2024-01-25T14:05:57-06:00 2023-09-30 941239084 ATHERTON & ASSOCIATES LLP PO BOX 4339 MODESTO CA 953524339 990PF 2022-10-01 460469127 HUGHSON SAMARITAN VILLAGE HUGH 2098833000 7700 FOX ROAD HUGHSON CA 953261090 WILLIAM RAEBER CFO 2098833000 2024-01-25 1 WILLIAM RAEBER 999009999 0 JACQUELYN HOWELL P01327223 2095774800 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X 25344574 X X 35300 35300 35300 9713849 9713849 9713849 7692 138648 23 0 3640602 0 3640602 13397443 35323 13389751 558761 0 545873 12888 5625541 0 5495788 129753 800174 0 781718 18456 30445 0 29743 702 64925 0 63428 1497 3722 0 3636 86 845602 0 826098 19504 1798089 0 1756616 876423 0 856208 20215 29645 0 28961 684 9336 0 9121 215 3024330 0 2954575 69268 13666993 0 13351765 273268 2750 2750 13669743 0 13351765 276018 -272300 35323 37986 1299179 1600930 1600930 1557117 1550769 1550769 207414 215756 207414 207414 29037 36883 36883 284086 353318 353318 1325225 1315029 1661192 51444321 32899888 20008747 18544433 18544433 1560796 1389635 1389635 26279943 24998411 25344574 692054 843233 61205 36466 20568010 19432338 21321269 20312037 X 4958674 4686374 4958674 4686374 26279943 24998411 4958674 -272300 0 4686374 0 4686374 INVESTMENT SECURITIES 2022-09-30 2023-09-30 129913 129890 23 23 23 0 491 0 491 0 491 143 0 0 0 143 0 348 0 0 0 0 0 0 0 0 1 1 0 0 1 CA 1 1 0 1 0 1 WWW.SVLIVING.ORG WILLIAM N RAEBER 2098833000 7700 FOX ROAD HUGHSON CA 95326 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 196578 6495 0 DAN AGUILAR 7700 FOX ROAD HUGHSON CA 95326 PRESIDENT & CEO 40.00 349169 6519 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 BETTY LOPEZ 7700 FOX ROAD HUGHSON CA 95326 ADMINISTRATOR 40.00 199992 9433 0 ALBERTO PEREZ 7700 FOX ROAD HUGHSON CA 95326 DIRECTOR OF IT & SUP 40.00 155832 9187 0 RIKKI PEREZCHICA 7700 FOX ROAD HUGHSON CA 95326 ADMINISTRATOR 40.00 151260 9396 0 LORRY QUINTERO 7700 FOX ROAD HUGHSON CA 95326 DIRECTOR OF PATIENT 40.00 144997 9110 0 NADIA MALDONADO 7700 FOX ROAD HUGHSON CA 95326 SALES CONSULTANT 40.00 145905 6466 0 15 TRICOUNTY FLOORING INC 481 BELLEVUE ROAD ATWATER CA 95301 FLOORING 153072 CALIFORNIA BOILER 1800 NEWPORT CIRCLE SANTA ANA CA 92705 MAINTENANCE SERVICES 94157 GP LANDSCAPE PO BOX 22926 SACRAMENTO CA 95822 LANDSCAPING 78199 ATHERTON & ASSOCIATES LLP PO BOX 4339 MODESTO CA 95352 ACCOUNTING 64125 DATA PATH INC 318 MCHENRY AVENUE MODESTO CA 95354 COMPUTER SERVICES 56253 1 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. 13669743 0 1618350 3223956 0 4842306 0 0 4842306 72635 4769671 238484 X 276018 0 334841 610859 0 0 0 1823949 1823949 0 0 0 0 0 0 0 1823949 0 0 0 0 0 0 0 1823949 1823949 2002-09-05 X 37986 11955 21809 25707 97457 32288 10162 18538 21851 82838 610859 1823949 1565809 1130583 5131200 0 0 0 0 0 610859 1823949 1565809 1130583 5131200 24998411 26279943 27675262 29236463 108190079 24998411 26279943 27675262 29236463 108190079 0 0 0 0 0 X 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 1250 COMMUNITY HOSPICE FOUNDATION INC 4368 SPYRES WAY MODESTO CA 95356 NONE PC CHARITABLE CONTRIBUTION 1000 2750 0 14 35300 30 9713849 03 7692 OTHER REVENUE 03 118843 RESIDENT CARE SERVICES 03 2682904 HOME CARE REVENUE 03 348757 HOME HEALTH REVENUE 03 490098 0 13397443 0 13397443 0 0 0 0 0 0 0 0 0 0 ACCOUNTING FEES 64925 0 63428 1497 LAND 2001-01-01 627846 L 0 0 0 LAND IMPROVEMENTS 2001-01-01 4041711 2640220 SL 15.000000000000 152991 0 152991 BUILDINGS & IMPROVEMENTS 2001-01-01 41587168 24025234 SL 39.000000000000 1485993 0 1485993 FURNITURE AND FIXTURES 2001-01-01 1937190 1669577 SL 7.000000000000 31705 0 31705 EQUIPMENT 2001-01-01 2919966 2540874 SL 5.000000000000 101403 0 101403 VEHICLES 2001-01-01 330440 225894 SL 5.000000000000 25997 0 25997 VEHICLE 2022-09 PURCHASED 2023-09 8735 COST 0 8735 BUILDINGS & EQUIPMENT 2022-09 PURCHASED 2023-09 1066 COST 0 -1066 OWNERSHIP OF CONTROLLED ENTITIES FORM 990-PF, PAGE 5, PART VII-A, LINE 11 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 EQUITIES & SECURITIES 1315029 1661192 BUILDINGS 45628879 28304438 17324441 FURNITURE & FIXTURES 1937190 1701282 235908 LAND 627846 0 627846 MACHINERY & OTHER EQUIPMENT 2919966 2642277 277689 TRANSPORTATION EQUIPMENT 330440 251891 78549 LEGAL FEES 30445 0 29743 702 DEPOSITS HELD WITH VENDORS 116752 98848 98848 REPLACEMENT RESERVE 1373391 1260285 1260285 ESCROW DEPOSITS 70653 30502 30502 ADVERTISING 131184 0 128158 3026 BAD DEBT EXPENSE 3863 0 3774 89 BANK AND PAYROLL CHARGES 75440 0 73700 1740 BOOKS AND SUBSCRIPTIONS 8691 0 8491 200 CABLE 37324 0 36463 861 COMPUTER 70353 0 68730 1623 CONTRACT SERVICES 261277 0 255251 6026 COVID-19 RELATED EXPENSES 14728 0 14388 340 DUES AND EVENTS 28384 0 27729 655 EMPLOYEE RELATED 87122 0 85113 2009 EMPLOYER CONTRIBUTION 50000 0 48847 1153 EQUIPMENT RENTAL 25246 0 24664 582 FOOD 734150 0 717217 16933 LIABILITY INSURANCE 398473 0 389282 9191 LICENSES 18235 0 17814 421 MISCELLANEOUS 1874 0 1831 43 MORTGAGE INSURANCE 99546 0 97250 2296 OFFICE SUPPLIES 21260 0 20770 490 POSTAGE 4999 0 4884 115 REPAIRS AND MAINTENANCE 351848 0 343733 8115 SUPPLIES 244164 0 238532 5632 TELEPHONE 95677 0 93470 2207 UNIFORMS 3088 0 3017 71 WORKERS' COMPENSATION INSURANCE 236284 0 230834 5450 AMORTIZATION 21120 0 20633 0 OTHER REVENUE 118843 118843 RESIDENT CARE SERVICES 2682904 2682904 HOME CARE REVENUE 348757 348757 HOME HEALTH REVENUE 490098 490098 RESIDENT DEPOSITS PAYABLE 178580 177960 LOAN PAYABLE 19664430 19254378 CONTINGENCY 725000 0 CONSULTING FEES 3722 0 3636 86 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 503289 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 PROPERTY AND EQUIPMENT LEASE INCOME 1852722 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 FIXED ASSET ACQUISITIONS 332999 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 AUDIT FEES 13675 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 TAX FEES 1350 HUGHSON SAMARITAN HOME CARE LLC 7700 FOX ROAD HUGHSON CA 95326 352578444 MISCELLANEOUS EXPENSES 526072 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 INSURANCE ESCROW FYE 9.30.23 PAID FOR BY HUGHSON SAMARITAN VILLAGE 60572 2787390