2025-02-21T11:54:26-06:00 2024-06-30 946214841 ARMANINO ADVISORY LLC 2700 CAMINO RAMON STE 350 SAN RAMON CA 945835004 990 2023-07-01 943123446 CENTER FOR ELDERS' INDEPENDENCE INC CENT 5104331150 510 17TH STREET 3RD FL OAKLAND CA 94612 LAURA HOLDEN CHIEF FINANCIAL OFFICER 5104331150 2025-02-20 1 1 MATTHEW PETROSKI P00853132 9257902600 2025-02-20 2023 2025-03-06 01:10:19Z LAURA HOLDEN 510 17TH STREET 3RD FL OAKLAND CA 94612 149126853 0 X CEI.ELDERS.ORG X 1989 CA PROVIDE HIGH QUALITY, AFFORDABLE, INTEGRATED HEALTH SERVICES (CONTINUED ON SCHEDULE O)TO THE ELDERLY, WHICH PROMOTE AUTONOMY, QUALITY OF LIFE AND THE ABILITY OF INDIVIDUALS TO LIVE IN THEIR COMMUNITIES. 11 11 456 30 0 0 23794 1429252 126899722 141901649 1050454 5348630 -6015 193678 127967955 148873209 0 0 0 0 38903216 45438800 0 0 528103 64610739 79103001 103513955 124541801 24454000 24331408 204699204 243661392 26697798 30931300 178001406 212730092 PROVIDE HIGH QUALITY, AFFORDABLE, INTEGRATED HEALTH SERVICES TO THE ELDERLY, WHICH PROMOTE AUTONOMY, QUALITY OF LIFE AND THE ABILITY OF INDIVIDUALS TO LIVE IN THEIR COMMUNITIES. 0 0 115226801 141901649 THE ELDERLY CARE SERVICES PROVIDED ARE IN ACCORDANCE WITH THE PACE REGULATIONS, A FEDERAL PROGRAM AND AN OPTIONAL MEDI-CAL BENEFIT. PACE IS AN ACRONYM FOR 'PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY. CEI ASSUMES FULL RISK FOR AND DIRECTLY PROVIDES OR CONTRACTS TO PROVIDE THE FULL BENEFITS TO WHICH INDIVIDUAL ARE ENTITLED UNDER MEDICARE AND MEDI-CAL PROGRAMS, INCLUDING BUT NOT LIMITED TO PRIMARY CARE, SPECIALTY CARE, ACUTE AND SKILLED NURSING FACILITY CARE, DAY CARE, SKILLED NURSING HOME HEALTH VISITS, NON-NURSING HOME CARE, TRANSPORTATION, MEALS, SOCIAL AND PSYCHOSOCIAL SERVICES. DURING THE YEAR ENDING JUNE 30TH, 2024, CEI SERVED AN AVERAGE OF 1,151 ENROLLED MEMBERS. 115226801 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 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 1 1 0 0 1 391 0 1 456 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X LAURA HOLDEN 5104331150 510 17TH STREET 3RD FL OAKLAND CA 94612 FLORENCE RASKIN BOARD CHAIR 4.00 1.00 X X 0 0 0 MICHAEL HARRIS VICE CHAIR 1.00 X X 0 0 0 MICHAEL SMART PAST CHAIR 1.00 X X 0 0 0 CHIP CONRADI TREASURER 1.00 X X 0 0 0 MARTY LYNCH SECRETARY 1.00 X X 0 0 0 SHARON CORNU DIRECTOR 1.00 X 0 0 0 AMY KIMMEL DIRECTOR 1.00 1.00 X 0 0 0 MALAIKA STOLL DIRECTOR 1.00 X 0 0 0 DAVID LINDEMAN DIRECTOR 1.00 X 0 0 0 ANCEL ROMERO DIRECTOR 1.00 X 0 0 0 CAITLIN CHAN DIRECTOR 1.00 X 0 0 0 MARIA ELENA ZAMORA PRESIDENT/CEO 40.00 6.00 X 488624 0 47377 JAMES MITTELBERGER CHIEF MEDICAL OFFICER 40.00 X 385768 0 25133 LAURA HOLDEN CHIEF FINANCIAL OFFICER 40.00 X 320834 0 41580 ROBERT SCOTT CHIEF HR OFFICER 40.00 X 280807 0 48614 THOMAS HYLAND EXECUTIVE DIRECTOR FOUNDAT 20.00 20.00 X 82991 82991 17338 LINCOLN SISON MEDICAL DIR., GERIATRIC PROCESS EXCELLENCE 40.00 X 321367 0 44814 TERESA JANE KING SENIOR VICE PRESIDENT OPER 40.00 X 216996 0 30346 JUSTIN LOLA VICE PRESIDENT, IS & CLOUD 40.00 X 200952 0 34581 FARHAN AMIN DIRECTOR OF QUALITY AND PROCESS IMPROVEMENT 40.00 X 183816 0 17731 VICKRAMJIT GELLON DIRECTOR OF REAL ESTATE DEV, PLANT OPS. 40.00 X 227521 0 14581 2709676 82991 322095 101 0 1 0 G & R ALAMEDA HEALTHCARE SERVICES 508 WESTLINE DRIVE ALAMEDA CA 94501 SKILLED NURSING FACILITY CARE 1279285 LUMINA HEALTHCARE LLC 5220 PACIFIC CONCOURSE DRIVE LOS ANGELES CA 90045 SKILLED NURSING FACILITY CARE 1134955 BELLAKEN GARDEN & SKILLED NURSING CENTER 2780 26TH AVE OAKLAND CA 94601 SKILLED NURSING FACILITY CARE 1068174 VALE OPERATING COMPANY LP 13484 SAN PABLO AVE SAN PABLO CA 94806 SKILLED NURSING FACILITY CARE 1029683 DIMOND CARE LLC 3003 FRUITVALE AVENUE OAKLAND CA 94602 SKILLED NURSING FACILITY CARE 960566 56 1429252 1429252 PREMIUMS- MEDI-CAL 623990 93511728 93511728 PREMIUMS- MEDICARE 623990 44369776 44369776 OTHER PROGRAM SERVICE 623990 2902681 2902681 SELF-PAY REVENUE 623990 1117464 1117464 141901649 3113065 3113065 418525 224847 193678 193678 193678 2264362 0 28797 2264362 -28797 2235565 2235565 148873209 141901649 0 5542308 1402186 828432 525064 48690 35773545 33582193 1899118 292234 1559452 1450124 100783 8545 4731990 4356224 346218 29548 1971627 1811980 146402 13245 164339 164339 105050 105050 36000 36000 178165 178165 7536568 5799458 1680363 56747 6388635 3676693 2640214 71728 420687 412583 7291 813 3183418 2755512 426163 1743 459560 403837 50913 4810 3938273 3499699 438574 1557232 1557232 CLAIMS & MEDICAL COST 47625539 47625539 PARTICIPANT EXPENSE 7467295 7467295 BAD DEBT EXPENSE 42240 42240 124541801 115226801 8786897 528103 159979 159982 59500814 35511834 9012629 14555005 1680554 1733172 87032156 27453693 40244509 59578463 84374858 122864961 9725861 9257975 204699204 243661392 16548613 21394941 10149185 9536359 26697798 30931300 X 178001406 212730092 178001406 212730092 204699204 243661392 24331408 10397276 2 0 X 0 1 X 1 0 X 958817 326338 654932 23794 1429252 3393133 85125453 95334605 108759506 126899722 141901649 558020935 86084270 95660943 109414438 126923516 143330901 561414068 47530 70000 117530 0 47530 70000 117530 561296538 285338 253034 297032 1880285 3531590 6247279 285338 253034 297032 1880285 3531590 6247279 86369608 95913977 109711470 128803801 146862491 567661347 0.98880 0.99410 0.01100 0.00540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 36000 36000 0 PART II-B, LINE 1: HURST BROOKS ESPINOSA (HBE) PROVIDES STRATEGIC ADVICE AND ANALYSIS ON VARIOUS STATE AND LOCAL ISSUES THAT MAY IMPACT HOW CEI MANAGES THE PACE SENIOR CARE PROGRAM. HBE MAY ALSO ADVOCATE FOR MAINTAINING CEI PACE PROGRAM FINANCIAL SUPPORT DURING PERIODS OF STATE BUDGET DEFICITS. 3125104 3125104 70606888 17555637 53051251 9830714 7507456 2323258 3469450 2390600 1078850 59578463 DEPOSITS PAYABLE 19214 OPERATING LEASE LIABILITIES 9470083 FINANCE LEASE LIABILITIES 47062 9536359 X 159317169 10397278 10397278 148919891 178165 -224847 -46682 148873209 124588483 224847 224847 124363636 178165 178165 124541801 PART X, LINE 2: CEI IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) SUBSECTION (C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE WHEREBY ONLY UNRELATED BUSINESS INCOME, AS DEFINED BY SECTION 512(A)(1) OF THE INTERNAL REVENUE CODE AND SIMILAR CODE SECTIONS OF THE CALIFORNIA REVENUE AND TAXATION CODE IS SUBJECT TO INCOME TAX. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED FOR IN THE ACCOMPANYING FINANCIAL STATEMENTS. CEI IS REQUIRED TO FILE ANNUAL INFORMATIONAL RETURNS WITH THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD. MANAGEMENT HAS EVALUATED ITS CURRENT TAX POSITIONS AND HAS CONCLUDED AS OF JAS OF JUNE 30, 2024 AND 2023, THAT CEI DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -224,847. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 224,847. X 0 0 0 0 0 0 0 1 0 MARIA ELENA ZAMORA PRESIDENT/CEO 408624 0 80000 0 0 0 39113 0 8264 0 536001 0 0 0 JAMES MITTELBERGER CHIEF MEDICAL OFFICER 347312 0 38456 0 0 0 25133 0 0 0 410901 0 0 0 LINCOLN SISON MEDICAL DIR., GERIATRIC PROCESS EXCE 292109 0 29258 0 0 0 28517 0 16297 0 366181 0 0 0 LAURA HOLDEN CHIEF FINANCIAL OFFICER 282252 0 38582 0 0 0 22835 0 18745 0 362414 0 0 0 ROBERT SCOTT CHIEF HR OFFICER 264472 0 16335 0 0 0 32317 0 16297 0 329421 0 0 0 TERESA JANE KING SENIOR VICE PRESIDENT OPER 207367 0 9629 0 0 0 10890 0 19456 0 247342 0 0 0 VICKRAMJIT GELLON DIRECTOR OF REAL ESTATE DEV, PLANT O 214985 0 12536 0 0 0 327 0 14254 0 242102 0 0 0 JUSTIN LOLA VICE PRESIDENT, IS & CLOUD 192209 0 8743 0 0 0 10769 0 23812 0 235533 0 0 0 FARHAN AMIN DIRECTOR OF QUALITY AND PROCESS IMPR 172204 0 11612 0 0 0 9467 0 8264 0 201547 0 0 0 THOMAS HYLAND EXECUTIVE DIRECTOR FOUNDAT 77967 77967 5024 5024 0 0 4014 4014 4655 4655 91660 91660 0 0 PART I, LINE 3 THE BOARD OF DIRECTORS APPROVES THE SALARY FOR THE EXECUTIVES. FOR NEW EXECUTIVE EMPLOYEES, GENERALLY, A WAGE AND SALARY SURVEY IS CONDUCTED TO IDENTIFY COMPETITIVE RATES OF COMPENSATION PAID TO EMPLOYEES PERFORMING SIMILAR DUTIES AND HAVING SIMILAR RESPONSIBILITIES IN A SIMILAR ORGANIZATION. SIMILAR REFERS TO SUCH THINGS AS THE LEVEL OF THE POSITION WITHIN THE ORGANIZATION, OVERALL BUDGET OF THE ORGANIZATION, AND AN ANALYSIS OF THE LEVEL DEFINING CHARACTERISTICS OF THE JOB. THE BOARD CONSIDERS ALL THE FACTORS (INCLUDING THE POTENTIAL EMPLOYEES' CURRENT LEVEL OF COMPENSATION, LOCATION, AND OTHER RELEVANT FACTORS) AND AFTER NEGOTIATION WITH THE POTENTIAL EXECUTIVE EMPLOYEE, ARRIVES AT THE COMPENSATION TO BE PAID. INCREASES ARE PERIODICALLY CONSIDERED BY THE BOARD AND, IF REQUESTED, ADDITIONAL WAGE AND SALARY INFORMATION IS OBTAINED. PART I, LINE 7 ALL CORPORATE DISCRETIONARY BONUSES ARE NON-FIXED PAYMENTS. THERE IS NO CONTRACT FOR ANY EMPLOYEE TO RECEIVE A BONUS IN EXCHANGE FOR PROVIDING SERVICES. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE 990 PROVIDED TO BOARD MEMBERS FOR REVIEW PRIOR TO FILING. ALL QUESTIONS AND COMMENTS ARE ADDRESSED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL CEI OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE COVERED UNDER THE CEI CONFLICT OF INTEREST POLICY. FOR POTENTIAL CONFLICTS OF INTEREST INVOLVING STAFF EMPLOYEES AND RELATIVES, EITHER THE HR DIRECTOR OR THE CEO WILL REVIEW. FOR POTENTIAL CONFLICTS OF INTEREST INVOLVING SENIOR MANAGEMENT OR A BOARD MEMBER, THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. A BOARD MEMBER HAS A DUTY TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST TO HIS/HER GOVERNING BOARD OR COMMITTEE. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. ALL CEI OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE OR UPDATE ANNUALLY VIA A QUESTIONNAIRE, INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST, SUCH AS A LIST OF FAMILY MEMBERS, SUBSTANTIAL BUSINESS OR INVESTMENT HOLDINGS, AND OTHER TRANSACTIONS OR AFFILIATIONS WITH BUSINESSES AND OTHER ORGANIZATIONS AND THOSE OF FAMILY MEMBERS. IN ADDITION, ALL TRANSACTIONS, INCLUDING LEASING ARRANGEMENTS AND CONTRACTUAL AGREEMENTS, ARE SUBJECT TO REVIEW BY THE DIRECTOR OF COMPLIANCE AND CONTRACTS AND/OR THE BOARD OF DIRECTORS OF CEI. CONFLICTS OF INTEREST SHOULD BE DISCOVERED BEFORE THE TRANSACTION HAS OCCURRED. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS APPROVES THE SALARY FOR THE EXECUTIVES. FOR NEW EXECUTIVE EMPLOYEES, GENERALLY, A WAGE AND SALARY SURVEY IS CONDUCTED TO IDENTIFY COMPETITIVE RATES OF COMPENSATION PAID TO EMPLOYEES PERFORMING SIMILAR DUTIES AND HAVING SIMILAR RESPONSIBILITIES IN A SIMILAR ORGANIZATION. SIMILAR REFERS TO SUCH THINGS AS THE LEVEL OF THE POSITION WITHIN THE ORGANIZATION, OVERALL BUDGET OF THE ORGANIZATION, AND AN ANALYSIS OF THE LEVEL DEFINING CHARACTERISTICS OF THE JOB. THE BOARD CONSIDERS ALL THE FACTORS (INCLUDING THE POTENTIAL EMPLOYEES' CURRENT LEVEL OF COMPENSATION, LOCATION, AND OTHER RELEVANT FACTORS) AND AFTER NEGOTIATION WITH THE POTENTIAL EXECUTIVE EMPLOYEE, ARRIVES AT THE COMPENSATION TO BE PAID. INCREASES ARE PERIODICALLY CONSIDERED BY THE BOARD AND, IF REQUESTED, ADDITIONAL WAGE AND SALARY INFORMATION IS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, GOVERNING DOCUMENTS, POLICIES, AND ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CEI FOUNDATION 510 17TH STREET OAKLAND CA 94612 611655955 HEALTH SERVICES CA 501(C)(3) LINE 12B, II CENTER FOR ELDERS' INDEPENDENCE INC 1 OVER 60CEI INC PO BOX 11247 BERKELEY CA 94712 943305198 HEALTH SERVICES CA 501(C)(3) LINE 12A, I CENTER FOR ELDERS' INDEPENDENCE INC 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 OVER60CEI INC K 40504 PREPAID RENT AMORT. SCHEDULE