServiceRevenueAmt
PY Investment Income$699,957PYInvestmentIncomeAmt
CY Investment Income$1,158,542CYInvestmentIncomeAmt
PY Other Revenue$2,950PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$21,273,840PYTotalRevenueAmt
CY Total Revenue$19,905,938CYTotalRevenueAmt
PY Grants And Similar Paid$76,027PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,155,437PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,865,901CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,969,901PYOtherExpensesAmt
CY Other Expenses$9,393,507CYOtherExpensesAmt
PY Total Expenses$20,201,365PYTotalExpensesAmt
CY Total Expenses$21,259,408CYTotalExpensesAmt
PY Revenues Less Expenses$1,072,475PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,353,470CYRevenuesLessExpensesAmt
Total Assets BOY$61,836,039TotalAssetsBOYAmt
Total Assets EOY$63,297,249TotalAssetsEOYAmt
Total Liabilities BOY$38,871,124TotalLiabilitiesBOYAmt
Total Liabilities EOY$41,309,609TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$22,964,915NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,987,640NetAssetsOrFundBalancesEOYAmt
MissionThe Carmel Valley Manor mission is to balance active and vibrant independent living with the security of a Life Plan Community by maintaining an adaptable and flexible organization that addresses the needs and interests of current and future residents through its facilities, programs and services.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$17,582,284ExpenseAmt
Revenue$17,214,236RevenueAmt
DescCarmel Valley Manor is located in Carmel Valley, California. With 28 acres of hillside landscape and gardens, the organization offers resort style retirement living with a lifecare option that includes a multi-dimensional and holistic approach to life. The Manors philosophy includes the dimensions of social, emotional, spiritual, environmental, intellectual and physical wellness. The facility consists of 148 independent living residences, 24 assisted living units and 36 medical center rooms. Residence, meals and most medical care and miscellaneous services were provided to approximately 207 residents in 2021. The Manor has over 150 skilled and well trained employees that ensure all residents have the greatest experience by living in the community.Desc
Total Program Service Expenses$17,582,284TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee186EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonISAIAH HEATHPersonNm
Phone8316241281PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18545 CARMEL VALLEY ROADAddressLine1Txt
CityCARMELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93923ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Jay Zimmer
President & CEO40.004.00Yes (X)$299,947$0$27,710
Enrique Montero
Finance Dir.40.004.00Yes (X)$194,009$0$20,396
Christine Regan
Health Services Director40.000.00$172,211$0$33,750
Efren Amancio
Registered Nurse40.000.00$137,936$0$27,603
Gregory Hiltunen
Culinary Services Director40.000.00$115,763$0$42,938
Rebecca Merrill
Human Resources Director40.000.00$127,696$0$16,992
Carlos Correa
Environmental Services Director40.000.00$116,835$0$18,313
Mercedes Abluton
Physical Therapist40.000.00$119,072$0$2,975
Mary Ziering
Assisted Living Director40.000.00$105,510$0$16,034
Steven A Johnson
Director2.000.00$0$0$0Yes (X)
Noland Kennedy
Director2.000.00$0$0$0Yes (X)
James Gilbert
Director2.000.00$0$0$0Yes (X)
Gretchen Flesher
Secretary2.000.00Yes (X)$0$0$0Yes (X)
Steve Merrill
Vice President2.000.00$0$0$0Yes (X)
RB Busch III
Chair2.000.00Yes (X)$0$0$0Yes (X)
Marilynn Gustafson
Director2.000.00$0$0$0Yes (X)
Christopher Steinbruner
Treasurer2.000.00Yes (X)$0$0$0Yes (X)
Susan Freeland
Vice-Chair2.000.00Yes (X)$0$0$0Yes (X)
Robert Lindsey
Director2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,388,979TotalReportableCompFromOrgAmt
Total Other Compensation$206,711TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Central Electric Company
430 Walker StWatsonvilleCA95076Construction Services$930,646
Steve Milne Construction
49 Los OsitosCarmel ValleyCA93924Construction Services$1,703,477
Newport Trust Company
PO BOX 645451PittsburgPA15264Retirement Plan Svcs$797,679
Morrison Community Living
PO BOX 102289AtlantaGA30368Housekeeping Services$1,117,310
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$559,728RelatedOrganizationsAmt
Government Grants$484,634GovernmentGrantsAmt
All Other Contributions$488,798AllOtherContributionsAmt
Total Contributions$1,533,160TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Application Fees623000$10,050$10,050
Entrance Fees623000$4,084,740$4,084,740
Medical Center Services623000$1,855,139$1,855,139
Other Resident Services623000$248,600$248,600
Resident Care Fees623000$11,015,707$11,015,707
FieldValueIRS element (for citing)
Total Program Service Revenue$17,214,236TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$850,328TotalRevenueColumnAmt
Exclusion$850,328ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,656,139SecuritiesAmt
Other$203,786OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,349,175SecuritiesAmt
Other$202,536OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$306,964SecuritiesAmt
Other$1,250OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$308,214TotalRevenueColumnAmt
Exclusion$308,214ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,905,938TotalRevenueColumnAmt
Related Or Exempt Func Income$17,214,236RelatedOrExemptFuncIncomeAmt
Exclusion$1,158,542ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$542,063TotalAmt
Management And General$542,063ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,867,762TotalAmt
Program Services$7,338,645ProgramServicesAmt
Management And General$529,117ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$127,461TotalAmt
Management And General$127,461ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,723,319TotalAmt
Program Services$2,632,547ProgramServicesAmt
Management And General$90,772ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$605,296TotalAmt
Program Services$535,599ProgramServicesAmt
Management And General$69,697ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$97,225TotalAmt
Management And General$97,225ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$83,184TotalAmt
Management And General$83,184ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$69,767TotalAmt
Management And General$69,767ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,493,868TotalAmt
Program Services$1,205,088ProgramServicesAmt
Management And General$288,780ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$142,493TotalAmt
Management And General$142,493ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$21,576TotalAmt
Management And General$21,576ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$60,540TotalAmt
Management And General$60,540ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,205,952TotalAmt
Program Services$1,198,771ProgramServicesAmt
Management And General$7,181ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,120TotalAmt
Program Services$15,948ProgramServicesAmt
Management And General$12,172ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$20,610TotalAmt
Management And General$20,610ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$155,342TotalAmt
Management And General$155,342ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,847,395TotalAmt
Program Services$2,833,643ProgramServicesAmt
Management And General$13,752ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$876,930TotalAmt
Management And General$876,930ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Resident Meals$977,418$974,523$2,895
Supplies$339,835$313,737$26,098
Repairs & maintenance$320,613$320,613
Bank and Merchant Fees$136,847$136,847

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$515,792TotalAmt
Program Services$213,170ProgramServicesAmt
Management And General$302,622ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,259,408TotalAmt
Program Services$17,582,284ProgramServicesAmt
Management And General$3,677,124ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$509,259BOYAmt
EOY$1,495,534EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,049,960BOYAmt
EOY$7,243,430EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$69,700EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$423,736BOYAmt
EOY$71,196EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$330,911BOYAmt
EOY$318,558EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$73,807,194LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,925,953LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,592,741BOYAmt
EOY$35,881,241EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$16,929,432BOYAmt
EOY$18,217,590EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,836,039BOYAmt
EOY$63,297,249EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,419,924BOYAmt
EOY$1,376,448EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$32,391,518BOYAmt
EOY$34,640,718EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,334,435BOYAmt
EOY$3,276,281EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,725,247BOYAmt
EOY$2,016,162EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,871,124BOYAmt
EOY$41,309,609EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,566,986BOYAmt
EOY$21,522,419EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$397,929BOYAmt
EOY$465,221EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,964,915BOYAmt
EOY$21,987,640EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,836,039BOYAmt
EOY$63,297,249EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,353,470ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$376,195NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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$326,042CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$760,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$921,066CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,645,396CurrentTaxYearMinus1YearAmt
Current Tax Year$1,533,160CurrentTaxYearAmt
Total$6,186,582TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,631,400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,589,277CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,823,949CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,928,487CurrentTaxYearMinus1YearAmt
Current Tax Year$17,214,236CurrentTaxYearAmt
Total$83,187,349TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,957,442CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,350,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,745,015CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,573,883CurrentTaxYearMinus1YearAmt
Current Tax Year$18,747,396CurrentTaxYearAmt
Total$89,373,931TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$417,465CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$558,264CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$524,916CurrentTaxYearMinus1YearAmt
Current Tax Year$559,728CurrentTaxYearAmt
Total$2,060,373TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$417,465CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$558,264CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$524,916CurrentTaxYearMinus1YearAmt
Current Tax Year$559,728CurrentTaxYearAmt
Total$2,060,373TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$87,313,558PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,166,167CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$855,408CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$669,744CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$555,810CurrentTaxYearMinus1YearAmt
Current Tax Year$850,328CurrentTaxYearAmt
Total$4,097,457TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,166,167CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$855,408CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$669,744CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$555,810CurrentTaxYearMinus1YearAmt
Current Tax Year$850,328CurrentTaxYearAmt
Total$4,097,457TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,123,609CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,205,603CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,414,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,129,693CurrentTaxYearMinus1YearAmt
Current Tax Year$19,597,724CurrentTaxYearAmt
Total$93,471,388TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93410PublicSupportCY509Pct
Public Support PY5090.93530PublicSupportPY509Pct
Investment Income CY0.04380InvestmentIncomeCYPct
Investment Income PY0.04530InvestmentIncomePYPct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$403,575OtherCostOrOtherBasisAmt
Book Value$403,575BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,515,058OtherCostOrOtherBasisAmt
Depreciation$34,340,701DepreciationAmt
Book Value$26,174,357BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,227,992OtherCostOrOtherBasisAmt
Book Value$4,227,992BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,911,108OtherCostOrOtherBasisAmt
Depreciation$2,437,130DepreciationAmt
Book Value$1,473,978BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,749,461OtherCostOrOtherBasisAmt
Depreciation$1,148,122DepreciationAmt
Book Value$3,601,339BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$35,881,241TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Advances from Applicants$1,337,901
Annuity Obligation$603,261
Post Retirement Obligation$75,000
FieldValueIRS element (for citing)
Total Liability$2,016,162TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationThe Manor believes that it has appropriate support for any tax positions taken, and therefore does not have any uncertain tax positions that are material to the financial statements for the years ended December 31, 2021.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Christine Regan
Health Services Director$172,211$5,099$28,651$205,961
Efren Amancio
Registered Nurse$137,936$6,092$21,511$165,539
Enrique Montero
Finance Dir.$194,009$5,482$14,914$214,405
Gregory Hiltunen
Culinary Services Director$115,763$42,938$158,701
Jay Zimmer
President & CEO$299,947$27,710$327,657

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonAlliant InsurancePersonNm
FieldValueIRS element (for citing)
Relationship DescriptionChairRelationshipDescriptionTxt
Transaction$213,533TransactionAmt
TransactionInsuranceTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review Process990 is prepared by outside CPA. Finance Committee reviews the 990 and provides a complete draft to the Board of Directors for approval before filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsGovernance Committee distributes and reviews all conflict of interest annual forms and identifies any conflict at the annual meeting of the Board.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCEO is paid an annual salary with a bonus based on performance. Performance Review and salary recommendations discussed with Board in Executive Session.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCEO establishes compensation for Director of Finance and Key employees; approval is rendered through the annual budget process.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableCopies are placed in the Resident's Library and copies will be sent or emailed to individuals or entities on request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Carmel Valley Manor FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18545 Carmel Valley RdAddressLine1Txt
CityCarmelCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93923ZIPCd
FieldValueIRS element (for citing)
EIN822771192EIN
Primary ActivitiesFundraising support to charitable activ.PrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status509(a)(3)PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Carmel Valley ManorBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Carmel Valley Manor Foundation
c$571,708Cash Transfer
Carmel Valley Manor Foundation
p$14,935Cash Transfer