ST JOHN OF GOD RETIREMENT AND CARE CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
ST JOHN OF GOD RETIREMENT AND CARE CENTER (EIN 95-1660824)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-06-25
IRS object ID
202021779349302002
Schema version
2018v3.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-06-25T02:53:27-00:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DAIJA MARIEBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line120601 HWY 18 STE 175AddressLine1Txt
CityAPPLE VALLEYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92307ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951660824EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOHN OF GOD RETIREMENT & CARE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTJOBusinessNameControlTxt
Phone3237310641PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12468 S ST ANDREWS PLACEAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90018ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBROTHER MICHAEL BASSEMIER OHPersonNm
Person TitlePRESIDENTPersonTitleTxt
Signature2020-06-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAIJA M TRUJILLOPreparerPersonNm
Phone7602429222PhoneNum
Preparation2020-06-25PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address68.118.20.148IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-06-25IPDt
IP Tm21:38:20IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE174485C30350BD1DC452FE91C03545A96FE21AFAtSubmissionCreationDeviceId
At Submission Filing Device IdCD8E3B302FE757513D2E2A1CAF2F81FA2ABDD7F9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLY ATIENZAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12468 S ST ANDREWS PLACEAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90018ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,873,851GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STJOG.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionST. 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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee384TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$322,413PYContributionsGrantsAmt
CY Contributions Grants$224,776CYContributionsGrantsAmt
PY Program Service Revenue$21,424,933PYProgramServiceRevenueAmt
CY Program Service Revenue$21,620,762CYProgramServiceRevenueAmt
PY Investment Income$101,541PYInvestmentIncomeAmt
CY Investment Income$28,313CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$21,848,887PYTotalRevenueAmt
CY Total Revenue$21,873,851CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,904,403PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,587,893CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,430,086PYOtherExpensesAmt
CY Other Expenses$10,404,743CYOtherExpensesAmt
PY Total Expenses$21,334,489PYTotalExpensesAmt
CY Total Expenses$21,992,636CYTotalExpensesAmt
PY Revenues Less Expenses$514,398PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$118,785CYRevenuesLessExpensesAmt
Total Assets BOY$29,667,907TotalAssetsBOYAmt
Total Assets EOY$29,574,035TotalAssetsEOYAmt
Total Liabilities BOY$1,432,919TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,457,832TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$28,234,988NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$28,116,203NetAssetsOrFundBalancesEOYAmt
MissionTHE 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$17,407,107ExpenseAmt
DescOPERATED A SKILLED NURSING, LONG TERM CARE, AND RESIDENTIAL CARE FACILITY AND PROVIDED ANCILLARY SERVICES TO RESIDENTS.Desc
Total Program Service Expenses$17,407,107TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee384EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWILLY ATIENZAPersonNm
Phone3237310641PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12468 S ST ANDREWS PLACEAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90018ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtInstitutional TrusteeInstitutionalTrusteeIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BROTHER MICHAEL BASSEMIER OH
PRESIDENT001.00Yes (X)Yes (X)$0$0$0
DR LESLIE PAUL MD
TRUSTEE001.00Yes (X)$0$0$0
DR ROBERT KASAMATSU
TRUSTEE001.00Yes (X)$0$0$0
DONNA BENTOR PHD
TRUSTEE001.00Yes (X)$0$0$0
RENE MARTINEZ
TRUSTEE001.00Yes (X)$0$0$0
CLAIRE PADAMA
TRUSTEE001.00Yes (X)$0$0$0
BR IGNATIUS SUDOL OH
CHAIR030.00Yes (X)$0$0$0
BROTHER STEPHEN DE LA ROSA OH
SECRETARY001.00Yes (X)$0$0$0
BEOTHER PABLO LOPEZ OH
TREASURER001.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDesc
CALIFORNIA UNIQUE SECURITY
PO BOX 455NORCOCA92860SECURITY SERVICES
PRIME REHAB SERVIES
11137 WESTWOOD BLVDCULVER CITYCA90230THERAPY SERVICES
MDM NURSING REGISTRY
DEPT 34401SAN FRANCISCOCA94139NURSING REGISTRY/STAFFING
MASTER STAFFING INC
310 E COLORADO STGLENDALECA91205NURSING REGISTRY
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$139,100RelatedOrganizationsAmt
All Other Contributions$85,676AllOtherContributionsAmt
Total Contributions$224,776TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDI-CAL/HOSPICE$13,904,903$13,904,903
PRIVATE PATIENT RESIDENTIAL$7,426,434$7,426,434
ANCILLARY SERVICES$289,425$289,425
FieldValueIRS element (for citing)
Total Program Service Revenue$21,620,762TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,313TotalRevenueColumnAmt
Exclusion$28,313ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,873,851TotalRevenueColumnAmt
Related Or Exempt Func Income$21,620,762RelatedOrExemptFuncIncomeAmt
Exclusion$28,313ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,985,334TotalAmt
Program Services$9,105,834ProgramServicesAmt
Management And General$879,500ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$837,580TotalAmt
Program Services$636,709ProgramServicesAmt
Management And General$200,871ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$764,979TotalAmt
Program Services$652,652ProgramServicesAmt
Management And General$112,327ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$478,772TotalAmt
Management And General$478,772ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,050TotalAmt
Management And General$11,050ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,813TotalAmt
Program Services$6,813ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$132,654TotalAmt
Management And General$132,654ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$42,319TotalAmt
Management And General$42,319ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$933,860TotalAmt
Program Services$306,312ProgramServicesAmt
Management And General$627,548ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,450TotalAmt
Program Services$92ProgramServicesAmt
Management And General$6,358ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$620TotalAmt
Management And General$620ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,116,080TotalAmt
Program Services$1,076,040ProgramServicesAmt
Management And General$40,040ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,451,029TotalAmt
Program Services$881,259ProgramServicesAmt
Management And General$569,770ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$1,069,189$1,006,969$62,220
OUTSIDE SERVICES$2,690,324$2,544,268$146,056
REPAIRS AND MAINTENANCE$345,978$323,265$22,713
RAW FOODS$677,795$677,795

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,441,810TotalAmt
Program Services$189,099ProgramServicesAmt
Management And General$1,252,711ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,992,636TotalAmt
Program Services$17,407,107ProgramServicesAmt
Management And General$4,585,529ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,697,349BOYAmt
EOY$3,256,337EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,292,695BOYAmt
EOY$1,323,516EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$964,929BOYAmt
EOY$1,300,735EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$517,264BOYAmt
EOY$247,828EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$49,588,786LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$28,843,984LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$21,750,003BOYAmt
EOY$20,744,802EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,146,065BOYAmt
EOY$1,141,215EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,299,602BOYAmt
EOY$1,559,602EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$29,667,907BOYAmt
EOY$29,574,035EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,373,796BOYAmt
EOY$1,399,169EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$59,123BOYAmt
EOY$58,663EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,432,919BOYAmt
EOY$1,457,832EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,234,988BOYAmt
EOY$28,116,203EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,234,988BOYAmt
EOY$28,116,203EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,667,907BOYAmt
EOY$29,574,035EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$118,785ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
ChurchYes (X)ChurchInd
Public Support CY1700.00000PublicSupportCY170Pct
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,241,140OtherCostOrOtherBasisAmt
Depreciation$25,638,597DepreciationAmt
Book Value$19,602,543BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$413,084OtherCostOrOtherBasisAmt
Depreciation$400,502DepreciationAmt
Book Value$12,582BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,637,686OtherCostOrOtherBasisAmt
Depreciation$1,097,609DepreciationAmt
Book Value$540,077BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,788,885OtherCostOrOtherBasisAmt
Depreciation$1,707,276DepreciationAmt
Book Value$81,609BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,744,802TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$1,532,643
PATIENT TRUST$26,959
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,559,602TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Federal income taxes
PATIENT TRUST$26,959
SECURITY DEPOSITS$31,704
FieldValueIRS element (for citing)
Total Liability$58,663TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$21,873,851TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$21,873,851RevenueSubtotalAmt
Total Revenue Per Form990$21,873,851TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$21,992,636TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$21,992,636ExpensesSubtotalAmt
Total Expenses Per Form990$21,992,636TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11BTHE FORM 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE AND THEN APPROVED BY THE BOARD AT LARGE.
Form 990, Part VIII, Section B, Line 12COFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO DOCUMENT PERSONAL AND BUSINESS INTERESTS. EMPLOYEES RESPONSIBLE FOR FINANCIAL TRANSACTIONS ARE AWARE OF THOSE INTERESTS AND CONSIDER THEN WHEN MAKING DECISIONS.
Form 990, Part VI, Section B, Line 15ATHE 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, Line 19THE ORGANIZATION DISCLOSES GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS UPON REQUEST. IN ADDITION, THE FORM 990 IS MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
THE HOSPITALLER FOUNDATION OF CA
2468 S ST ANDREWS PLACELOS ANGELESCA90018953299706RELIGIOUS ORGANIZATIONCACHARITABLELINE 1N/Afalse
HOSPITALLER BROTHERS HEALTH CARE
2425 S WESTERN AVELOS ANGELESCA90018954334552RELIGIOUS ORGANIZATIONCACHARITABLELINE 1N/Afalse
ST JOSEPHS HEALTH & RETIREMENT CARE
2464 E OJAI AVEOJAICA93024953265311SENIOR CARECACHARITABLELINE 1N/Afalse
BROTHERS OF ST JOHN OF GOD
2425 S WESTERN AVELOS ANGELESCA90018952399225RELIGIOUS ORDERCACHARITABLELINE 1N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THE HOSPITALLER FOUNDATION OF CA
c$155,850CASH
ST JOSEPHS HEALTH & RETIREMENT CENTER
b
ST JOSEPHS HEALTH & RETIREMENT CENTER
d$260,000CASH
BROTHERS OF ST JOHN OF GOD
m$450,000CASH

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