MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL IN: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL IN (EIN 95-2299398)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-09-19
IRS object ID
201742629349300679
Schema version
2016v3.0
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)
Return2017-09-19T10:50:34-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

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 TitleTREASURERPersonTitleTxt
Phone8054983644PhoneNum
Signature2017-08-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonYEFIM SKLYAR CPAPreparerPersonNm
PTINP00362128PTIN
Phone8189752040PhoneNum
Preparation2017-08-08PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id41A782AC5A419C215E1DC2EA060E924D36C04065AtSubmissionCreationDeviceId
At Submission Filing Device Id41A782AC5A419C215E1DC2EA060E924D36C04065AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

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$9,269,802GrossReceiptsAmt
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 Independent0VotingMembersIndependentCnt
Total Employee120TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$586,358PYContributionsGrantsAmt
CY Contributions Grants$891,684CYContributionsGrantsAmt
PY Program Service Revenue$7,290,407PYProgramServiceRevenueAmt
CY Program Service Revenue$8,195,863CYProgramServiceRevenueAmt
PY Investment Income$92,977PYInvestmentIncomeAmt
CY Investment Income$8,248CYInvestmentIncomeAmt
PY Other Revenue$82,879PYOtherRevenueAmt
CY Other Revenue$105,100CYOtherRevenueAmt
PY Total Revenue$8,052,621PYTotalRevenueAmt
CY Total Revenue$9,200,895CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,924,903PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,942,850CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$221,698CYTotalFundraisingExpenseAmt
PY Other Expenses$2,914,168PYOtherExpensesAmt
CY Other Expenses$3,050,886CYOtherExpensesAmt
PY Total Expenses$6,839,071PYTotalExpensesAmt
CY Total Expenses$6,993,736CYTotalExpensesAmt
PY Revenues Less Expenses$1,213,550PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,207,159CYRevenuesLessExpensesAmt
Total Assets BOY$13,828,447TotalAssetsBOYAmt
Total Assets EOY$16,165,246TotalAssetsEOYAmt
Total Liabilities BOY$791,590TotalLiabilitiesBOYAmt
Total Liabilities EOY$552,282TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,036,857NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,612,964NetAssetsOrFundBalancesEOYAmt
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$5,884,881ExpenseAmt
Revenue$8,195,863RevenueAmt
DescPROVIDED LONG-TERM NURSING CARE TO THE ELDERLY. IN 2016, THE RESIDENT CENSUS WAS 20,054 PATIENTS DAYS, WHICH INCLUDE 4,530 PRIVATE PATIENT DAYS, 3,855 MEDICARE PATIENT DAYS, 11,669 MEDI-CAL PATIENT DAYS.Desc
Total Program Service Expenses$5,884,881TotalProgramServiceExpensesAmt
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 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 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee120EmployeeCnt
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 Member0IndependentVotingMemberCnt
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 WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MOTHER CLAUDIA ZAMORA
PRESIDENT50.000.00Yes (X)Yes (X)$0$0$0
SISTER LUCERO GARCIA
VICE PRESIDE50.000.00Yes (X)Yes (X)$0$0$0
SISTER CARMEN RODRIGUEZ
BOARD MEMBER50.00Yes (X)$0$0$0
SISTER LOURDES LARA
TREASURER50.000.00Yes (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$220,896CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$891,684AllOtherContributionsAmt
Total Contributions$891,684TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUEDesc
Total Revenue Column$8,195,863TotalRevenueColumnAmt
Related Or Exempt Func Income$8,195,863RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,195,863TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,248TotalRevenueColumnAmt
Exclusion$8,248ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$174,007FundraisingGrossIncomeAmt
Fundraising Direct Expenses$68,907FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$105,100TotalRevenueColumnAmt
Exclusion$105,100ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,200,895TotalRevenueColumnAmt
Related Or Exempt Func Income$8,195,863RelatedOrExemptFuncIncomeAmt
Exclusion$113,348ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$102,607TotalAmt
Program Services$51,303ProgramServicesAmt
Management And General$25,652ManagementAndGeneralAmt
Fundraising$25,652FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,146,927TotalAmt
Program Services$2,737,826ProgramServicesAmt
Management And General$346,162ManagementAndGeneralAmt
Fundraising$62,939FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$444,577TotalAmt
Program Services$245,892ProgramServicesAmt
Management And General$193,863ManagementAndGeneralAmt
Fundraising$4,822FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$248,739TotalAmt
Program Services$216,403ProgramServicesAmt
Management And General$27,361ManagementAndGeneralAmt
Fundraising$4,975FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$33,300TotalAmt
Management And General$33,300ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,630TotalAmt
Management And General$2,630ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$40,000TotalAmt
Management And General$40,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,638TotalAmt
Management And General$17,638ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,381TotalAmt
Program Services$710ProgramServicesAmt
Fundraising$3,671FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,429TotalAmt
Management And General$19,429ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$213,560TotalAmt
Program Services$213,560ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$279,753TotalAmt
Program Services$279,753ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$102,336TotalAmt
Program Services$71,635ProgramServicesAmt
Management And General$20,467ManagementAndGeneralAmt
Fundraising$10,234FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ANCILLARY SERVICES$759,293$759,293
UTILITIES$302,709$263,357$33,298$6,054
QA ASSESSMENT FEES$302,350$302,350
PHARMACEUTICALS$243,209$243,209

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$730,298TotalAmt
Program Services$499,590ProgramServicesAmt
Management And General$127,357ManagementAndGeneralAmt
Fundraising$103,351FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,993,736TotalAmt
Program Services$5,884,881ProgramServicesAmt
Management And General$887,157ManagementAndGeneralAmt
Fundraising$221,698FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$880,834BOYAmt
EOY$943,057EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$705,726BOYAmt
EOY$607,768EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$100,085BOYAmt
EOY$112,461EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,020,150LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,013,256LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,255,090BOYAmt
EOY$6,006,894EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,183,563BOYAmt
EOY$6,263,676EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$703,149BOYAmt
EOY$2,231,390EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,828,447BOYAmt
EOY$16,165,246EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$755,736BOYAmt
EOY$517,270EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,854BOYAmt
EOY$35,012EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$791,590BOYAmt
EOY$552,282EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,021,773BOYAmt
EOY$15,431,172EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,084BOYAmt
EOY$181,792EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,036,857BOYAmt
EOY$15,612,964EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,828,447BOYAmt
EOY$16,165,246EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,207,159ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$368,948NetUnrlzdGainsLossesInvstAmt
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$758,627CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$693,160CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$617,385CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$586,358CurrentTaxYearMinus1YearAmt
Current Tax Year$891,684CurrentTaxYearAmt
Total$3,547,214TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,075,342CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,003,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,392,700CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,290,407CurrentTaxYearMinus1YearAmt
Current Tax Year$8,195,863CurrentTaxYearAmt
Total$33,958,160TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,678CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51,835CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$153,524CurrentTaxYearMinus1YearAmt
Current Tax Year$174,007CurrentTaxYearAmt
Total$441,044TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,895,647CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,748,843CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,010,085CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,030,289CurrentTaxYearMinus1YearAmt
Current Tax Year$9,261,554CurrentTaxYearAmt
Total$37,946,418TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$37,946,418PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,344CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$191,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$77,732CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92,977CurrentTaxYearMinus1YearAmt
Current Tax Year$8,248CurrentTaxYearAmt
Total$456,045TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,344CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$191,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$77,732CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92,977CurrentTaxYearMinus1YearAmt
Current Tax Year$8,248CurrentTaxYearAmt
Total$456,045TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$113,904CurrentTaxYearMinus2YearsAmt
Total$113,904TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,980,991CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,940,587CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,201,721CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,123,266CurrentTaxYearMinus1YearAmt
Current Tax Year$9,269,802CurrentTaxYearAmt
Total$38,516,367TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98520PublicSupportCY509Pct
Public Support PY5090.98080PublicSupportPY509Pct
Investment Income CY0.01000InvestmentIncomeCYPct
Investment Income PY0.02000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

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$12,106,749OtherCostOrOtherBasisAmt
Depreciation$6,230,904DepreciationAmt
Book Value$5,875,845BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$764,995OtherCostOrOtherBasisAmt
Depreciation$676,280DepreciationAmt
Book Value$88,715BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$111,672OtherCostOrOtherBasisAmt
Depreciation$106,072DepreciationAmt
Book Value$5,600BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,006,894TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescTHIRD PARTY PAYORS SETTLEMENTSDesc
Book Value$2,231,390BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,231,390TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED REVENUEDesc
Amt$35,012Amt
FieldValueIRS element (for citing)
Total Liability$35,012TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$10,734,403TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$368,948NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$1,164,560DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,533,508RevenueNotReportedAmt
Revenue Subtotal$9,200,895RevenueSubtotalAmt
Total Revenue Per Form990$9,200,895TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,158,296TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,164,560DonatedServicesUseFcltsAmt
Expenses Not Reported$1,164,560ExpensesNotReportedAmt
Expenses Subtotal$6,993,736ExpensesSubtotalAmt
Total Expenses Per Form990$6,993,736TotalExpensesPerForm990Amt

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, 2016 AND 2015, 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 2013 FOR THEIR FEDERAL AND 2012 FOR THEIR STATE TAX FILINGS.
SCHEDULE D, PAGE 4, PART XIIIPART XI LINE 2B. SISTERS' SALARIES - 1,064,560 DONATED GARDENING & LANDSCAPING SERVICES - 100,000 PART XII LINE 2A. SISTERS' SALARIES - 1,064,560 DONATED GARDENING & LANDSCAPING SERVICES - 100,000

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$112,982GrossReceiptsEvent1Amt
Gross Revenue Event1$112,982GrossRevenueEvent1Amt
Other Direct Expenses Event1$45,331OtherDirectExpensesEvent1Amt
Event2100 CLUBEvent2Nm
Gross Receipts Event2$61,025GrossReceiptsEvent2Amt
Gross Revenue Event2$61,025GrossRevenueEvent2Amt
Other Direct Expenses Event2$23,576OtherDirectExpensesEvent2Amt
Gross Receipts Total$174,007GrossReceiptsTotalAmt
Gross Revenue Total Events$174,007GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$68,907OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$68,907DirectExpenseSummaryEventsAmt
Net Income Summary$105,100NetIncomeSummaryAmt

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 IX, LINE 24EFOOD 155,707 0 0 PLANT OPERATIONS & MAINTE 122,919 0 0 FUNDRAISING EVENTS 0 0 103,351 OTHER PATIENT SERVICES 65,809 0 0 LAUNDRY EXPENSES 62,280 0 0 DATA PROCESSING SUPPLIES 0 51,069 0 DIETARY SUPPLIES AND EXP 46,032 0 0 HOUSEKEEPING SUPPLIES 38,803 0 0 ADMIN - LICENSES AND TAX 0 32,379 0 ADMIN- TELEPHONE 0 16,898 0 MEDICAL RECORDS 8,040 0 0 VEHICLE EXPENSES 0 7,712 0 FACILITY EVENTS 0 7,293 0 ADMIN DUES & SUBSCRIPTION 0 4,707 0 ADMIN CONTINUING EDUCATIO 0 4,448 0 PRINTING & DUPLICATING 0 1,500 0 POSTAGE 0 1,351 0 TOTAL 499,590 127,357 103,351

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$213,560InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt

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