2019-08-15T14:34:02-05:00 2018-09-30 431594752 MUELLER PROST LC 7733 FORSYTH BLVD SUITE 1200 ST LOUIS MO 63105 990 2017-10-01 941636507 ST JOHNS RETIREMENT VILLAGE STJO 5306621290 135 WOODLAND AVENUE WOODLAND CA 95695 SEAN BELOUD EXECUTIVE DIRECTOR 5306621290 2019-08-13 1 JEANETTE BAX-KURTZ P00096490 3148622070 2019-08-08 71.91.236.98 2019-08-13 13:09:32 CD P 34B6D47590F6C0C7B72B4D478B8A419329DADD82 6D85247E04EA61121E269186BA3C39495FC2638A 2017 2019-02-21 02:37:17Z SEAN BELOUD 135 WOODLAND AVENUE WOODLAND CA 95695 10737910 0 X WWW.SJRV.ORG X 1967 CA TO HONOR THE ORGANIZATION'S RESIDENTS' DIGNITY, INDEPENDENCE AND SPIRITUALITY BY PROVIDING THEM WITH A SAFE, SUPPORTIVE AND CARING ENVIRONMENT IN WHICH TO LIVE. THE ORGANIZATION'S MISSION IS TO PROVIDE HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO RESIDENTS IN ITS MULTI-LEVEL ASSISTED LIVING FACILITIES AND ITS SKILLED NURSING FACILITY. 10 9 239 20 0 0 370099 229314 10312136 10473880 702 618 53783 18143 10736720 10721955 0 0 0 0 6560889 6487343 0 0 63666 3996230 3900318 10557119 10387661 179601 334294 6615086 6768426 4096101 3910641 2518985 2857785 X TO HONOR THE ORGANIZATION'S RESIDENTS' DIGNITY, INDEPENDENCE AND SPIRITUALITY BY PROVIDING THEM WITH A SAFE, SUPPORTIVE AND CARING ENVIRONMENT IN WHICH TO LIVE. THE ORGANIZATION'S MISSION IS TO PROVIDE HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO RESIDENTS IN ITS MULTI-LEVEL ASSISTED LIVING FACILITIES AND ITS SKILLED NURSING FACILITY. 0 0 4939276 5734460 MULTI-LEVEL ASSISTED LIVING FACILITIES. ASSISTED LIVING FOR ACTIVE RESIDENTS WITH MINIMAL CARE NEEDS IN COTTAGES AND APARTMENTS CALLED THE VILLAGE. ASSISTED LIVING FOR RESIDENTS WITH MODERATE CARE NEEDS IN THE PERSONAL CARE UNIT (PCU). HIGH LEVEL OF CARE FOR RESIDENTS IN NEED OF COGNITIVE AND MEMORY SUPPORT IN THE MANORS. RESPITE CARE IS AVAILABLE FOR A MINIMUM OF TWO WEEKS PRO-RATED AT THE MONTHLY RATE. - TOTAL 33,406 RESIDENT/PATIENT DAYS 4082233 4739420 SKILLED NURSING FACILITY. LONG-TERM CARE FOR CHRONIC CONDITIONS AS WELL AS POST-SURGICAL REHABILITATION SERVICES AND WOUND CARE. HOSPICE CARE IS AVAILABLE. RESPITE CARE IS AVAILABLE FOR A MINIMUM OF TWO WEEKS PRO-RATED AT THE MONTHLY RATE. - TOTAL 15,619 PATIENT DAYS 9021509 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 31 0 1 239 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X ESKATON PROPERTIES INC 9163340810 5105 MANZANITA AVENUE CARMICHAEL CA 95608 MARILYN MITCHELL PRESIDENT 15.00 X X 0 0 0 CHUCK SANTONI VICE PRESIDENT 4.00 X X 0 0 0 JENEE RAWLINGS TREASURER 4.00 X X 0 0 0 JANET CARRERE SECRETARY 4.00 X X 0 0 0 SUZANNE ANDERSON MEMBER 2.00 X 0 0 0 ERIC DOWDY MEMBER 2.00 X 0 0 0 JANE MARTIN MEMBER 2.00 X 0 0 0 WENDY STARR CEO 40.00 X X 126250 0 5136 LISA SMITH YOUNGS MEMBER 2.00 X 0 0 0 STAN LEVERS MEMBER 2.00 X 0 0 0 126250 0 5136 1 0 0 0 SYSCO FOODS SERVICES OF SACRAMENTO PO BOX 138007 SACRAMENTO CA 95813 FOOD SERVICES 350263 ESKATON PROPERTIES INC 5105 MANZANITA AVENUE CARMICHAEL CA 95608 ACCOUNTING & IT SERVICES 340097 DYNAMIC MEDICAL MANAGEMENT INC 4605 W IMPERIAL VIEW CT ROCKLIN CA 95677 PHYSICAL THERAPY 313334 MEDLINE INDUSTRIES INC DEPT LA 21558 PASADENA CA 91185 MEDICAL SUPPLIES 101643 4 37988 191326 229314 ASSISTED LIVING REVENUE 623000 5706761 5706761 NET SKILLED NURSING REVENUE 623000 4716527 4716527 OTHER PROGRAM REVENUE 623000 50592 50592 10473880 618 618 19063 0 19063 19063 19063 15035 37988 15955 -920 -920 10721955 10473880 0 18761 150242 150242 5051977 4797154 214204 40619 885934 808519 69652 7763 399190 364583 31578 3029 302926 75732 227194 16592 16592 53000 53000 695895 550814 145081 47064 367 46697 71583 14486 53882 3215 3943 1577 2366 497455 462379 35076 17098 9147 7375 576 137314 124956 12358 428205 389667 38538 115048 24996 90052 FOOD SERVICES 485766 485426 136 204 SUPPLIES 456341 440496 14004 1841 QUALITY ASSURANCE FEE 238755 238755 OTHER EXPENSE 196789 128730 64006 4053 136544 105302 31242 10387661 9021509 1302486 63666 886435 748410 207143 639100 623 110584 454053 462933 202293 118458 13553680 8879334 4854450 4674346 10089 14595 6615086 6768426 638803 752932 29519 8775 3422607 3137997 5172 10937 4096101 3910641 X 2434875 2719670 84110 138115 2518985 2857785 6615086 6768426 334294 4506 0 X X 0 1 X 1 0 X 200913 156581 147638 370099 229314 1104545 9626910 9779178 10032366 10312136 10473880 50224470 121417 38785 74048 15035 249285 9949240 9935759 10218789 10756283 10718229 51578300 11184 11184 0 11184 11184 51567116 2010 1790 15717 15087 19681 54285 2010 1790 15717 15087 19681 54285 9951250 9937549 10234506 10771370 10737910 51632585 0.99870 0.99930 0.00110 0.00070 X 75430 75430 11342857 7327949 4014908 2017794 1551385 466409 117599 117599 4674346 RESIDENT TRUST 10937 10937 X 10726461 4506 4506 10721955 0 10721955 10387661 0 10387661 0 10387661 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL AND CALIFORNIA INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND THE CORRESPONDING PROVISIONS OF THE CALIFORNIA REVENUE AND TAXATION CODE, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME (UBTI) AS DEFINED BY THE IRC. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS THROUGH ITS REVIEW OF THE SOURCES OF INCOME TO IDENTIFY UBTI AND CERTAIN OTHER MATTERS, INCLUDING THOSE WHICH MAY AFFECT ITS TAX EXEMPT STATUS. THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF SEPTEMBER 30, 2018, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THE ORGANIZATION FILES FEDERAL AND CALIFORNIA EXEMPT ORGANIZATION RETURNS. THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE 2014 FOR THEIR FEDERAL AND 2013 FOR THEIR STATE TAX FILINGS. RHYTHM AND RIBS 53023 37988 15035 2200 469 950 12336 53023 37988 15035 2200 469 950 12336 15955 -920 FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT OF THE FORM 990 IS DISTRIBUTED TO THE BOARD MEMBERS TOGETHER WITH A COPY OF THE AUDITED FINANCIAL STATEMENTS AND TRIAL BALANCE FOR REVIEW AND COMPARISON. THE BOARD DESIGNATES AND ASSIGNS ONE OF ITS QUALIFIED MEMBERS TO REVIEW THE RETURN. UPON RESOLUTION OF QUESTIONS AND ISSUES, AND APPROVAL BY THAT DESIGNATED BOARD MEMBER, THE BOARD APPROVES THE RETURN FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C ONGOING CONSIDERATION OF ANY EXISTING OR POTENTIAL BOARD MEMBERS, EMPLOYEES, VENDORS, VOLUNTEERS AND OTHER BUSINESS CONNECTIONS WITH POSSIBLE CONFLICTS IN MIND BY ALL EXISTING BOARD MEMBERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS CAREFULLY CONSIDERS SELECTION AND SALARY FOR THE CHIEF EXECUTIVE OFFICER, INCLUDING COMPARING TO CURRENT MARKET QUALIFICATIONS AND COMPENSATION. THE CHIEF EXECUTIVE OFFICER IS NOT COMPENSATED FOR SERVICE ON THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN THE OVERSIGHT OR SELECTION PROCESS.