2023-01-31T14:07:55-06:00 2022-09-30 941239084 ATHERTON & ASSOCIATES LLP PO BOX 4339 MODESTO CA 953524339 990PF 2021-10-01 460469127 HUGHSON SAMARITAN VILLAGE HUGH 2098833000 7700 FOX ROAD HUGHSON CA 953261090 WILLIAM RAEBER CFO 2098833000 2023-01-31 1 WILLIAM RAEBER 999009999 JACQUELYN HOWELL P01327223 2095774800 X 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z X 26384011 X X 10412 10412 10412 9439402 9439402 9439402 0 0 3012838 0 3012838 12462652 10412 12462652 514222 0 453748 60474 5167872 0 4560120 607752 754206 0 665510 88696 71162 0 62793 8369 61175 0 53981 7194 13220 0 11665 1555 874354 0 771528 102826 1814325 0 1600957 14103 0 12444 1659 8083 0 7132 951 4817347 0 4250819 564044 14110069 0 12450697 1443520 1750 1750 14111819 0 12450697 1445270 -1649167 10412 11955 1503063 1299179 1299179 1527016 1557117 1557117 215756 99600 215756 215756 34908 29037 29037 268657 284086 284086 1324757 1325225 1429293 51115551 31106804 21444393 20008747 20008747 1472868 1560796 1560796 27675262 26279943 26384011 694064 692054 19743 61205 20353614 20568010 21067421 21321269 X 6607841 4958674 6607841 4958674 27675262 26279943 6607841 -1649167 0 4958674 0 4958674 145 0 145 0 145 320 0 0 0 320 0 175 160 15 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 197210 6435 0 DAN AGUILAR 7700 FOX ROAD HUGHSON CA 95326 PRESIDENT & CEO 40.00 317013 6450 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 418 0 JANELLE SHEARS 7700 FOX ROAD HUGHSON CA 95326 DIRECTOR OF HUMAN RE 40.00 175290 8484 0 RIKKI PEREZCHICA 7700 FOX ROAD HUGHSON CA 95326 ADMINISTRATOR 40.00 159615 9396 0 ALBERTO PEREZ 7700 FOX ROAD HUGHSON CA 95326 DIRECTOR OF IT & SUP 40.00 151492 9328 0 LORRY QUINTERO 7700 FOX ROAD HUGHSON CA 95326 DIRECTOR OF PATIENT 40.00 144997 3386 0 18 TRICOUNTY FLOORING INC 481 BELLEVUE ROAD ATWATER CA 95301 FLOORING 186309 LITTLER MENDELSON PC 650 CALIFORNIA STREET 20TH FLOOR SAN FRANCISCO CA 94108 LEGAL 142014 GP LANDSCAPE PO BOX 22926 SACRAMENTO CA 95822 LANDSCAPING 104623 DATA PATH INC 318 MCHENRY AVENUE MODESTO CA 95354 COMPUTER SERVICES 87145 ATHERTON & ASSOCIATES LLP PO BOX 4339 MODESTO CA 95352 ACCOUNTING 61175 0 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. 14111819 0 1720823 3100416 0 4821239 0 0 4821239 72319 4748920 237446 X 1445270 0 378679 1823949 1823949 0 0 0 0 1823949 0 0 1823949 0 0 0 0 0 0 0 1823949 1823949 2002-09-05 X 11955 21809 25707 40842 100313 10162 18538 21851 34716 85266 1823949 1565809 1130583 867055 5387396 0 0 0 0 0 1823949 1565809 1130583 867055 5387396 26279943 27675262 29236463 30687791 113879459 26279943 27675262 29236463 30687791 113879459 0 0 0 0 0 X UNITED SAMARITANS FOUNDATION 220 S BROADWAY TURLOCK CA 95380 NONE PC CHARITABLE CONTRIBUTION 1250 HUGHSON FIRE DEPARTMENT 2316 3RD STREET HUGHSON CA 95326 NONE PC CHARITABLE CONTRIBUTION 500 1750 0 14 10412 30 9439402 OTHER REVENUE 03 590901 RESIDENT CARE SERVICES 03 2421937 0 12462652 0 12462652 0 0 0 0 0 0 0 0 0 0 ACCOUNTING FEES 61175 0 53981 7194 LAND 2001-01-01 627846 L 0 0 0 LAND IMPROVEMENTS 2001-01-01 4040003 2490365 SL 15.000000000000 149855 0 149855 BUILDINGS & IMPROVEMENTS 2001-01-01 41438853 22527954 SL 39.000000000000 1497981 0 1497981 FURNITURE AND FIXTURES 2001-01-01 1798908 1645785 SL 7.000000000000 28096 0 28096 EQUIPMENT 2001-01-01 2879500 2426630 SL 5.000000000000 114244 0 114244 VEHICLES 2001-01-01 330441 201745 SL 5.000000000000 24149 0 24149 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 1325225 1429293 BUILDINGS 45478856 26666155 18812701 FURNITURE & FIXTURES 1798908 1673881 125027 LAND 627846 0 627846 MACHINERY & OTHER EQUIPMENT 2879500 2540874 338626 TRANSPORTATION EQUIPMENT 330441 225894 104547 LEGAL FEES 71162 0 62793 8369 DEPOSITS HELD WITH VENDORS 114355 116752 116752 REPLACEMENT RESERVE 1291779 1373391 1373391 ESCROW DEPOSITS 18343 70653 70653 DEPOSITS HELD WITH LENDER 48391 0 0 ADVERTISING 151055 0 133291 17764 BANK AND PAYROLL CHARGES 55814 0 49250 6564 BOOKS AND SUBSCRIPTIONS 12236 0 10797 1439 CABLE 33002 0 29121 3881 COMPUTER 60801 0 53651 7150 CONTRACT SERVICES 403334 0 355901 47433 DUES AND EVENTS 29446 0 25983 3463 EMPLOYEE RELATED 59450 0 52459 6991 FOOD 740217 0 653166 87051 LIABILITY INSURANCE 346398 0 305661 40737 LICENSES 80338 0 70890 9448 MISCELLANEOUS 1754 0 1548 206 OFFICE SUPPLIES 18433 0 16265 2168 POSTAGE 7466 0 6588 878 REPAIRS AND MAINTENANCE 348701 0 307693 41008 SUPPLIES 265021 0 233854 31167 TELEPHONE 84456 0 74524 9932 UNIFORMS 2717 0 2397 320 UTILITIES 815317 0 719434 95883 WORKERS' COMPENSATION INSURANCE 283369 0 250044 33325 EQUIPMENT RENTAL 34067 0 30061 4006 EMPLOYER CONTRIBUTION 49939 0 44066 5873 MORTGAGE INSURANCE 101676 0 89719 11957 COVID-19 RELATED EXPENSES 22834 0 20149 2685 BAD DEBT EXPENSE 63386 0 55932 7454 SETTLEMENT EXPENSE 725000 0 639739 85261 AMORTIZATION 21120 0 18636 0 OTHER REVENUE 590901 590901 RESIDENT CARE SERVICES 2421937 2421937 RESIDENT DEPOSITS PAYABLE 189450 178580 LOAN PAYABLE 20056614 19664430 PAYABLE TO LENDER 107550 0 CONTINGENCY 0 725000 CONSULTING FEES 13220 0 11665 1555 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 REIMBURSED AUDIT FEES FROM HUGHSON SAMARITAN VILLAGE HOLDINGS, LLC TO HUGHSON SAMARITAN VILLAGE 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 RESIDUAL RECEIPTS CHECK FROM ORIX REAL ESTATE CAPITAL, LLC 0 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 REPLACEMENT OF STOP PAYMENT FEE PAID BY HUGHSON SAMARITAN VILLAGE 0 HUGHSON SAMARITAN HOME CARE LLC 7700 FOX ROAD HUGHSON CA 95326 352578444 MISCELLANEOUS INCOME 0 231546 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 PROPERTY AND EQUIPMENT LEASE INCOME 1852719 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 FIXED ASSET ACQUISITIONS 377644 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 AUDIT FEES 13750 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 TAX FEES 1300 HUGHSON SAMARITAN HOME CARE LLC 7700 FOX ROAD HUGHSON CA 95326 352578444 MISCELLANEOUS EXPENSES 882763 3128176