2014-08-15T10:22:25-05:00 2013-09-30 264677183 DZH PHILLIPS LLP 135 MAIN STREET 9TH FLOOR SAN FRANCISCO CA 941051815 990 2012-10-01 941156461 ALDERSLY ALDE 4154537425 326 MISSION AVENUE SAN RAFAEL CA 949013484 JOANNE MAXWELL 4154537425 2014-07-07 1 P00176450 4157812500 X 2012 2015-11-30 17:44:51Z JOANNE MAXWELL 326 MISSION AVENUE SAN RAFAEL CA 949013484 16491790 0 X WWW.ALDERSLY.COM X 1921 CA PROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS. 12 12 112 120 0 0 61865 1086165 7495043 7532562 458652 836130 17577 16684 8033137 9471541 0 0 0 0 3326366 3247488 42892 50609 50609 4236471 4371054 7605729 7669151 427408 1802390 26581562 29931644 11821543 12491456 14760019 17440188 PROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS. 0 0 6021442 7976034 MAINTAINED RESIDENTIAL HEALTH CARE FACILITIES FOR SENIOR CITIZENS WHO HAVE ENTERED INTO A CONTINUING CARE AND LODGING AGREEMENT; MAINTAINED NURSING SERVICES INFIRMARY. APPROXIMATELY 100 SENIORS WERE SERVED. 6021442 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 69 0 112 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X JOANNE MAXWELL 4154537425 326 MISSION AVENUE SAN RAFAEL CA 94901 PETER SCHAKOW 8.00 X X 0 0 0 CYR MILLER 8.00 X X 0 0 0 POUL POULSEN 8.00 X X 0 0 0 W GRANT HELLAR III 8.00 X X 0 0 0 DAVID BERMAN 8.00 X X 38208 0 0 AL BORO 8.00 X 0 0 0 HERDIS VOGL 8.00 X 0 0 0 KRISTIAN SORENSEN 8.00 X 0 0 0 KRUUSE CAROE 8.00 X 0 0 0 OLE MIKKELSEN 8.00 X 0 0 0 TAGE HANSEN 8.00 X 0 0 0 TORBEN O BJORN 8.00 X 0 0 0 JOANNE MAXWELL 40.00 X 169485 0 27684 207693 0 27684 6 0 1 1 SODEXHO INC & AFFILIATES DEPT 880328 LOS ANGELES CA 90088 DIETARY MANAGEMENT/SUPPLIES 672572 LIFE CARE SERVICES 400 LOCUST ST STE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 574786 AJ GALLAGHER 5229 PAYSPHERE CIRCLE CHICAGO IL 60674 INSURANCE BROKER 323133 REHABCARE GROUP INC PO BOX 277365 ATLANTA GA 30384 REHAB SERVICE 267252 KAISER FOUNDATION HEALTH PO BOX 6000 SAN FRANCISCO CA 94160 HEALTH INSURANCE 233552 6 9125 1077040 1086165 RESIDENT CARE FEES 623000 2448247 2448247 HEALTH CARE CENTER FEES 623000 2359917 2359917 PERSONAL CARE FEES 623000 1845619 1845619 ACCOMODATION FEE AMORT. 623000 878779 878779 7532562 411818 411818 19160 0 19160 19160 19160 7442085 6985534 32239 456551 -32239 424312 424312 0 9125 2476 -2476 -2476 9471541 7976034 0 409342 X 2816642 2561949 254693 55033 44585 10448 158728 150126 8602 217085 198229 18856 321345 321345 43104 43104 50609 50609 82892 82892 862532 546264 316268 123763 123763 226850 170899 55951 17601 17601 315346 213201 102145 24874 2277 22597 6973 6973 300941 300941 610449 610449 330477 150131 180346 FOOD 394334 394334 THERAPY 259407 259407 MISCELLANEOUS 164806 156118 8688 MAINTENANCE AND REPAIRS 144788 114987 29801 140572 140572 7669151 6021442 1597100 50609 445102 632686 461190 447434 288564 225592 171338 194957 19925846 9589893 10331278 10335953 11907330 15224170 1040778 1320738 1935982 1550114 26581562 29931644 447802 426557 6009097 5806843 5364644 6258056 11821543 12491456 X 14669894 17359763 90125 80425 14760019 17440188 26581562 29931644 X 1802390 877778 1 X X 0 1 X 1 0 X 15908 56996 159729 61865 1086165 1380663 7045685 7026957 7290804 7495043 7551722 36410211 7061593 7083953 7450533 7556908 8637887 37790874 0 0 0 37790874 331342 306237 352486 346010 411818 1747893 331342 306237 352486 346010 411818 1747893 13815 4223 -5213 -12991 -166 7406750 7394413 7797806 7889927 9049705 39538601 0.95580 0.95380 0.04420 0.04560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4028256 123160 581478 4732894 3561674 9442 769060 -311920 4028256 3458347 218323 -20381 -94615 3561674 3202771 642454 266502 653380 3458347 3081515 5000 116256 3202771 1.00000 0 0 232822 232822 17766919 8096055 9670864 1926105 1493838 432267 10335953 DEFERRED FINANCING COSTS - NET OF AMORTIZATION 564504 CONSTRUCTION IN PROGRESS 46932 ASSETS WHOSE USE IS LIMITED OR RESTRICTED 728602 OTHER ACCOUNTS RECEIVABLE (ENTRANCE FEES) 203273 INTEREST AND DIVIDENDS RECEIVABLE 1221 OTHER ASSETS 5582 1550114 DEPOSITS RECEIVED 210683 UNEARNED PORTION OF ACCOMODATION FEES - EXHAUSTIBLE 2512775 UNEARNED PORTION OF ACCOMODATION FEES - NON-REFUNDABLE 2006438 GUARANTEED REFUNDS 1528160 6258056 X 10351795 877778 877778 9474017 -2476 -2476 9471541 7671626 2475 2475 7669151 0 7669151 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION HAS A BOARD DESIGNATED ENDOWMENT FUND TO PROVIDE FOR GENERAL SUPPORT OF THE ORGANIZATION. THESE FUNDS ARE CLASSIFIED AS UNRESTRICTED NET ASSETS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: MANAGEMENT HAS CONSIDERED POSSIBLE UNCERTAIN TAX POSITIONS AND CONCLUDED THAT THERE WERE NONE AS OF THE DATE THE FINANCIAL STATEMENTS WERE AVAILABLE FOR ISSUE. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -2,476. ROUNDING PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 2,476. ROUNDING -1. PART XII, LINE 4B - OTHER ADJUSTMENTS: MISCELLANEOUS EXPENSE ROUNDING PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701(D). ACCORDINGLY, IT HAS NOT PROVIDED FOR INCOME TAXES IN THESE FINANCIAL STATEMENTS. EACH YEAR MANAGEMENT CONSIDERS WHETHER ANY MATERIAL TAX POSITION THE ORGANIZATION HAS TAKEN IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY. MANAGEMENT BELIEVES THAT ANY POSITIONS THE ORGANIZATION HAS TAKEN ARE SUPPORTED BY SUBSTANTIAL AUTHORITY AND, HENCE, DO NOT NEED TO BE MEASURED OR DISCLOSED IN THE FINANCIAL STATEMENTS. TAX RETURNS FOR YEAR SUBSEQUENT TO SEPTEMBER 30, 2009 ARE SUBJECT TO EXAMINATION BY FEDERAL OR STATE TAX AUTHORITIES. X X X X X 1 JSL CONSULTING JEFFREY S LEIDALL 12 SANTA FE AVE POINT RICHMOND CA 94801 FUNDRAISING CONTRACTOR 0 1086165 50609 1035556 1086165 50609 1035556 CA TREE OF LIGHTS 0 0 0 0 0 0 0 0 0 JOANNE MAXWELL 152266 0 17219 0 0 0 22003 0 5681 0 197169 0 0 0 SUPPLEMENTAL INFORMATION PART III LIFE CARE SERVICES, AN UNRELATED ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION. THE ORGANIZATION'S EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES AND RECEIVES COMPENSATION ONLY FROM LIFE CARE SERVICES. DAVID BERMAN IS A DOCTOR ACTING AS AN INDEPENDENT CONTRACTOR AND PROVIDES MEDICAL EXPERTISE TO ALDERSLY IN THE ROLE OF MEDICAL DIRECTOR. JOANNE MAXWELL EXECUTIVE DIRECTOR (EMPLOYEE OF LIFE CARE SERVICES) 197169 LIFE CARE SERVICES, AN UNRELATED ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION. THE ORGANIZATION'S EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES AND RECEIVES COMPENSATION ONLY FROM LIFE CARE SERVICES. 0 DAVID HAROLD BERMAN MD DIRECTOR/MEDICAL DIRECTOR 38208 DAVID BERMAN IS A DOCTOR ACTING AS AN INDEPENDENT CONTRACTOR AND PROVIDES MEDICAL EXPERTISE TO ALDERSLY IN THE ROLE OF MEDICAL DIRECTOR. 0 FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES (LCS), AN UNRELATED ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION. ALDERSLY'S EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LCS, AND RECEIVES COMPENSATION ONLY FROM LCS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE GOVERNING BODY ARE ELECTED AND VOTED FOR AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS SET POLICIES AND GOVERN THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE TAX RETURN IS REVIEWED BY THE ACCOUNTANT OF THE ORGANIZATION'S MANAGEMENT COMPANY AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. A COPY OF THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY PREPARES AND FURNISHES EACH DIRECTOR A STATEMENT OF ANY TRANSACTION OR INDEMNIFICATION WITHIN ONE HUNDRED TWENTY (120) DAYS AFTER THE END OF THE ORGANIZATION'S FISCAL YEAR. MANAGEMENT SERVICES ARE OUTSOURCED TO LIFE CARE SERVICES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 92,275. MANAGEMENT AND GENERAL EXPENSES 189,829. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 282,104. OTHER FEES: PROGRAM SERVICE EXPENSES 453,989. MANAGEMENT AND GENERAL EXPENSES 126,439. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 580,428. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ROUNDING 1. THE ORGANIZATION RETAINS AN INDEPENDENT CPA FIRM TO CONDUCT THE AUDIT, WHICH IS OVERSEEN BY THE AUDIT COMMITTEE. THERE HAS BEEN NO CHANGE IN THE REVIEW OR SELECTION PROCESS DURING THE YEAR.