2025-11-11T19:00:19-06:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 2882 PROSPECT PARK DR STE 300 RANCHO CORDOVA CA 95670 990 2023-01-01 942271380 ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY INC DBA ACC SENIOR SERVICES ASIA 9163946399 7334 PARK CITY DRIVE SACRAMENTO CA 95831 JILL HAYS INTERIM CEO 9163946399 2025-11-10 1 1 AMY L HENDLEY P01300654 9165038100 2025-11-10 2023 2025-03-06 01:10:19Z X JILL HAYS 7334 PARK CITY DRIVE SACRAMENTO CA 95831 26579270 0 X WWW.ACCSV.ORG X 1972 CA TO PROMOTE THE GENERAL WELFARE AND ENHANCE THE QUALITY OF LIFE FOR OUR COMMUNITY BY IDENTIFYING, DEVELOPING, AND PROVIDING CULTURALLY SENSITIVE HEALTH AND SOCIAL SERVICES FOR OLDER ADULTS. 11 11 412 400 0 0 1988873 2474453 17615109 21182898 682202 789375 1031474 389937 21317658 24836663 0 0 0 0 13758996 14810178 52500 127398 270496 12279778 13010501 26091274 27948077 -4773616 -3111414 53909425 49249771 46695773 45625482 7213652 3624289 X THE ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY'S MISSION IS TO PROMOTE THE GENERAL WELFARE AND ENHANCE THE QUALITY OF LIFE FOR OUR COMMUNITY BY IDENTIFYING, DEVELOPING, AND PROVIDING CULTURALLY SENSITIVE HEALTH AND SOCIAL SERVICES FOR OLDER ADULTS. OUR VISION IS TO CREATE AN ARRAY OF SERVICES THAT HELP OLDER ADULTS SUSTAIN THEIR INDEPENDENCE AND LIFESTYLE. 0 0 11888923 0 11303018 SKILLED NURSING FACILITY - WITH CONSTRUCTION FINANCING AND ARCHITECTURAL PLANNING BEGINNING IN 1985, THE ACC CARE CENTER OPENED FOR BUSINESS IN 1987. A 99-BED SKILLED NURSING FACILITY, THE CARE CENTER IS ONE OF ACC'S PRIMARY PROGRAMS, PROVIDING PRIVATE AND SEMI-PRIVATE ROOMS, NURSING, DIETARY, REHABILITATION, AND SOCIAL SERVICES IN A MULTI-CULTURAL AND MULTI-LINGUAL SETTING. IT IS STAFFED BY OVER 100 STAFF ABLE TO SPEAK 22 DIFFERENT LANGUAGES IN ADDITION TO ENGLISH. MANY RELIGIOUS AND CULTURAL EVENTS ARE OBSERVED THROUGHOUT THE YEAR. THE MENU RESPONDS TO THE FOOD PREFERENCES AND DIETARY NEEDS OF RESIDENTS WHO ARE 60% ASIAN AMERICAN, 30% WHITE, AND 10% AFRICAN AMERICAN, LATINO, AND OTHER ETHNICITY. THE 70% (60% ASIAN AND 10% AFRICAN AMERICAN, LATINO, AND OTHER) MINORITIES SERVED BY ACC CARE CENTER COMPARES TO A SACRAMENTO COUNTY MINORITY POPULATION PERCENTAGE OF 37%. SINCE OPENING IN 1987, OVER 60% OF THE RESIDENTS AT ACC CARE CENTER HAVE BEEN MEDI-CAL ELIGIBLE. IN 2002, 2003, AND 2005, THE FACILITY EARNED A GOLDEN SURVEY: A ZERO-DEFICIENCY OUTCOME FROM THE STATE DEPARTMENT OF HEALTH SERVICES LICENSING AND CERTIFICATION DIVISION. IN 2004, ACC CARE CENTER WAS RECOGNIZED BY THE FEDERAL GOVERNMENT QUALITY IMPROVEMENT ORGANIZATION, LUMETRA, FOR SUSTAINED ATTENTION TO AND SUCCESSFUL IMPLEMENTATION OF QUALITY IMPROVEMENT EFFORTS. SEVERAL ARTICLES IN LEADINGAGE, SACRAMENTO MUNICIPAL UTILITIES DISTRICT NEWSLETTERS AND ELSEWHERE REPORT ON INNOVATIVE WORK THAT DEMONSTRATES THE POSITIVE IMPACT THAT HUMAN CENTRIC LIGHTING CAN HAVE ON THE BEHAVIOR OF PERSONS WITH DEMENTIA, AND HOW IT CAN PROMOTE SAFETY FOR RESIDENTS AT NIGHT. PARTNERSHIPS LIKE THIS IMPROVE CARE QUALITY AND ENHANCE RESIDENT QUALITY OF LIFE. THE ACC CARE CENTER WAS ALSO RECOGNIZED IN 2015 WITH A BRONZE AWARD, AND IN 2016 WITH A SILVER AWARD FOR QUALITY CARE, SPONSORED BY THE CALIFORNIA ASSOCIATION OF HEALTH FACILITIES, MODELED ON THE NATIONALLY RECOGNIZED BALDRIGE AWARD. BASED ON 2019 DATA, THE ACC CARE CENTER HAS JUST BEEN RECOGNIZED AS ONE OF THE BEST NURSING HOMES FOR LONG-TERM CARE AND SHORT-TERM REHABILITATION BY THE US NEWS WORLD REPORT. 6537937 0 5666106 MAPLE TREE VILLAGE - THE CONSTRUCTION OF MAPLE TREE VILLAGE (MTV) WAS COMPLETED IN NOVEMBER 2019 AND IS ANOTHER STEP IN ACC'S MISSION TO PROVIDE A CONTINUUM OF CARE IN A FAMILY-ORIENTED, CULTURALLY SENSITIVE ENVIRONMENT. MTV OFFERS 72 ASSISTED LIVING APARTMENTS AND A SPECIALIZED NEIGHBORHOOD OF 30 APARTMENTS SUPPORTING THOSE WITH MEMORY LOSS AND VARIOUS FORMS OF DEMENTIA. 3248204 0 4016752 GREENHAVEN TERRACE - IN 2007, ACC ACQUIRED ACC GREENHAVEN TERRACE (GT), A 166 UNIT INDEPENDENT LIVING SENIOR APARTMENT COMPLEX. IN 2014 HALF OF THE SECOND FLOOR OF THIS THREE STORY COMPLEX WAS REMODELED SO THAT ACC COULD RESPOND TO NEEDS IN THE COMMUNITY FOR ASSISTED LIVING (A RESIDENTIAL CARE FACILITY FOR THE ELDERLY). GT SERVES SENIORS 62 AND OLDER WITH 146 INDEPENDENT AND 24 ASSISTED LIVING APARTMENTS MANAGED BY A CARING ACC MANAGEMENT STAFF. THE FACILITY ACCEPTS PERSONS WITH SECTION 8 VOUCHERS ISSUED BY THE SACRAMENTO HOUSING AND REDEVELOPMENT AUTHORITY (SHRA). MANAGEMENT AND OCCUPANCY STAFF HAVE BEEN TRAINED TO ADMINISTER THE SECTION 8 PROGRAM IN ACCORDANCE WITH SHRA AND HUD REGULATIONS. CURRENTLY, GT HAS HAD ON THE AVERAGE OF FIVE RESIDENTS PER MONTH UNDER THE SECTION 8 PROGRAM. MARKETING AND RECRUITMENT OF RESIDENTS IS CONDUCTED IN ACCORDANCE WITH "AFFIRMATIVE FAIR HOUSING" REGULATIONS. A WAITING LIST FOR BOTH INDEPENDENT AND ASSISTED LIVING UNITS IS ACTIVELY MANAGED. 1942411 0 197022 COMMUNITY PROGRAMS - ENHANCING THE QUALITY OF LIFE OF ELDERS AND THEIR CAREGIVERS IS CENTRAL TO ACC'S COMMUNITY SERVICES. RENOVATED AND OPENED IN 2015, A 15,000 SQUARE FOOT COMMUNITY CENTER LOCATED A MILE FROM THE CARE CENTER IS THE SITE OF ACC'S LIFELONG LEARNING AND WELLNESS PROGRAM (LLWP), WHICH SUPPORTS AND SUSTAINS THE EFFORTS OF FAMILY CAREGIVERS, MANY OF WHOM CARE FOR PERSONS WITH ALZHEIMER'S DISEASE AND OTHER DEMENTIAS, PHYSICAL DISABILITY, ARE NO LONGER ABLE TO LIVE INDEPENDENTLY, AND ARE AT RISK OF INSTITUTIONALIZATION. EVEN THOUGH ACC OPERATES AN EXCELLENT NURSING HOME, PLACEMENT THERE IS GENERALLY A LAST CHOICE FOR CARE. NUMEROUS STUDIES FIND THAT STRESS AND BURNOUT CAN ENDANGER FAMILY CARE ARRANGEMENTS COMPROMISING CAREGIVER HEALTH, AND EXACERBATING CHRONIC ILLNESS. THE LLWP SUPPORTS THE COMMITMENT OF FAMILIES TO SUSTAIN CARE GIVING BY FOSTERING WELLNESS, PROVIDING INFORMATION, AND OFFERING OPPORTUNITIES THAT ARE EMPOWERING. ACC'S BRIDGE TO HEALTHY FAMILIES (INITIATED IN 2008) AND ACC RIDES TRANSPORTATION SERVICES (INITIATED IN 2003) ARE EXAMPLES OF THE TYPE OF SUPPORTIVE SERVICES THAT ACC PROVIDES TO ASSURE THAT A TRUE CONTINUUM OF LONG TERM SERVICES AND SUPPORT ARE AVAILABLE TO OLDER ADULTS IN THE COMMUNITY WE SERVE. LLWP SERVICES ARE PROVIDED AT RATES THAT ARE AFFORDABLE FOR ELDERS AND INSTRUCTOR FEES ARE FULLY COVERED BY ACC. IN 2016, THE SENIOR COMMUNITY SERVICE AND EMPLOYMENT PROGRAM, OR "SCSEP", AN OLDER AMERICANS ACT PROGRAM FOR SACRAMENTO COUNTY, WAS TAKEN ON THROUGH A CONTRACT WITH THE NATIONAL ASIAN PACIFIC CENTER ON AGING. THROUGH THIS, ELDERS WITH LOW INCOMES WHO WANT TO LEARN NEW JOB SKILLS CAN RECEIVE JOB TRAINING AND OBTAIN WORK EXPERIENCE. THE PROGRAM HAS HELPED AN AVERAGE OF 13-15 LOW-INCOME JOB SEEKERS ANNUALLY FIND EMPLOYMENT SINCE 2017. SEVERAL AWARDS RECOGNIZING PROGRAM INNOVATION, EXCELLENCE, AND MULTI-CULTURAL PROGRAMMING HAVE BEEN RECEIVED BY ACC FROM THE ADMINISTRATION FOR COMMUNITY LIVING, AMERICAN SOCIETY ON AGING, AARP, PFIZER, METLIFE, AGENCY ON AGING AREA 4, AND THE NATIONAL ASSOCIATION OF AREA AGENCIES ON AGING. LLWP AND RIDES PROGRAM PARTICIPANTS ARE CLOSE TO 80% MINORITY COMPARED TO THE SACRAMENTO COUNTY MINORITY POPULATION PERCENTAGE OF 37%. THE ACC RIDES PROGRAM SERVES 30% WHITE, 14% AFRICAN AMERICAN, 2% AMERICAN INDIAN, 42% ASIAN, 11% HISPANIC, AND 1% OTHER RACES. ITNAMERICA RECOGNIZED ACC RIDES AS A "TRUSTED TRANSPORTATION PARTNER" IN CALIFORNIA. 1942411 0 197022 23617475 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 48 0 1 412 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X ROBERT SMART 9163946399 7334 PARK CITY DRIVE SACRAMENTO CA 95831 CAROL PICKARD COO 40.00 0.00 X 181063 0 4029 SUSANA ESTRELLA MDS MANAGER 40.00 0.00 X 167249 0 0 JILL HAYS DIRECTOR OF HR 40.00 0.00 X 150572 0 0 YESENIA JONES EXECUTIVE DIRECTOR - ACC MAPLE TREE VILLAGE 40.00 0.00 X 132052 0 3327 TAMARA KARIO ADMINISTRATOR - CARE CENTER (THRU 05/23) 40.00 0.00 X 127676 0 4029 CONNIE L RUSYNYK PRESIDENT/CEO (AS OF 09/23) 40.00 0.00 X 87692 0 0 JEAN SHIOMOTO - CHAIR ACTING PRES/CEO (THRU 09/23) 28.00 1.00 X X 0 0 0 TIM CORCORAN VICE CHAIR (THRU 03/23) 2.00 0.00 X X 0 0 0 BETTY MASUOKA SECRETARY 2.00 0.00 X X 0 0 0 TITUS TOYAMA FINANCE CHAIR/TREASURER 2.00 0.00 X X 0 0 0 MARY BIENKO DIRECTOR (AS OF 10/23) 2.00 0.00 X 0 0 0 LINDA A CABATIC DIRECTOR 2.00 0.00 X 0 0 0 LORA CONNOLLY DIRECTOR 2.00 0.00 X 0 0 0 JOYCE ISERI DIRECTOR 2.00 0.00 X 0 0 0 BRENT LUU DIRECTOR 2.00 1.00 X 0 0 0 PAULA MISHIMA DIRECTOR 2.00 0.00 X 0 0 0 PAM MIZUKAMI DIRECTOR 2.00 0.00 X 0 0 0 KATHRYN SEXSON DIRECTOR (THRU 09/23) 2.00 0.00 X 0 0 0 BRIAN SOUBLET DIRECTOR 2.00 0.00 X 0 0 0 846304 0 11385 12 0 1 0 HARDESTY LLC 19800 MACARTHUR BLVD SUITE 270 IRVINE CA 92612 CONTRACT LABOR 879138 KAISER FOUNDATION HEALTH PLAN INC PO BOX 80204 LOS ANGELES CA 90080 MEDICAL SERVICES 800857 TWOMAGNETS INC DBA CLIPBOARD HEALTH PO BOX 103125 PASADENA CA 91189 CONTRACT LABOR 780749 THERAPY SPECIALIST PO BOX 69268 BALTIMORE MD 21264 THERAPY SERVICES 603489 US FOODS INC PO BOX 884766 LOS ANGELES CA 90088 FOOD SERVICE 541163 18 465263 529172 1480018 17342 2474453 PATIENT CARE REVENUE 623000 11303018 11303018 ASSISTED LIVING 623000 5162034 5162034 GREENHAVEN TERRACE RENTAL 532000 2417788 2417788 MAPLE TREE VILLAGE RENTAL 532000 2103036 2103036 COMMUNITY CENTER PROGRAMS 624110 106127 106127 90895 90895 21182898 204171 204171 2241601 1656397 585204 585204 585204 0 465263 85210 -85210 -85210 3110 1000 2110 2110 MAPLE TREE VILLAGE - MISC 900099 184121 184121 MANAGEMENT FEE 900099 114858 114858 CARE CENTER - MISC 900099 82285 82285 91773 91773 473037 24836663 21182898 0 1179312 X 87692 21923 65769 12077748 9237241 2784889 55618 1698478 1698478 946260 941774 4486 138312 138312 154015 154015 127398 127398 14044 14044 4147144 3172246 903077 71821 143328 143328 147579 147579 762 762 984460 984272 188 36087 36087 11136 11136 1724726 1724726 1913638 1913638 401905 400838 1067 SUPPLIES 1519845 1512112 7733 REPAIRS AND MAINTENANCE 588645 588645 QA FEES 509733 509733 DIRECT PROGRAM EXPENSES 272335 272335 302807 300622 2185 27948077 23617475 4060106 270496 1383504 1038372 2990777 2794112 0 496240 997281 2060436 385661 242551 65628318 23384134 43962048 42244184 3756224 293648 433930 80228 53909425 49249771 2873657 2888605 161696 120700 38455726 37179721 1887 4408 2877807 2829164 2325000 2602884 46695773 45625482 X 6482532 3130727 731120 493562 7213652 3624289 53909425 49249771 -3111414 -477951 2 0 X X 0 1 X 1 0 X 1593556 1800021 3679410 1988873 2474453 11536313 1593556 1800021 3679410 1988873 2474453 11536313 181517 11354796 217182 255251 344370 295421 204171 1316395 2110 2110 612499 1545450 812694 1013868 473037 4457548 17312366 89429564 0.65590 0.62880 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 342157 16341 358498 342157 342157 200000 113000 31316 2159 342157 200000 200000 200000 200000 0.00000 1.00000 0.00000 0 0 7427739 7427739 55078539 20811838 34266701 167817 121575 46242 2689528 2438490 251038 264695 12231 252464 42244184 SECURITY DEPOSITS 52449 ACCRUED LEGAL LIABILITIES 2300000 INTERCOMPANY PAYABLE 250435 2602884 X 25642517 -477951 53121 1244728 819898 24822619 14044 14044 24836663 29231880 53121 1244726 1297847 27934033 14044 14044 27948077 PART IV, LINE 2B: A NURSING HOME RESIDENT TRUST FUND IS MAINTAINED AT THE ACC CARE CENTER. THE BALANCE WAS $1,887 AND $4,408 ON DECEMBER 31, 2022 AND DECEMBER 31, 2023, RESPECTIVELY. PART V, LINE 4: THERE ARE TWO ENDOWMENTS. ONE ENDOWMENT SPECIFIES THAT THE CORPUS SHOULD BE PERMANENTLY RESTRICTED WITH ANY EARNINGS TO BE SPENT ON TRAINING PROGRAMS FOR THE NURSING HOME. THE OTHER ENDOWMENT ALSO SPECIFIES THAT THE CORPUS SHOULD BE PERMANENTLY RESTRICTED AND EARNINGS ARE TO BE USED FOR PERFORMING ARTS PROGRAMS AT THE SENIOR CENTER. PART X, LINE 2: ASC 740, INCOME TAXES, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. RECOGNITION OF A TAX POSITION IS DETERMINED WHEN IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES. A TAX POSITION THAT MEETS THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD IS MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS MORE THAN 50% TO BE REALIZED UPON ULTIMATE SETTLEMENT WITH A TAXING AUTHORITY. MANAGEMENT BELIEVES THAT ACC HAS ADEQUATELY ADDRESSED ALL RELEVANT TAX POSITIONS AND THAT THERE ARE NO UNRECORDED TAX LIABILITIES. ANY INTEREST OR PENALTIES ASSESSED TO ACC ARE RECORDED IN OPERATING EXPENSES. NO INTEREST OR PENALTIES FROM FEDERAL OR STATE TAX AUTHORITIES ARE RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: ADMINISTRATIVE FEES 1,158,518. FUNDRAISING EXPENSES 85,210. GAMING EXPENSES 1,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: ADMINISTRATIVE FEES 1,158,516. FUNDRAISING EXPENSES 85,210. GAMING EXPENSES 1,000. X X 1 THEODORE FONG 3622 LAKE TERRACE DRIVE ELK GROVE CA 95758 SOLICITED DONATIONS TO THE ORGANIZATION 0 0 127398 0 127398 CA BIG DAY OF GIVING 382288 382288 52367 OHANA WALK 82975 82975 32843 465263 465263 85210 85210 -85210 SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE ORGANIZATION RETAINED THE SERVICES OF THEODORE FONG FOR A VARIETY OF CONSULTING ACTIVITIES AND PROJECT MANAGEMENT, SOME OF WHICH INCLUDED DIRECT SOLICITATION OF CONTRIBUTIONS. THE ORGANIZATION WAS NOT ABLE TO DIRECTLY TIE SPECIFIC CONTRIBUTIONS TO HIS EFFORTS. THE ENTIRE AMOUNT PAID WAS FOR ALL SERVICES, NOT JUST THOSE PERTAINING TO PROFESSIONAL FUNDRAISING, BUT AN ALLOCATION OF THE FEES COULD NOT BE EASILY DETERMINED. X X X 0 0 0 0 0 0 0 0 0 CAROL PICKARD COO 181063 0 0 0 0 0 0 0 4029 0 185092 0 0 0 SUSANA ESTRELLA MDS MANAGER 167249 0 0 0 0 0 0 0 0 0 167249 0 0 0 JILL HAYS DIRECTOR OF HR 150572 0 0 0 0 0 0 0 0 0 150572 0 0 0 A CA HLTH FCLTS FIN AUTHOR 521643828 13032UHN1 2016-11-22 17425551 BOND REFINANCING 0 0 0 B CA MUNICIPAL FIN AUTHOR 201563466 13048VC29 2018-07-26 28675104 CONSTRUCT ASSISTED LIVING 0 0 0 A 4845551 17425551 571872 321600 443678 16088401 2017 1 0 1 1 B 2897604 28675104 825047 2540277 385569 1430906 20460496 1241692 1791117 2020 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CA HLTH FCLTS FIN AUTHOR DATE THE REBATE COMPUTATION WAS PERFORMED: 07/11/2025 ISSUER NAME: CA MUNICIPAL FIN AUTHOR DATE THE REBATE COMPUTATION WAS PERFORMED: 11/07/2025 FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED AUGUST 2023 TO CHANGE LANGUAGE REGARDING MEMBERSHIP, NOMINATION OF DIRECTORS, MEETINGS OF THE BOARD, LANGUAGE SURROUNDING THE DUTIES OF OFFICERS, AND TO DELETE NAMED POSITIONS AUTHORIZED TO SIGN CHECKS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY A FIRM OF CERTIFIED PUBLIC ACCOUNTANTS AND REVIEWED BY MANAGEMENT. MANAGEMENT'S QUESTIONS AND COMMENTS WERE ANSWERED AND RESOLVED PRIOR TO FILING THE FORM 990. EACH BOARD MEMBER WAS PROVIDED WITH A COPY OF THE FORM 990 BEFORE THE RETURN WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS MEMBERS OF THE BOARD OF DIRECTORS, OTHER OFFICERS, AND VOTING MEMBERS OF COMMITTEES WITH FIDUCIARY DUTIES. EACH COVERED MEMBER IS REQUIRED TO SUBMIT AN ANNUAL DISCLOSURE STATEMENT. THE CHIEF EXECUTIVE OFFICER, BOARD PRESIDENT, VICE PRESIDENT, OR COMMITTEE CHAIR, AS APPROPRIATE, REVIEW THE DISCLOSURE STATEMENTS FOR SITUATIONS THAT MAY POSE POTENTIAL CONFLICTS OF INTEREST FOR DIRECTORS, OFFICERS AND VOTING COMMITTEE MEMBERS WITH FIDUCIARY DUTIES. EACH COVERED MEMBER HAS THE DUTY TO DISCLOSE A POTENTIAL CONFLICT OF INTEREST PRIOR TO THEIR PARTICIPATION IN THE DISCUSSION, EVALUATION, OR ACTION ON A TRANSACTION. THE COVERED MEMBER DISCLOSES ANY INTERESTS HE OR SHE THINKS COULD BE CONSIDERED "MATERIAL" ALONG WITH ALL RELEVANT FACTS TO THE BOARD ITSELF, A COMMITTEE OR THE CHIEF EXECUTIVE OFFICER. MEMBERS THAT ARE DETERMINED TO HAVE A CONFLICT OF INTEREST ARE REQUIRED TO REFRAIN FROM VOTING ON ANY MATTERS RELATED TO THE TRANSACTION AND WILL NOT BE COUNTED FOR THE PRESENCE OF A QUORUM. BOARD APPROVAL OF A TRANSACTION INVOLVING A CONFLICT OF INTEREST REQUIRES A MAJORITY VOTE OF THE BOARD OF DIRECTORS, NOT INCLUDING THE COVERED MEMBER WITH THE CONFLICT. ALL PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED ON THE CEO'S PERFORMANCE AND COMPARABILITY DATA. COMPENSATION FOR THE CEO IS BASED ON AN ANNUAL REVIEW OF COMPARABLE POSITIONS SUBMITTED BY THE CHIEF HUMAN RESOURCES OFFICER (CHRO) TO THE EXECUTIVE COMMITTEE OF THE BOARD. COMPENSATION IS DETERMINED AS PART OF AN ANNUAL PERFORMANCE REVIEW, WHICH IS CONDUCTED BY THE EXECUTIVE COMMITTEE (LED BY THE BOARD CHAIR). REFERRING TO THE RANGES NOTED BY THE CHRO, THE BOARD CHAIR WITH THE CONCURRENCE OF THE EXECUTIVE COMMITTEE RECOMMENDS ANNUAL COMPENSATION FOR THE CEO TO THE BOARD OF DIRECTORS DURING AN EXECUTIVE SESSION CALLED FOR THAT PURPOSE. THE DELIBERATION AND DECISIONS ARE DOCUMENTED IN THE MEETING MINUTES AND A NOTICE TO PERSONNEL ACTION IS COMPLETED AND STORED IN THE EMPLOYEE'S PERSONNEL FILE. COMPENSATION FOR THE COO IS BASED ON AN ANNUAL PERFORMANCE REVIEW CONDUCTED BY THE CEO, WHO THEN CONSIDERS ANNUAL COMPENSATION BASED ON COMPARABLE DATA (SALARY AND BENEFITS DATA RESEARCH BY THE CHRO). A NOTICE TO PERSONNEL ACTION IS COMPLETED AND STORED IN THE EMPLOYEE'S PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,284,967. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,284,967. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 887,279. MANAGEMENT AND GENERAL EXPENSES 903,077. FUNDRAISING EXPENSES 71,821. TOTAL EXPENSES 1,862,177. FORM 990, HEADING - SUMMARY OF CHANGES FOR AMENDED RETURN: FORM 990, HEADING, LINE B: THE AMENDED RETURN BOX WAS ANSWERED YES. FORM 990, PART I, LINES 8-22: THE INFORMATION REPORTED IN PART I WAS UPDATED FOR CHANGES TO PART VIII, IX, AND X. FORM 990, PART III, LINES 4A-4D: THE PROGRAM REVENUE AND EXPENSES FIGURES ON LINES 4A-4D WERE UPDATED AFTER CHANGES TO PART VIII AND PART IX FOR THE COMPLETED AUDITED FINANCIAL STATEMENTS. FORM 990, PART IV, LINE 11F: THIS WAS CORRECTED AND ANSWERED YES. FORM 990, PART IV, LINE 12B: THIS WAS CORRECTED AND ANSWERED YES. FORM 990, PART VII: THE INFORMATION REPORTED IN PART VII WAS UPDATED TO CHANGE THE REPORTING ORDER OF SOME INDIVIDUALS. FORM 990, PART VIII: THE INFORMATION REPORTED IN PART VIII WAS UPDATED FOR THE COMPLETED AUDITED FINANCIAL STATEMENTS. FORM 990, PART IX: THE INFORMATION REPORTED IN PART IX WAS UPDATED FOR THE COMPLETED AUDITED FINANCIAL STATEMENTS. FORM 990, PART X: THE INFORMATION REPORTED IN PART X WAS UPDATED FOR THE COMPLETED AUDITED FINANCIAL STATEMENTS. FORM 990, PART XI: THE INFORMATION REPORTED IN PART XI WAS UPDATED FOR THE COMPLETED AUDITED FINANCIAL STATEMENTS. FORM 990, PART XII: LINES 2B AND 2C WERE MARKED YES UNDER A CONSOLIDATED BASIS FOR THE COMPLETED AUDITED FINANCIAL STATEMENTS. SCHEDULE A, PART II, COLUMN (E): THE AMOUNTS WERE UPDATED FOR THE COMPLETED AUDITED FINANCIAL STATEMENTS AND REVISED PART VIII. SCHEDULE D, PART V: COLUMN A WAS UPDATED FOR THE COMPLETED AUDITED FINANCIAL STATEMENTS. SCHEDULE D, PART X, LINE 2: THE BOX WAS CHECKED FOR THE FASB ASC 740 DISCLOSURE, AND THE FOOTNOTE LANGUAGE WAS ADDED TO SCHEDULE D, PART XIII. SCHEDULE D, PARTS XI AND XII: THE INFORMATION FOR THE RECONCILIATION OF REVENUE AND EXPENSES PER THE COMPLETED AUDITED FINANCIAL STATEMENTS WAS UPDATED TO INCLUDE THE REQUIRED INFORMATION. SCHEDULE K: UPDATED FOR DATE OF THE REBATE CALCULATION. SCHEDULE R, PART V, LINE 1: THE BOX FOR TRANSACTION TYPE 1L WAS MARKED AS YES. SCHEDULE R, PART V, LINE 2: THE TRANSACTION AMOUNTS ON LINE 2 FOR TRANSFERS BETWEEN MOW AND ACC WERE UPDATED FOR THE COMPLETED AUDITED FINANCIAL STATEMENTS. MEALS ON WHEELS BY ACC 7375 PARK CITY DRIVE SACRAMENTO CA 95831 300610870 NUTRITIOUS MEALS DELIVERED TO SENIORS CA 501(C)(3) LINE 7 ASIAN COMMUNITY CENTER OF SACRAMENTO 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 MEALS ON WHEELS BY ACC J 90000 ACTUAL COST MEALS ON WHEELS BY ACC L 114858 ACTUAL COST