2015-08-17T11:16:36-05:00 2014-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2014-01-01 951683861 ATHERTON BAPTIST HOMES ATHE 6262894178 214 SO ATLANTIC BLVD ALHAMBRA CA 91801 JOCELYN PASCUAL CFO 6262894178 2015-08-12 1 RENIE BURBANK P00159653 4159561500 2014 2016-03-07 17:11:31Z JOCELYN PASCUAL 214 SO ATLANTIC BLVD ALHAMBRA CA 91801 29592764 0 X WWW.ABH.ORG X 1914 CA ATHERTON IS A CHRISTIAN CONTINUING CARE RETIREMENT COMMUNITY. SEE SCH O FOR DESCRIPTION.ATHERTON BAPTIST HOMES' PRINCIPAL MISSION IS SPONSORING A CHRISTIAN RETIREMENT COMMUNITY FOSTERED AND SUPPORTED BY THE AMERICAN BAPTIST CHURCHES, ITS ORIGINAL SPONSORING BODY, TRANSFORMATION MINISTRIES, ITS SUCCESSOR BODY, AND OTHER FRIENDS, OFFERING A FULL RANGE OF LIVING OPTIONS AND SERVICES TO MINISTERS, MISSIONARIES, AND THEIR SPOUSES, AND TO THE LAY COMMUNITY. 14 13 222 200 0 0 1842203 526315 16353464 16306231 468917 691975 201702 234583 18866286 17759104 0 0 0 0 8946297 8263156 0 0 137582 12592007 12946061 21538304 21209217 -2672018 -3450113 66088305 58218624 66866501 62607696 -778196 -4389072 TO PROVIDE A FULL RANGE OF LIVING OPTIONS AND SERVICES TO MINISTERS, MISSIONARIES, THEIR SPOUSES, AND THE LAY COMMUNITY. 0 0 8775125 8235493 OPERATED A RESIDENTIAL CARE FACILITY CONSISTING OF 220 RESIDENTIAL LIVING UNITS, 32 ASSISTED LIVING UNITS, AND A 6-BED COMPANION CARE UNIT 8614875 8070738 OPERATED A 99-BED SKILLED NURSING FACILITY 17390000 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 1 129 0 1 222 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X JOCELYN PASCUAL 6262894178 214 SO ATLANTIC BLVD ALHAMBRA CA 91801 DR WILLIAM L EBLING CHAIRMAN 0.30 X X 0 0 0 DR KIRK MACKIE VICE CHAIRMAN 0.30 X X 0 0 0 MR TOM GARDNER SECRETARY 0.30 X X 0 0 0 MR DALE MONTGOMERY TREASURER 0.30 X X 0 0 0 MR RONALD BANES BOARD MEMBER 0.30 X 0 0 0 DR PHILIP CARLSON BOARD MEMBER 0.30 X 0 0 0 MR ANDREW DELANCEY BOARD MEMBER 0.30 X 0 0 0 MR GARY FRUEHOLZ BOARD MEMBER 0.30 X 0 0 0 REV JOHN HOPKINS BOARD MEMBER 0.30 X 0 0 0 REV MARY S POLITE BOARD MEMBER 0.30 X 0 0 0 REV JAMES WALDEN BOARD MEMBER 0.30 X 0 0 0 MR RICK WENTZEL BOARD MEMBER 0.30 X 0 0 0 DR SOPHIE C WONG BOARD MEMBER 0.30 X 0 0 0 REV CRAIG STATTON EFF 8114 PRESIDENT/CEO 40.00 X X 106139 0 15113 DENNIS MCFADDEN RET 8114 FORMER PRESIDENT/CEO 40.00 X X 93896 0 16443 JOCELYN PASCUAL CHIEF FINANCIAL OFFICER 40.00 X 114706 0 35207 ANGELA M LEE DIRECTOR OF MARKETING 40.00 X 90081 0 25380 MARY E MONNIER SNF/RCFE ADMINISTRATOR 40.00 X 84821 0 12909 CATHERINE C GRIFFIN R.N. DIRECTOR OF NURSING 40.00 X 110824 0 2663 WILLIS R HULL III DIRECTOR OF SALES 40.00 X 170587 0 7192 771054 0 114907 7 0 1 0 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 DINING/HSKPG/MGMT SERVICES 3259447 THERAPY SPECIALISTS 3760 CONVOY ST 204 SAN DIEGO CA 92111 REHAB THERAPY SERVICES 541526 RICHARD L WATSON & SON INC 2053 MILAN AVE SOUTH PASADENA CA 91030 CONSTRUCTION/RENOVATION SERVICES 319498 LM HAMM INC 425 S CALIFORNIA ST STE C SAN GABRIEL CA 91776 PLUMBING SERVICES 134541 POLARIS GROUP PO BOX 95265 GRAPEVINE TX 760999752 3RD PARTY BILLING SERVICES 122823 7 526315 526315 RESIDENTIAL CARE FACILITY 623990 8235493 8235493 NURSING CENTER REVENUE 623000 4851489 4851489 MEDICARE/MEDICAID 900099 3219249 3219249 16306231 325482 325482 12199383 770 11807259 26401 392124 -25631 366493 366493 MISCELLANEOUS REVENUE 900099 129237 129237 CATERING REVENUE 900099 79916 79916 GUEST HOUSE REVENUE 900099 25430 25430 234583 17759104 16306231 0 926558 600817 289135 288523 23159 4839130 3972433 837595 29102 258391 167594 85151 5646 2185444 1802680 371237 11527 379374 304286 74170 918 63429 63429 55704 55704 107967 107967 181522 179992 1530 737621 737621 44723 33346 11377 23880 8245 15272 363 2538308 2538308 2559333 2183168 376165 272321 272321 FOOD & FOOD MANAGEMENT 2466350 2394386 66784 5180 PURCHASED SERVICES 1761539 1347910 409982 3647 ANCILLARY SERVICES 678286 678286 SUPPLIES 176664 154122 20648 1894 1278414 326167 896101 56146 21209217 17390000 3681635 137582 56962 55695 2127815 1299349 768042 880329 47303 29000 6123 17957 537163 516781 70908870 30932845 41363332 39976025 16235910 11236713 4945655 4206775 66088305 58218624 3420596 3283067 9931055 11121493 35320000 28970000 235355 50289 17959495 19182847 66866501 62607696 X -928134 -4528394 149938 139322 -778196 -4389072 66088305 58218624 X -3450113 -156296 -4467 X X 0 1 X 1 0 X 664011 226896 389204 1842203 526315 3648629 12385663 13213686 15611597 16353464 16306231 73870641 13049674 13440582 16000801 18195667 16832546 77519270 7850 14005 11210 14985 17865 65915 853845 853845 7850 14005 11210 868830 17865 919760 76599510 655481 454745 365465 313638 325482 2114811 655481 454745 365465 313638 325482 2114811 342867 528187 381356 201702 234583 1688695 14048022 14423514 16747622 18711007 17392611 81322776 0.94190 0.93750 0.02600 0.02710 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2010 AMOUNT: $ 342,867. 2011 AMOUNT: $ 528,187. 2012 AMOUNT: $ 381,356. 2013 AMOUNT: $ 201,702. 2014 AMOUNT: $ 234,583. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3350093 3350093 56541084 24399149 32141935 10080929 6533696 3547233 936764 936764 39976025 DEFERRED CHARGES 1010694 WORKERS COMP RECEIVABLE 920740 RESIDENT TRUST ASSETS 216923 ENTRANCE FEE RECEIVABLE 171000 INTEREST RECEIVABLE 16847 COSTS OF ACQUIRING INITIAL CONTINUING CARE CONTRACTS 1751667 DEPOSITS 73554 ENTRANCE FEE REPAYABLE 45350 4206775 RESIDENT TRUST FUNDS PAYABLE 216923 GIFT ANNUITIES PAYABLE 1101169 CHARITABLE REMAINDER TRUSTS & POOLED INCOME FUNDS LIABILITIES 106167 DEPOSITS ON ENTRANCE FEES 322290 PENSION LIABILITY 2461283 REPAYABLE ENTRANCE FEES LIABILITY 14975015 19182847 X 17575432 53468 -237140 -183672 17759104 0 17759104 20976338 0 20976338 232879 232879 21209217 PART X, LINE 2: 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 ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA ("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. PART XI, LINE 2D - OTHER ADJUSTMENTS: ANNUITY EXPENSE RECLASSIFIED TO OTHER EXPENSE -232,879. CHANGE IN MINIMUM PENSION LIABILITY 6,871. CHANGE IN ASSOCIATED OBLIGATIONS -11,338. AUDITED FINANCIAL STATEMENT ROUNDING 206. PART XII, LINE 4B - OTHER ADJUSTMENTS: ANNUITY EXPENSE RECLASSIFIED TO OTHER EXPENSE 232,879. X X 0 0 0 0 0 0 0 1 0 WILLIS R HULL III DIRECTOR OF SALES 119260 0 51327 0 0 0 2385 0 4807 0 177779 0 0 0 PART I, LINE 7 WILLIS HULL RECEIVED A BONUS WHICH WAS DETERMINED BASED ON ACHEIVING CERTAIN GOALS. A CITY OF ALHAMBRA CALIFORNIA 956000665 106049AB4 2010-01-01 10685000 NEW COURTYARD BUILDING PROJECT, IMPROVEMENT & REFURBISHMENT OF EXISTING COMM 0 0 0 B CITY OF ALHAMBRA CALIFORNIA 956000665 016049AC2 2010-01-01 18615000 NEW COURTYARD BUILDING PROJECT, IMPROVEMENT & REFURBISHMENT OF EXISTING COMM 0 0 0 C CITY OF ALHAMBRA CALIFORNIA 956000665 016049AD0 2010-01-01 14640000 NEW COURTYARD BUILDING PROJECT, IMPROVEMENT & REFURBISHMENT OF EXISTING COMM 0 0 0 A 10685000 932620 1012124 237773 6261067 2316297 2011 0 0 1 1 B 18615000 1624774 1763284 414239 10907792 4035365 2011 0 0 1 1 C 14640000 969000 1386757 325784 8578570 3173663 2011 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990, PART VI, SECTION B, LINE 11: 990 IS PREPARED BY THE ORGANIZATION'S OUTSIDE CPA AND THEN SENT TO CFO AND AUDIT COMMITTEE FOR REVIEW. ONCE APPROVED, THE 990 IS THEN SIGNED BY CFO AND FILED ELECTRONICALLY. 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. THE PRESIDENT/CEO HAVE SECURED THE SIGNATURES OF THE BOARD MEMBERS AND SENIOR MANAGEMENT. HERETOFORE, THERE HAVE BEEN NO INSTANCES OF ACTUAL CONFLICT OF INTEREST WITH BOARD MEMBERS SINCE NONE OF THEM DO BUSINESS WITH ATHERTON. 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 AUDIT COMMITTEE WILL PERFORM THE REVIEW AS SPECIFIED. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS AVAILABLE ON WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY 6,871. CHANGE IN VALUE ASSOCIATED W/OBLIGATIONS UNDER CTR & POOLED INCOME FUNDS -11,338. 990, PART XII, LINE 2C AUDIT COMMITTEE AND OVERSIGHT - THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. GIFT ANNUITIES (52) PROVIDE SUPPORT CA ATHERTON BAPTIST HOMES T 0 CHARITABLE REMAINDER TRUSTS (3) PROVIDE SUPPORT CA ATHERTON BAPTIST HOMES T 0 POOLED INCOME FUNDS (5) PROVIDE SUPPORT CA ATHERTON BAPTIST HOMES T 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0