ST JOHN OF GOD RETIREMENT AND CARE CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ST JOHN OF GOD RETIREMENT AND CARE CENTER (EIN 95-1660824)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-06-07
IRS object ID
201731589349300233
Schema version
2015v3.0
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)
Return2017-06-07T13:32:24-07:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Danielle M Guzman CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line115505 W Sand St suite 101AddressLine1Txt
CityVictorvilleCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92392ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

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 TitleChairmanPersonTitleTxt
Signature2017-06-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDanielle M GuzmanPreparerPersonNm
PTINP00494066PTIN
Phone7602431515PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$21,126,845GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STJOG.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTHE ST. JOHN OF GOD RETIREMENT AND CARE CENTER (THE CENTER)IS A CALIFORNIA NOT-FOR-PROFIT CORPORATION WHICH OPERATES 156 BED SKILLED NRUSING, 111 UNIT ASSISTED LIVING AND RESIDENTIAL CARE UNITS, AND 31 UNITS FOR MEMORY CARE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee522TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,376,121PYContributionsGrantsAmt
CY Contributions Grants$131,327CYContributionsGrantsAmt
PY Program Service Revenue$18,324,224PYProgramServiceRevenueAmt
CY Program Service Revenue$20,917,195CYProgramServiceRevenueAmt
PY Investment Income$19,685PYInvestmentIncomeAmt
CY Investment Income$78,323CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$19,720,030PYTotalRevenueAmt
CY Total Revenue$21,126,845CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,403,075PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,636,817CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,652,042PYOtherExpensesAmt
CY Other Expenses$10,617,771CYOtherExpensesAmt
PY Total Expenses$21,055,117PYTotalExpensesAmt
CY Total Expenses$22,254,588CYTotalExpensesAmt
PY Revenues Less Expenses-$1,335,087PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,127,743CYRevenuesLessExpensesAmt
Total Assets BOY$30,080,589TotalAssetsBOYAmt
Total Assets EOY$28,908,452TotalAssetsEOYAmt
Total Liabilities BOY$1,361,287TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,316,893TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$28,719,302NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,591,559NetAssetsOrFundBalancesEOYAmt
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 HOSPITALITY, RESPECT AND HEALING.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$16,859,938ExpenseAmt
DescOPERATED A SKILLED NURSING, LONG TERM CARE, AND RESIDENTIAL CARE FACILITY AND PROVIDED ANCILLARY SERVICES TO RESIDENTS.Desc
Total Program Service Expenses$16,859,938TotalProgramServiceExpensesAmt
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 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 RequiredYes (true)ScheduleJRequiredInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee522EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
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 AddressYes (true)OfficerMailingAddressInd
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

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BROTHER IGNATIUS SUDOL OH
Chairman30.0020.00Yes (X)Yes (X)$0$0$0
BROTHER STEPHEN DE LA ROSA OH
Secretary1.000.00Yes (X)$0$0$0
BROTHER GEORGE TECKU OH
Treasurer1.000.00Yes (X)$0$0$0
DR LESLIE PAUL MD
Trustee1.000.00Yes (X)$0$0$0
DR ROBERT KASAMATSU DPM
Trustee1.000.00Yes (X)$0$0$0
DONNA BENTON PHD
Trustee1.000.00Yes (X)$0$0$0
RENE MARTINEZ
Trustee1.000.00Yes (X)$0$0$0
JOHN PAUL COSICO
Trustee1.000.00Yes (X)$0$0$0
MARIO BRAVO
Trustee1.000.00Yes (X)$0$0$0
BROTHER MICHAEL BASSEMIER OH
Chairman1.000.00Yes (X)$0$0$0
SANTIAGO LOPEZ
President & CEO30.0020.00Yes (X)$173,862$0$0
WILLY ATIENZA
Controller30.0020.00Yes (X)$0$0$0
RENE DRACHENBERG
CCO30.0020.00Yes (X)$167,195$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$341,057TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CALIFORNIA UNIQUE SECURITY
PO BOX 455NORCOCA92860SECURITY SERVICES$170,274
PRIME REHAB SERVICES
11137 WESTWOOD BLVDCULVER CITYCA90230THERAPY SERVICES$811,882
RUBEN MORENO GONZALEZ
4050 RENEE AVERIVERSIDECA92507GENERAL CONTRACTOR$126,399
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$111,538RelatedOrganizationsAmt
All Other Contributions$19,789AllOtherContributionsAmt
Total Contributions$131,327TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ANCILLARY SERVICES$429,274$429,274
MEDICARE/MEDI-CAL/HOSPICE$13,476,526$13,476,526
PRIVATE PATIENT & RESIDEN$7,011,395$7,011,395
FieldValueIRS element (for citing)
Total Program Service Revenue$20,917,195TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,323TotalRevenueColumnAmt
Exclusion$78,323ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,126,845TotalRevenueColumnAmt
Related Or Exempt Func Income$20,917,195RelatedOrExemptFuncIncomeAmt
Exclusion$78,323ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

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$366,958TotalAmt
Program Services$133,164ProgramServicesAmt
Management And General$233,794ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,730,667TotalAmt
Program Services$8,946,404ProgramServicesAmt
Management And General$784,263ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$751,442TotalAmt
Program Services$645,380ProgramServicesAmt
Management And General$106,062ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$787,750TotalAmt
Program Services$653,599ProgramServicesAmt
Management And General$134,151ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$50,861TotalAmt
Management And General$50,861ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,125TotalAmt
Management And General$10,125ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$10,854TotalAmt
Management And General$10,854ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$43,788TotalAmt
Management And General$43,788ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,951TotalAmt
Program Services$4,151ProgramServicesAmt
Management And General$800ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$203,809TotalAmt
Program Services$29,293ProgramServicesAmt
Management And General$174,516ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$29,056TotalAmt
Management And General$29,056ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$26,587TotalAmt
Management And General$26,587ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,186TotalAmt
Program Services$1,106ProgramServicesAmt
Management And General$9,080ManagementAndGeneralAmt

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$194TotalAmt
Management And General$194ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$343TotalAmt
Management And General$343ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,162,194TotalAmt
Program Services$1,110,366ProgramServicesAmt
Management And General$51,828ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,315,498TotalAmt
Program Services$775,345ProgramServicesAmt
Management And General$540,153ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$2,156,399$2,020,022$136,377
SUPPLIES$1,276,604$1,195,849$80,755
FORGIVEN DEBT -OJAI$995,983$995,983
ASSURANCE FEES$868,281$868,281

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,452,058TotalAmt
Program Services$1,345,259ProgramServicesAmt
Management And General$1,106,799ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,254,588TotalAmt
Program Services$16,859,938ProgramServicesAmt
Management And General$5,394,650ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$610,994BOYAmt
EOY$792,183EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$862,317BOYAmt
EOY$852,125EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$888,391BOYAmt
EOY$985,636EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$357,688BOYAmt
EOY$408,034EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$49,476,072LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,753,149LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$24,847,573BOYAmt
EOY$23,722,923EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,122,929BOYAmt
EOY$1,156,392EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,390,697BOYAmt
EOY$991,159EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,080,589BOYAmt
EOY$28,908,452EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,308,764BOYAmt
EOY$1,258,370EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,523BOYAmt
EOY$58,523EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,361,287BOYAmt
EOY$1,316,893EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,719,302BOYAmt
EOY$27,591,559EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,719,302BOYAmt
EOY$27,591,559EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,080,589BOYAmt
EOY$28,908,452EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,127,743ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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

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$507,991OtherCostOrOtherBasisAmt
Book Value$507,991BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,277,264OtherCostOrOtherBasisAmt
Depreciation$22,804,933DepreciationAmt
Book Value$22,472,331BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$413,084OtherCostOrOtherBasisAmt
Depreciation$386,948DepreciationAmt
Book Value$26,136BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,484,474OtherCostOrOtherBasisAmt
Depreciation$880,893DepreciationAmt
Book Value$603,581BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,793,259OtherCostOrOtherBasisAmt
Depreciation$1,680,375DepreciationAmt
Book Value$112,884BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,722,923TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PATIENT TRUST$26,959
SECURITY DEPOSITS$31,564
FieldValueIRS element (for citing)
Total Liability$58,523TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$21,126,845TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$21,126,845RevenueSubtotalAmt
Total Revenue Per Form990$21,126,845TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,254,588TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$22,254,588ExpensesSubtotalAmt
Total Expenses Per Form990$22,254,588TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
RENE DRACHENBERG
CCO$167,195$167,195
SANTIAGO LOPEZ
President & CEO$173,862$173,862

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE FORM 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE AND THEN APPROVED BY THE BOARD AT LARGE.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOFFICERS, 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, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementTHE 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 19: Other Organization Documents Publicly AvailableTHE ORGANIZATION DISCLOSES GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS UPON REQUEST. IN ADDITION, THE FORM 990 IS MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
Form 990, Part IX, Line 24e: Other ExpensesHOME OFFICE FEE (HBH): Column (A) - Total = $45572; Column (B) - Program Services = $11043; Column (C) - Management & General = $34529; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesRAW FOODS: Column (A) - Total = $559401; Column (B) - Program Services = $559401; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesREPAIRS & MAINTENANCE: Column (A) - Total = $369714; Column (B) - Program Services = $369714; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesRESIDENT REFERRALS: Column (A) - Total = $43653; Column (B) - Program Services = $43653; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesSPONSORSHIP FEES: Column (A) - Total = $450000; Column (B) - Program Services = $109045; Column (C) - Management & General = $340955; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesSTAFF DEVELOPMENT: Column (A) - Total = $2467; Column (B) - Program Services = $326; Column (C) - Management & General = $2141; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesTAXES AND LICENSES: Column (A) - Total = $114010; Column (B) - Program Services = $19354; Column (C) - Management & General = $94656; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesUTILITIES: Column (A) - Total = $867241; Column (B) - Program Services = $232723; Column (C) - Management & General = $634518; Column (D) - Fundraising = $0
Form 990, Part XII, Line 2: Change of Oversight or Selection ProcessTHE ORGANIZATION HAS A FINANCE COMMITTEE WHO MEETS TO REVIEW THE AUDIT AND RECOMMEND THAT THE BOARD EITHER ACCEPT OR REJECT THE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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 HEATH CARE SERVICES
2425 S WESTERN AVELOS ANGELESCA90018954334552RELIGIOUS ORGANIZATIONCACHARITABLELINE 1N/Afalse
ST JOSEPHS HEALTH AND RETIREMENT CTR
2464 E OJAI AVEOJAICA93024953265311SENIOR CARECACHARITABLELINE 1N/Afalse
BROTHERS OF ST JOHN OF GOD
2425 S WESTERN AVELOS ANGELESCA90018952399225RELIGIOUS ORDERCACHARITABLELINE 1N/Afalse
ST JOHN OF GOD HEALTH CARE SERVICES
PO BOX 2457VICTORVILLECA92392953806996SUBSTANCE ABUSE TREATMENT & PREVENTIONCACHARITABLELINE 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$111,538CASH
ST JOSEPHS HEALTH AND RETIREMENT CTR
b$995,983LOAN FORGIVEN
ST JOSEPHS HEALTH AND RETIREMENT CTR
d$582,437CASH
BROTHERS OF ST JOHN OF GOD
m$450,000CASH

Comments

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