HUGHSON SAMARITAN VILLAGE: Form 990PF, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- HUGHSON SAMARITAN VILLAGE (EIN 46-0469127)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-01-25
- IRS object ID
- 202430259349100708
- Schema version
- 2022v5.0
- 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
- Form 990-PF
- Accounting Fees Schedule
- Depreciation Schedule
- Gain Loss Sale Other Assets Sch
- General Explanation Attachment
- Investments Corp Stock Schedule
- Land Etc Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Transfers Frm Controlled Entities
- Transfers To Controlled Entities
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-01-25T14:05:57-06:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 941239084 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATHERTON & ASSOCIATES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4339 | AddressLine1Txt |
| City | MODESTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 953524339 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460469127 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUGHSON SAMARITAN VILLAGE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HUGH | BusinessNameControlTxt |
| Phone | 2098833000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7700 FOX ROAD | AddressLine1Txt |
| City | HUGHSON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 953261090 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM RAEBER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2098833000 | PhoneNum |
| Signature | 2024-01-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WILLIAM | PersonFirstNm |
| Person Last | RAEBER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACQUELYN HOWELL | PreparerPersonNm |
| PTIN | P01327223 | PTIN |
| Phone | 2095774800 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $25,344,574 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $35,300 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $35,300 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $35,300 | InterestOnSavingsAdjNetIncmAmt |
| Gross Rents Rev And Expnss | $9,713,849 | GrossRentsRevAndExpnssAmt |
| Gross Rents Adj Net Incm | $9,713,849 | GrossRentsAdjNetIncmAmt |
| Net Rental Income Or Loss | $9,713,849 | NetRentalIncomeOrLossAmt |
| Net Gain Sale Ast Rev And Expnss | $7,692 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $138,648 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $23 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $3,640,602 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $3,640,602 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $13,397,443 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $35,323 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $13,389,751 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $558,761 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $545,873 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $12,888 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $5,625,541 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $5,495,788 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $129,753 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $800,174 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $781,718 | PensionEmplBnftAdjNetIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $18,456 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $30,445 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $29,743 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $702 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $64,925 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $63,428 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $1,497 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $3,722 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $3,636 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $86 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $845,602 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $0 | InterestNetInvstIncmAmt |
| Interest Adj Net Incm | $826,098 | InterestAdjNetIncmAmt |
| Interest Dsbrs Chrtbl | $19,504 | InterestDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $1,798,089 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $1,756,616 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $876,423 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Adj Net Incm | $856,208 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $20,215 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $29,645 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $28,961 | TravConfMeetingAdjNetIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $684 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $9,336 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $9,121 | PrintingAndPubAdjNetIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $215 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $3,024,330 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $2,954,575 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $69,268 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $13,666,993 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $13,351,765 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $273,268 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $2,750 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $2,750 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $13,669,743 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $13,351,765 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $276,018 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$272,300 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $35,323 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $37,986 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,299,179 | CashBOYAmt |
| Cash EOY | $1,600,930 | CashEOYAmt |
| Cash EOYFMV | $1,600,930 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $1,557,117 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $1,550,769 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $1,550,769 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $207,414 | AcctRcvblAmt |
| Acct Rcvbl BOY | $215,756 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $207,414 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $207,414 | AcctRcvblEOYFMVAmt |
| Inventories BOY | $29,037 | InventoriesBOYAmt |
| Inventories EOY | $36,883 | InventoriesEOYAmt |
| Inventories EOYFMV | $36,883 | InventoriesEOYFMVAmt |
| Prepaid Expenses BOY | $284,086 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $353,318 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $353,318 | PrepaidExpensesEOYFMVAmt |
| Corporate Stock BOY | $1,325,225 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,315,029 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,661,192 | CorporateStockEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $51,444,321 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $32,899,888 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $20,008,747 | LandBOYAmt |
| Land EOY | $18,544,433 | LandEOYAmt |
| Land EOYFMV | $18,544,433 | LandEOYFMVAmt |
| Other Assets BOY | $1,560,796 | OtherAssetsBOYAmt |
| Other Assets EOY | $1,389,635 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $1,389,635 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $26,279,943 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,998,411 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $25,344,574 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $692,054 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $843,233 | AccountsPayableEOYAmt |
| Deferred Revenue BOY | $61,205 | DeferredRevenueBOYAmt |
| Deferred Revenue EOY | $36,466 | DeferredRevenueEOYAmt |
| Other Liabilities BOY | $20,568,010 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $19,432,338 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $21,321,269 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,312,037 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $4,958,674 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $4,686,374 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,958,674 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,686,374 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $26,279,943 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $24,998,411 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,958,674 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$272,300 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $4,686,374 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $4,686,374 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | INVESTMENT SECURITIES | PropertyDesc |
| Acquired | 2022-09-30 | AcquiredDt |
| Sold | 2023-09-30 | SoldDt |
| Gross Sales Price | $129,913 | GrossSalesPriceAmt |
| Cost Or Other Basis | $129,890 | CostOrOtherBasisAmt |
| Gain Or Loss | $23 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $23 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $23 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $0 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $491 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $491 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $491 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $143 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $143 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $348 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | 0 | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (1) | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | Yes (1) | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.SVLIVING.ORG | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM N RAEBER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2098833000 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7700 FOX ROAD | AddressLine1Txt |
| City | HUGHSON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95326 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JOHN ROGERS | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | CHAIRMAN | 1.00 | $0 | $0 | $0 |
| RANDALL SCHWANTES | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | SECRETARY | 1.00 | $0 | $0 | $0 |
| RAMON BAWANAN | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | VICE CHAIRMAN | 1.00 | $0 | $0 | $0 |
| WILLIAM N RAEBER | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | CFO | 40.00 | $196,578 | $6,495 | $0 |
| DAN AGUILAR | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | PRESIDENT & CEO | 40.00 | $349,169 | $6,519 | $0 |
| JUNE ROGERS | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| JANET ROGERS | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| VITO CHIESA | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| ROBERT FORESTER MD | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| PATRICIA MASON | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| WALTER SCHMIDT | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | DIRECTOR | 1.00 | $0 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt | Expense AccountExpenseAccountAmt |
|---|---|---|---|---|---|---|---|---|
| BETTY LOPEZ | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | ADMINISTRATOR | 40.00 | $199,992 | $9,433 | $0 |
| ALBERTO PEREZ | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | DIRECTOR OF IT & SUP | 40.00 | $155,832 | $9,187 | $0 |
| RIKKI PEREZCHICA | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | ADMINISTRATOR | 40.00 | $151,260 | $9,396 | $0 |
| LORRY QUINTERO | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | DIRECTOR OF PATIENT | 40.00 | $144,997 | $9,110 | $0 |
| NADIA MALDONADO | ||||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | SALES CONSULTANT | 40.00 | $145,905 | $6,466 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 15 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TRICOUNTY FLOORING INC | |||||
| 481 BELLEVUE ROAD | ATWATER | CA | 95301 | FLOORING | $153,072 |
| CALIFORNIA BOILER | |||||
| 1800 NEWPORT CIRCLE | SANTA ANA | CA | 92705 | MAINTENANCE SERVICES | $94,157 |
| GP LANDSCAPE | |||||
| PO BOX 22926 | SACRAMENTO | CA | 95822 | LANDSCAPING | $78,199 |
| ATHERTON & ASSOCIATES LLP | |||||
| PO BOX 4339 | MODESTO | CA | 95352 | ACCOUNTING | $64,125 |
| DATA PATH INC | |||||
| 318 MCHENRY AVENUE | MODESTO | CA | 95354 | COMPUTER SERVICES | $56,253 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 1 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | TO MAKE DISTRIBUTIONS OF ITS INCOME AND ASSETS FOR ITS OWN CHARITABLE ACTIVITIES OR TO OTHER NONPROFIT ORGANIZATIONS. FUNDS WILL BE USED EXCLUSIVELY FOR CHARITABLE PURPOSES. | Description1Txt |
| Expenses1 | $13,669,743 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $1,618,350 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $3,223,956 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $4,842,306 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $4,842,306 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $72,635 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $4,769,671 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $238,484 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $276,018 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $334,841 | CharitableAssetsAcquisPaidAmt |
| Qualifying Distributions | $610,859 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $0 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr1 | $1,823,949 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,823,949 | TotalExcessDistributionCyovAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $0 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $1,823,949 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $1,823,949 | ExcessDistriCyovToNextYrAmt |
| Excess From Year1 | $1,823,949 | ExcessFromYear1Amt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Fndtn Ruling | 2002-09-05 | PrivateOperatingFndtnRulingDt |
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $37,986 | CurrentYearAmt |
| Year1 | $11,955 | Year1Amt |
| Year2 | $21,809 | Year2Amt |
| Year3 | $25,707 | Year3Amt |
| Total | $97,457 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $32,288 | CurrentYearAmt |
| Year1 | $10,162 | Year1Amt |
| Year2 | $18,538 | Year2Amt |
| Year3 | $21,851 | Year3Amt |
| Total | $82,838 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $610,859 | CurrentYearAmt |
| Year1 | $1,823,949 | Year1Amt |
| Year2 | $1,565,809 | Year2Amt |
| Year3 | $1,130,583 | Year3Amt |
| Total | $5,131,200 | TotalAmt |
Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $0 | Year1Amt |
| Year2 | $0 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $0 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $610,859 | CurrentYearAmt |
| Year1 | $1,823,949 | Year1Amt |
| Year2 | $1,565,809 | Year2Amt |
| Year3 | $1,130,583 | Year3Amt |
| Total | $5,131,200 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $24,998,411 | CurrentYearAmt |
| Year1 | $26,279,943 | Year1Amt |
| Year2 | $27,675,262 | Year2Amt |
| Year3 | $29,236,463 | Year3Amt |
| Total | $108,190,079 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $24,998,411 | CurrentYearAmt |
| Year1 | $26,279,943 | Year1Amt |
| Year2 | $27,675,262 | Year2Amt |
| Year3 | $29,236,463 | Year3Amt |
| Total | $108,190,079 | TotalAmt |
Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support TotalSupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Public Support Type PublicSupportType
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Largest Support From EO LargestSupportFromEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Investment Income GrossInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (3 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| HUGHSON FIRE DEPARTMENT | |||||||
| 2316 3RD STREET | HUGHSON | CA | 95326 | NONE | PC | CHARITABLE CONTRIBUTION | $500 |
| UNITED SAMARITANS FOUNDATION | |||||||
| 220 S BROADWAY | TURLOCK | CA | 95380 | NONE | PC | CHARITABLE CONTRIBUTION | $1,250 |
| COMMUNITY HOSPICE FOUNDATION INC | |||||||
| 4368 SPYRES WAY | MODESTO | CA | 95356 | NONE | PC | CHARITABLE CONTRIBUTION | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $2,750 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $35,300 | ExclusionAmt |
Net Rntl Incm Re Debt Fincd Prop NetRntlIncmReDebtFincdPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 30 | ExclusionCd |
| Exclusion | $9,713,849 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 03 | ExclusionCd |
| Exclusion | $7,692 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp (4 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| OTHER REVENUE | 03 | $118,843 |
| RESIDENT CARE SERVICES | 03 | $2,682,904 |
| HOME CARE REVENUE | 03 | $348,757 |
| HOME HEALTH REVENUE | 03 | $490,098 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $13,397,443 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $13,397,443 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $64,925 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $63,428 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $1,497 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (6 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Computation MethodComputationMethodTxt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Prior Year DepreciationPriorYearDepreciationAmt | LifeLifeRt |
|---|---|---|---|---|---|---|---|---|
| LAND | 2001-01-01 | $627,846 | L | $0 | $0 | $0 | ||
| LAND IMPROVEMENTS | 2001-01-01 | $4,041,711 | SL | $152,991 | $0 | $152,991 | $2,640,220 | 15.000000000000 |
| BUILDINGS & IMPROVEMENTS | 2001-01-01 | $41,587,168 | SL | $1,485,993 | $0 | $1,485,993 | $24,025,234 | 39.000000000000 |
| FURNITURE AND FIXTURES | 2001-01-01 | $1,937,190 | SL | $31,705 | $0 | $31,705 | $1,669,577 | 7.000000000000 |
| EQUIPMENT | 2001-01-01 | $2,919,966 | SL | $101,403 | $0 | $101,403 | $2,540,874 | 5.000000000000 |
| VEHICLES | 2001-01-01 | $330,440 | SL | $25,997 | $0 | $25,997 | $225,894 | 5.000000000000 |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (2 entries)
| AssetAssetDesc | AcquiredAcquiredDt | How AcquiredHowAcquiredTxt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Basis MethodBasisMethodTxt | Sales ExpenseSalesExpenseAmt | Total NetTotalNetAmt | BasisBasisAmt |
|---|---|---|---|---|---|---|---|---|
| VEHICLE | 2022-09 | PURCHASED | 2023-09 | $8,735 | COST | $0 | $8,735 | |
| BUILDINGS & EQUIPMENT | 2022-09 | PURCHASED | 2023-09 | COST | $0 | -$1,066 | $1,066 |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OWNERSHIP OF CONTROLLED ENTITIES | IdentifierTxt |
| Form And Line Reference | FORM 990-PF, PAGE 5, PART VII-A, LINE 11 | FormAndLineReferenceDesc |
| Medium Explanation | NAME: HUGHSON SAMARITAN VILLAGE HOLDINGS, LLCADDRESS: 7700 FOX ROAD, HUGHSON CA, 95326EIN: 90-1011736 EXCESS BUSINESS HOLDING: NONAME: HUGHSON SAMARITAN HOME CARE, LLC ADDRESS: 7700 FOX ROAD, HUGHSON CA, 95326 EIN: 35-2578444 EXCESS BUSINESS HOLDING: NO | MediumExplanationTxt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | EQUITIES & SECURITIES | StockNm |
| EOY Book Value | $1,315,029 | EOYBookValueAmt |
| EOYFMV | $1,661,192 | EOYFMVAmt |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| BUILDINGS | $45,628,879 | $28,304,438 | $17,324,441 |
| FURNITURE & FIXTURES | $1,937,190 | $1,701,282 | $235,908 |
| LAND | $627,846 | $0 | $627,846 |
| MACHINERY & OTHER EQUIPMENT | $2,919,966 | $2,642,277 | $277,689 |
| TRANSPORTATION EQUIPMENT | $330,440 | $251,891 | $78,549 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $30,445 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $29,743 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $702 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (3 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| DEPOSITS HELD WITH VENDORS | $116,752 | $98,848 | $98,848 |
| REPLACEMENT RESERVE | $1,373,391 | $1,260,285 | $1,260,285 |
| ESCROW DEPOSITS | $70,653 | $30,502 | $30,502 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (25 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| ADVERTISING | $131,184 | $0 | $128,158 | $3,026 |
| BAD DEBT EXPENSE | $3,863 | $0 | $3,774 | $89 |
| BANK AND PAYROLL CHARGES | $75,440 | $0 | $73,700 | $1,740 |
| BOOKS AND SUBSCRIPTIONS | $8,691 | $0 | $8,491 | $200 |
| CABLE | $37,324 | $0 | $36,463 | $861 |
| COMPUTER | $70,353 | $0 | $68,730 | $1,623 |
| CONTRACT SERVICES | $261,277 | $0 | $255,251 | $6,026 |
| COVID-19 RELATED EXPENSES | $14,728 | $0 | $14,388 | $340 |
| DUES AND EVENTS | $28,384 | $0 | $27,729 | $655 |
| EMPLOYEE RELATED | $87,122 | $0 | $85,113 | $2,009 |
| EMPLOYER CONTRIBUTION | $50,000 | $0 | $48,847 | $1,153 |
| EQUIPMENT RENTAL | $25,246 | $0 | $24,664 | $582 |
| FOOD | $734,150 | $0 | $717,217 | $16,933 |
| LIABILITY INSURANCE | $398,473 | $0 | $389,282 | $9,191 |
| LICENSES | $18,235 | $0 | $17,814 | $421 |
| MISCELLANEOUS | $1,874 | $0 | $1,831 | $43 |
| MORTGAGE INSURANCE | $99,546 | $0 | $97,250 | $2,296 |
| OFFICE SUPPLIES | $21,260 | $0 | $20,770 | $490 |
| POSTAGE | $4,999 | $0 | $4,884 | $115 |
| REPAIRS AND MAINTENANCE | $351,848 | $0 | $343,733 | $8,115 |
| SUPPLIES | $244,164 | $0 | $238,532 | $5,632 |
| TELEPHONE | $95,677 | $0 | $93,470 | $2,207 |
| UNIFORMS | $3,088 | $0 | $3,017 | $71 |
| WORKERS' COMPENSATION INSURANCE | $236,284 | $0 | $230,834 | $5,450 |
| AMORTIZATION | $21,120 | $0 | $20,633 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|
| OTHER REVENUE | $118,843 | $118,843 |
| RESIDENT CARE SERVICES | $2,682,904 | $2,682,904 |
| HOME CARE REVENUE | $348,757 | $348,757 |
| HOME HEALTH REVENUE | $490,098 | $490,098 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (3 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| RESIDENT DEPOSITS PAYABLE | $178,580 | $177,960 |
| LOAN PAYABLE | $19,664,430 | $19,254,378 |
| CONTINGENCY | $725,000 | $0 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | CONSULTING FEES | CategoryTxt |
| Amt | $3,722 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $3,636 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $86 | DisbursementsCharitablePrpsAmt |
Transfers Frm Controlled Entities TransfersFrmControlledEntities
Transfers From Controlled Ent TransfersFromControlledEntGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | DescDesc | AmtAmt |
|---|---|---|---|---|---|---|
| HUGHSON SAMARITAN VILLAGE HOLDINGS LLC | ||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | 901011736 | REIMBURSED AUDIT FEES PAID BY HUGHSON SAMARITAN VILLAGE FOR FISCAL YEAR 9.30.22 AUDIT | $0 |
| HUGHSON SAMARITAN VILLAGE HOLDINGS LLC | ||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | 901011736 | REPLACEMENT RESERVE CHECK FROM ORIX REAL ESTATE CAPITAL, LLC | $0 |
| HUGHSON SAMARITAN VILLAGE HOLDINGS LLC | ||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | 901011736 | REPLACEMENT RESERVE CHECK FROM ORIX REAL ESTATE CAPITAL, LLC | $0 |
| HUGHSON SAMARITAN HOME CARE LLC | ||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | 352578444 | MISCELLANEOUS INCOME | $0 |
| HUGHSON SAMARITAN HOME CARE LLC | ||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | 352578444 | CONTRACT REVENUE | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,289 | TotalAmt |
Transfers To Controlled Entities TransfersToControlledEntities
Transfers To Controlled Ent TransfersToControlledEntGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | DescDesc | AmtAmt |
|---|---|---|---|---|---|---|
| HUGHSON SAMARITAN VILLAGE HOLDINGS LLC | ||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | 901011736 | PROPERTY AND EQUIPMENT LEASE INCOME | $1,852,722 |
| HUGHSON SAMARITAN VILLAGE HOLDINGS LLC | ||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | 901011736 | FIXED ASSET ACQUISITIONS | $332,999 |
| HUGHSON SAMARITAN VILLAGE HOLDINGS LLC | ||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | 901011736 | AUDIT FEES | $13,675 |
| HUGHSON SAMARITAN VILLAGE HOLDINGS LLC | ||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | 901011736 | TAX FEES | $1,350 |
| HUGHSON SAMARITAN HOME CARE LLC | ||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | 352578444 | MISCELLANEOUS EXPENSES | $526,072 |
| HUGHSON SAMARITAN VILLAGE HOLDINGS LLC | ||||||
| 7700 FOX ROAD | HUGHSON | CA | 95326 | 901011736 | INSURANCE ESCROW FYE 9.30.23 PAID FOR BY HUGHSON SAMARITAN VILLAGE | $60,572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,787,390 | TotalAmt |
Comments