2017-09-19T10:50:34-07:00 2016-12-31 475677171 WALTERS & SKLYAR LLP 21031 VENTURA BLVD STE 401 WOODLAND HILLS CA 91364 990 2016-01-01 952299398 MARY HEALTH OF THE SICK CONVALESCENT MARY 8054983644 2929 THERESA DRIVE NEWBURY PARK CA 91320 SISTER LOURDES LARA TREASURER 8054983644 2017-08-08 true YEFIM SKLYAR CPA P00362128 8189752040 2017-08-08 41A782AC5A419C215E1DC2EA060E924D36C04065 41A782AC5A419C215E1DC2EA060E924D36C04065 2016 2018-03-14 21:41:22Z SISTER LOURDES LARA 2929 THERESA DRIVE NEWBURY PARK CA 91320 9269802 false X WWW.MARYHEALTH.COM X 1964 CA TO 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 DETERMINE 4 0 120 100 0 586358 891684 7290407 8195863 92977 8248 82879 105100 8052621 9200895 0 0 3924903 3942850 0 221698 2914168 3050886 6839071 6993736 1213550 2207159 13828447 16165246 791590 552282 13036857 15612964 X TO 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. false false 5884881 8195863 PROVIDED 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. 5884881 true true false false false false false false false false true false false true true true true false false false false false false false true false false false false false false false false false false false false false false false false false false true false false false true 27 0 true 120 true false false false false false false false false false false false false X 4 0 false false false false false false false true true false true true true true true true true true true true false X X BETTY SCHMIDT 8054983644 2929 THERESA DRIVE NEWBURY PARK CA 91320 X MOTHER CLAUDIA ZAMORA PRESIDENT 50.00 0.00 X X 0 0 0 SISTER LUCERO GARCIA VICE PRESIDE 50.00 0.00 X X 0 0 0 SISTER CARMEN RODRIGUEZ BOARD MEMBER 50.00 X 0 0 0 SISTER LOURDES LARA TREASURER 50.00 0.00 X X 0 0 0 1 false false false SKILLED NURSHING PHARMACY 16666 E JOHNSON DRIVE INDUSTRY CA 91745 PHARMACY 220896 1 891684 891684 PROGRAM SERVICE REVENUE 8195863 8195863 8195863 8248 8248 174007 68907 105100 105100 9200895 8195863 113348 X 102607 51303 25652 25652 3146927 2737826 346162 62939 444577 245892 193863 4822 248739 216403 27361 4975 33300 33300 2630 2630 40000 40000 17638 17638 4381 710 3671 19429 19429 213560 213560 279753 279753 102336 71635 20467 10234 ANCILLARY SERVICES 759293 759293 UTILITIES 302709 263357 33298 6054 QA ASSESSMENT FEES 302350 302350 PHARMACEUTICALS 243209 243209 730298 499590 127357 103351 6993736 5884881 887157 221698 880834 943057 705726 607768 100085 112461 13020150 7013256 6255090 6006894 5183563 6263676 703149 2231390 13828447 16165246 755736 517270 35854 35012 791590 552282 X 13021773 15431172 15084 181792 13036857 15612964 13828447 16165246 2207159 368948 X false true X true false X 758627 693160 617385 586358 891684 3547214 6075342 6003848 6392700 7290407 8195863 33958160 61678 51835 153524 174007 441044 6895647 6748843 7010085 8030289 9261554 37946418 37946418 85344 191744 77732 92977 8248 456045 85344 191744 77732 92977 8248 456045 113904 113904 6980991 6940587 7201721 8123266 9269802 38516367 0.98520 0.98080 0.01000 0.02000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36734 36734 12106749 6230904 5875845 764995 676280 88715 111672 106072 5600 6006894 THIRD PARTY PAYORS SETTLEMENTS 2231390 2231390 DEFERRED REVENUE 35012 35012 X 10734403 368948 1164560 1533508 9200895 9200895 8158296 1164560 1164560 6993736 6993736 SCHEDULE D, PAGE 3, PART X THE 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 XIII PART 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 GALA 112982 112982 45331 100 CLUB 61025 61025 23576 174007 174007 68907 68907 105100 FORM 990 - ORGANIZATION'S MISSION TO 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 11B 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, PAGE 6, PART VI, LINE 12C COMPLIANCE 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 15A COMPENSATION 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 15B COMPENSATION 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 19 THE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990, PART IX, LINE 24E FOOD 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 THE SERVANTS OF MARY 800 NORTH 18TH STREET KANSAS KS 66102 CONVENT KS 1 NA false false false false false false false false false false false false false false false false false false true false THE SERVANTS OF MARY R 213560 CASH