2026-05-14T11:41:06-05:00 2025-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 333 BUSH STREET STE 1000 SAN FRANCISCO CA 94104 990 2024-10-01 952047121 CONGREGATIONAL HOMES INC CONG 9096245061 900 E HARRISON AVE POMONA CA 91767 PATRICIA L WILLIAMS PRESIDENT/CEO 9096245061 2026-05-13 1 0 QI WEN LIANG P01270238 4159561500 2026-05-13 2024 2025-03-06 01:10:19Z MT SAN ANTONIO GARDENS PATRICIA L WILLIAMS 900 E HARRISON AVE POMONA CA 91767 92666555 0 X WWW.MSAGARDENS.ORG X 1957 CA THE MISSION OF CONGREGATIONAL HOMES, INC. IS TO HELP ENSURE A HIGH QUALITY OF LIFE FOR A DIVERSE COMMUNITY OF OLDER ADULTS BY PROVIDING COMPREHENSIVE AND SECURE SERVICES THAT PROMOTE WELLNESS, INDEPENDENCE, PARTICIPATION AND DIGNITY. 25 24 468 150 0 0 1377077 2921959 29695701 36353230 1867158 1657043 300352 741776 33240288 41674008 519206 517220 0 0 20532179 22200721 0 0 0 18209811 19429463 39261196 42147404 -6020908 -473396 165233178 168456588 128572111 128817169 36661067 39639419 X THE MISSION OF CONGREGATIONAL HOMES, INC IS TO HELP ENSURE A HIGH QUALITY OF LIFE FOR A DIVERSE COMMUNITY OF OLDER ADULTS BY PROVIDING COMPREHENSIVE AND SECURE SERVICES THAT PROMOTE WELLNESS, INDEPENDENCE, PARTICIPATION AND DIGNITY.MT. SAN ANTONIO GARDENS, FONDLY KNOWN AS "THE GARDENS", IS A NATIONALLY RECOGNIZED LIFE CARE COMMUNITY IN SOUTHERN CALIFORNIA THAT OFFERS THE IDEAL BASE FROM WHICH TO LAUNCH NEW ADVENTURES AND ENJOY THE RICHNESS OF LIFE OWING MUCH OF ITS APPEAL TO THE DIVERSITY AND HARMONY OF ITS RESIDENTS WHO SHARE AN INTEREST IN PURSUING AN ENGAGED, VIBRANT LIFESTYLE. 0 0 28372406 517220 32609796 RESIDENTIAL SERVICES - MSAG PROVIDES INDEPENDENT AND ASSISTED LIVING SENIOR SERVICES TO RESIDENTS FOR A STATED MONTHLY FEE. MSAG RECOGNIZES REVENUE FOR SENIOR LIVING SERVICES UNDER THE RESIDENTIAL SERVICES AGREEMENT FOR INDEPENDENT LIVING AND ASSISTED LIVING IN ACCORDANCE WITH THE PROVISION OF ASC 840. TOTAL RESIDENT DAYS THIS YEAR AMOUNTED TO 126,477 DAYS IN INDEPENDENT LIVING AND 30,727 DAYS IN ASSISTED LIVING. WE AVERAGED 342 INDEPENDENT LIVING RESIDENTS AND 82 ASSISTED LIVING RESIDENTS PER DAY. MSAG PROVIDED ASSISTED LIVING SERVICES TO AN AVERAGE OF 13 SENIORS IN THE COMMUNITY. THE MSAG CAMPUS COVERS OVER 30 ACRES AND ALL BUILDINGS (84) ARE MAINTAINED TO FIT THE SPECIAL NEEDS OF THE SENIOR POPULATION THAT LIVE HERE. MSAG WAS BUILT IN 1959-1961 WITH MANY RENOVATIONS OVER THE YEARS TO KEEP A MODERN, YET SAFE AND COMFORTABLE, FEEL FOR SENIOR LIVING. THE LASTEST COMPLETED PROJECT WAS THE WELLNESS CENTER CONSTRUCTION PROJECT. THE PROJECT COMPRISED OF A NEW WELLNESS CENTER OF APPROXIMATELY 11,330 GROSS SQUARE FEET. THE BUILDING IS A TWO-STORY WOOD FRAMED STRUCTURE THAT OFFERS MULTIPLE ROOMS FOR WELLNESS ACTIVITIES INCLUDING, FITNESS, CERTIFIED REHAB, AND CREATIVE ARTS (CENTER FOR HEALTHY LIVING). THE PROJECT ALSO INCLUDED REDEVELOPMENT OF A SITE OF APPROXIMATELY 22,000 GROSS SQUARE FEET, WHICH INCLUDED RETENTION OF THE EXISTING POOL AND SPA, RENOVATION OF EXISTING POOL HOUSE, AND ELECTRICAL INFRASTRUCTURE UPGRADES WHICH SERVICE THE EAST SIDE OF THE CAMPUS. THE NEW WELLNESS CENTER OPENED IN MAY 2022. THE CURRENT CONSTRUCTION PROJECT IS THE BUILDING OF A SINGLE THREE-STORY BUILDING CONTAINING 53 INDEPENDENT LIVING APARTMENTS, KNOWN AS THE CEDARS. THIS WILL REPLACE THE 62 UNITS THAT WERE ORGINALLY ON THE SAME SITE. THE CEDARS IS ESTIMATED TO TOTAL APPROXIMATELY 65,000 SQUARE FEET OF WOOD FRAMED CONSTRUCTION, AND A 20,000 SQUARE FOOT UNDERGROUND PARKING STRUCTURE. MSAG'S CLINIC AND HOME HEALTH DEPARTMENTS TRANSPORT RESIDENTS TO THEIR DOCTOR APPOINTMENTS AND PROVIDE HEALTH AND ASSISTANCE IN EACH OF OUR SENIOR'S HOMES. 8402650 4151509 MSAG PROVIDES SKILLED NURSING CARE REPORTED AS PATIENT SERVICE REVENUE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS, NET OF CONTRACTUAL ALLOWANCES FOR MEDICARE, AND OTHER PROGRAMS. MSAG PROVIDED MEDICAL CARE AND OUTPATIENT SERVICES TO OUR AGED POPULATION AND AN AVERAGE OF 4 SENIORS IN THE COMMUNITY. TOTAL PATIENT DAYS THIS YEAR AMOUNTED TO 14,291 INCLUDING 1,663 DAYS FOR COMMUNITY PATIENTS. 12,712 OF THE TOTAL DAYS WERE FOR CUSTODIAL CARE WHICH IS NOT REIMBURSED BY MEDICARE OR HEALTH INSURANCE COMPANIES. WE AVERAGED 33 SENIOR PATIENTS IN OUR SKILLED NURSING FACILITY PER DAY. SKILLED NURSING HAS ONE LOCATION ON CAMPUS. 36775056 1 1 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 57 0 1 468 1 0 0 0 0 0 0 0 0 0 0 0 0 X 25 24 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JENNIFER OSBORNE 9096245061 900 E HARRISON AVE POMONA CA 91767 LISA ABRAMS 2ND VICE CHAIRPERSON 2.00 X X 0 0 0 ROBIN ASPINALL BOARD CHAIRPERSON 3.00 X X 0 0 0 MIKE BLITZ DIRECTOR 1.00 X 0 0 0 ELEANOR BROWN BOARD SECRETARY 2.00 X X 0 0 0 BERNADETTE BUSENBERG DIRECTOR 1.00 X 0 0 0 JAN BUSH DIRECTOR 1.00 X 0 0 0 EUGENIA ELLIOTT DIRECTOR (THRU 06/25) 1.00 X 0 0 0 NEIL GERARD 1ST VICE CHAIRPERSON, CHAIRPERSON - STRATEGIC PLAN 2.00 X X 0 0 0 JILL GRIGSBY DIRECTOR 1.00 X 0 0 0 JOHN HARPOLE DIRECTOR 1.00 X 0 0 0 JANE HURD DIRECTOR 1.00 X 0 0 0 JAY LABINGER DIRECTOR 1.00 X 0 0 0 CAMILLE LEE DIRECTOR 1.00 X 0 0 0 DAVID MENEFEE-LIBEY DIRECTOR 1.00 X 0 0 0 RACHELLE MURPHY DIRECTOR 1.00 X 0 0 0 MARY JEAN NEAULT 2ND VICE CHAIRPERSON 2.00 X X 0 0 0 LESLIE NEGRITTO DIRECTOR 1.00 X 0 0 0 KATHY PEZDEK DIRECTOR 1.00 X 0 0 0 TIM SANDOVAL DIRECTOR 1.00 X 0 0 0 MICHELLE STODDARD 2ND VICE CHAIRPERSON 2.00 X X 0 0 0 MICHAEL STRANGE DIRECTOR 2.00 X 0 0 0 DR DALJINDER TAKHAR DIRECTOR CHAIRPERSON, HEALTH SERVICES COMMITTEE 4.00 X 24000 0 0 MICHAEL VESTINO DIRECTOR 1.00 X 0 0 0 NICOLE WEEKES DIRECTOR 1.00 X 0 0 0 WILLIAM WELLS DIRECTOR 1.00 X 0 0 0 RYAN ZIMMERMAN DIRECTOR 2.00 X 0 0 0 EVELIYN DIAZ BROWN DIRECTOR (THRU 12/24) 1.00 X 0 0 0 HENRY FORD DIRECTOR (THRU 12/24) 1.00 X 0 0 0 MARY ANN QUAY DIRECTOR (THRU 12/24) 1.00 X 0 0 0 DARYL SMITH DIRECTOR (THRU 12/24) 1.00 X 0 0 0 JEFF STARK DIRECTOR (THRU 12/24) 1.00 X 0 0 0 JOHN WHITING DIRECTOR (THRU 12/24) 1.00 X 0 0 0 PATRICIA WILLIAMS PRESIDENT & CEO 40.00 X 254594 0 28375 LISA ATILANO COO 40.00 X 182166 0 14258 JENNIFER OSBORNE CFO 40.00 X 158232 0 35907 WILLIAM LEVITT VICE PRESIDENT OF FACILITIES & PROJECT MANAGEMENT 40.00 X 130873 0 18432 LINNETTE GUIDERA VICE PRESIDENT OF ENGAGEMENT 40.00 X 122294 0 22169 NORMA DERAS COMPENSATION & BENEFITS AD 40.00 X 126790 0 18193 LINA DINO DIRECTOR OF NURSING 40.00 X 160584 0 20940 SHARON MCMILON STAFF DEVELOPMENT 40.00 X 157047 0 9712 1316580 0 167986 15 0 1 0 IMAGE DESIGN CONSTRUCTION 1753 N 2ND AVE UPLAND CA 91784 CONSTRUCTION 1051915 SPECTRUM ACQUISTIONS LLC PO BOX 69268 BALTIMORE MD 212649268 PHYISICAL THERAPY 648076 ISN GLOBAL ENTERPRISES PO BOX 1391 CLAREMONT CA 917111391 IT/COMPUTERS 484714 SO CAL REMODELING 12730 EAST END AVE CHINO CA 91710 CONSTRUCTION 452973 EMILEE BERNARDO MACIAS DBA FOREVER WAYS 3175 SEDONA CT BLDG E ONTARIO CA 91764 PRIVATE DUTY 316494 15 8998 2912961 302847 2921959 CARE AND SERVICE FEES 623000 26206296 26206296 AMORT OF ADVANCE FEES 623000 6184826 6184826 NON RESIDENT HLTH SRVCS/ASSISTED 623000 1904463 1904463 HMO/MEDICARE INSURANCE 623000 1250758 1250758 OTHER SRVCS-RESIDENT/NON-RESIDENT 623000 806887 806887 36353230 1679032 1679032 108845 0 108845 108845 108845 50970558 50907108 85439 63450 -85439 -21989 -21989 SOLAR TAX CREDIT 623000 408075 408075 FOOD SERVICES 623000 224856 224856 632931 41674008 36353230 0 2398819 517220 517220 719814 719814 17375663 15422191 1953472 610871 529196 81675 2137981 1882554 255427 1356392 1166465 189927 69980 69980 114050 114050 79402 79402 4163034 3516508 646526 234091 35901 198190 1545434 975691 569743 250535 248350 2185 5825714 5776354 49360 104155 64961 39194 21831 8779 13052 5789489 5680342 109147 269500 267150 2350 OTHER EMPLOYEE EXPENSES 377123 251457 125666 MED SUPPLIES/EQUIPMENT 264330 245177 19153 OTHER EXPENSES 257576 123541 134035 PHARMACEUTICALS 63219 63219 42147404 36775056 5372348 0 2105587 8253872 1695633 530658 2154186 2102503 153126 147133 297466 438168 171347013 71520634 100223472 99826379 50713535 55796468 7890173 1361407 165233178 168456588 3606309 4069672 57808712 63175370 66581660 61078712 575430 493415 128572111 128817169 X 22644653 23223335 14016414 16416084 36661067 39639419 165233178 168456588 X -473396 3463621 -11873 X 0 1 X 1 0 X 4416730 2199041 7273871 1377077 2921959 18188678 27087513 26490337 27297630 29695701 36353230 146924411 110309 132431 177657 200537 224856 845790 31614552 28821809 34749158 31273315 39500045 165958879 298304 431573 451208 507734 358734 2047553 0 298304 431573 451208 507734 358734 2047553 163911326 980358 1325978 1538639 1794073 1787877 7426925 980358 1325978 1538639 1794073 1787877 7426925 21229 623931 645160 32616139 30147787 36287797 33067388 41911853 174030964 0.94190 0.94700 0.04270 0.04060 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 21,229. 2024 AMOUNT: $ 623,931. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 65663 X ENJOYMENT OF RESIDENTS 0 0 0 30798684 1319117 3707933 1206600 32775 34586359 26093798 148644 5562504 1005546 716 30798684 24179744 92200 2729350 906996 500 26093798 21525439 7736967 -4275324 806438 900 24179744 18941936 50000 3280558 746515 540 21525439 0.64000 0.34000 0.02000 0 0 2195371 2195371 140050944 54282684 85768260 9065120 5712344 3352776 20035578 11525606 8509972 99826379 ASSET RETIREMENT OBLIGATION 140863 REFUNDABLE DEPOSITS 82551 WORKERS' COMPENSATION LIABILITY 80899 SPLIT-INTEREST AGREEMENTS 189102 493415 X 44529134 3463621 -529093 2934528 41594606 79402 79402 41674008 41550782 0 41550782 79402 517220 596622 42147404 PART III, LINE 4: FROM TIME TO TIME, MSAG RECEIVES DONATED WORKS OF ART WHICH ARE DISPLAYED AT THE FACILITY TO ENHANCE THE EXPERIENCE OF OUR RESIDENTS AND FAMILIES DURING THEIR VISIT. PART V, LINE 4: TO GENERATE INCOME TO OFFSET OPERATING EXPENSES AND PROVIDE A SAVINGS ACCOUNT WITH A LONG-TERM INVESTMENT STRATEGY. PART X, LINE 2: MSAG HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED ARE RELATED TO MSAG'S CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS ARE MORE-LIKELY-THAN-NOT (>50%) OF BEING SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN ACTUARIAL VALUE OF SPLIT-INTEREST AGREEMENTS -11,873. RECLASSIFICATION OF RESIDENT ASSISTANCE FROM REVENUE TO EXPENSES -517,220. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF RESIDENT ASSISTANCE FROM REVENUE TO EXPENSES 517,220. 1 CARE AND SERVICE FEE ASSISTANCE FROM HOMESHIP FUND 14 517220 PART I, LINE 2: IF A RESIDENT IS UNABLE TO AFFORD HIS/HER MONTHLY CARE FEES, HE/SHE MAY REQUEST FINANCIAL ASSISTANCE FROM MT. SAN ANTONIO GARDENS. THE RESIDENT COMPLETES AN APPLICATION FOR ASSISTANCE AND MEETS WITH THE CFO TO REVIEW HIS/HER FINANCIAL RESOURCES. THE CFO AND CEO REVIEW AND APPROVE ANY APPLICATIONS FOR ASSISTANCE. THE FUNDS ARE CREDITED TO THE RESIDENT'S INTERNAL ACCOUNTS TO REDUCE THE COST FOR THEIR MONTHLY CARE AND SERVICES. X X X X 0 0 0 0 0 0 0 0 0 PATRICIA WILLIAMS PRESIDENT & CEO 252638 0 1956 0 0 0 14258 0 14117 0 282969 0 0 0 LISA ATILANO COO 180173 0 1993 0 0 0 14258 0 0 0 196424 0 0 0 JENNIFER OSBORNE CFO 156324 0 1908 0 0 0 13861 0 22046 0 194139 0 0 0 LINA DINO DIRECTOR OF NURSING 158576 0 2008 0 0 0 13009 0 7931 0 181524 0 0 0 SHARON MCMILON STAFF DEVELOPMENT 157047 0 0 0 0 0 5186 0 4526 0 166759 0 0 0 A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13049RBG0 2019-07-10 36283918 SEE PART VI 0 0 0 B CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13049RBS4 2022-02-16 45688772 SEE PART VI 0 0 0 A 2810000 36739805 1223379 725678 18415748 16375000 2022 1 0 1 1 B 14750000 46845379 1277619 3065319 806131 41696310 2024 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CALIFORNIA MUNICIPAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 08/14/2024 SCHEDULE K, ROW A, PART I, COLUMN (F): THE PROCEEDS OF THE BONDS WERE USED TO REFINANCE ALL OF THE OUTSTANDING SERIES 2010 BONDS, REIMBURSE MSAG FOR THE PAYMENT OF PRIOR EXPENDITURES FOR PLANNING THE WELNESS/INDEPENDENT LIVING EXPANSION PROJECT, FINANCE CONSTRUCTION, IMPROVEMENT, RENOVATION, AND EQUIPPING OF THE CAMPUS, PAY A PORTION OF THE INTEREST ON THE 2019 BONDS DURING THE CONSTRUCTION OF DESCRIBED PROJECTS, AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS. SCHEDULE K, COLUMN A, PART II, LINE 3: THE DIFFERENCE BETWEEN PART II, LINE 3 AND PART I, COLUMN (E) IS $455,887 INVESTMENT EARNINGS. SCHEDULE K, ROW B, PART I, COLUMN (F): THE PROCEEDS OF THE BONDS WERE USED TO FINANCE THE CONTRUCTION, IMPROVEMENT, RENOVATION, AND EQUIPPING OF 53 NEW INDEPENDENT LIVING UNITS AND RELATED FACILITIES AND AMENITIES (THE CEDARS); PAY A PORTION OF THE INTEREST OF THE 2022 BONDS DURING THE CONSTRUCTION OF THE CEDARS; AND PAY CERTAIN COSTS INCURRED IN CONNECTION WITH THE INSSURANCE OF THE 2022 BONDS. SCHEDULE K, COLUMN B, PART II, LINE 3: THE DIFFERENCE BETWEEN PART II, LINE 3 AND PART I, COLUMN (E) IS $1,156,607 INVESTMENT EARNINGS. X BUILDING IMPROVEMENTS/CAMPUS UPGRADES 34 293849 FAIR MARKET VALUE X SUPPLIES 1 8998 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN PART I, COLUMN B IS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 6 CONGREGATIONAL HOMES, INC. HAS ONE CLASS OF MEMBERS. THE CORPORATE MEMBERS CONSIST OF ELECTED MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURNS ARE FIRST SUBMITTED TO THE AUDIT COMMITTEE WHEN A DRAFT IS AVAILABLE, BUT PRIOR TO ITS IRS DUE DATE OR EXTENDED DUE DATE. QUESTIONS ARE DIRECTED TO THE CFO OR CEO. ONCE ACCEPTED BY THE AUDIT COMMITTEE, THE FORM 990 WILL BE PROVIDED TO ALL BOARD MEMBERS FOR THEIR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE CEO'S SECRETARY DISTRIBUTES THE FORMS AT THE START OF EACH CALENDAR YEAR. SHE IS RESPONSIBLE FOR ENSURING THAT ALL ARE RETURNED. THE COMPLETED FORMS ARE THEN REVIEWED BY THE CHAIRMAN AND SECRETARY OF THE BOARD OF DIRECTORS. IT IS THE RESPONSIBILITY OF EACH DIRECTOR TO IDENTIFY WHEN POTENTIAL CONFLICTS OF INTEREST MAY OCCUR DURING BOARD PROCEEDINGS. THE CHAIRMAN AND THE SECRETARY MAY FIND IT NECESSARY TO REMIND INDIVIDUAL MEMBERS OF POTENTIAL CONFLICTS, AS NECESSARY. IN THE EVENT A POTENTIAL CONFLICT ARISES THE CHAIRMAN DECIDES IF THE INDIVIDUAL MEMBER SHOULD RECUSE HIM OR HERSELF FROM THE DISCUSSION AND/OR VOTE. FORM 990, PART VI, SECTION B, LINE 15 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. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE KEPT IN THE ADMINISTRATION OFFICE IN 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. FORM 990, PART XI, LINE 9: CHANGES IN ACTUARIAL VALUE OF SPLIT-INTEREST AGREEMENTS -11,873.