2012-11-13T19:45:37-06:00 2011-12-31 954749365 STANISLAWSKI & HARRISON CPAS 301 N LAKE AVE SUITE 900 PASADENA CA 91101 990 2011-01-01 951708771 MARYCREST MANOR MARY 3108382778 10664 ST JAMES DRIVE CULVER CITY CA 90230 SR VERONICA DEL CARMEN MALDONADO 3108382778 2012-11-13 1 ALAN HARRISON P00157337 6267933600 2012-11-13 2011 2016-03-07 17:11:31Z SR VERONICA DEL CARMEN M 10664 ST JAMES DRIVE CULVER CITY CA 90230 5421295 0 X HTTP://WWW.MARYCRESTCULVERCITY.COM X 1956 CA SEE PART III LINE 1 3 3 91 50 0 0 335178 158227 5074474 5256290 2199 2300 11104 4344 5422955 5421161 0 0 0 0 1949035 1922067 0 0 30110 2716247 2900046 4665282 4822113 757673 599048 4879817 5562876 358154 439353 4521663 5123523 X MARYCREST MANOR OFFERS SHORT-TERM AND LONG-TERM SKILLED NURSING CARE TO OUR ELDERS, RESPECTING THE DIGNITY OF ALL PERSONS AND RECOGNIZING THE RICHNESS OF THE WISDOM AND THE EXPERIENCE THAT COMES WITH ADVANCED YEARS. WE ARE COMMITTED TO ADVANCING THE CULTURE OF LIFE FROM NATURAL CONCEPTION TO LIFE'S NATURAL END WITH A PROFOUND RESPECT FOR THE DIGNITY OF EACH PERSON AT EVERY STAGE OF THE HUMAN EXPERIENCE.MARYCREST MANOR STRIVES TO REFLECT THE COMPASSIONATE LOVE AND MERCY OF GOD, WHILE PROVIDING COMPREHENSIVE AND QUALITY SERVICES TO ALL RESIDENTS REGARDLESS OF RACE, COLOR, CREED, NATIONAL ORIGIN OR FINANCIAL STATUS. MARYCREST MANOR IS AT THE SERVICE OF THE FAMILY FOR LIFE.WE FURTHER DEFINE THIS MISSION TO INCLUDE THE FOLLOWING SPECIFIC GOALS:A) TO PROVIDE SHORT-TERM AND LONG-TERM SKILLED NURSING CARE WITH THE COMPASSIONATE HEART OF CHRIST;B) TO PROMOTE THE DIGNITY OF LIFE AT ALL STAGES IN THE CARE WE PROVIDE TO OUR RESIDENTS. 0 0 4316413 5256290 MARYCREST PROVIDES SHORT TERM AND LONG TERM SKILLED NURSING CARE, CONVALESCENT CARE AND GENERAL HEALTH SERVICES FOR THE ELDER POPULATION, AS WELL AS ENHANCING ITS PASTORAL CARE SERVICES. MARYCREST OPERATES A 57-BED CONVALESCENT HOME IN CULVER CITY, CALIFORNIA. MARYCREST HAS PROVIDED 7,247 DAYS OF CARE TO PRIVATE PATIENTS, 10,561 DAYS OF CARE TO PATIENTS UNDER MEDI-CAL, AND 2,126 DAYS OF CARE TO PATIENTS UNDER MEDICARE.MARYCREST PROVIDED TRAINING AND CERTIFICATION OF ALL CURRENT CERTIFIED NURSING ASSISTANCE IN RESTORATIVE NURSING. 4316413 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 13 0 1 91 1 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 CA X X SISTER MARGARET MARY 6264087831 819 BUENA VISTA ST DUARTE CA 910101703 X SISTER NOELLA CHANCE 40.00 X X 0 0 0 SISTER VERONICA DEL CARMEN MALDONAD 40.00 X X 0 0 0 SISTER RITA THERESE HAYDEN 2.00 X X 0 0 0 0 0 0 0 0 0 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DR 300 BENSALEM PA 19020 DIETARY, LAUNDRY, HOUSEKEEPING 589026 CARMELITE SISTERS OF THE MOST SACRED HEA 920 E ALHAMBRA RD ALHAMBRA CA 91801 NURSING, DEVELOPMENT, ADMINISTRATION 360000 SUNDANCE REHABILITATION 6549 PAYSLERE CIRCLE CHICAGO IL 60674 REHABILITATION SERVICES 326725 MT CARMEL HEALTH MINISTRIES INC 819 BUENA VISTA ST DUARTE CA 91010 FINANCIAL SERVICES 168360 4 158227 150 158227 PATIENT SERVICE REVENU 623000 5200012 5200012 OTHER RESIDENT REVENUE 623000 56278 56278 5256290 2300 2300 2550 134 2416 2416 OTHER REVENUE 900099 1928 1928 1928 5421161 5256290 0 6644 1644686 1616481 28205 140480 130970 9409 101 136901 133487 3414 5130 5130 23395 23395 41855 41855 2646 2646 44317 19073 22189 3055 13307 13307 182332 175835 6497 2398 1798 480 120 28 28 559081 263819 269085 26177 154589 146832 7383 374 66729 58571 7875 283 NURSING 683840 664944 18896 DIETARY 435056 435056 TAXES AND LICENSES 287986 287986 HOUSEKEEPING & LAUNDRY 257321 257321 140036 121594 18442 4822113 4316413 475590 30110 993638 1807398 2447239 2449569 140000 50000 209440 273688 27339 36703 5643308 4717527 1043532 925781 18629 19737 4879817 5562876 331008 390409 27146 48944 358154 439353 X 3983948 4755026 407715 338497 130000 30000 4521663 5123523 4879817 5562876 X 599048 2812 X 0 1 0 X 0 X 830487 607353 234001 335178 158227 2165246 830487 607353 234001 335178 158227 2165246 1062172 1103074 245879 31570 689 2199 2300 282637 46659 16060 4478 67197 2515080 23469317 0.43860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 130000 100000 30000 30000 100000 130000 30000 100000 130000 30000 100000 130000 1.00000 0 0 757289 757289 3478706 3472178 6528 1320476 1172206 148270 86837 73143 13694 925781 5421161 4822113 599048 2812 2812 601860 5424307 2812 200 3012 5421295 -134 -134 5421161 4822447 200 134 334 4822113 0 4822113 PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -134. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 134. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF MARYCREST MANOR, INC. IS MOUNT CARMEL HEALTH MINISTRIES, INC., A CALIFORNIA NONPROFIT PUBLIC BENEFIT RELIGIOUS CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ALL OF THE BUSINESS AND AFFAIRS OF THE CORPORATION ARE MANAGED AND CONTROLLED BY THE BOARD OF DIRECTORS, EXCEPT THAT CERTAIN POWERS SHALL BE RESERVED TO THE MEMBER. THE MEMBER OF THE CORPORATION IS MOUNT CARMEL HEALTH MINISTRIES, INC. THE POWERS RESERVED TO THE MEMBER MAY BE INITIATED AND EXERCISED BY THE MEMBER OR, IF INITIATED BY THE BOARD OF DIRECTORS OF THIS CORPORATION, MUST BE SUBMITTED TO AND RECEIVE THE APPROVAL OF THE MEMBER, AND THE ACTION OF THE MEMBER ON SUCH MATTERS SHALL BE FINAL. THE MEMBER HAS THE POWER, AMONG OTHER POWERS, TO APPROVE THE APPOINTMENT OF THE PRESIDENT AND APPOINT NEW MEMBERS AND BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B SEE EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A. FORM 990, PART VI, SECTION A, LINE 8B THERE WERE NO COMMITTEES AUTHORIZED TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 ALL THE EXECUTIVE OFFICERS OF THE BOARD OF DIRECTORS ARE PROVIDED THE FORM 990 VIA E-MAIL FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND OFFICERS COMPLETE CONFLICT OF INTEREST STATEMENT ANNUALLY FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 15: ALL OFFICERS AND KEY EMPLOYEES ARE RELIGIOUS PERSONNEL NOT RECEIVING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS 2,812. TOTAL TO FORM 990, PART XI, LINE 5: 2,812. CARMELITE SISTERS OF THE MOST SACRED HEART OF LOS ANGELES INC 920 E ALHAMBRA ROAD ALHAMBRA CA 91801 952561138 RELIGIOUS ORDER CA 501(C)3 LINE 1 N/A 0 SANTA TERESITA INC 819 BUENA VISTA STREET DUARTE CA 91010 951878859 SKILLED NURSING/ASSISTED LIVING CA 501(C)3 LINE 7 MOUNT CARMEL HEALTH MINISTRIES INC 1 LITTLE FLOWER CENTER INC 2434 GATES ST LOS ANGELES CA 90031 956122864 CHILD CARE CA 501(C)3 LINE 2 FLOS CARMELI FORMATION CENTERS INC 1 SACRED HEART RETREAT HOUSE INC 920 EAST ALHAMBRA ROAD ALHAMBRA CA 91801 113835568 SPIRITUAL AND EDUCATIONAL RESOURCE CENTERS CA 501(C)3 LINE 9 FLOS CARMELI FORMATION CENTERS INC 1 AVILA GARDENS INC 1171 ENCANTO PARKWAY DUARTE CA 91010 300468751 INDEPENDENT LIVING FACILITY CA 501(C)3 LINE 9 MOUNT CARMEL HEALTH MINISTRIES INC 1 MOUNT CARMEL HEALTH MINISTRIES INC 819 BUENA VISTA STREET DUARTE CA 91010 113835563 RELIGIOUS CA 501(C)3 LINE 1 CARMELITE SISTERS OF THE MOST SACRED HEART OF LOS ANGELES INC 1 MOUNT CARMEL IN THE DESERT INC 920 E ALHAMBRA ROAD ALHAMBRA CA 91801 113835661 OPERATE CHILDCARE, SCHOOLS, AND RELIGIOUS EDUCATION CA 501(C)3 LINE 9 FLOS CARMELI FORMATION CENTERS INC 1 FLOS CARMELI FORMATION CENTERS INC 920 E ALHAMBRA ROAD ALHAMBRA CA 91801 113835566 OPERATE CHILDCARE, SCHOOLS, AND RELIGIOUS EDUCATION CA 501(C)3 LINE 1 CARMELITE SISTERS OF THE MOST SACRED HEART OF LOS ANGELES INC 1 CARMELITE SISTERS OF THE SACRED HEART OF MONROVIA INC 1210 ROYAL OAKS DR DUARTE CA 91010 753253412 RELIGIOUS CA 501(C)3 LINE 1 CARMELITE SISTERS OF THE MOST SACRED HEART OF LOS ANGELES INC 1 CARMELITE EDUCATION CENTER INC 920 E ALHAMBRA ROAD DUARTE CA 91801 954712229 OPERATE CHILDCARE, SCHOOLS, AND RELIGIOUS EDUCATION CA 501(C)3 LINE 1 FLOS CARMELI FORMATION CENTERS INC 1 CARMELITE SISTERS FOUNDATION INC 920 E ALHAMBRA ROAD DUARTE CA 91801 392075616 RELIGIOUS CA 501(C)3 LINE 1 CARMELITE SISTERS OF THE MOST SACRED HEART OF LOS ANGELES INC 1 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 MOUNT CARMEL HEALTH MINISTRIES INC L 168361 AMOUNT PAID