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JEWISH HOME: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
JEWISH HOME (EIN 94-0545320)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201101339349305600
Schema version
2009v1.7
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)
Timestamp2011-05-13T16:21:56-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEILER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1THREE LAGOON DRIVE STE 400AddressLine1
CityREDWOOD CITYCity
StateCAState
ZIP Code94065ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN940545320EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEBREW HOME FOR AGED DISABLEDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEBRNameControl
Phone4153342500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1302 SILVER AVENUEAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code941121510ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN POTTERName
TitleDIRECTOR OF FINANCETitle
Phone4153342500Phone
Date Signed2011-05-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDEBRA K MCCALLName
Phone6503654646Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1JEWISH HOME OF SAN FRANCISCOBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDANIEL RUTHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1302 SILVER AVENUEAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94112ZIPCode
FieldValueIRS element (for citing)
Gross Receipts65977677GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.jhsf.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1871YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionWE ARE A LICENSED NURSING HOME THAT PROVIDES TO SENIORS LIFE ENRICHING SERVICES THAT PROMOTE INDIVIDUAL DIGNITY, ENCOURAGE INDEPENDENCE, AND REFLECT THE SOCIAL, CULTURAL AND SPIRITUAL VALUES OF JEWISH TRADITION.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees797TotalNbrEmployees
Total Nbr Volunteers380TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year11036509ContributionsGrantsPriorYear
Contributions Grants Current Year10672722ContributionsGrantsCurrentYear
Program Service Revenue Prior Year49975326ProgramServiceRevenuePriorYear
Program Service Revenue CY55155909ProgramServiceRevenueCY
Investment Income Prior Year60906InvestmentIncomePriorYear
Investment Income Current Year18564InvestmentIncomeCurrentYear
Other Revenue Prior Year-172851OtherRevenuePriorYear
Other Revenue Current Year-172770OtherRevenueCurrentYear
Total Revenue Prior Year60899890TotalRevenuePriorYear
Total Revenue Current Year65674425TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1750000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year44740535SalariesEtcPriorYear
Salaries Etc Current Year48517400SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year18104TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year497934TotalFundrsngExpCurrentYear
Other Expense Prior Year19080941OtherExpensePriorYear
Other Expenses Current Year17202109OtherExpensesCurrentYear
Total Expenses Prior Year65589580TotalExpensesPriorYear
Total Expenses Current Year65719509TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4689690RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-45084RevenuesLessExpensesCY
Total Assets BOY110920304TotalAssetsBOY
Total Assets EOY114389986TotalAssetsEOY
Total Liabilities BOY47075968TotalLiabilitiesBOY
Total Liabilities EOY46228867TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY63844336NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY68161119NetAssetsOrFundBalancesEOY
Mission DescriptionThe Organization is a licensed skilled nursing facility specializing in programs, services, and care for older adults. The Organization is a nine-acre comprehensive senior care center with five distinct buildings, serving more than 420 residents with diverse care needs, and providing rehabilitation services to numerous others seeking short-term care stays. Our mission is to become a regional resource as an integral part of a continuum of care throughout the Bay Area that provides senior adults with a variety of life enriching programs and services that are accessible, promote individual dignity, encourage independence, connect them to their community, and reflect the social, cultural, and spiritual values of Jewish tradition.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense59369699Expense
Grants0Grants
Revenue55155909Revenue
DescriptionThe organization provides long-term care, short-term rehabilitation, and acute psych care services. It provides professional and comprehensive programs that include personal and health care to residents in its over 400-bed facility. In the current fiscal year, the organization served an average of 424 residents a day. There were 104 new admissions for long-term care, 337 short-term care patients and 17 patients that required acute psych hospitalization.Description
Activity2Activity2
Total Program Service Expense59369699TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096111NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees797NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKEVIN POTTERNamePerson
Telephone Number4155622505TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1302 SILVER AVENUEAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94112ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL W ADLER
CHAIR2.0XX000
STEPHAN KRIEGER
CHAIR-ELECT2.0XX000
ALAN SILVERMAN
VICE CHAIR2.0XX000
DAVID J ARRICK
TREASURER2.0XX000
ERIC B FASTIFF
SECRETARY2.0XX000
BENJAMIN ANIXTER
TRUSTEE2.0X000
RICHARD BAUM
TRUSTEE2.0X000
BENJAMIN EISLER
TRUSTEE2.0X000
SUSAN FOLKMAN
TRUSTEE2.0X000
MARK L MYERS
TRUSTEE2.0X000
BILL POMERANZ
TRUSTEE2.0X000
CAROL S ROBERTS
TRUSTEE2.0X000
JOEL I ROOS
TRUSTEE2.0X000
MATTHEW SLEPIN
TRUSTEE2.0X000
JEFFERY STEIN
TRUSTEE2.0X000
MICHAEL STRUNSKY
TRUSTEE2.0X000
DANIEL R RUTH
CHIEF EXECUTIVE OFFICER40.0X4970410110610
KEVIN POTTER
CHIEF FINANCIAL OFFICER40.0X203059014822
EDWIN CABIGAO
CHIEF NURSING OFFICER40.0172800012120X
SHERIE A KOSHOVER
CHIEF ADVANCEMENT OFFICER40.0195719079777X
JAY S LUXENBERG
MEDICAL DIRECTOR40.0179546048968X
SANDRA C SIMON
CHIEF ADMINISTRATIVE OFFICER40.0234889048992X
MARK DENTON
DEVELOPMENT OFFICER40.0220438025101X
IDA SLEPNYOV
RESIDENT NURSE40.0139527013751X
MICHAEL GEISER
PSYCHIATRIST40.0134429032631X
THOMAS BOOKWALTER
PHARMACY DIRECTOR40.013182706614X
SHIRLEY HUAN
CONTROLLER40.012967405907X
KATHLEEN J SKINNER
STAFF PHYISCIAN40.0123600011907X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2362549TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation411200TotalOtherCompensation
Number Individuals GT100 K30NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonKRUIT PAINTINGNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14505 CALIFORNIA STREET STE 8AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94118ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPAINTINGDescriptionOfServices
Compensation118319Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants398834GovernmentGrants
All Other Contributions10273888AllOtherContributions
Noncash Contributions9899NoncashContributions
Total Contributions10672722TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column55155909TotalRevenueColumn
Related Or Exempt Function Income55155909RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue55155909TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column18564TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$18,564ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory130482GrossSalesOfInventory
Cost Of Goods Sold303252CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-172770TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$172,770ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column65674425TotalRevenueColumn
Related Or Exempt Function Income55155909RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$154,206ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1803246Total
Program Services695221ProgramServices
Management And General878528ManagementAndGeneral
Fundraising229497Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total35089355Total
Program Services32779560ProgramServices
Management And General2172927ManagementAndGeneral
Fundraising136868Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1969526Total
Program Services1864749ProgramServices
Management And General104777ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7009447Total
Program Services6711484ProgramServices
Management And General259689ManagementAndGeneral
Fundraising38274Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2645826Total
Program Services2438731ProgramServices
Management And General185461ManagementAndGeneral
Fundraising21634Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total117817Total
Program Services80432ProgramServices
Management And General37385ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total85618Total
Management And General85618ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total444439Total
Program Services151266ProgramServices
Management And General259741ManagementAndGeneral
Fundraising33432Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total95049Total
Management And General94496ManagementAndGeneral
Fundraising553Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5753014Total
Program Services5637163ProgramServices
Management And General109621ManagementAndGeneral
Fundraising6230Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1649085Total
Program Services1349020ProgramServices
Management And General300065ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1289661Total
Program Services876969ProgramServices
Management And General412692ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3039740Total
Program Services2612271ProgramServices
Management And General421031ManagementAndGeneral
Fundraising6438Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total490312Total
Program Services490312ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACT SERVICES314039924831356545882676
EQUIPMENT RENTAL & MTNCE282696201632778163248
TAX & LICENSES18745116910618345
COST REIMBURSEMENTS-349451-349451
AMORTIZATION OF BOND COSTS346096346096

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total630183Total
Program Services482552ProgramServices
Management And General128547ManagementAndGeneral
Fundraising19084Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total65719509Total
Program Services59369699ProgramServices
Management And General5851876ManagementAndGeneral
Fundraising497934Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11599BOY
EOY17641EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8049487BOY
EOY5772382EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1055089BOY
EOY1339028EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5086249BOY
EOY5598277EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY800000BOY
EOY800000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY422472BOY
EOY294097EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY912252BOY
EOY492241EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis98351575LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec39883390LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY57387799BOY
EOY58468185EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY37195357BOY
EOY41608135EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY110920304BOY
EOY114389986EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7797742BOY
EOY6939583EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY1250000BOY
EOY750000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY35440000BOY
EOY34840000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY500000BOY
EOY1000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2088226BOY
EOY2699284EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY47075968BOY
EOY46228867EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17499212BOY
EOY22679686EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9768596BOY
EOY9382130EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY36576528BOY
EOY36099303EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY63844336BOY
EOY68161119EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY110920304BOY
EOY114389986EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7933448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1655627CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27652647CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11036508CurrentTaxYearMinus1Year
Current Tax Year10672721CurrentTaxYear
Total58950951Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7933448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1655627CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27652647CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11036508CurrentTaxYearMinus1Year
Current Tax Year10672721CurrentTaxYear
Total58950951Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2280609AmountsSubstContributorsTotal
Public Support Total17056670342PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years294789CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years650520CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years270701CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year60906CurrentTaxYearMinus1Year
Current Tax Year11987CurrentTaxYear
Total1288903Total
FieldValueIRS element (for citing)
Total Support60239854TotalSupport
Gross Receipts From Admissions Etc240685310GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.94075PublicSupportPertcentage170
Public Support Pertcent Prior Year0.87910PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance29666200BeginningOfYearBalance
Contributions122775Contributions
Investment Earnings Or Losses3192587InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures600000OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance32381562EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance38484514BeginningOfYearBalance
Contributions30425Contributions
Investment Earnings Or Losses-5085714InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures3763025OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance29666200EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis90849OtherCostOrOtherBasis
Book Value90849BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis79430663OtherCostOrOtherBasis
Depreciation31145487Depreciation
Book Value48285176BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16077728OtherCostOrOtherBasis
Depreciation7898583Depreciation
Book Value8179145BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2752335OtherCostOrOtherBasis
Depreciation839320Depreciation
Book Value1913015BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings58468185TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN JHSLF35000768
TRUSTEE ACCOUNTS4662927
OTHER ASSETS305763
BOND ISSUANCE COSTS560157
INTEREST IN NET ASSETS-JHSLF1078520
FieldValueIRS element (for citing)
Total Book Value Other Assets41608135TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DERIVATIVE FINANCIAL INSTRUMENT$2,131,041
RESIDENTS' TRUST ACCOUNT$209,117
RESIDENTS' MAINTENANCE ACCOUNT$73,635
SPLIT INTEREST AGREEMENTS$19,560
DEFERRED COMPENSATION PAYABLE$265,931
FieldValueIRS element (for citing)
Total Of Amounts2699284TotalOfAmounts
Total Revenue65674425TotalRevenue
Total Expenses65719509TotalExpenses
Excess Or Deficit For Year-45084ExcessOrDeficitForYear
Other$4,918,347OtherAmount
Total Adjustments4918347TotalAdjustments
Excess Or Deficit Per FS4873263ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt71144168TotRevenueEtcAuditedFinclStmt
Other Revenues5476320OtherRevenues
Revenue Not Rptd F9905476320RevenueNotRptdF990
Revenue Subtotal65667848RevenueSubtotal
Other Revenues Not Included6577OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt6577RevenueNotRptdOnFinStmt
Total Revenue Per Form99065674425TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt66270905TotExpensesEtcAuditedFinclStmt
Other Expenses Included557973OtherExpensesIncluded
Expenses Not Rptd F990557973ExpensesNotRptdF990
Expenses Subtotal65712932ExpensesSubtotal
Other Expenses Not Included6577OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt6577ExpensesNotRptdOnFinStmt
Total Expenses Per Form99065719509TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDSPART V, LINE 4THE ORGANIZATION'S ENDOWMENT ASSETS CONSIST OF FUNDS ESTABLISHED TO GENERATE OPERATING SUPPORT TO THE ORGANIZATION AND CAPITAL CAMPAIGN FUNDS WHICH THE BOARD OF TRUSTEES MAY USE TO REPAY THE PRINCIPAL PORTION OF THE CONSTRUCTION DEBT.
RECONCILIATION OF CHANGES IN NET ASSETSPART XI, LINE 8INCREASE IN VALUE OF SPLIT INTEREST AGREEMENTS $767,924 INCREASE IN BENEFICIAL INTEREST IN JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $3,315,362 INCREASE IN INTEREST IN NET ASSETS OF JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $2,213,520 BOOK TO TAX ADJUSTMENT CHANGE IN NET ASSETS OF JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $(828,520) BOOK TO TAX ADJUSTMENT PRIOR YEAR CONTRIBUTIONS $8,034 UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT $(557,973) ----------- TOTAL $4,918,347 ===========
RECONCILIATION OF REVENUEPART XII, LINE 2DINCREASE IN VALUE OF SPLIT INTEREST AGREEMENTS $767,924 INCREASE IN BENEFICIAL INTEREST IN JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $3,315,362 INCREASE IN INTEREST IN NET ASSETS OF JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $2,213,520 BOOK TO TAX ADJUSTMENT CHANGE IN NET ASSETS OF JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $(828,520) BOOK TO TAX ADJUSTMENT PRIOR YEAR CONTRIBUTIONS $8,034 ----------- TOTAL $5,476,320 ===========
RECONCILIATION OF REVENUEPART VII, LINE 4BBOOK TO TAX ADJUSTMENTS $6,577
RECONCILIATION OF EXPENSESPART XIII, LINE 2DUNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT $557,973
RECONCILIATION OF EXPENSESPART XIII, LINE 4BBOOK TO TAX ADJUSTMENTS $6,577

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense132781TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense132781NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense50756023TotalCommunityBenefitExpense
Direct Offsetting Revenue41400079DirectOffsettingRevenue
Net Community Benefit Expense9355944NetCommunityBenefitExpense
Percent Of Total Expense0.14240PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense50888804TotalCommunityBenefitExpense
Direct Offsetting Revenue41400079DirectOffsettingRevenue
Net Community Benefit Expense9488725NetCommunityBenefitExpense
Percent Of Total Expense0.14260PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense852812TotalCommunityBenefitExpense
Direct Offsetting Revenue398834DirectOffsettingRevenue
Net Community Benefit Expense453978NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense852812TotalCommunityBenefitExpense
Direct Offsetting Revenue398834DirectOffsettingRevenue
Net Community Benefit Expense453978NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense51741616TotalCommunityBenefitExpense
Direct Offsetting Revenue41798913DirectOffsettingRevenue
Net Community Benefit Expense9942703NetCommunityBenefitExpense
Percent Of Total Expense0.15260PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$113,027BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare6717225AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare6903204CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-185979MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1ACUTE PSYCHIATRIC HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1302 SILVER AVENUEAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94112ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherNONEOther

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedThe cost to charge ratio as determined by worksheet 2 was used to calculate the amounts reported on Line 7a and 7b. The costing methodology used on Line 7h was calculated based on actual costs from the organization's general ledger.CostingMethodUsed
Percent Of Total Expense ExplnBad Debt expense is reported as a net adjustment to patient charges and therefore not included as part of total expenses from Part IX, Line 25, column (A).PercentOfTotalExpenseExpln
Bad Debt FootnoteUncollected resident accounts are analyzed based on standard procedures for all resident accounts. The result of the analysis is what is recognized as bad debt expense. The organization follows HFMA Statement 15 and therefore no part of bad debt, as defined by statement 15, represents amounts attributable to patients eligible to receive financial assistance. The audited financial statements does not contain a footnote that describes bad debt expense. The audited financial statements contains a footnote describing patient service revenues and charity care which reads as follows: Patient service revenues are recorded on the accrual basis in the period services are provided at established rates regardless of whether collection in full is anticipated. Contractual allowances and the provision for uncollectible accounts are reported as deductions from patient service revenues. Contractual allowances include differences between established billing rates and amounts estimated by management as payable under various contractual arrangements in effect, including those with the Medicare and Medi-Cal programs. Estimation differences between final settlements and amounts accrued in previous years are reported as adjustments to the current year's contractual allowances. The Home accepts residents of the San Francisco Bay Area who meet certain requirements regardless of their ability to pay. A resident is classified as a charity resident by reference to established policies of the Home. Essentially, these policies define charity services as those services for which lesser payment is anticipated. Charity care is included in gross patient service revenue and a corresponding allowance is reflected in determining net patient service revenue.BadDebtFootnote
Shortfall As Community BenefitMedicare allowable costs were calculated using a cost-to-charge ratio. Caring for Medicare patients fulfills a community need and relieves a government burden as these patients typically have low and/or fixed income. Medicare does not provide sufficient reimbursement to cover the cost of providing care for these patients forcing the organization to use other funds to cover the deficit of $185,979. Therefore, the organization believes the entire shortfall should be considered community benefit. The amounts reported in lines 5, 6 and 7 come from the Hospital's filed Medicare Cost report. The total revenue equates to Medicare payments and the Medicare Allowable Costs are determined on the Medicare Cost Report that utilized cost to charge ratios applied to covered Medicare Revenues.ShortfallAsCommunityBenefit
Needs AssessmentThe organization is a member of Building a Healthier San Francisco (BHSF), a collaboration of San Francisco hospitals, the Department of Public Health, United Way, human services providers, philanthropic foundations, and numerous community-based organizations. BHSF is committed to working toward improving the health status of all people in San Francisco. To that end, BHSF needs-assessment process utilizes the best secondary data available on selected indicators of the health or conditions affecting the well-being of San Francisco's population and subpopulations, and seeks feedback and input from the community to guide the assessment and direct the call to action.NeedsAssessment
Patient Education AssistanceA Resident Services Coordinator staff is available to assist residents and/or their family members or legal representatives through the process of determining their eligibility for all government programs and assist them in the application process.PatientEducationAssistance
Community InformationThe organization serves the most medically/cognitively frail, as well as financially indigent elders (86 percent of the organization residents are indigent and/or Medi-Cal recipients who do not pay the full cost of care), with an average age of 86. It provides professional and comprehensive programs that include personal and health care to the elderly who primarily reside in the greater San Francisco Bay Area.CommunityInformation
Community Building ActivitiesNot ApplicableCommunityBuildingActivities
Other InformationThe Organization is involved in numerous community building activities to promote the health and well-being of the communities it serves as well as to provide training and internship opportunities to the future caretakers and leaders of the communities. Following is a list of some of those activities: The organization's staff attended and presented in conferences related to issues on the care for the elderly. Over the past 36 years, the organization has partnered with San Francisco City College in offering several adult education classes to the general community. Approximately 20 to 25 students enroll each semester in the Creative Arts class. The organization partners with local high schools that aim to involve youth in their community by encouraging them to fulfill needs in their respective milieus. Mutual goals include the promotion of civic responsibility and the development of leadership skills. Students from University of California, San Francisco, Samuel Merritt College, Dominican University, San Jose State, and San Francisco State University (SFSU) continue to intern with the Organization's physical, occupational, and speech therapists. The organization regularly opens its doors to professional organizations and community groups, offering them free meeting space, continuing education credits. Staff supported the efforts of the San Francisco Food Bank by hosting and participating in a two-month-long food drive at the end of 2009. The organization's efforts resulted in the collection of 312 pounds of food, which enabled the Food Bank to distribute enough food for 248 meals to low-income families, senior citizens, and other individuals in need in our community. The organization partners with local organizations, fostering dialogue, collaborations, and ongoing communications with its neighbors. Geriatric fellows from the University of California, San Francisco receive training at the organization. Fourth-year pharmacy students at UCSF spend 12 hours a week, in 12-week rotations, in the Organization's Pharmacy department. Through its affiliation with the Organization, six to seven Touro University School of Pharmacy students per academic year receive six-week's training in long-term care pharmacy. They learn how the geriatric patient processes drugs differently from a younger population, are exposed to how drugs are dispensed and utilized, and gain an understanding of third-party payers. The Organization collaborates with Jewish Family and Children's Services and the San Francisco Jewish Community Center to provide hot, nutritious meals to Jewish seniors.OtherInformation
Reports Filed With StatesCAReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DANIEL R RUTH
49704100000767600338500607651000
EDWIN CABIGAO
172800000006400057200184920000
SHERIE A KOSHOVER
1957190000674600123170275496000
JAY S LUXENBERG
17954600000161590328090228514000
KEVIN POTTER
203059000007775070470217881000
SANDRA C SIMON
23488900000150620339300283881000
MARK DENTON
160438000600000129160121850245539000
IDA SLEPNYOV
1395270000012557011940153278000
MICHAEL GEISER
13442900000134430191880167060000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSEVERANCE PAYMENT PAID TO EMPLOYEEIdentifier
Return ReferencePART I, LINE 4AReturnReference
ExplanationTHE ORGANIZATION MADE SEVERANCE PAYMENTS TO THE FOLLOWING PERSON LISTED ON FORM 990, PART VII, SECTION A, LINE 1A. MARK DENTON $60,000Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ABAG FINANCE AUTHORITY FOR NON-PROFIT CORPORATIONSBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN942832478IssuerEIN
CUSIP Number00037CGX2CUSIPNumber
Date Issued2005-12-01DateIssued
Issue Price35440000IssuePrice
Description Of PurposeSEE SCHEDULE ODescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuertrueOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds35440000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Amount Defeased0AmountDefeased
Amount Unspent0AmountUnspent
Issuance Costs From Proceeds658124IssuanceCostsFromProceeds
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures34781876CapitalExpenditures
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1ALLIED IRISH BANKSBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge7.3TermOfHedge
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1AIG MATCHED FUNDINGBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC1.3TermOfGIC
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDANIEL R RUTHNamePerson
Purpose Of LoanCOMPENSATION PACKAGEPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$800,000OriginalPrincipalAmount
Balance Due800000BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due800000TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVIEW OF FORM 990FORM 990, PART VI,LINE 11AA COPY OF THE FORM 990 IS PROVIDED TO ALL BOARD OF TRUSTEES PRIOR TO FILING. THE BOARD REVIEWS AND APPROVES THE FORM 990 PRIOR TO IT BEING FILED. IN ADDITION, MANAGEMENT OF THE ORGANIZATION REVIEWS THE COMPLETED FORM 990 AND FOLLOWS UP WITH THE TAX RETURN PREPARATION FIRM TO ANSWER ANY QUESTIONS PRIOR TO FILING.
MONITORING AND ENFORCEMENT OF COMPLIANCEFORM 990, PART VI, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. EACH TRUSTEE AND PRINCIPAL OFFICER OF THE ORGANIZATION AND EACH MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS ANNUALLY SIGNS THE CONFLICT OF INTEREST STATEMENT AND DISCLOSURE FORM. THE BOARD OF TRUSTEES REVIEW AND DETERMINE IF ANY CONFLICTS OF INTEREST EXIST AND TAKE THE APPROPRIATE ACTION AS OUTLINED IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.
DETERMINATION, REVIEW AND APPROVAL OF OFFICERS' COMPENSATIONFORM 990, PART VI, LINE 15bTHE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE ANNUAL COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER BASED ON VARIOUS FACTORS SUCH AS: COMPENSATION DATA OBTAINED FROM SURVEYS, PERFORMANCE APPRAISALS AND NON-PROFIT RESOURCES FOR SIMILAR ORGANIZATIONS IN THE SAME GEOGRAPHICAL AREA. THE BOARD OF TRUSTEES APPROVES THE CHIEF EXECUTIVE OFFICER'S EMPLOYMENT CONTRACT. THE CHIEF EXECUTIVE OFFICER REVIEWS AND APPROVES THE ANNUAL COMPENSATION FOR THE OTHER EXECUTIVE TEAM MEMBERS BASED ON VARIOUS FACTORS SUCH AS ANNUAL COMPENSATION SURVEYS, PERFORMANCE APPRAISALS AND OTHER NON-PROFIT RESOURCES FOR SIMILAR ORGANIZATIONS. THE BOARD OF TRUSTEES APPROVES THE ANNUAL BUDGET THAT INCLUDES COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES.
AVAILABILITY OF DOCUMENTS FOR PUBLIC INSPECTIONFORM 990, PART VI, LINE 19THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN OR ORAL REQUEST. The governing documents and conflict of interest policy are not made available to the public.
PURPOSE OF TAX-EXEMPT BONDSSCHEDULE K, PART I, LINE A (f)TO FINANCE THE CONSTRUCTION OF THE EAST WING WHICH WAS COMPLETED IN 2007.
AUDIT OVERSIGHTFORM 990, PART XI, LINE 2CTHE ROLE AND THE PROCESS OF THE AUDIT COMMITTEE HAS NOT CHANGED.
PURPOSE OF A LOAN TO THE CHIEF EXECUTIVE OFFICERSCHEDULE L, PART II, COL (A)THE ORGANIZATION MADE A LOAN OF $800,000 IN SEPTEMBER 2002 TO THE CHIEF EXECUTIVE OFFICER AS PART OF HIS COMPENSATION PACKAGE THAT REQUIRED HIM TO RELOCATE TO CALIFORNIA. THE COMPENSATION PACKAGE WHICH INCLUDED THE LOAN WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE AND THE BOARD OF TRUSTEES AS REASONABLE AND FAIR. THE LOAN IS INTEREST FREE AND IS SECURED BY A SECOND DEED OF TRUST. INTEREST EXPENSE IS IMPUTED ANNUALLY USING THE APPLICABLE FEDERAL RATE (AFR) FOR DEMAND LOANS AND REPORTED AS COMPENSATION BY THE OFFICER.