MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL IN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL IN (EIN 95-2299398)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-06-17
IRS object ID: 201331689349300713
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-06-17T14:20:20-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KELLOGG & ANDELSON ACCOUNTANCY CORP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	21700 OXNARD BLVD STE 900	AddressLine1
City	WOODLAND HILLS	City
State	CA	State
ZIP Code	91367	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	952299398	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MARY HEALTH OF THE SICK	BusinessNameLine1
Business Name Line2	CONVALESCENT	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	MARY	NameControl
Phone	8054983644	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2929 THERESA DRIVE	AddressLine1
City	NEWBURY PARK	City
State	CA	State
ZIP Code	91320	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SISTER LOURDES LARA	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	8054983644	Phone
Date Signed	2013-06-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	YEFIM SKLYAR CPA	Name
Phone	8189715100	Phone
Date Prepared	2013-06-17	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	SISTER LOURDES LARA	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2929 THERESA DRIVE	AddressLine1
City	NEWBURY PARK	City
State	CA	State
ZIP Code	91320	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6980991	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MARYHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1964	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	4	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	115	TotalNbrEmployees
Total Nbr Volunteers	252	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	716914	ContributionsGrantsPriorYear
Contributions Grants Current Year	758627	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6053304	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6075342	ProgramServiceRevenueCY
Investment Income Prior Year	91867	InvestmentIncomePriorYear
Investment Income Current Year	85344	InvestmentIncomeCurrentYear
Other Revenue Prior Year	26170	OtherRevenuePriorYear
Other Revenue Current Year	28335	OtherRevenueCurrentYear
Total Revenue Prior Year	6888255	TotalRevenuePriorYear
Total Revenue Current Year	6947648	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4164616	SalariesEtcPriorYear
Salaries Etc Current Year	4042647	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	204474	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2615867	OtherExpensePriorYear
Other Expenses Current Year	2720222	OtherExpensesCurrentYear
Total Expenses Prior Year	6780483	TotalExpensesPriorYear
Total Expenses Current Year	6762869	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	107772	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	184779	RevenuesLessExpensesCY
Total Assets BOY	10627038	TotalAssetsBOY
Total Assets EOY	11372788	TotalAssetsEOY
Total Liabilities BOY	385394	TotalLiabilitiesBOY
Total Liabilities EOY	775662	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	10241644	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	10597126	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	5833181	Expense
Revenue	6075342	Revenue
Description	PROVIDED LONG-TERM NURSING CARE TO THE ELDERLY. IN 2012, THE RESIDENT CENSUS WAS 20,840 PATIENTS DAYS, WHICH INCLUDE 7,742 PRIVATE PATIENT DAYS, 2,736 MEDICARE A PATIENT DAYS, 10,320 MEDIC-CAL PATIENT DAYS AND 42 CHAMPUS VA DAYS.	Description
Total Program Service Expense	5833181	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	18	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	115	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	4	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	BETTY SCHMIDT	NamePerson
Telephone Number	8054983644	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2929 THERESA DRIVE	AddressLine1
City	NEWBURY PARK	City
State	CA	State
ZIP Code	91320	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
MOTHER CLAUDIA RODRIGUEZ
PRESIDENT	50.00	X	X	0	0	0
SISTER CLAUDIA ZOMARA
VICE PRESIDE	50.00	X	X	0	0	0
SISTER ESTHER FONSECA
BOARD MEMBER	50.00	X		0	0	0
SISTER LOURDES LARA
EXECUTIVE DI	50.00	X	X	0	0	0
SHIDEH AFSHAR-TAVANA
ADMINISTRATO	40.00		X	97116	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	97116	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	758627	AllOtherContributions
Noncash Contributions	150000	NoncashContributions
Total Contributions	758627	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Business Code	623000	BusinessCode
Total Revenue Column	6075342	TotalRevenueColumn
Related Or Exempt Function Income	6075342	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	6075342	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	85344	TotalRevenueColumn
Exclusion	$85,344	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	61678	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	33343	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	28335	TotalRevenueColumn
Exclusion	$28,335	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6947648	TotalRevenueColumn
Related Or Exempt Function Income	6075342	RelatedOrExemptFunctionIncome
Exclusion	$113,679	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	97116	Total
Program Services	48558	ProgramServices
Management And General	24279	ManagementAndGeneral
Fundraising	24279	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3332708	Total
Program Services	2899456	ProgramServices
Management And General	366598	ManagementAndGeneral
Fundraising	66654	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	352190	Total
Program Services	263561	ProgramServices
Management And General	84580	ManagementAndGeneral
Fundraising	4049	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	260633	Total
Program Services	226751	ProgramServices
Management And General	26063	ManagementAndGeneral
Fundraising	7819	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	34200	Total
Management And General	34200	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1682	Total
Management And General	1682	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	31165	Total
Management And General	31165	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	10379	Total
Management And General	10379	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	5205	Total
Fundraising	5205	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	13568	Total
Management And General	13568	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1543	Total
Management And General	1543	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	189891	Total
Program Services	189891	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	266074	Total
Program Services	266074	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	92736	Total
Program Services	64915	ProgramServices
Management And General	18547	ManagementAndGeneral
Fundraising	9274	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
ANCILLARY SERVICES	639168	639168
QA ASSESSNENT FEES	305124	305124
PLANT OPERATIONS &MAINTEN	256034	256034
UTILITIES	208403	181311	20840	6252

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	665050	Total
Program Services	492338	ProgramServices
Management And General	91770	ManagementAndGeneral
Fundraising	80942	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6762869	Total
Program Services	5833181	ProgramServices
Management And General	725214	ManagementAndGeneral
Fundraising	204474	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	308808	BOY
EOY	428966	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1900	BOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	200518	BOY
EOY	395487	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	31180	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	60537	BOY
EOY	191507	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	12183691	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	5912999	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6460620	BOY
EOY	6270692	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	3594655	BOY
EOY	4054956	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	10627038	BOY
EOY	11372788	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	385394	BOY
EOY	516561	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
EOY	259101	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	385394	BOY
EOY	775662	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9998133	BOY
EOY	10351368	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	243511	BOY
EOY	245758	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10241644	BOY
EOY	10597126	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10627038	BOY
EOY	11372788	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	184779	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	170703	ReconciliationUnrealizedInvest
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year	758627	CurrentTaxYear
Total	758627	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year	6075342	CurrentTaxYear
Total	6075342	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year	61678	CurrentTaxYear
Total	61678	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year	6895647	CurrentTaxYear
Total	6895647	Total

Field	Value	IRS element (for citing)
Public Support Total509	6895647	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year	85344	CurrentTaxYear
Total	85344	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year	85344	CurrentTaxYear
Total	85344	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year	6980991	CurrentTaxYear
Total	6980991	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98780	PublicSupportPercentage509
Investment Income Percentage	0.01000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	36734	OtherCostOrOtherBasis
Book Value	36734	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11418222	OtherCostOrOtherBasis
Depreciation	5232837	Depreciation
Book Value	6185385	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	628262	OtherCostOrOtherBasis
Depreciation	582322	Depreciation
Book Value	45940	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	100473	OtherCostOrOtherBasis
Depreciation	97840	Depreciation
Book Value	2633	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	6270692	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
DEFERRED REVENUE	$154,599
SETTLEMENTS DUE TO / DUE FROM THIRD	$104,502

Field	Value	IRS element (for citing)
Total Of Amounts	259101	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	8262197	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	170703	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	1143846	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	1314549	RevenueNotRptdF990
Revenue Subtotal	6947648	RevenueSubtotal
Total Revenue Per Form990	6947648	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	7906715	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	1143846	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	1143846	ExpensesNotRptdF990
Expenses Subtotal	6762869	ExpensesSubtotal
Total Expenses Per Form990	6762869	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	LIABILITY UNDER FIN 48 FOOTNOTE	Identifier
Return Reference	SCHEDULE D, PAGE 3, PART X	ReturnReference
Explanation	THE ORGANIZATION 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 BUSINES TAXABLE INCOME (UBTI) AS DEFINED BY IRC. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITION THROUGH ITS REVIEW OF THE SOURCES OF INCOME TO INDENIFY 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, 2012 AND 2011. THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THE ORGANIZATION FILES FEDERAL AND CALIFORNIA EXEMPT ORGANIZATION RETURNS. THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE 2008 FOR ITS FEDERAL AND 2007 FOR ITS STATE TAX FILINGS.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	100 CLUB	NameOfEvent1
Gross Receipts Event1	61678	GrossReceiptsEvent1
Gross Revenue Event1	61678	GrossRevenueEvent1
Other Direct Expenses Event1	33343	OtherDirectExpensesEvent1
Gross Receipts Total	61678	GrossReceiptsTotal
Gross Revenue Total Events	61678	GrossRevenueTotalEvents
Other Direct Expenses Total Events	33343	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	33343	DirectExpenseSummaryEvents
Net Income Summary	28335	NetIncomeSummary

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	150000	NoncashContribsRptdF990

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	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.
ENFORCEMENT OF CONFLICTS POLICY	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.).
COMPENSATION PROCESS FOR TOP OFFICIAL	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.
COMPENSATION PROCESS FOR OFFICERS	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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	THE SERVANTS OF MARY	BusinessNameLine1
Business Name Line2	MINISTERS TO THE	BusinessNameLine2

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	800 NORTH 18TH STREET	AddressLine1
City	KANSAS CITY	City
State	KS	State
ZIP Code	66102	ZIPCode

Field	Value	IRS element (for citing)
Primary Activities	CONVENT	PrimaryActivities
Legal Domicile State	KS	LegalDomicileState
Public Charity Status	1	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	THE SERVANTS OF MARY	BusinessNameLine1
Business Name Line2	MINISTERS OF THE SICK	BusinessNameLine2

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionType
Amount Involved	189891	AmountInvolved