2023-10-13T16:56:39-05:00 2022-09-30 330482495 GYL LLP 4120 CONCOURS SUITE 100 ONTARIO CA 91764 990 2021-10-01 951660824 ST JOHN OF GOD RETIREMENT AND CARE CENTER STJO 3237310641 2468 S ST ANDREWS PLACE LOS ANGELES CA 90018 BR STEPHEN DE LA ROSA SECRETARY 3237310641 2023-10-13 1 BR STEPHEN DE LA ROSA 999009999 JOSEPH ROMERO CPA P00441771 9099489990 X 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z BR STEPHEN DE LA ROSA 2468 S ST ANDREWS PLACE LOS ANGELES CA 90018 26247119 0 X WWW.STJOG.ORG X 1942 CA ST. JOHN OF GOD RETIREMENT AND CARE CENTER, THE CENTER, IS A CALIFORNIA NOT-FOR-PROFIT CORPORATION WHICH OPERATES A 156-BED SKILLED NURSING FACILITY, 111 UNITS OF ASSISTED LIVING RESIDENTIAL CARE AND 31 UNITS OF MEMORY CARE. 7 7 362 5 0 0 4036504 2546623 18936330 22950930 17805 -233420 1444327 549899 24434966 25814032 1245 0 0 0 14905291 16041188 0 0 4408 9693612 11810769 24600148 27851957 -165182 -2037925 28706588 26397038 1661648 2738962 27044940 23658076 THE HOSPITALLER BROTHERS ARE COMMITTED TO COMPASSIONATE CARE BY RESPONDING TO THE NEEDS OF THE WHOLE PERSON, WHILE ENCOURAGING TEAMWORK/COLLABORATION. BY DOING SO, THEY PROMOTE THE VALUES OF HOSPITALITY, RESPECT, AND HEALING. 0 0 24090054 23500829 OPERATE A SKILLED NURSING, LONG TERM CARE, AND RESIDENTIAL CARE FACILITY, AND PROVIDE ANCILLARY SERVICES TO RESIDENTS. 24090054 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 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 30 0 1 362 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 0 1 1 0 CA X WILLY ATIENZA 3237310641 2468 S ST ANDREWS PLACE LOS ANGELES CA 90018 BRO IGNATIUS SUDOL CHAIRPERSON 30.00 X X 0 0 0 BRO STEPHEN DE LA ROSA SECRETARY 1.00 X X 0 0 0 BRO MICHAEL BASSEMIER TRUSTEE 1.00 X 0 0 0 DR LESLIE PAUL TRUSTEE 1.00 X 0 0 0 DR ROBERT KASAMATSU TRUSTEE 1.00 X 0 0 0 CLAIRE PADAMA TRUSTEE 1.00 X 0 0 0 DONNA BENTON PHD TRUSTEE 1.00 X 0 0 0 RENATO V BACIARELLI PAST PRESIDENT/ CEO 40.00 X X 210069 0 76768 SALVADOR I ESCOBAR EXECUTIVE DIRECTOR 40.00 X 12750 0 0 AQUILINO ATIENZA CONTROLLER 40.00 X 145278 0 6232 JOHN PAUL COSICO SNF ADMINISTRATOR 40.00 X 144241 0 24 MARIA SOCORRO AGUILA QA MANAGER 40.00 X 106064 0 0 MARINOR IFURUNG HR DIRECTOR 40.00 X 119505 0 0 PAOLO MIKI LETARGO RN 40.00 X 125208 0 0 JUDITH LAGANA SALCEDO MDS NURSE 40.00 X 110894 0 0 974009 0 83024 7 0 1 0 ANGELES REHAB INC 11137 WESTWOOD BLVD CULVER CITY CA 90230 MEDICAL SERVICES 768891 MEDELY INC DEPT LA 25128 PASADENA CA 91185 NURSING SERVICES 298132 CALIFORNIA UNIQUE SECURITY SRV 7131 WEBB COURT FONTANA CA 92336 SECURITY SERVICES 234687 COMFORT KEEPERS LA 5478 WILSHIRE BL STE 218 LOS ANGELES CA 90036 HOME CARE SERVICES 197222 AV RESOURCES CORP PO BOX 3580 SAN DIMAS CA 91773 COMPUTER SERVICES 137994 5 1536489 656482 353652 2546623 RESIDENT SERVICE 623990 22737025 22737025 RESIDENT FEES AND SERVICES 623990 213905 213905 22950930 31500 31500 168167 433087 -264920 -264920 -264920 OTHER INCOME 623990 369299 369299 MANAGEMENT FEES 623990 180000 180000 VENDING MACHINE INCOME 623990 600 600 549899 25814032 23500829 0 -233420 X 219791 219791 11989877 11213228 776649 2914065 2501964 412101 917455 781368 136087 10772 10772 3502083 3011385 486290 4408 181041 28218 152823 1683465 1683465 370 370 1058024 1058024 919080 477853 441227 PHARMACY, THERAPY & LAB 1328713 1328713 TAXES LICENSES AND PERM 1210498 99978 1110520 NON-MEDICAL SUPPLIES 835959 835959 FOOD SUPPLIES 804317 804317 276447 265582 10865 27851957 24090054 3757495 4408 5377863 2284070 1613006 719436 1291324 1526915 216664 291851 50182207 31987851 19024484 18194356 1143481 3171289 39766 209121 28706588 26397038 1602485 2661799 26959 26959 32204 50204 1661648 2738962 X 27044940 23622436 35640 27044940 23658076 28706588 26397038 -2037925 66550 -1415489 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 507991 507991 45241143 28390245 16850898 413084 409664 3420 3867349 3082275 785074 152640 105667 46973 18194356 SECURITY DEPOSITS 50204 50204 X 25869810 66550 66550 25803260 10772 10772 25814032 27841185 0 27841185 10772 10772 27851957 PART IV, LINE 2B: THE CENTER HOLDS PERSONAL FUNDS OF RESIDENTS UNDER AN AGENCY AGREEMENT. PART X, LINE 2: GENERALLY ACCEPTED ACCOUNTING PRINCIPLES PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ORGANIZATION IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. MANAGEMENT HAS CONSIDERED ITS TAX POSITIONS AND BELIEVES ALL OF THE POSITIONS TAKEN BY THE CENTER IN ITS FEDERAL AND STATE EXEMPT ORGANIZATION RETURNS ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION. THE CENTER'S RETURNS ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES, GENERALLY FOR FOUR YEARS AFTER THEY ARE FILED. 0 0 0 0 0 0 0 0 0 RENATO V BACIARELLI PAST PRESIDENT/ CEO 210069 0 0 0 0 0 72100 0 4668 0 286837 0 0 0 AQUILINO ATIENZA CONTROLLER 145278 0 0 0 0 0 0 0 6232 0 151510 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE AND MANAGEMENT AND THEN SENT TO THE BOARD AT LARGE. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO DOCUMENT PERSONAL AND BUSINESS INTERESTS. EMPLOYEES RESPONSIBLE FOR FINANCIAL TRANSACTIONS ARE AWARE OF THOSE INTERESTS AND CONSIDER THEM WHEN MAKING DECISIONS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION REVIEWS AND APPROVES COMPENSATION OF EMPLOYEES AND DIRECTORS THROUGH REVIEW BY THE BOARD AND COMPARES SALARIES BASED UPON INSPECTION OF VARIOUS NON-PROFIT ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DISCLOSES GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS UPON REQUEST. IN ADDITION, THE FORM 990 IS MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG FORM 990, PART IX, LINE 11G CONTRACT LABOR AND SERVICES: PROGRAM SERVICE EXPENSES 2,777,685. MANAGEMENT AND GENERAL EXPENSES 223,898. FUNDRAISING EXPENSES 4,408. TOTAL EXPENSES 3,005,991. SPONSORSHIP FEES: PROGRAM SERVICE EXPENSES 233,700. MANAGEMENT AND GENERAL EXPENSES 162,300. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 396,000. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 100,092. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,092. BROTHERS OF ST JOHN OF GOD INC 2425 S WESTERN AVENUE LOS ANGELES CA 90018 952399225 RELIGIOUS ORDER CA 501(C)(3) LINE 1 0 THE HOSPITALLER FOUNDATION OF CALIFORNIA 2468 S ST ANDREWS PLACE LOS ANGELES CA 90018 953299706 RELIGIOUS ORGANIZATION CA 501(C)(3) LINE 1 0 ST JOHN OF GOD HEALTH CARE SERVICES 13333 PALMDALE ROAD VICTORVILLE CA 92392 953806996 HEALTH CARE CA 501(C)(3) LINE 1 0 HOSPTIALLER BROTHERS HEATH CARE CORPORATION 2425 S WESTERN AVENUE LOS ANGELES CA 90018 954334552 RELIGIOUS ORGANIZATION CA 501(C)(3) LINE 1 0 ST JOSEPH'S HEALTH & RETIREMENT CENTER 2464 E OJAI AVENUE OJAI CA 93024 953265311 SENIOR CARE CA 501(C)(3) LINE 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 ST JOSEPH'S HEALTH AND RETIREMENT CENTER S 36000 CASH ST JOHN OF GOD HEALTH CARE SERVICES S 1500489 CASH ST JOHN OF GOD HEALTH CARE SERVICES L 180000 CASH BROTHERS OF ST JOHN OF GOD INC M 396000 CASH HOSPITALLER BROTHERS HEALTHCARE CORPORATION M 1068556 CASH THE HOSPITALLER FOUNDATION OF CALIFORNIA L 80000 CASH THE HOSPITALLER FOUNDATION OF CALIFORNIA L 116909 CASH THE HOSPITALLER FOUNDATION OF CALIFORNIA L 80553 CASH