2021-09-29T19:32:25-05:00 2020-12-31 910189318 MOSS ADAMS LLP 10960 WILSHIRE BLVD 1100 LOS ANGELES CA 90024 990 2020-01-01 951683861 ATHERTON BAPTIST HOMES ATHE 6262894178 214 SO ATLANTIC BLVD ALHAMBRA CA 91801 JOCELYN PASCUAL CFO 6262894178 2021-09-29 1 JOCELYN PASCUAL 999009999 LAUREN HAVERLOCK P00545829 3104770450 2021-09-29 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z REV J CRAIG STATTON 214 SO ATLANTIC BLVD ALHAMBRA CA 91801 36135789 0 X WWW.ABH.ORG X 1914 CA A SENIOR COMMUNITY ROOTED IN CHRISTIAN VALUES, ENRICHING LIVES AND HONORING ALL. 15 14 220 179 0 0 629342 1351039 21775026 21519972 621951 800677 282370 209495 23308689 23881183 0 0 0 0 8149717 8708004 0 0 243932 14106195 14511083 22255912 23219087 1052777 662096 60303796 64469595 69567901 71674952 -9264105 -7205357 A SENIOR COMMUNITY ROOTED IN CHRISTIAN VALUES, ENRICHING LIVES AND HONORING ALL. 0 0 9158650 10775604 OPERATED A RESIDENTIAL CARE FACILITY CONSISTING OF 217 INDEPENDENT LIVING UNITS, 32 ASSISTED LIVING UNITS, AND A 4-BED COMPANION CARE UNIT 11538132 10744368 OPERATED A 99-BED SKILLED NURSING FACILITY 20696782 1 1 0 0 0 0 0 0 0 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 82 0 1 220 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JOCELYN PASCUAL 6262894178 214 SO ATLANTIC BLVD ALHAMBRA CA 91801 REV J CRAIG STATTON PRESIDENT/CEO 40.00 X X 166408 0 24208 MRS JOCELYN PASCUAL CHIEF FINANCIAL OFFICER 40.00 X 149762 0 39032 MRS KIMBERLY FLOWERS CHIEF DEVELOPMENT OFFICER 40.00 X 124749 0 27324 MRS MARY MONNIER SNF ADMINISTRATOR 40.00 X 122975 0 25120 MRS QUENNIE SAMACO NURSE SOFTWARE ADMIN 40.00 X 132567 0 12112 MRS ANGELA LEE RCFE ADMINISTRATOR 40.00 X 113210 0 26309 MRS KATAYOON AZADEH DIRECTOR OF NURSING 40.00 X 126131 0 11888 MR JOHN ALDRIDGE BOARD MEMBER 0.30 X 0 0 0 REV JONATHAN CASTILLO BOARD MEMBER 0.30 X 0 0 0 MR KEVIN CHO BOARD MEMBER 0.30 X 0 0 0 MR DAVE ESTRIDGE BOARD MEMBER 0.30 X 0 0 0 MR GARY FRUEHOLZ BOARD MEMBER 0.30 X 0 0 0 MRS LOIS GOMEZ BOARD MEMBER 0.30 X 0 0 0 MR LEE MERRITT BOARD MEMBER 0.30 X 0 0 0 MR DONALD L SMITH BOARD MEMBER 0.30 X 0 0 0 MRS JOANNA SZETO BOARD MEMBER 0.30 X 0 0 0 MRS KAZ TANAKA BOARD MEMBER 0.30 X 0 0 0 MR DALE L MONTGOMERY CHAIR 0.30 X X 0 0 0 MR TOM GARDNER SECRETARY 0.30 X X 0 0 0 MR RICK WENTZEL TREASURER 0.30 X X 0 0 0 ESQ WARREN A WILLIAMS VICE-CHAIR 0.30 X X 0 0 0 935802 0 165993 12 0 1 0 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 DINING/HSKPG/MGMT SERVICES 5586650 THERAPY SPECIALISTS 3760 CONVOY ST 204 SAN DIEGO CA 92111 REHAB THERAPY SERVICES 751998 RICHARD L WATSON & SON INC 2053 MILAN AVE SOUTH PASADENA CA 91030 CONSTRUCTION/RENOVATION SERVICES 302628 LJS ENTERPRISES 154-A W FOOTHILL BLVD UNIT 243 UPLAND CA 91786 FLOORING INSTALLATION SERVICES 271969 STORM TIGHT ROOFING INC PO BOX 2302 GLENDORA CA 91740 ROOFING/RENOVATION SERVICES 262880 13 769492 581547 1351039 RESIDENTIAL CARE FACILITY 623990 11005497 11005497 NURSING CENTER REVENUE 623000 7506212 7506212 MEDICARE/MEDICAID 900099 3008263 3008263 21519972 336969 336969 1341 1341 170821 0 170821 170821 170821 12718314 12172643 81963 545671 -81963 463708 463708 CATERING REVENUE 900099 28745 28745 MISCELLANEOUS REVENUE 900099 8588 8588 37333 23881183 21519972 0 1010172 379410 180174 180174 19062 6559000 5950703 487614 120683 386526 192725 175790 18011 960513 875632 74829 10052 422555 354185 59501 8869 17948 17948 70196 70196 127676 127676 217438 166279 22071 29088 231415 179053 36678 15684 792335 774610 17725 24911 22534 920 1457 3183 1389 65 1729 1176510 1176510 2656777 2322194 334583 405765 405765 FOOD & FOOD MANAGEMENT 3435375 3423898 9425 2052 PURCHASED SERVICES 2894689 2582254 307516 4919 ANCILLARY SERVICES 962179 959529 2650 SUPPLIES 459221 440806 17749 666 1035465 688542 335263 11660 23219087 20696782 2278373 243932 450971 1876344 5716049 6828314 426469 650183 20128 29943 372282 338857 79665415 43883494 36411868 35781921 13969236 16347869 2936793 2616164 60303796 64469595 2206812 2301929 14503991 16705116 29585000 28710000 114152 90041 23157946 23867866 69567901 71674952 X -9539597 -7618826 275492 413469 -9264105 -7205357 60303796 64469595 X 662096 894407 502245 X 0 1 X 1 0 X 436907 269414 901779 629342 1351039 3588481 19948864 19944298 21515484 21775026 21519972 104703644 383109 383109 20768880 20213712 22417263 22404368 22871011 108675234 17773 33230 31179 21250 19510 122942 0 17773 33230 31179 21250 19510 122942 108552292 227639 378209 498989 587785 508950 2201572 227639 378209 498989 587785 508950 2201572 124810 61719 74867 73655 37333 372384 21121329 20653640 22991119 23065808 23417294 111249190 0.97580 0.97580 0.01980 0.01890 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 6,601. 2017 AMOUNT: $ 11,946. 2018 AMOUNT: $ 4,638. 2019 AMOUNT: $ 4,356. 2020 AMOUNT: $ 8,588. CATERING REVENUE - 2016 AMOUNT: $ 118,209. 2017 AMOUNT: $ 49,773. 2018 AMOUNT: $ 70,229. 2019 AMOUNT: $ 69,299. 2020 AMOUNT: $ 28,745. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3343093 3343093 62963108 34640735 28322373 12278543 9061514 3217029 1080671 181245 899426 35781921 RESIDENT TRUST FUNDS PAYABLE 442176 GIFT ANNUITIES PAYABLE 1233094 CHARITABLE REMAINDER TRUSTS & POOLED INCOME FUNDS LIABILITIES 21954 DEPOSITS ON ENTRANCE FEES 806420 PENSION LIABILITY 1915862 REPAYABLE ENTRANCE FEES LIABILITY 15896239 UNAMORTIZED BOND PREMIUM 2012711 SBA PAYCHECK PROTECTION PROGRAM LOAN 1539410 23867866 X 25029532 894407 299655 1194062 23835470 127676 -81963 45713 23881183 22970784 -202590 -202590 23173374 127676 -81963 45713 23219087 PART X, LINE 2: ATHERTON IS ORGANIZED AS A NON-PROFIT CORPORATION UNDER THE GENERAL NON-PROFIT CORPORATION LAWS OF THE STATE OF CALIFORNIA, AND IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). NON-PROFIT ORGANIZATIONS ARE GENERALLY NOT LIABLE FOR TAXES ON INCOME; THEREFORE, NO PROVISION IS MADE FOR SUCH TAXES IN THE FINANCIAL STATEMENTS. ATHERTON CONSIDERS MANY FACTORS WHEN EVALUATING AND ESTIMATING ITS TAX POSITIONS AND TAX BENEFITS, WHICH MAY REQUIRE PERIODIC ADJUSTMENTS AND WHICH MAY NOT ACCURATELY ANTICIPATE ACTUAL OUTCOMES. ATHERTON EVALUATES ITS UNCERTAIN TAX POSITIONS USING THE PROVISIONS WITH U.S. GAAP. THESE STANDARDS REQUIRE MANAGEMENT TO PERFORM AN EVALUATION OF ALL TAX POSITIONS TAKEN, OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE ATHERTON'S TAX RETURNS. MANAGEMENT BELIEVES THE TAX POSITIONS TAKEN MORE LIKELY THAN NOT WILL BE SUSTAINED UNDER EXAMINATION BY THE APPLICABLE TAX AUTHORITIES. EXAMPLES OF TAX POSITIONS INCLUDE TAX-EXEMPT STATUS OF ATHERTON, AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. SINCE TAX MATTERS ARE SUBJECT TO SOME DEGREE OF UNCERTAINTY, THERE CAN BE NO ASSURANCE THAT ATHERTON'S TAX RETURNS WILL NOT BE CHALLENGED BY THE TAXING AUTHORITIES, AND THAT ATHERTON WILL NOT BE SUBJECT TO TAX, PENALTIES, AND INTEREST AS A RESULT OF SUCH CHALLENGE. GENERALLY, ATHERTON'S TAX RETURNS REMAIN OPEN FOR THREE YEARS FOR FEDERAL INCOME TAX EXAMINATION AND FOUR YEARS FOR STATE INCOME TAX EXAMINATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN MINIMUM PENSION LIABILITY 269,949. CHANGE IN ASSOCIATED OBLIGATIONS 232,296. ANNUITY EXPENSE RECLASSIFIED TO OTHER EXPENSE -202,590. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS GAIN/LOSS ON SALE OF ASSETS TO REVENUE SECTION -81,963. PART XII, LINE 2D - OTHER ADJUSTMENTS: ANNUITY EXPENSE RECLASSIFIED TO OTHER EXPENSE -202,590. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS GAIN/LOSS ON SALE OF ASSETS TO REVENUE SECTION -81,963. X X 0 0 0 0 0 0 0 1 0 REV J CRAIG STATTON PRESIDENT/CEO 156589 0 9819 0 0 0 24115 0 93 0 190616 0 0 0 MRS JOCELYN PASCUAL CHIEF FINANCIAL OFFICER 140300 0 9462 0 0 0 20407 0 18625 0 188794 0 0 0 MRS KIMBERLY FLOWERS CHIEF DEVELOPMENT OFFICER 117249 0 7500 0 0 0 18011 0 9313 0 152073 0 0 0 PART I, LINE 7 OFFICER'S RECEIVED BONUSES WHICH WERE DETERMINED BASED ON ACHEIVING ORGANIZATION'S GOALS AND PAID UPON ABH'S DISCRETION SUBJECT TO APPROVAL BY THE BOARD CHAIRMAN. A CITY OF ALHAMBRA CALIFORNIA 956000665 016021BK2 2016-11-04 33848000 SEE PART IV 0 0 0 A 5138000 33848000 33982785 676960 1428440 32998442 2016 0 1 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 PART I, LINE A, COLUMN (F) REFUNDING OF REVENUE BONDS FORM 990, PART VI, SECTION B, LINE 11B AFTER A PRELIMINARY DRAFT IS COMPLETED, THE AUDIT COMMITTEE REVIEWS THE FORM 990 AND FORM 199 TOGETHER WITH CEO, CFO, AND MOSS ADAMS. FINAL OR PUBLISHED VERSION IS DISSEMINATED TO THE ENTIRE BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN 2009 THE ORGANIZATION FORMALLY ADOPTED A CONFLICT OF INTEREST POLICY AS PROPOSED BY OUR EXTERNAL AUDITORS. CONFLICT OF INTEREST POLICY IS REVIEWED ON AN ANNUAL BASIS AND A SIGNED STATEMENT IS OBTAINED EVERY YEAR. ANY BOARD MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST IN ANY MATTER MUST DISCLOSE THE EXISTENCE AND NATURE OF THE CONFLICT. AFTER DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST TO THE BOARD, THE INTERESTED BOARD MEMBER MUST RECUSE HIM/HERSELF FROM PARTICIPATING IN A BOARD DELIBERATION AND DECISION INVOLVING POSSIBLE COI TRANSACTION. CURRENTLY, THE PRESIDENT/CEO HAS SECURED THE SIGNATURES OF THE BOARD MEMBERS. HERETOFORE, THERE HAVE BEEN NO INSTANCES OF ACTUAL CONFLICT OF INTEREST WITH BOARD MEMBERS SINCE NONE OF THEM DO BUSINESS WITH ATHERTON BAPTIST HOMES. FORM 990, PART VI, SECTION B, LINE 15 ATHERTON AIMS AT THE MIDPOINT OF COMPENSATION AS REPORTED BY THE ANNUAL AGING SERVICES TRADE PUBLICATION SALARY SURVEY FOR CALIFORNIA. IF INCREASES ARE CONTEMPLATED FOR THE CEO AND/OR CFO FOR NEXT YEAR, THE FINANCE COMMITTEE WILL PERFORM THE REVIEW AS SPECIFIED. WHEN COMPENSATION INCREASE IS GRANTED, IT IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AND DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE TO THE PUBLIC BY ITS OWN WEBSITE. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY 269,949. CHANGE IN VALUE ASSOCIATED W/OBLIGATIONS UNDER CTR & POOLED INCOME FUNDS 232,296. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE ASU 2016-14 GIFT ANNUITIES (41) PROVIDE SUPPORT CA ATHERTON BAPTIST HOMES 0 POOLED INCOME FUNDS (2) PROVIDE SUPPORT CA ATHERTON BAPTIST HOMES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0