2022-01-24T17:56:53-06:00 2021-09-30 941239084 ATHERTON & ASSOCIATES LLP PO BOX 4339 MODESTO CA 953524339 990PF 2020-10-01 460469127 HUGHSON SAMARITAN VILLAGE HUGH 2098833000 7700 FOX ROAD HUGHSON CA 953261090 WILLIAM RAEBER CFO 2098833000 2022-01-20 1 WILLIAM RAEBER 999009999 JACQUELYN HOWELL P01327223 2095774800 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X 28127334 X X 20704 20704 20704 8455939 8455939 8455939 0 0 2123388 0 2123388 10600031 20704 10600031 478922 0 422412 56510 4333833 0 3822466 511367 631763 0 557218 74545 882336 0 778226 104110 1790408 0 1579150 941 0 830 111 11653 0 10278 1375 3863516 0 3407642 453382 11993372 0 10578222 1201400 1250 1250 11994622 0 10578222 1202650 -1394591 20704 21809 1807935 1503063 1503063 1520516 1527016 1527016 99600 110937 99600 99600 25870 34908 34908 230382 268657 268657 1248898 1324757 1776829 50774842 29330449 22871640 21444393 21444393 1420285 1472868 1472868 29236463 27675262 28127334 594199 694064 26232 19743 20613600 20353614 21234031 21067421 X 8002432 6607841 8002432 6607841 29236463 27675262 8002432 -1394591 0 6607841 0 6607841 288 0 288 0 288 0 0 0 0 0 0 288 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 174595 6264 0 DAN AGUILAR 7700 FOX ROAD HUGHSON CA 95326 PRESIDENT & CEO 40.00 304327 6280 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 192300 417 0 ALBERTO PEREZ 7700 FOX ROAD HUGHSON CA 95326 DIRECTOR OF IT & SUP 40.00 143920 6280 0 RIKKI PEREZCHICA 7700 FOX ROAD HUGHSON CA 95326 ADMINISTRATOR 40.00 143846 6280 0 LORRY QUINTERO 7700 FOX ROAD HUGHSON CA 95326 DIRECTOR OF PATIENT 40.00 133843 6269 0 PATRICK FINK 7700 FOX ROAD HUGHSON CA 95326 DIRECTOR OF FOOD & B 40.00 120016 6280 0 10 TRICOUNTY FLOORING INC 481 BELLEVUE ROAD ATWATER CA 95301 FLOORING 143485 BRIGHTVIEW TREE CARE SERVICES PO BOX 31001-2463 PASADENA CA 91110 LANDSCAPING 119242 MICKEY WALL PAINTING INC PO BOX 3302 TURLOCK CA 95381 PAINTING SERVICES 72102 DATA PATH INC 318 MCHENRY AVENUE MODESTO CA 95354 COMPUTER SERVICES 63359 REESE'S SEALCOATING INC PO BOX 740 LOCKEFORD CA 95237 PARKING LOT PAVING AND SEAL COATING 59773 2 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. 11994622 0 1636156 3126262 0 4762418 0 0 4762418 71436 4690982 234549 X 1202650 0 363159 1565809 0 1565809 2002-09-05 X 21809 25707 40842 12616 100974 18538 21851 34716 10724 85828 1565809 1130583 867055 816201 4379648 0 0 0 0 0 1565809 1130583 867055 816201 4379648 27675262 29236463 30687791 31687859 119287375 27675262 29236463 30687791 31687859 119287375 0 0 0 0 0 X UNITED SAMARITANS FOUNDATION 220 S BROADWAY TURLOCK CA 95380 NONE PC CHARITABLE CONTRIBUTION 1250 1250 0 14 20704 30 8455939 OTHER REVENUE 03 181832 RESIDENT CARE SERVICES 03 1941556 0 10600031 0 10600031 0 0 0 0 0 0 0 0 0 0 LAND 2001-01-01 627846 L 0 0 0 LAND IMPROVEMENTS 2001-01-01 4010930 2346040 SL 15.000000000000 144325 0 144325 BUILDINGS & IMPROVEMENTS 2001-01-01 41249829 21038960 SL 39.000000000000 1488994 0 1488994 FURNITURE AND FIXTURES 2001-01-01 1789732 1616300 SL 7.000000000000 29485 0 29485 EQUIPMENT 2001-01-01 2802118 2314448 SL 5.000000000000 112182 0 112182 VEHICLES 2001-01-01 294387 224293 SL 5.000000000000 15422 0 15422 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 1324757 1776829 BUILDINGS 45260759 25018319 20242440 FURNITURE & FIXTURES 1789732 1645785 143947 LAND 627846 0 627846 MACHINERY & OTHER EQUIPMENT 2802118 2426630 375488 TRANSPORTATION EQUIPMENT 294387 239715 54672 DEPOSITS HELD WITH VENDORS 137996 114355 114355 REPLACEMENT RESERVE 1264984 1291779 1291779 ESCROW DEPOSITS 17305 18343 18343 DEPOSITS HELD WITH LENDER 0 48391 48391 ADVERTISING 112803 0 99493 13310 BANK AND PAYROLL CHARGES 37758 0 33303 4455 BOOKS AND SUBSCRIPTIONS 10137 0 8941 1196 CABLE 30604 0 26993 3611 COMPUTER 60590 0 53441 7149 CONTRACT SERVICES 240576 0 212189 28387 DUES AND EVENTS 43705 0 38548 5157 EMPLOYEE RELATED 39565 0 34897 4668 FOOD 612800 0 540493 72307 LIABILITY INSURANCE 327829 0 289147 38682 LICENSES 15632 0 13788 1844 MISCELLANEOUS 1661 0 1465 196 OFFICE SUPPLIES 20235 0 17847 2388 POSTAGE 4185 0 3691 494 REPAIRS AND MAINTENANCE 304986 0 268999 35987 SUPPLIES 253458 0 223551 29907 TELEPHONE 82681 0 72925 9756 UNIFORMS 3625 0 3197 428 UTILITIES 761927 0 672024 89903 WORKERS' COMPENSATION INSURANCE 258385 0 227897 30488 ACCOUNTING FEES 60340 0 53220 7120 LEGAL FEES 107731 0 95019 12712 CONSULTING FEES 16214 0 14301 1913 EQUIPMENT RENTAL 25651 0 22624 3027 EMPLOYER CONTRIBUTION 1035 0 913 122 MORTGAGE INSURANCE 101096 0 89167 11929 COVID-19 RELATED EXPENSES 219759 0 193829 25930 BAD DEBT EXPENSE 87428 0 77112 10316 AMORTIZATION 21120 0 18628 0 OTHER REVENUE 181832 181832 RESIDENT CARE SERVICES 1941556 1941556 RESIDENT DEPOSITS PAYABLE 181930 189450 LOAN PAYABLE 20431670 20056614 PAYABLE TO LENDER 0 107550 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 REIMBURSEMENT OF AUDIT FEES FROM HUGHSON SAMARITAN VILLAGE HOLDINGS, LLC TO HUGHSON SAMARITAN VILLAG 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 228011 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 PROPERTY AND EQUIPMENT LEASE INCOME 1794029 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 FIXED ASSET ACQUISITIONS 340962 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 AUDIT FEES 12125 HUGHSON SAMARITAN VILLAGE HOLDINGS LLC 7700 FOX ROAD HUGHSON CA 95326 901011736 TAX FEES 1250 HUGHSON SAMARITAN HOME CARE LLC 7700 FOX ROAD HUGHSON CA 95326 352578444 MISCELLANEOUS EXPENSES 691412 2839778