MERCY RETIREMENT CARE CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MERCY RETIREMENT CARE CENTER (EIN 94-1156579)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-04
IRS object ID
201430359349300123
Schema version
2012v2.3
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)
Timestamp2014-02-04T12:16:48-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941156579EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY RETIREMENT AND CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JANICE WASHBURNInCareOfName
Name ControlMERCNameControl
Phone5107692700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 MARINA VILLAGE PARKWAYAddressLine1
Address Line2Suite 210AddressLine2
CityALAMEDACity
StateCAState
ZIP Code94501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANICE WASHBURNName
TitleINTERIM CFO/CONTROLLERTitle
Phone5107692727Phone
Date Signed2014-01-27DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJESSE JANTZENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11301 MARINA VILLAGE PKWY 210AddressLine1
CityALAMEDACity
StateCAState
ZIP Code94501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25303460GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MERCYRETIREMENTCENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1872YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionMERCY RETIREMENT & CARE CENTER SERVES AND ENRICHES THE LIVES OF OLDER ADULTS BY PROVIDING HOUSING AND SERVICES THROUGH ITS RETIREMENT & CARE CENTER, ASSISTED LIVING AND MEMORY CARE UNITS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees206TotalNbrEmployees
Total Nbr Volunteers566TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1357534ContributionsGrantsPriorYear
Contributions Grants Current Year10240211ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12920007ProgramServiceRevenuePriorYear
Program Service Revenue CY13504863ProgramServiceRevenueCY
Investment Income Prior Year232571InvestmentIncomePriorYear
Investment Income Current Year599001InvestmentIncomeCurrentYear
Other Revenue Prior Year590820OtherRevenuePriorYear
Other Revenue Current Year25486OtherRevenueCurrentYear
Total Revenue Prior Year15100932TotalRevenuePriorYear
Total Revenue Current Year24369561TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3086GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY825GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7661163SalariesEtcPriorYear
Salaries Etc Current Year7584546SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year186658TotalFundrsngExpCurrentYear
Other Expense Prior Year6146898OtherExpensePriorYear
Other Expenses Current Year6043630OtherExpensesCurrentYear
Total Expenses Prior Year13811147TotalExpensesPriorYear
Total Expenses Current Year13629001TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1289785RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10740560RevenuesLessExpensesCY
Total Assets BOY18634039TotalAssetsBOY
Total Assets EOY28230715TotalAssetsEOY
Total Liabilities BOY1924273TotalLiabilitiesBOY
Total Liabilities EOY1573315TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16709766NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26657400NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionA NONPROFIT ORGANIZATION COMMITTED TO SERVING AND ENRICHING THE PHYSICAL, EMOTIONAL AND SPIRITUAL WELL-BEING OF OLDER ADULTS THROUGH A PROFESSIONAL, FAITH-CENTERED CARE COMMUNITY AND SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7907702Expense
Revenue7417993Revenue
DescriptionMERCY RETIREMENT & CARE CENTER IS LICENSED FOR 59 SKILLED NURSING RESIDENTS. THE CARE CENTER PROVIDES SKILLED NURSING CARE TO 53 OLDER ADULT RESIDENTS IN AN AVERAGE MONTH FOR AN ANNUAL TOTAL OF OVER 19,225 RESIDENT DAYS. 44% OF RESIDENTS ARE PRIVATE PAY, WHILE 36% HAVE MEDI-CAL, 18% HAVE MEDICARE AND 2% HAVE OTHER INSURANCE COVERAGE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2003284Expense
Revenue4340495Revenue
DescriptionMERCY'S ASSISTED LIVING UNIT PROVIDES HOUSING AND SERVICES FOR UP TO 84 OLDER ADULT RESIDENTS THAT REQUIRE SOME ASSISTANCE WITH MEDICATION OR DAILY ACTIVITIES. THIS YEAR WE PROVIDED ASSISTED LIVING HOUSING FOR 73 RESIDENTS EACH MONTH ON AVERAGE, EXCLUDING SECOND PERSONS IN EACH UNIT, FOR AN ANNUAL TOTAL OF 26,579 RESIDENT DAYS. THE ASSISTED LIVING RESIDENTS ARE OFFERED FIVE LEVELS OF CARE IN ADDITION TO THE BASE LEVEL OF CARE SO THAT THEIR INDIVIDUAL NEEDS CAN BE MET. THERE ARE MANY ACTIVITIES PROVIDED FOR OUR ASSISTED LIVING RESIDENTS, INCLUDING MANY THAT REFLECT OUR FAITH-BASED MISSION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense632616Expense
Revenue1534504Revenue
DescriptionMERCY'S MEMORY CARE UNIT PROVIDES HOUSING AND SERVICES FOR UP TO 22 OLDER ADULT RESIDENTS WHO HAVE DEMENTIA OR MEMORY LOSS. THIS YEAR WE PROVIDED MEMORY CARE HOUSING FOR 20 RESIDENTS EACH MONTH ON AVERAGE FOR A TOTAL OF 7,156 RESIDENT DAYS. THE MEMORY CARE UNIT HAS MANY DAILY ACTIVITIES DESIGNED FOR DEMENTIA OR MEMORY LOSS RESIDENTS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp316308TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt825TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev211871TotalOfOtherProgramServiceRev
Total Program Service Expense10859910TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109662NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees206NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJANICE WASHBURNNamePerson
Telephone Number5107692727TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11301 MARINA VILLAGE PARKWAY SUITEAddressLine1
CityALAMEDACity
StateCAState
ZIP Code94501ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES RUTHROFF
DIRECTOR1.04.0X000
SISTER LINDA ORRICK
SECRETARY END 11/20121.06.0X000X
SISTER KATHLEEN KEARNEY
CHAIRMAN1.09.0X000X
JOAN RYAN
DIRECTOR1.03.0X000
MICHAEL TELLEEN
DIRECTOR1.03.0X000
VERN STIGGE
VICE CHAIR BEG. 11/20121.09.0X000X
CHRISTINE WHELAN
SECRETARY BEG. 11/20121.08.0X000X
REV NOREEN MEGINNESS
DIRECTOR1.03.0X000
JESSE BEAN
DIRECTOR1.03.0X000
LYNNE KATZMANN
DIRECTOR BEG. 11/20121.03.0X000
RAHUL JOGLEKAR
DIRECTOR BEG. 11/20121.03.0X000
JESSE JANTZEN
CHIEF EXECUTIVE OFFICER1.045.0037427912127X
JANICE WASHBURN
INTERIM CFO/CONTROLLER1.045.0019122712430X
ADRIENE IVERSON
ASSISTANT SECRETARY1.045.001781209041X
SISTER PATTY CREEDON
EXECUTIVE DIRECTOR40.0173510015782X
SHAYE STARKEY
CARE CENTER ASST EXEC DIRECTOR40.010765302709X
ELIZABETH PACIS
CARE CENTER MANAGER40.010401406170X
FieldValueIRS element (for citing)
Total Reportable Comp From Org385177TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs743626TotalReportableCompFrmRltdOrgs
Total Other Compensation58259TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP INC
MEDICAL SERVICES794765
FLORES SAUL
PROPERTY MAINTENANCE256293
SISTER OF MERCY
NURSING SERVICES173726
QUEZADA JUAN LUIS
PROPERTY MAINTENANCE365048
SIU ANDY
REMODEL SERVICES132825
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants26208GovernmentGrants
All Other Contributions10214003AllOtherContributions
Total Contributions10240211TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE62300073482217348221
RESIDENT SERVICES62300058611885861188
OTHER PROGRAM SERVICE REVENUE623000295454295454
FieldValueIRS element (for citing)
Total Program Service Revenue13504863TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column215395TotalRevenueColumn
Exclusion$215,395ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real25486Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real25486Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column25486TotalRevenueColumn
Exclusion$25,486ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1317505Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities933899Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities383606Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column383606TotalRevenueColumn
Exclusion$383,606ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24369561TotalRevenueColumn
Related Or Exempt Function Income13504863RelatedOrExemptFunctionIncome
Exclusion$624,487ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total825Total
Program Services825ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total250360Total
Management And General250360ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5947302Total
Program Services5424535ProgramServices
Management And General393216ManagementAndGeneral
Fundraising129551Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total164293Total
Program Services134416ProgramServices
Management And General25758ManagementAndGeneral
Fundraising4119Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total788981Total
Program Services769743ProgramServices
Management And General8576ManagementAndGeneral
Fundraising10662Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total433610Total
Program Services382596ProgramServices
Management And General41023ManagementAndGeneral
Fundraising9991Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total992617Total
Management And General992617ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total51738Total
Management And General51738ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45357Total
Management And General45357ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total58849Total
Management And General58849ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1236478Total
Program Services1216898ProgramServices
Management And General19580ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total127836Total
Program Services4149ProgramServices
Management And General94513ManagementAndGeneral
Fundraising29174Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1218297Total
Program Services1084362ProgramServices
Management And General131169ManagementAndGeneral
Fundraising2766Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3520Total
Program Services3455ProgramServices
Management And General65ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total469505Total
Program Services413484ProgramServices
Management And General56021ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total43084Total
Program Services25409ProgramServices
Management And General17675ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30977Total
Program Services11112ProgramServices
Management And General19670ManagementAndGeneral
Fundraising195Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1042693Total
Program Services847833ProgramServices
Management And General194860ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total119506Total
Program Services96458ProgramServices
Management And General23048ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT34653465
MEDICAL SUPPLIES & DRUGS345398345398
LICENSES, DUES, SUBSCRIPTIONS640621678747275
RECRUITING & RETENTION1211699906111063200

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total69079Total
Program Services69079ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13629001Total
Program Services10859910ProgramServices
Management And General2582433ManagementAndGeneral
Fundraising186658Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY616842BOY
EOY1064703EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY425831BOY
EOY805110EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY727754BOY
EOY10125424EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY60847BOY
EOY86166EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19353348LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13693552LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6046174BOY
EOY5659796EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10756591BOY
EOY10489516EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18634039BOY
EOY28230715EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1271849BOY
EOY964248EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY26598BOY
EOY26485EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY625826BOY
EOY582582EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1924273BOY
EOY1573315EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12620480BOY
EOY22359885EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1747003BOY
EOY1955232EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2342283BOY
EOY2342283EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16709766BOY
EOY26657400EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18634039BOY
EOY28230715EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10740560ReconcilationRevenueExpenses
Reconciliation Unrealized Invest513074ReconciliationUnrealizedInvest
Reconcilation Other Changes-1306000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1004557CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years713930CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years654702CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1357534CurrentTaxYearMinus1Year
Current Tax Year10240211CurrentTaxYear
Total13970934Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10825687CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11396695CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12268031CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12920007CurrentTaxYearMinus1Year
Current Tax Year13504863CurrentTaxYear
Total60915283Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11830244CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12110625CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12922733CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14277541CurrentTaxYearMinus1Year
Current Tax Year23745074CurrentTaxYear
Total74886217Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years194813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years130548CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years84071CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10527CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total419959Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years194813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years130548CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years84071CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10527CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total419959Total
FieldValueIRS element (for citing)
Public Support Total50974466258PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13507CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years171171CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years262901CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year281627CurrentTaxYearMinus1Year
Current Tax Year24081CurrentTaxYear
Total753287Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13507CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years171171CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years262901CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year281627CurrentTaxYearMinus1Year
Current Tax Year24081CurrentTaxYear
Total753287Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11843751CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12281796CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13185634CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14559168CurrentTaxYearMinus1Year
Current Tax Year23769155CurrentTaxYear
Total75639504Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98449PublicSupportPercentage509
Prior Year Support Percentage0.97793PriorYearSupportPercentage
Investment Income Percentage0.00996InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01333PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationTHE ORGANIZATION IS A MEMBER OF SEVERAL ORGANIZATIONS WHOSE PURPOSE IS TO DIRECT, DEVELOP, OR AFFECT PUBLIC POLICY AND LEGISLATION WITH REGARDS TO HEALTHCARE ISSUES. THE AMOUNT SPENT ON DUES ALLOCABLE TO LOBBYING ACTIVITIES IS NOT SPECIFICALLY KNOWN; HOWEVER, SUCH AMOUNTS ARE INSUBSTANTIAL.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3333930BeginningOfYearBalance
Investment Earnings Or Losses363960InvestmentEarningsOrLosses
End Of Year Balance3697890EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3404078BeginningOfYearBalance
Investment Earnings Or Losses-70148InvestmentEarningsOrLosses
End Of Year Balance3333930EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2897352BeginningOfYearBalance
Investment Earnings Or Losses506726InvestmentEarningsOrLosses
End Of Year Balance3404078EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2626863BeginningOfYearBalance
Investment Earnings Or Losses270489InvestmentEarningsOrLosses
End Of Year Balance2897352EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2941907BeginningOfYearBalance
Investment Earnings Or Losses-315044InvestmentEarningsOrLosses
End Of Year Balance2626863EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.36660BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.63340PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis201489OtherCostOrOtherBasis
Book Value201489BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13590376OtherCostOrOtherBasis
Depreciation9667000Depreciation
Book Value3923376BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4545510OtherCostOrOtherBasis
Depreciation3311775Depreciation
Book Value1233735BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1015973OtherCostOrOtherBasis
Depreciation714777Depreciation
Book Value301196BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5659796TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ASSET RETIREMENT OBLIGATION$571,275
DUE TO RELATED PARTY$11,307
FieldValueIRS element (for citing)
Total Of Amounts582582TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt23517786TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments513074NetUnrealizedGainsInvestments
Other Revenues-1364849OtherRevenues
Revenue Not Rptd F990-851775RevenueNotRptdF990
Revenue Subtotal24369561RevenueSubtotal
Total Revenue Per Form99024369561TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13570152TotExpensesEtcAuditedFinclStmt
Expenses Subtotal13570152ExpensesSubtotal
Investment Expenses Not Included258849InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt58849ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013629001TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ESCROW ACCOUNT LIABILITYSCHEDULE D, PART IV, LINE 2BTHE ORGANIZATION HAS A SMALL SEPARATE TRUST BANK ACCOUNT AND CASH BOX HELD FOR RESIDENTS.
ENDOWMENT PURPOSESCHEDULE D, PART V, LINE 4THERE ARE SIX ENDOWMENT FUNDS, ALL OF WHICH REQUIRE THE INCOME FROM THE FUNDS TO BE USED FOR CHARITY CARE OF RESIDENTS.
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XI, LINE 2DTRANSFER TO AFFILIATE $(1,306,000) INVESTMENT FEES $( 58,849) ------------ $(1,364,849)

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JESSE JANTZEN
CHIEF EXECUTIVE OFFICER0316156056922012010192701020003864060
JANICE WASHBURN
INTERIM CFO/CONTROLLER01681900180450499201210011220020365700
SISTER PATTY CREEDON
EXECUTIVE DIRECTOR15796401422001326091790660301892920
ADRIENE IVERSON
ASSISTANT SECRETARY016167001600004500243806603018716100

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION OF THE TOP MANAGEMENT OFFICIALSCHEDULE J, PART I, LINE 3THE MANAGEMENT COMPANY AND RELATED ORGANIZATION, ELDER CARE ALLIANCE (ECA), USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, INDEPENDENT COMPENSATION CONSULTANT, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
BONUS PAYMENTSSCHEDULE J, PART I, LINE 6AOFFICERS AND CERTAIN EMPLOYEES OF THE ORGANIZATION ARE ELIGIBLE TO RECEIVE BONUS PAYMENTS BASED ON AN INDIVIDUAL INCENTIVE COMPENSATION PLAN THAT IS MADE AT THE BEGINNING OF THE FISCAL YEAR. THE BONUSES ARE BASED ON FINANCIAL, QUALITY, SAFETY, PERSONAL, AND VARIOUS OTHER GOALS, AND TARGETS AND POTENTIAL BONUS PERCENTAGES ARE DETERMINED WHEN THE INCENTIVE PLAN IS DEVELOPED EACH YEAR. THE FINANCIAL GOALS FOR MANY OF THE INDIVIDUALS INCLUDE MEETING OR EXCEEDING A NET EARNINGS AMOUNT.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4DTHE BROWN BAG PROGRAM PROVIDES APPROXIMATELY 4,657 ELDERLY PERSONS WITH A BAG OF GROCERIES EVERY WEEK IN OAKLAND. APPROXIMATELY 400 VOLUNTEERS ASSISTED WITH THIS PROGRAM.
DELEGATION OF MANAGEMENT DUTIESFORM 990, PART VI, SECTION A, LINE 3MERCY HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE, A NON-PROFIT PUBLIC BENEFIT CORPORATION THAT IS THE SOLE CORPORATE MEMBER OF MERCY, TO PROVIDE MANAGEMENT SERVICES INCLUDING, BUT NOT LIMITED TO, MARKETING, HUMAN RESOURCES, ACCOUNTING, INFORMATION TECHNOLOGY SERVICES, CLINICAL OVERSIGHT AND INSURANCE.
MEMBERSFORM 990, PART VI, SECTION A, LINE 6, 7A, & 7BTHE ORGANIZATION'S SOLE CORPORATE MEMBER IS ELDER CARE ALLIANCE. APPOINTED DIRECTORS: (A) THE BOARD OF DIRECTORS OF THE CORPORATION SHALL INCLUDE NO GREATER THAN TWELVE (12) INDIVIDUALS APPOINTED IN ACCORDANCE WITH THE FOLLOWING: (I) FIVE (5) INDIVIDUALS APPOINTED BY THE FACILITY AND PROGRAM SPONSOR, THE BURLINGAME REGIONAL COMMUNITY OF THE SISTERS OF MERCY OF THE AMERICAS, WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH; (II) FIVE (5) INDIVIDUALS APPOINTED BY THE CO-SPONSOR OF THE CORPORATE MEMBER, THE SIERRA PACIFIC SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA; (III) A MAXIMUM OF TWO (2) INDIVIDUALS JOINTLY APPOINTED BY THE FACILITY AND PROGRAM SPONSOR AND BY THE CO-SPONSOR OF THE CORPORATE MEMBER; AND THE BOARD OF DIRECTORS SHALL FURTHER INCLUDE THE EX OFFICIO DIRECTOR. (IV) ONE (1) INDIVIDUAL NOMINATED BY THE RESIDENT COUNCIL OF MERCY RETIREMENT AND CARE CENTER, THE CONTINUING CARE RETIREMENT COMMUNITY OWNED AND OPERATED BY THE CORPORATION (THE "CCRC") AND APPOINTED BY THE APPOINTEES NAMED PURSUANT TO SUBPARAGRAPHS (I), (II) AND (III) ABOVE, WHICH NOMINEE MUST BE A RESIDENT OF THE CCRC AND WHO WILL NOT HAVE VOTING RIGHTS BUT SHALL HAVE THE SAME FIDUCIARY DUTIES, INCLUDING THE DUTIES OF LOYALTY, CARE AND CONFIDENTIALITY, TO THE CORPORATION IN THEIR ROLE OF RESIDENT REPRESENTATIVE. NOMINATION OF DIRECTORS: (A) SPONSOR AND CO-SPONSOR APPOINTEES. THE BOARD DEVELOPMENT COMMITTEE OF THE CORPORATE MEMBER SHALL IDENTIFY AND EVALUATE QUALIFIED INDIVIDUALS TO SERVE AS DIRECTORS OF THE CORPORATION AND SHALL RECOMMEND THEM TO THE FACILITY AND PROGRAM SPONSOR AND THE CO-SPONSOR OF THE CORPORATE MEMBER FOR APPOINTMENT OF THE SPONSOR AND CO-SPONSOR APPOINTEES. (B) RESIDENT REPRESENTATIVE. THE RESIDENT REPRESENTATIVE SHALL BE NOMINATED BY THE RESIDENT COUNCIL OF THE CCRC IN ANY MANNER DETERMINED BY THE RESIDENT COUNCIL THAT IS REASONABLY CALCULATED TO ENCOURAGE RESIDENT INVOLVEMENT IN SELECTING AND/OR SERVING AS THE RESIDENT REPRESENTATIVE, SO LONG AS THE RESIDENT COUNCIL CONVENES A MEETING FOR SUCH PURPOSE UPON NO LESS THAN THIRTY (30) DAYS' NOTICE. NOTICE OF THE MEETING SHALL BE POSTED IN A CONSPICUOUS PLACE WITHIN THE CCRC AND SHALL STATE THAT THE PURPOSE OF THE MEETING IS TO NOMINATE A RESIDENT TO THE BOARD OF THE CORPORATION. THE FOLLOWING ACTIONS REGARDING MERCY RETIREMENT AND CARE CENTER ("MRCC") SHALL NOT BE IMPLEMENTED WITHOUT THE SPECIFIC APPROVAL OF ELDER CARE ALLIANCE'S CORPORATE MEMBER, THE SISTERS OF MERCY OF THE AMERICAS, WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH: (A) THE SALE, PURCHASE LEASE OR ENCUMBRANCE OF THE REAL PROPERTY OF MRCC; (B) ANY INCREMENT OR ADDITIONS TO THE CAPITAL DEBT LIMITATION OF MRCC OR ANY OTHER NEGOTIATION, MODIFICATION OR OTHER CHANGE IN THE EXISTING CAPITAL DEBT OF MRCC; (C) ANY ACTION SEEKING BANKRUPTCY OR OTHER DEBTOR PROTECTION FOR MRCC; AND (D) ANY OTHER MATTERS WHICH MAY BE REQUIRED BY CIVIL OR ROMAN CATHOLIC CANON LAW TO BE SUBMITTED TO THE THE SISTERS OF MERCY OF THE AMERICAS, WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH, OR WHICH THE BOARD OF DIRECTORS MAY REQUEST BE SUBMITTED.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. ELDER CARE ALLIANCE, MERCY'S SOLE CORPORATE MEMBER AND MANAGEMENT COMPANY, HAS AN AUDIT COMMITTEE ON ITS BOARD OF DIRECTORS THAT REVIEWS THE FORM 990 BEFORE FILING. ALSO, THE EXECUTIVE DIRECTOR, CEO, AND CFO ALL REVIEW THE FORM 990 BEFORE FILING. THE FINAL FORM 990 IS THEN PROVIDED BY E-MAIL TO ALL MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING.
CONFLICT OF INTEREST POLICY COMPLIANCEFORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE ASSISTANT SECRETARY OF ELDER CARE ALLIANCE REQUESTS UPDATED CONFLICT OF INTEREST DISCLOSURE FORMS FROM THE BOARD OF DIRECTORS, OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED AUTHORITY. THE ASSISTANT SECRETARY PREPARES A TABLE SUMMARIZING THE DISCLOSURES MADE AND PRESENTS THE TABLE TO THE BOARD OF DIRECTORS FOR THEIR INFORMATION. IF AN APPARENT CONFLICT OF INTEREST IS IDENTIFIED, THE MATTER IS REFERRED TO A COMMITTEE OF THE BOARD FOR REVIEW AND ACTION, IF DEEMED NECESSARY, SUCH AS REQUIRING AN INTERESTED DIRECTOR TO RECUSE HIMSELF OR HERSELF FROM A VOTE ON THE MATTER, OR TERMINATING A BUSINESS RELATIONSHIP ENTERED INTO IN VIOLATION OF THE POLICY.
COMPENSATION DETERMINATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BMERCY HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE. INCLUDED IN THE SERVICES PROVIDED UNDER THIS MANAGEMENT CONTRACT ARE THE SERVICES OF THE CEO AND CFO. THE COMPENSATION REVIEW OF THE EXECUTIVE DIRECTORS AND KEY EMPLOYEES WAS DONE FOR FY 2013 BY THE FINANCE COMMITTEE OF ELDER CARE ALLIANCE AS PART OF THE BUDGET REVIEW PROCESS. THE COMPENSATION FOR THE CEO AND CFO WAS REVIEWED AGAINST COMPARABLES PROVIDED FROM A COMPENSATION STUDY COMPILED BY FUTURESENSE, INC., A FIRM THAT SPECIALIZES IN COMPENSATION PROGRAMS.
GOVERNING DOCUMENT AVAILABILITYFORM 990, PART VI, SECTION C, LINE 19MERCY BECAME A CONTINUING CARE RETIREMENT COMMUNITY IN DECEMBER 2011, THEREFORE AN ANNUAL REPORT MUST BE FILED WITH THE STATE OF CALIFORNIA CONTAINING THE ORGANIZATION'S FINANCIAL STATEMENTS. THERE IS A NON-VOTING MEMBER OF THE BOARD OF DIRECTORS THAT REPRESENTS THE MERCY RESIDENTS WHO HAS ACCESS TO ALL GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE CONFLICT OF INTEREST POLICY FOR MERCY. ALL REQUESTS MUST BE IN WRITING TO ELDER CARE ALLIANCE, MERCY'S MANAGEMENT COMPANY, AND WILL BE PROVIDED VIA EMAIL, US MAIL, OR BY FAX IF SO REQUESTED.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ELDER CARE ALLIANCE
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943260975MANAGEMENTCA501(C)(3)11 B IINAfalse
SALEM LUTHERAN HOME ASSOC OF THE BAY CIT
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501940831870ELDERLY CARECA501(C)(3)9ECAfalse
ELDER CARE ALLIANCE OF CAMARILLO
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943351613ELDERLY CARECA501(C)(3)9ECAfalse
ELDER CARE ALLIANCE OF SAN FRANCISCO
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943351615ELDERLY CARECA501(C)(3)9ECAfalse
ELDER CARE ALLIANCE OF UNION CITY
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943377985ELDERLY CARECA501(C)(3)9ECAfalse
ELDER CARE ALLIANCE OF SAN RAFAEL
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501760730971ELDERLY CARECA501(C)(3)9ECAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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