MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL IN: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL IN (EIN 95-2299398)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-09-26
IRS object ID
201802699349300200
Schema version
2017v2.3
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)
Return2018-09-26T02:37:01-07:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN475677171PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WALTERS & SKLYAR LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line121031 VENTURA BLVD STE 401AddressLine1Txt
CityWOODLAND HILLSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91364ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN952299398EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY HEALTH OF THE SICKBusinessNameLine1Txt
Business Name Line2CONVALESCENTBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMARYBusinessNameControlTxt
Phone8054983644PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12929 THERESA DRIVEAddressLine1Txt
CityNEWBURY PARKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91320ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSISTER LOURDES LARAPersonNm
Person TitleTREASURER/BD MEMBERPersonTitleTxt
Phone8054983644PhoneNum
Signature2018-07-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonYEFIM SKLYAR CPAPreparerPersonNm
PTINP00362128PTIN
Phone8189752040PhoneNum
Preparation2018-09-26PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address162.210.146.226IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-09-26IPDt
IP Tm04:37:01IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEB1CE3BCAFFDE2A156A435EDB7AAAB5FB1678706AtSubmissionCreationDeviceId
At Submission Filing Device IdEB1CE3BCAFFDE2A156A435EDB7AAAB5FB1678706AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSISTER LOURDES LARAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12929 THERESA DRIVEAddressLine1Txt
CityNEWBURY PARKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91320ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,356,144GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MARYHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE THE HIGHEST LEVEL OF LONG-TERM CARE IN SOUTHERN CALIFORNIA. THE SERVANTS OF MARY, MINISTERS TO THE SICK, ARE DEDICATED TO HELPING IN THE PERSONAL LIFE TRANSITION OF THE RESIDENTS AND THEIR FAMILIES IN A SPIRIT AND EXPRESSION OF LOVE AND CONCERN. FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE DRAFT OF THE TAX RETURN AND APPROVES IT FOR FILING. THE BALANCE ARE COMPARED TO AUDITED FINANCIAL STATEMENTS. FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY COMPLIANCE WITH THE CONFLICT OF THE INTEREST POLICY IS MONITORED ON A REGULAR BASIS (EMPLOYEE HANDBOOK, HANDS-ON MEETINGS, ETC.). FORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL COMPENSATION TO OFFICERS AND KEY EMPLOYEES IS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS BASED ON THE AVAILABLE MARKET DATA. FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS DETERMINEActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee136TotalEmployeeCnt
Total Volunteers160TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$891,684PYContributionsGrantsAmt
CY Contributions Grants$608,149CYContributionsGrantsAmt
PY Program Service Revenue$8,195,863PYProgramServiceRevenueAmt
CY Program Service Revenue$6,485,492CYProgramServiceRevenueAmt
PY Investment Income$8,248PYInvestmentIncomeAmt
CY Investment Income$59,993CYInvestmentIncomeAmt
PY Other Revenue$105,100PYOtherRevenueAmt
CY Other Revenue$125,970CYOtherRevenueAmt
PY Total Revenue$9,200,895PYTotalRevenueAmt
CY Total Revenue$7,279,604CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,942,850PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,937,148CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$195,537CYTotalFundraisingExpenseAmt
PY Other Expenses$3,050,886PYOtherExpensesAmt
CY Other Expenses$3,003,282CYOtherExpensesAmt
PY Total Expenses$6,993,736PYTotalExpensesAmt
CY Total Expenses$6,940,430CYTotalExpensesAmt
PY Revenues Less Expenses$2,207,159PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$339,174CYRevenuesLessExpensesAmt
Total Assets BOY$16,165,246TotalAssetsBOYAmt
Total Assets EOY$14,923,609TotalAssetsEOYAmt
Total Liabilities BOY$552,282TotalLiabilitiesBOYAmt
Total Liabilities EOY$475,034TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,612,964NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,448,575NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE THE HIGHEST LEVEL OF LONG-TERM CARE IN SOUTHERN CALIFORNIA. THE SERVANTS OF MARY, MINISTERS TO THE SICK, ARE DEDICATED TO HELPING IN THE PERSONAL LIFE TRANSITION OF THE RESIDENTS AND THEIR FAMILIES IN A SPIRIT AND EXPRESSION OF LOVE AND CONCERN.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,880,318ExpenseAmt
Revenue$6,485,492RevenueAmt
DescPROVIDED LONG-TERM NURSING CARE TO THE ELDERLY. IN 2017, THE RESIDENT CENSUS WAS 18,633 PATIENTS DAYS, WHICH INCLUDE 3,668 PRIVATE PATIENT DAYS, 3,425 MEDICARE PATIENT DAYS, 11,540 MEDI-CAL PATIENT DAYS.Desc
Total Program Service Expenses$5,880,318TotalProgramServiceExpensesAmt
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 AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
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 ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
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 OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document27IRPDocumentCnt
IRP Document W2 G27IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee136EmployeeCnt
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
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
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 PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBETTY SCHMIDTPersonNm
Phone8054983644PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12929 THERESA DRIVEAddressLine1Txt
CityNEWBURY PARKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91320ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MOTHER CLAUDIA ZAMORA
PRESIDENT50.00Yes (X)Yes (X)$0$0$0
SISTER LUCERO GARCIA
VICE PRESIDE50.00Yes (X)Yes (X)$0$0$0
SISTER CARMEN RODRIGUEZ
BOARD MEMBER50.00Yes (X)$0$0$0
SISTER LOURDES LARA
TREASURER/BD50.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SKILLED NURSHING PHARMACYBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line116666 E JOHNSON DRIVEAddressLine1Txt
CityINDUSTRYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91745ZIPCd
FieldValueIRS element (for citing)
ServicesPHARMACYServicesDesc
Compensation$204,382CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$608,149AllOtherContributionsAmt
Total Contributions$608,149TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUEDesc
Total Revenue Column$6,485,492TotalRevenueColumnAmt
Related Or Exempt Func Income$6,485,492RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,485,492TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,993TotalRevenueColumnAmt
Exclusion$59,993ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$202,510FundraisingGrossIncomeAmt
Fundraising Direct Expenses$76,540FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$125,970TotalRevenueColumnAmt
Exclusion$125,970ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,279,604TotalRevenueColumnAmt
Related Or Exempt Func Income$6,485,492RelatedOrExemptFuncIncomeAmt
Exclusion$185,963ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$110,546TotalAmt
Program Services$55,273ProgramServicesAmt
Management And General$27,636ManagementAndGeneralAmt
Fundraising$27,637FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,172,169TotalAmt
Program Services$2,759,787ProgramServicesAmt
Management And General$348,939ManagementAndGeneralAmt
Fundraising$63,443FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$407,893TotalAmt
Program Services$277,337ProgramServicesAmt
Management And General$124,834ManagementAndGeneralAmt
Fundraising$5,722FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$246,540TotalAmt
Program Services$214,490ProgramServicesAmt
Management And General$27,119ManagementAndGeneralAmt
Fundraising$4,931FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$35,524TotalAmt
Management And General$35,524ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$314TotalAmt
Management And General$314ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$40,450TotalAmt
Management And General$40,450ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$44,482TotalAmt
Management And General$44,482ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,309TotalAmt
Program Services$517ProgramServicesAmt
Fundraising$4,792FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,602TotalAmt
Management And General$8,602ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$286,301TotalAmt
Program Services$286,301ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$304,683TotalAmt
Program Services$304,683ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$100,514TotalAmt
Program Services$70,360ProgramServicesAmt
Management And General$20,103ManagementAndGeneralAmt
Fundraising$10,051FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ANCILLARY SERVICES$662,425$662,425
UTILITIES$322,666$280,719$35,494$6,453
QA ASSESSMENT FEES$297,882$297,882
PHARMACEUTICALS$218,150$218,150

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$675,980TotalAmt
Program Services$452,394ProgramServicesAmt
Management And General$151,078ManagementAndGeneralAmt
Fundraising$72,508FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,940,430TotalAmt
Program Services$5,880,318ProgramServicesAmt
Management And General$864,575ManagementAndGeneralAmt
Fundraising$195,537FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$943,057BOYAmt
EOY$547,453EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$607,768BOYAmt
EOY$594,536EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$112,461BOYAmt
EOY$104,122EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,548,676LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,317,939LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,006,894BOYAmt
EOY$6,230,737EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,263,676BOYAmt
EOY$7,446,761EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,231,390BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,165,246BOYAmt
EOY$14,923,609EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$517,270BOYAmt
EOY$400,144EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,012BOYAmt
EOY$74,890EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$552,282BOYAmt
EOY$475,034EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,431,172BOYAmt
EOY$14,359,539EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$181,792BOYAmt
EOY$41,348EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$47,688EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,612,964BOYAmt
EOY$14,448,575EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,165,246BOYAmt
EOY$14,923,609EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$339,174ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$772,567NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$2,276,130PriorPeriodAdjustmentsAmt
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 CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$693,160CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$617,385CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$586,358CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$891,684CurrentTaxYearMinus1YearAmt
Current Tax Year$608,149CurrentTaxYearAmt
Total$3,396,736TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,003,848CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,392,700CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,290,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,195,863CurrentTaxYearMinus1YearAmt
Current Tax Year$6,485,492CurrentTaxYearAmt
Total$34,368,310TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,835CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$153,524CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$174,007CurrentTaxYearMinus1YearAmt
Current Tax Year$202,510CurrentTaxYearAmt
Total$581,876TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,748,843CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,010,085CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,030,289CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,261,554CurrentTaxYearMinus1YearAmt
Current Tax Year$7,296,151CurrentTaxYearAmt
Total$38,346,922TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$38,346,922PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$191,744CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77,732CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$92,977CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,248CurrentTaxYearMinus1YearAmt
Current Tax Year$59,993CurrentTaxYearAmt
Total$430,694TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$191,744CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77,732CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$92,977CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,248CurrentTaxYearMinus1YearAmt
Current Tax Year$59,993CurrentTaxYearAmt
Total$430,694TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$113,904CurrentTaxYearMinus3YearsAmt
Total$113,904TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,940,587CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,201,721CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,123,266CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,269,802CurrentTaxYearMinus1YearAmt
Current Tax Year$7,356,144CurrentTaxYearAmt
Total$38,891,520TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98600PublicSupportCY509Pct
Public Support PY5090.98520PublicSupportPY509Pct
Investment Income CY0.01000InvestmentIncomeCYPct
Investment Income PY0.01000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,734OtherCostOrOtherBasisAmt
Book Value$36,734BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,618,773OtherCostOrOtherBasisAmt
Depreciation$6,507,350DepreciationAmt
Book Value$6,111,423BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$781,497OtherCostOrOtherBasisAmt
Depreciation$702,277DepreciationAmt
Book Value$79,220BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$111,672OtherCostOrOtherBasisAmt
Depreciation$108,312DepreciationAmt
Book Value$3,360BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,230,737TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
THIRD PARTY PAYOR SETTLEMENTS$41,584
DEFERRED REVENUE$33,306
FieldValueIRS element (for citing)
Total Liability$74,890TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,218,431TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$772,567NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$1,166,260DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,938,827RevenueNotReportedAmt
Revenue Subtotal$7,279,604RevenueSubtotalAmt
Total Revenue Per Form990$7,279,604TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,106,690TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,166,260DonatedServicesUseFcltsAmt
Expenses Not Reported$1,166,260ExpensesNotReportedAmt
Expenses Subtotal$6,940,430ExpensesSubtotalAmt
Total Expenses Per Form990$6,940,430TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XTHE HOSPITAL IS EXEMPT FROM FEDERAL AND CALIFORNIA INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND CORRESPONDING CALIFORNIA PROVISIONS, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME (UBTI) AS DEFINED BY THE IRC. THE HOSPITAL 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 DECEMBER 31, 2017 AND 2016, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THE HOSPITAL 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.
SCHEDULE D, PAGE 4, PART XIIIPART XI LINE 2B. SISTERS' SALARIES - 1,066,260 DONATED GARDENING & LANDSCAPING SERVICES - 100,000 PART XII LINE 2A. SISTERS' SALARIES - 1,066,260 DONATED GARDENING & LANDSCAPING SERVICES - 100,000

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$150,020GrossReceiptsEvent1Amt
Gross Revenue Event1$150,020GrossRevenueEvent1Amt
Other Direct Expenses Event1$42,846OtherDirectExpensesEvent1Amt
Event2100 CLUBEvent2Nm
Gross Receipts Event2$52,490GrossReceiptsEvent2Amt
Gross Revenue Event2$52,490GrossRevenueEvent2Amt
Other Direct Expenses Event2$33,694OtherDirectExpensesEvent2Amt
Gross Receipts Total$202,510GrossReceiptsTotalAmt
Gross Revenue Total Events$202,510GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$76,540OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$76,540DirectExpenseSummaryEventsAmt
Net Income Summary$125,970NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO PROVIDE THE HIGHEST LEVEL OF LONG-TERM CARE IN SOUTHERN CALIFORNIA. THE SERVANTS OF MARY, MINISTERS TO THE SICK, ARE DEDICATED TO HELPING IN THE PERSONAL LIFE TRANSITION OF THE RESIDENTS AND THEIR FAMILIES IN A SPIRIT AND EXPRESSION OF LOVE AND CONCERN.
FORM 990, PAGE 6, PART VI, LINE 11BTHE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE DRAFT OF THE TAX RETURN AND APPROVES IT FOR FILING. THE BALANCE ARE COMPARED TO AUDITED FINANCIAL STATEMENTS.
FORM 990, PAGE 6, PART VI, LINE 12CCOMPLIANCE WITH THE CONFLICT OF THE INTEREST POLICY IS MONITORED ON A REGULAR BASIS (EMPLOYEE HANDBOOK, HANDS-ON MEETINGS, ETC.).
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION TO OFFICERS AND KEY EMPLOYEES IS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS BASED ON THE AVAILABLE MARKET DATA.
FORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION OF OFFICERS AND KEY EMPLOYEES IS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS BASED ON THE AVAILABLE MARKET DATA.
FORM 990, PAGE 6, PART VI, LINE 19THE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990, PART XILINE 8 - DURING THE YEAR ENDED DECEMBER 31, 2017, THE ORGANIZATION IDENTIFIED A PRIOR PERIOD ERROR IN THE METHOD OF RECORDING THIRD-PARTY PAYOR SETTLEMENTS, WHICH HAD ACCUMULATED OVER TWO YEARS. OF RECORDING THIRD-PARTY PAYOR SETTLEMENTS WAS IDENTIFIED. THIS ERROR RESULTED IN THE OVERSTATEMENT OF THIRD-PAYOR SETTLEMENTS, AND PATIENT CARE AND RESIDENT REVENUE BY 2,276,130 IN PRIOR YEARS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THE SERVANTS OF MARYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 NORTH 18TH STREETAddressLine1Txt
CityKANSASCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66102ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesCONVENTPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Public Charity Status1PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
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 OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE SERVANTS OF MARYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$286,301InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.