2024-04-22T14:30:44-05:00 2023-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2022-07-01 940831870 ELDER CARE ALLIANCE OF SAN MATEO ELDE 5107692700 1301 MARINA VILLAGE PARKWAY 210 ALAMEDA CA 94501 BING ISENBERG CFO 5107692700 2024-04-16 1 BING ISENBERG 999009999 0 QI WEN LIANG P01270238 4159561500 2024-04-16 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z THE VILLA AT SAN MATEO ADRIENE IVERSON 1301 MARINA VILLAGE PARKWAY 210 ALAMEDA CA 94501 4681264 0 X WWW.ELDERCAREALLIANCE.ORG X 1924 CA SERVES AND ENRICHES THE LIVES OF OLDER ADULTS BY PROVIDING HOUSING AND SERVICES AT ITS APARTMENT BUILDING FOR AGES 55 AND OLDER. 4 3 8 3 0 0 0 1013 4243235 4344513 -34638 0 180547 320258 4389144 4665784 0 0 0 0 546238 447454 0 0 0 3580705 3723096 4126943 4170550 262201 495234 48811582 48791090 29276666 28760940 19534916 20030150 A NONPROFIT ORGANIZATION COMMITTED TO SERVING AND ENRICHING THE PHYSICAL, EMOTIONAL, AND SPIRITUAL WELL-BEING OF OLDER ADULTS THROUGH PROFESSIONAL, FAITH-CENTERED, AGE-RESTRICTED APARTMENTS. 0 0 2559785 4344513 THE VILLA AT SAN MATEO PROVIDES HOUSING AND SERVICES FOR UP TO 135 OLDER ADULT RESIDENTS AGE 55 AND OLDER. THIS YEAR VSM PROVIDED HOUSING FOR 134.6 RESIDENTS EACH MONTH ON AVERAGE, INCLUDING SECOND PERSONS IN EACH APARTMENT, FOR AN ANNUAL TOTAL OF 49,141 RESIDENT DAYS. THERE ARE ACTIVITIES PROVIDED FOR INDEPENDENT LIVING RESIDENTS, INCLUDING SOME THAT REFLECT THE FAITH-CENTERED MISSION. 2559785 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 1 8 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 3 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X BING ISENBERG 5107692758 1301 MARINA VILLAGE PARKWAY SUITE ALAMEDA CA 94501 ADRIENE IVERSON CEO 1.00 44.00 X X 0 390376 21128 JOY MOORE CHAIR 1.00 5.00 X X 0 0 0 GERALDINE MCGRATH VICE CHAIR 1.00 5.00 X X 0 0 0 JACKIE EJUWA SECRETARY 1.00 5.00 X X 0 0 0 ROBIN EVITTS CFO (THRU 4/23) 1.00 44.00 X 0 0 0 BING ISENBERG INTERIM CFO (AS OF 4/23) 1.00 44.00 X 0 0 0 0 390376 21128 0 0 1 0 CARPETWORKS INC 4017 FABIAN WAY PALO ALTO CA 64303 CONSTRUCTION/CARPET REPLACEMENT 137754 1 1013 1013 RESIDENT SERVICE REVEN 623000 4329497 4329497 OTHER PROGRAM REVENUE 623000 15016 15016 4344513 335738 15480 320258 320258 320258 4665784 4344513 0 320258 376383 376383 3049 3049 41337 41337 26685 26685 116943 116943 80430 80430 19418 19418 67936 67936 27689 27689 83151 83151 37391 37391 822888 822888 536 536 1374491 1374491 836318 836318 109463 109463 ECA EXPENSE ALLOCATION 55267 35784 19483 LIFE ENRICHMENT 12190 12190 TRAINING 5289 5289 SUPPLIES 4790 4790 68906 68906 4170550 2559785 1610765 0 1281047 1473446 144370 118412 33394 30056 28135 45462 51188140 4273056 47111684 46915084 212952 208630 48811582 48791090 647989 659678 28602398 28091785 26279 9477 29276666 28760940 X 19534916 20030150 19534916 20030150 48811582 48791090 495234 0 X 0 1 X 1 0 X 1013 1013 4308928 4448881 4530494 4243235 4344513 21876051 4308928 4448881 4530494 4243235 4345526 21877064 0 276739 287212 256613 290281 260256 1371101 276739 287212 256613 290281 260256 1371101 20505963 230715 187249 120854 184049 335738 1058605 230715 187249 120854 184049 335738 1058605 4539643 4636130 4651348 4427284 4681264 22935669 0.89410 0.89550 0.04620 0.04040 X 26898300 26898300 22414808 3723896 18690912 1889 119 1770 220768 137961 82807 1652375 411080 1241295 46915084 DUE TO RELATED PARTIES 9477 9477 4681264 0 4681264 -15480 -15480 4665784 4186030 15480 15480 4170550 0 4170550 PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -15,480. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 15,480. 0 0 0 0 0 0 0 0 0 ADRIENE IVERSON CEO 0 388736 0 350 0 1290 0 12196 0 8932 0 411504 0 0 PART I, LINE 3 THE MANAGEMENT COMPANY RELATED ORGANIZATION, ELDER CARE ALLIANCE (ECA), USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 3 THE VILLA AT SAN MATEO HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE, A NON-PROFIT PUBLIC BENEFIT CORPORATION THAT IS THE SOLE CORPORATE MEMBER OF THE VILLA AT SAN MATEO, TO PROVIDE MANAGEMENT SERVICES INCLUDING, BUT NOT LIMITED TO, MARKETING, HUMAN RESOURCES, ACCOUNTING, INFORMATION TECHNOLOGY SERVICES, RISK MANAGEMENT AND INSURANCE. ROBIN EVITTS LEFT THE ORGANIZATION ON 4/2023. ELDER CARE ALLIANCE HIRED ROBIN EVITTS AS CFO THROUGH REACH PARTNERS LLC, A MANAGEMENT CONSULTING FIRM. AS ELDER CARE ALLIANCE'S CFO, ROBIN REPORTS TO THE CEO AND BOARD OF DIRECTORS AND HER RESPONSIBILITIES INCLUDE: OVERSEEING ALL FINANCIAL AND ACCOUNTING FUNCTIONS INCLUDING FINANCIAL CLOSE, FINANCIAL PLANNING & ANALYSIS, CASH MANAGEMENT, FINANCING, TAX AND REGULATORY FINANCIAL COMPLIANCE, PAYROLL AND ACCOUNTS PAYABLE; LEADING THE INFORMATION TECHNOLOGY FUNCTION, RESPONSIBLE FOR STRATEGY AND DELIVERY, INCLUDING INFRASTRUCTURE AND APPLICATION SUPPORT OPERATIONS; MANAGING INSURANCE STRATEGY AND BROKER PARTNERS. THE PROFESSIONAL SERVICES EXPENSE TO REACH PARTNERS IS PAID BY ELDER CARE ALLIANCE DIRECTLY. BING ISENBERG WAS HIRED AS INTERIM CFO AT THE ORGANIZATION ON 4/2023. BING WAS COMPENSATED THROUGH KORN FERRY, A CONSULTING FIRM. AS ELDER CARE ALLIANCE'S INTERIM CFO, BING REPORTS TO THE CEO AND BOARD OF DIRECTORS AND HER RESPONSIBILITIES INCLUDE: OVERSEEING ALL FINANCIAL AND ACCOUNTING FUNCTIONS INCLUDING FINANCIAL CLOSE, FINANCIAL PLANNING & ANALYSIS, CASH MANAGEMENT, FINANCING, TAX AND REGULATORY FINANCIAL COMPLIANCE, PAYROLL AND ACCOUNTS PAYABLE; LEADING THE INFORMATION TECHNOLOGY FUNCTION, RESPONSIBLE FOR STRATEGY AND DELIVERY, INCLUDING INFRASTRUCTURE AND APPLICATION SUPPORT OPERATIONS; MANAGING INSURANCE STRATEGY AND BROKER PARTNERS. THE PROFESSIONAL SERVICES EXPENSE TO KORN FERRY IS PAID BY ELDER CARE ALLIANCE DIRECTLY. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ELDER CARE ALLIANCE. FORM 990, PART VI, SECTION A, LINE 7A ALL DIRECTORS SHALL BE APPOINTED BY THE BOARD OF DIRECTORS OF ELDER CARE ALLIANCE, EXCEPT FOR THE EX-OFFICIO DIRECTOR AND THE INITIAL DIRECTORS APPOINTED BY THE INCORPORATOR. THE PRESIDENT/CHIEF EXECUTIVE OFFICER (OR ACTING PRESIDENT/CHIEF EXECUTIVE OFFICER) OF ELDER CARE ALLIANCE SHALL SERVE ON THE BOARD AS AN EX-OFFICIO DIRECTOR WITH FULL VOTING RIGHTS FOR AS LONG AS HE OR SHE HOLDS THE OFFICE OF PRESIDENT/CHIEF EXECUTIVE OFFICER OF ELDER CARE ALLIANCE. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS OF ELDER CARE ALLIANCE OF SAN MATEO (THE CORPORATION) SHALL NOT BE IMPLEMENTED WITHOUT THE APPROVAL OF THE CORPORATE MEMBER: (A) ADOPTION OR AMENDMENT OF PHILOSOPHY AND MISSION OF THE CORPORATION; (B) APPROVAL OF STRATEGIC AND LONG RANGE PLANS OF THE CORPORATION; (C) REORGANIZATION, MERGER, CONSOLIDATION OR CHANGE OF CONTROL OF THE CORPORATION; (D) ANY CHANGE IN THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (E) ADOPTION OF AND ANY CHANGE IN THE MISSION STATEMENT OR VALUES STATEMENT OF THE CORPORATION; (F) ADOPTION OF AND ANY CHANGE IN CHARITABLE CARE POLICIES OF THE CORPORATION; (G) SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (H) DISSOLUTION OF THE CORPORATION; (I) ADOPTION OR APPROVAL OF OPERATING AND CAPITAL BUDGETS OF THE CORPORATION, AND ANY CAPITAL EXPENDITURES OR BORROWINGS IN EXCESS OF LIMITS ESTABLISHED BY ELDER CARE ALLIANCE POLICY; (J) CREATION OF A NEW CORPORATION OR PARTICIPATION IN JOINT VENTURE REQUIRING CAPITAL COMMITMENTS IN EXCESS OF LIMITS ESTABLISHED BY ELDER CARE ALLIANCE POLICY; OR (K) ANY UNBUDGETED ACQUISITION OF ASSETS WITH A PURCHASE PRICE IN EXCESS OF LIMITS ESTABLISHED BY ELDER CARE ALLIANCE POLICY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. BEFORE FILING, THE FORM 990 DRAFT RETURNS ARE REVIEWED BY THE CEO AND CFO, FOLLOWED BY THE AUDIT COMMITTEE OF THE BOARD. UPON THE AUDIT COMMITTEE'S RECOMMENDATION, THE FULL BOARD REVIEWS THE FORM 990'S TO PROVIDE THEIR APPROVAL, UPON WHICH THE TAX RETURNS ARE FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE SECRETARY OF ELDER CARE ALLIANCE CAUSES TO BE PREPARED UPDATED CONFLICT OF INTEREST DISCLOSURE FORMS FROM THE BOARD OF DIRECTORS, OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED AUTHORITY. THE SECRETARY PREPARES A TABLE SUMMARIZING THE DISCLOSURES MADE AND PRESENTS THE TABLE TO THE BOARD OF DIRECTORS FOR THEIR INFORMATION. IF APPARENT CONFLICT OF INTEREST IS IDENTIFIED, THE MATTER IS REVIEWED BY THE BOARD OR COMMITTEE AND ACTION TAKEN. IF DEEMED NECESSARY, THE BOARD OR COMMITTEE MAY TAKE ACTION SUCH AS REQUIRING AN INTERESTED DIRECTOR TO RECUSE HIMSELF OR HERSELF FROM A VOTE ON THE MATTER OR TERMINATING A BUSINESS RELATIONSHIP ENTERED INTO IN VIOLATION OF THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINES 15A AND 15B HAVE BOTH BEEN ANSWERED NO (AS MANDATED BY THE FORM 990 INSTRUCTIONS), AS THE CEO, OFFICERS, AND KEY EMPLOYEES OF THE ORGANIZATION ARE COMPENSATED BY A RELATED ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON WRITTEN REQUEST TO ELDER CARE ALLIANCE, THE VILLA AT SAN MATEO'S MANAGEMENT COMPANY. DOCUMENTS WILL BE PROVIDED VIA EMAIL, US MAIL, OR BY FAX IF SO REQUESTED. ELDER CARE ALLIANCE 1301 MARINA VILLAGE PKWY SUITE 210 ALAMEDA CA 94501 943260975 MANAGEMENT CA 501(C)(3) LINE 12B, II N/A 0 ELDER CARE ALLIANCE OF CAMARILLO 1301 MARINA VILLAGE PKWY SUITE 210 ALAMEDA CA 94501 943351613 SENIOR LIVING CA 501(C)(3) LINE 10 ECA 0 ELDER CARE ALLIANCE OF SAN FRANCISCO 1301 MARINA VILLAGE PKWY SUITE 210 ALAMEDA CA 94501 943351615 SENIOR LIVING CA 501(C)(3) LINE 10 ECA 0 ELDER CARE ALLIANCE OF SAN RAFAEL 1301 MARINA VILLAGE PKWY SUITE 210 ALAMEDA CA 94501 760730971 SENIOR LIVING CA 501(C)(3) LINE 10 ECA 0 ELDER CARE ALLIANCE OF UNION CITY 1301 MARINA VILLAGE PKWY SUITE 210 ALAMEDA CA 94501 943377985 SENIOR LIVING CA 501(C)(3) LINE 10 ECA 0 MERCY RETIREMENT AND CARE CENTER 1301 MARINA VILLAGE PKWY SUITE 210 ALAMEDA CA 94501 941156579 SENIOR LIVING CA 501(C)(3) LINE 10 ECA 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0