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CONGREGATIONAL HOMES: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CONGREGATIONAL HOMES (EIN 95-2047121)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-05-12
IRS object ID
201121329349301347
Schema version
2009v1.2
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)
Timestamp2011-05-12T10:16:23-07:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Congregational Homes IncBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1900 E Harrison AveAddressLine1
CityPomonaCity
StateCAState
ZIP Code91767ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN952047121EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Congregational Homes IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCONGNameControl
Phone9096245061Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 E Harrison AveAddressLine1
CityPomonaCity
StateCAState
ZIP Code91767ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRandell K StollName
TitlePresident & CEOTitle
Phone9096245061Phone
Date Signed2011-05-01DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2011-05-12DatePrepared
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 Line1Mt San Antonio GardensBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRandell K StollNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1900 E Harrison AveAddressLine1
CityPomonaCity
StateCAState
ZIP Code91767ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26534711GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web Sitewww.msagardens.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe mission of Congregational Homes, Inc. is to help ensure a high quality of life for older adults by providing comprehensive and secure services that promote wellness, independence, participation and dignityActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees326TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year933126ContributionsGrantsPriorYear
Contributions Grants Current Year1436639ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18160128ProgramServiceRevenuePriorYear
Program Service Revenue CY18498509ProgramServiceRevenueCY
Investment Income Prior Year1015332InvestmentIncomePriorYear
Investment Income Current Year821115InvestmentIncomeCurrentYear
Other Revenue Prior Year1518777OtherRevenuePriorYear
Other Revenue Current Year1204636OtherRevenueCurrentYear
Total Revenue Prior Year21627363TotalRevenuePriorYear
Total Revenue Current Year21960899TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10046992SalariesEtcPriorYear
Salaries Etc Current Year10358134SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10291137OtherExpensePriorYear
Other Expenses Current Year10510493OtherExpensesCurrentYear
Total Expenses Prior Year20338129TotalExpensesPriorYear
Total Expenses Current Year20868627TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1289234RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1092272RevenuesLessExpensesCY
Total Assets BOY78150886TotalAssetsBOY
Total Assets EOY82098904TotalAssetsEOY
Total Liabilities BOY48356395TotalLiabilitiesBOY
Total Liabilities EOY49564685TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY29794491NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY32534219NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of Congregational Homes, Inc. is to help ensure a high quality of life for older adults by providing comprehensive and secure services that promote wellness, independence, participation and dignityMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5663612Expense
Revenue88470Revenue
DescriptionMAINTENANCE/FACILITY SERVICES: Provides the upkeep of the buildings and plant operations including all occupancy expenses - heat, light, power, property insurance and real estate taxes. This home for the aged facility covers over 30 acres and all buildings (86) are maintained to fit the special needs of the elderly population that live here. This facility was built in 1959=61 with many renovation over the years to keep a modern yet safe and cofortable feel for senior living that includes not only residential living but also Assisted Living and Skilled Nursing.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3789255Expense
Revenue1000101Revenue
DescriptionHEALTH SERVICES: Provided medical care and outpatient services to our aged population and 27 elderly people in the community. Total patient days this year was 18,695 and includes 2,323 for the community patients. 17,770 of the total days were for custodial care which is not reimbursed by Medicare or Health Insurance companies. We averaged 51.2 elderly patients in our Skilled Nursing facility per day. The Clinic and Home Health departments transported patients to their doctor appointments and provided health and assistance in each of our elder's homes.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3697136Expense
Revenue168517Revenue
DescriptionDIETARY SERVICES: Provided three meals per day to over 530 elderly people plus staff, guests and others. Over 428,077 mels and nutritional supplements wre served plus an additional 10,375 meals were provided to th local Meals on Wheels program that provides meals to shut-ins in the neighboring community.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp4036328TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev331848TotalOfOtherProgramServiceRev
Total Program Service Expense17186331TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
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
HospitalfalseHospital
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 DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
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 RequiredfalseScheduleORequired
Number Forms Transmitted With109684NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees326NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Mt San Antonio GardensBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9096245061TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1900 E Harrison AveAddressLine1
CityPomonaCity
StateCAState
ZIP Code91767ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Hanne Ansell
Chair Personnel Committee2.00X000
Gene Block
Chair Health Services2.00X000
Ron Bolding
Director1.00X000
Gwen Carr
Chair Marketing Committee2.00X000
Raul Cervantes
Director1.00X000
Marilyn Dale
Chair Nominating2.00X000
Steve Farrow
Chair Bldg and Grounds2.00X000
Jim Gamb
Chair Investment2.00X000
Denny Gambill
GC President2.00X000
David Coons
Chair Fund Dev2.00X000
Amy Fass
Board Chair3.00X000X
Carlene Miller
Trustee1.00X000
Helen Jeanne Munter
Trustee1.00X000
Carole Pelton
Board Secretary2.00X000X
Randy Prout
Chair Admissions2.00X000
Vijay Sathe
Board Vice Chair2.00X000X
Jack Stark
Chair Audit and Board Vice Chair2.00X000X
Jane O Donnell
Trustee1.00X000
Gene St Clair
Trustee1.00X000
Patrick Sullivan
Trustee Member at Large1.00X000X
Jess Swick
Trustee1.00X000
Nancy Thum
Trustee1.00X000
Robert Tranquada
Trustee1.00X000
Frederick Weis
Trustee1.00X000
Nick Winslow
Chair Finance and Member at Large2.00X000X
Randell Stoll
President and CEO40.00197373020902XXX
Laurie Luther
CFO40.00147200014720XXX
David Pearce
Exec Vice Pres and Administrator40.00131641022000XXX
FieldValueIRS element (for citing)
Total Reportable Comp From Org476214TotalReportableCompFromOrg
Total Other Compensation57622TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Yvonne Zuchowski
305 N Second Ave 135UplandCA91786Carpet and drapes159863
T G Roofing
153 North Tenth AveUplandCA91786Roofer127192
Ewing Architects
723 E California BlvdPasadenaCA91106Architect313042
Rare Construction
6591 Arabis PlaceRancho CucamongaCA91739Construction228177
Elizabeth Hogue Interiors
20800 Beach Blvd Suite100Huntington BeachCA92648Interior Designer205777
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions1436639AllOtherContributions
Noncash Contributions150812NoncashContributions
Total Contributions1436639TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Care and service fees6230001374383313743833
Amort of entry fees62300044305434430543
HMO/Medicare Insurance623000324133324133
FieldValueIRS element (for citing)
Total Program Service Revenue18498509TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column876055TotalRevenueColumn
Related Or Exempt Function Income876055RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3361900Securities
Other1156972Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3239084Securities
Other1334728Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities122816Securities
Other-177756Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-54940TotalRevenueColumn
Exclusion-$54,940ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Non-member patients623000839334$839,334
Non-resident meals623000148665$148,665
Department reimbursement for private work62300080603$80,603
FieldValueIRS element (for citing)
Total Other Revenue1204636TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21960899TotalRevenueColumn
Related Or Exempt Function Income19374564RelatedOrExemptFunctionIncome
Exclusion$1,149,696ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total461228Total
Management And General461228ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7527061Total
Program Services6588868ProgramServices
Management And General938193ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total333941Total
Program Services229738ProgramServices
Management And General104203ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1439722Total
Program Services1324191ProgramServices
Management And General115531ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total596182Total
Program Services505129ProgramServices
Management And General91053ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total29712Total
Management And General29712ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total53660Total
Management And General53660ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total42202Total
Management And General42202ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2958577Total
Program Services2837409ProgramServices
Management And General121168ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total88349Total
Management And General88349ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total186944Total
Program Services61958ProgramServices
Management And General124986ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total66651Total
Program Services1480ProgramServices
Management And General65171ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2346111Total
Program Services2109260ProgramServices
Management And General236851ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total55524Total
Program Services32339ProgramServices
Management And General23185ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19397Total
Program Services4344ProgramServices
Management And General15053ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total774Total
Management And General774ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2634857Total
Program Services2319076ProgramServices
Management And General315781ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total276627Total
Program Services243431ProgramServices
Management And General33196ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Net Assets Released from Restriction591690591690
Pharmaceuticals327651327651
Medical Supplies & Equipment132504132504
Other Employee Expenses1108433342277421
Resident Activity Programs8188781887

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total506533Total
Program Services411150ProgramServices
Management And General95383ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20868627Total
Program Services17835527ProgramServices
Management And General3033100ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY365148BOY
EOY717745EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4567545BOY
EOY2832041EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY162990BOY
EOY122267EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY37959BOY
EOY37888EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY834174BOY
EOY615086EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis76720180LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec30457636LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY46812545BOY
EOY46262544EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY25370525BOY
EOY31511333EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY78150886BOY
EOY82098904EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1343695BOY
EOY1369904EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY27006809BOY
EOY28083603EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18645000BOY
EOY18645000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY200774EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1360891BOY
EOY1265404EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY48356395BOY
EOY49564685EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20378247BOY
EOY22489841EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3423646BOY
EOY3894445EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5992598BOY
EOY6149933EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29794491BOY
EOY32534219EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY78150886BOY
EOY82098904EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12955701CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15249807CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14334416CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14280458CurrentTaxYearMinus1Year
Current Tax Year15150436CurrentTaxYear
Total71970818Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12955701CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15249807CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14334416CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14280458CurrentTaxYearMinus1Year
Current Tax Year15150436CurrentTaxYear
Total71970818Total
FieldValueIRS element (for citing)
Public Support Total50971970818PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1214127CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1279134CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1316813CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1015332CurrentTaxYearMinus1Year
Current Tax Year821115CurrentTaxYear
Total5646521Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1214127CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1279134CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1316813CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1015332CurrentTaxYearMinus1Year
Current Tax Year821115CurrentTaxYear
Total5646521Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1010472CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1023959CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1132350CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year151877CurrentTaxYearMinus1Year
Current Tax Year1204636CurrentTaxYear
Total4523294Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15180300CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17552900CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16783579CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15447667CurrentTaxYearMinus1Year
Current Tax Year17176187CurrentTaxYear
Total82140633Total
FieldValueIRS element (for citing)
Public Support Percentage5090.87620PublicSupportPercentage509
Prior Year Support Percentage0.85880PriorYearSupportPercentage
Investment Income Percentage0.06870InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.07000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance13171001BeginningOfYearBalance
Contributions151000Contributions
Investment Earnings Or Losses1308286InvestmentEarningsOrLosses
Other Expenditures610800OtherExpenditures
End Of Year Balance14019487EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance13448347BeginningOfYearBalance
Contributions27219Contributions
Investment Earnings Or Losses309835InvestmentEarningsOrLosses
Other Expenditures614400OtherExpenditures
End Of Year Balance13171001EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.58000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.42000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1291966InvestmentCostOrOtherBasis
Book Value1291966BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis68165634InvestmentCostOrOtherBasis
Depreciation26965488Depreciation
Book Value41200146BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis6232644InvestmentCostOrOtherBasis
Depreciation3492148Depreciation
Book Value2740496BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1029936InvestmentCostOrOtherBasis
Book Value1029936BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings46262544TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Refundable Deposits$81,076
Split-interest agreements$1,184,328
FieldValueIRS element (for citing)
Total Of Amounts1265404TotalOfAmounts
Total Revenue21960899TotalRevenue
Total Expenses20868627TotalExpenses
Excess Or Deficit For Year1092272ExcessOrDeficitForYear
Net Unrealized GL On Investments1647456NetUnrealizedGLOnInvestments
Total Adjustments1647456TotalAdjustments
Excess Or Deficit Per FS2739728ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt23608355TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1647456NetUnrealizedGainsInvestments
Revenue Not Rptd F9901647456RevenueNotRptdF990
Revenue Subtotal21960899RevenueSubtotal
Total Revenue Per Form99021960899TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20868627TotExpensesEtcAuditedFinclStmt
Expenses Subtotal20868627ExpensesSubtotal
Total Expenses Per Form99020868627TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPer Investment Policy of Endowment Funds: At the beginning of each fiscal year, MSAG shall calculate a sum equal to 5% of the average market value of Endowment Fund for the 12 calendar quarters ended March 31 of the prior fiscal year. This sum shall be transferred into Unrestricted Funds.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Randell Stoll
19737320902218275211989
Laurie Luther
13248014720147200144567
David Pearce
13164122000153641146815

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of PomonaBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN956000764IssuerEIN
CUSIP Number732037BPOCUSIPNumber
Date Issued2004-02-11DateIssued
Issue Price27145000IssuePrice
Description Of PurposeBuild housing/pkngDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds27145000TotalProceeds
Issuance Costs From Proceeds776000IssuanceCostsFromProceeds
Working Capital Expenditures2727000WorkingCapitalExpenditures
Capital Expenditures23642000CapitalExpenditures
Year Of Subst Completion2005YearOfSubstCompletion
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 EngagedfalseBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Regulatory Safe Harbor SatisfiedfalseRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Gould Asset Management LLCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipInvestment Management and Consulting SvcsRelationship
Amount Of Transaction42202AmountOfTransaction
Description Of TransactionFee for servicesDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionBuilding ImprovementsDescription
Number Of Contributions22NumberOfContributions
Noncash Contribs Rptd F990150812NoncashContribsRptdF990
Method Of Determining RevenuesPurchase 2010MethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received2NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
ExplanationPart III Statement of Program Services - Other: Personal Care Facility, Housekeeping Services, Grounds Maintenance, Wellness Center, Physical Therapy, and Security Part VI Section A Line 10 - Review of 990 Process: The Draft 990 is submitted to the Audit Committee for review. The Audit Committee then submits the revised 990 to the Board of Directors for review. The 990 is then filed with the IRS, Franchise Tax Board, and Registry of Charitable Trusts. Part VI Section B Line 15 - Determining Compensation for Officers & Key Employees: The Executive Committee serves as the Management Compensation Committee. Salary adjustments are based on general salary adjustments for all employees, position in the market, individual performance and value to the organization. Competitive salary reviews are conducted on a periodic basis using an independent compensation consultant and Form 990 of other organizations. Part VI Section C Line 19 Availability of Documents: Kept in the Administration office is a binder - for public review - that contains: IRS Tax Exemption Letter, Articles of Incorporation, ByLaws, Conflict of Interest Policy, Code of Ethical Conduct, and three years of 990's and audited financial statements.Explanation