ST JOHN OF GOD RETIREMENT AND CARE CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ST JOHN OF GOD RETIREMENT AND CARE CENTER (EIN 95-1660824)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-15
IRS object ID: 202202279349305220
Schema version: 2020v4.2
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
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-15T20:08:41-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	7733 FORSYTH BLVD SUITE 1200	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951660824	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOHN OF GOD RETIREMENT & CARE CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STJO	BusinessNameControlTxt
Phone	3237310641	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2468 S ST ANDREWS PL	AddressLine1Txt
City	LOS ANGELES	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90018	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BR STEPHEN DE LA ROSA	PersonNm
Person Title	SECRETARY	PersonTitleTxt
Phone	3237310641	PhoneNum
Signature	2022-08-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	BR	PersonFirstNm
Person Last	STEPHEN DE LA ROSA	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KARYN A NUNN	PreparerPersonNm
PTIN	P00958489	PTIN
Phone	3148622070	PhoneNum
Preparation	2022-08-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	0	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BR STEPHEN DE LA ROSA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2468 S ST ANDREWS PL	AddressLine1Txt
City	LOS ANGELES	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90018	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$24,434,966	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STJOG.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1942	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	ST. JOHN OF GOD RETIREMENT AND CARE CENTER, THE CENTER, IS A CALIFORNIA NOT-FOR-PROFIT CORPORATION WHICH OPERATES 156 BED SKILLED NURSING, 111 UNIT ASSISTED LIVING RESIDENTIAL CARE UNITS, AND 31 UNITS FOR MEMORY CARE.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	372	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$184,810	PYContributionsGrantsAmt
CY Contributions Grants	$4,036,504	CYContributionsGrantsAmt
PY Program Service Revenue	$21,923,788	PYProgramServiceRevenueAmt
CY Program Service Revenue	$18,936,330	CYProgramServiceRevenueAmt
PY Investment Income	$119,773	PYInvestmentIncomeAmt
CY Investment Income	$17,805	CYInvestmentIncomeAmt
PY Other Revenue	$277,613	PYOtherRevenueAmt
CY Other Revenue	$1,444,327	CYOtherRevenueAmt
PY Total Revenue	$22,505,984	PYTotalRevenueAmt
CY Total Revenue	$24,434,966	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,245	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$13,876,266	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$14,905,291	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$9,720,019	PYOtherExpensesAmt
CY Other Expenses	$9,693,612	CYOtherExpensesAmt
PY Total Expenses	$23,596,285	PYTotalExpensesAmt
CY Total Expenses	$24,600,148	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,090,301	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$165,182	CYRevenuesLessExpensesAmt
Total Assets BOY	$32,084,766	TotalAssetsBOYAmt
Total Assets EOY	$28,706,588	TotalAssetsEOYAmt
Total Liabilities BOY	$5,058,864	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,661,648	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$27,025,902	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$27,044,940	NetAssetsOrFundBalancesEOYAmt
Mission	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 THE HOSPITALITY, RESPECT, AND HEALING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$20,898,080	ExpenseAmt
Grant	$1,245	GrantAmt
Revenue	$20,343,650	RevenueAmt
Desc	OPERATED A SKILLED NURSING, LONG TERM CARE, AND RESIDENTIAL CARE FACILITY, AND PROVIDED ANCILLARY SERVICES TO RESIDENTS.	Desc
Total Program Service Expenses	$20,898,080	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	22	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	372	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLY ATIENZA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3237310641	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2468 S ST ANDREWS PL	AddressLine1Txt
City	LOS ANGELES	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90018	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RENATO BACIARELLI
PRESIDENT/CEO	40.00	Yes (X)	Yes (X)	$239,701	$0	$8,295
BR IGNATIUS SUDOL
CHAIR	30.00	Yes (X)	Yes (X)	$0	$0	$0
BR STEPHEN DE LA ROSA
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
BR MICHAEL BASSEMIER
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DR LESLIE PAUL
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DR ROBERT KASAMATSU
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DONNA BENTON PHD
TRUSTEE	1.00	Yes (X)		$0	$0	$0
CLAIRE PADAMA
TRUSTEE	1.00	Yes (X)		$0	$0	$0
WILLY ATIENZA
CONTROLLER	40.00		Yes (X)	$134,163	$0	$8,114
CALVIN JONES
DIRECTOR OF NURSING	40.00			$156,740	$0	$19,840	Yes (X)
JOHN PAUL COSICO
SNF ADMINISTRATOR	40.00			$146,038	$0	$0	Yes (X)
ESTHER OBIAGELI ONWUNALI
RN SUPERVISOR	40.00			$135,831	$0	$7,011	Yes (X)
BRYAN ROSSO M HIZON
LVN CHARGE NURSE	40.00			$108,181	$0	$8,109	Yes (X)
BEATRIZ SANDOVAL
LVN CHARGE NURSE	40.00			$106,705	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,027,359	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$51,369	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ANGELES REHAB INC
11137 WESTWOOD BLVD	CULVER CITY	CA	90230	MEDICAL SERVICES	$966,267
CALIFORNIA UNIQUE SECURITY
7131 WEBB COURT	FONTANA	CA	92336	SECURITY SERVICES	$247,414
COMFORT KEEPERS LA
5478 WILSHIRE BLVD SUITE 218	LOS ANGELES	CA	90036	SENIOR CARE SERVICES	$178,882
MASTER STAFFING INC
310 EAST COLORADO ST SUITE 206	GLENDALE	CA	91205	STAFFING SERVICES	$133,444
USTAFFING SUPPORT INC
PO BOX 11684	MARINA DEL REY	CA	90295	STAFFING SERVICES	$113,045

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Related Organizations	$280,290	RelatedOrganizationsAmt
Government Grants	$3,705,144	GovernmentGrantsAmt
All Other Contributions	$51,070	AllOtherContributionsAmt
Total Contributions	$4,036,504	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDI-CAL/HOSPICE	623990	$12,122,634	$12,122,634
PRIVATE PATIENT RESIDENTIAL	623990	$6,666,932	$6,666,932
ANCILLIARY SERVICES	623990	$146,764	$146,764

Field	Value	IRS element (for citing)
Total Program Service Revenue	$18,936,330	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,805	TotalRevenueColumnAmt
Exclusion	$17,805	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BAD DEBT RECOVERY	623990	$1,227,320	$1,227,320
MANAGEMENT FEE SERVICES	623990	$180,000	$180,000

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,007	TotalRevenueColumnAmt
Exclusion	$37,007	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,444,327	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,434,966	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,343,650	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$54,812	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,245	TotalAmt
Program Services	$1,245	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$355,785	TotalAmt
Program Services	$82,700	ProgramServicesAmt
Management And General	$273,085	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$11,826,629	TotalAmt
Program Services	$10,925,023	ProgramServicesAmt
Management And General	$901,606	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,813,623	TotalAmt
Program Services	$1,557,021	ProgramServicesAmt
Management And General	$256,602	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$909,254	TotalAmt
Program Services	$821,196	ProgramServicesAmt
Management And General	$88,058	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$122,367	TotalAmt
Management And General	$122,367	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$11,290	TotalAmt
Management And General	$11,290	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$11,542	TotalAmt
Management And General	$11,542	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,571,779	TotalAmt
Program Services	$1,770,037	ProgramServicesAmt
Management And General	$801,742	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$40	TotalAmt
Program Services	$40	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$88,245	TotalAmt
Program Services	$42,386	ProgramServicesAmt
Management And General	$45,859	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$118,067	TotalAmt
Program Services	$973	ProgramServicesAmt
Management And General	$117,094	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,068,955	TotalAmt
Program Services	$933,556	ProgramServicesAmt
Management And General	$135,399	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$12,021	TotalAmt
Program Services	$7,602	ProgramServicesAmt
Management And General	$4,419	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,645	TotalAmt
Program Services	$1,645	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$396,000	TotalAmt
Program Services	$396,000	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,020,143	TotalAmt
Program Services	$996,095	ProgramServicesAmt
Management And General	$24,048	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$893,612	TotalAmt
Program Services	$521,189	ProgramServicesAmt
Management And General	$372,423	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$1,342,473	$1,342,473
REPAIRS & MAINTENANCE	$835,146	$835,146
FOOD	$627,723	$627,723
TAXES & LICENSES	$287,754	$28,482	$259,272

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$284,810	TotalAmt
Program Services	$7,548	ProgramServicesAmt
Management And General	$277,262	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,600,148	TotalAmt
Program Services	$20,898,080	ProgramServicesAmt
Management And General	$3,702,068	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,524,379	BOYAmt
EOY	$5,377,863	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,613,006	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,534,440	BOYAmt
EOY	$1,291,324	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$233,162	BOYAmt
EOY	$216,664	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$49,954,309	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$30,929,825	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$19,767,757	BOYAmt
EOY	$19,024,484	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,163,432	BOYAmt
EOY	$1,143,481	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,861,596	BOYAmt
EOY	$39,766	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,084,766	BOYAmt
EOY	$28,706,588	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,405,610	BOYAmt
EOY	$1,602,485	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$831,003	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$26,959	BOYAmt
EOY	$26,959	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,795,292	BOYAmt
EOY	$32,204	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,058,864	BOYAmt
EOY	$1,661,648	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,025,902	BOYAmt
EOY	$27,044,940	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,025,902	BOYAmt
EOY	$27,044,940	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$32,084,766	BOYAmt
EOY	$28,706,588	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$165,182	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$184,220	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	0	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Church	Yes (X)	ChurchInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$507,991	OtherCostOrOtherBasisAmt
Book Value	$507,991	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,654,227	OtherCostOrOtherBasisAmt
Depreciation	$27,765,180	DepreciationAmt
Book Value	$17,889,047	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,003,208	OtherCostOrOtherBasisAmt
Depreciation	$1,408,563	DepreciationAmt
Book Value	$594,645	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,788,883	OtherCostOrOtherBasisAmt
Depreciation	$1,756,082	DepreciationAmt
Book Value	$32,801	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$19,024,484	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
SECURITY DEPOSITS PAYABLE	$25,604
RESIDENT CABLE DEPOSITS	$6,600

Field	Value	IRS element (for citing)
Total Liability	$32,204	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV, LINE 2B:	FormAndLineReferenceDesc
Explanation	THE CENTER HOLDS PATIENT/RESIDENT TRUST FUND ACCOUNTS ON BEHALF OF RESIDENTS OF THE CENTER.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RENATO BACIARELLI
PRESIDENT/CEO	$239,701	$0	$0	$0	$0	$0	$0	$0	$8,295	$0	$247,996	$0	$0	$0
CALVIN JONES
DIRECTOR OF NURSING	$156,740	$0	$0	$0	$0	$0	$0	$0	$19,840	$0	$176,580	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 745,541. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 745,541. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 23,956. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,956. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 141,741. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,741. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 858,799. MANAGEMENT AND GENERAL EXPENSES 801,742. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,660,541.
FORM 990, PART XII, LINE 3B	THE ORGANIZATION IS REQUIRED TO UNDERGO A SINGLE AUDIT AS A RESULT OF A FEDERAL AWARD. HOWEVER, THE SINGLE AUDIT HAS NOT BEEN COMPLETED AS OF THE DATE THAT FORM 990 WAS FILED. THERFORE, FORM 990, PART XII, LINE 3B HAS BEEN ANSWERED NO. THE AUDIT IS IN PROCESS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd
BROTHERS OF ST JOHN OF GOD
2425 S WESTERN AVENUE	LOS ANGELES	CA	90018	952399225	RELIGIOUS ORDER	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 JOHN OF GOD HEALTH CARE SERVICES
13333 PALMDALE ROAD	VICTORVILLE	CA	92392	953806996	HEALTH CARE	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
THE HOSPITALLER FOUNDATION OF CALIFORNIA
2468 S ST ANDREWS PLACE	LOS ANGELES	CA	90018	953299706	RELIGIOUS ORGANIZATION	CA	501(C)(3)	LINE 1	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BROTHERS OF ST JOHN OF GOD INC
M	$396,000	CASH
HOSPITALLER FOUNDATION OF CALIFORNIA INC
C	$280,290	CASH
ST JOSEPH'S HEALTH & RETIREMENT CENTER
S	$1,227,320	CASH
ST JOHN OF GOD HEALTH CARE SERVICES
L	$180,000	CASH