ST JOHN OF GOD RETIREMENT AND CARE CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST JOHN OF GOD RETIREMENT AND CARE CENTER (EIN 95-1660824)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-31
IRS object ID
201242449349300209
Schema version
2010v3.2
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)
Timestamp2012-08-31T10:22:48-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Lucas Horsfall Murphy & Pindroh LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1100 E Corson St Ste 200AddressLine1
CityPasadenaCity
StateCAState
ZIP Code91103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951660824EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOHN OF GOD RETIREMENT & CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone3237310641Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12468 S ST ANDREWS PLACEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90018ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSANTIAGO LOPEZName
TitlePresident & CEOTitle
Date Signed2012-08-31DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameGaurav MalhotraName
Phone6267445100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSANTIAGO LOPEZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12468 S ST ANDREWS PLACEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90018ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18126653GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STJOHNOFGODSENIORS.ORGWebSite
Year Formation1942YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe St. John of God Retirement and Care Center (the Center) is a California not-for-profit corporation which operates 156 bed skilled nursing, 60 unit assisted living and residential care, and 51 unit independent living facilities, and 31 beds for Alzheimer's or related diseases. The Center is under the direction of the Brothers of St. John of God, Inc. (the Province), a religious order.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees372TotalNbrEmployees
Total Nbr Volunteers140TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year221048ContributionsGrantsPriorYear
Contributions Grants Current Year292744ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14334121ProgramServiceRevenuePriorYear
Program Service Revenue CY17829879ProgramServiceRevenueCY
Investment Income Prior Year10760InvestmentIncomePriorYear
Investment Income Current Year4030InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year14565929TotalRevenuePriorYear
Total Revenue Current Year18126653TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9035401SalariesEtcPriorYear
Salaries Etc Current Year9576123SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6388204OtherExpensePriorYear
Other Expenses Current Year8242409OtherExpensesCurrentYear
Total Expenses Prior Year15423605TotalExpensesPriorYear
Total Expenses Current Year17818532TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-857676RevenuesLessExpensesPriorYear
Revenues Less Expenses CY308121RevenuesLessExpensesCY
Total Assets BOY32195405TotalAssetsBOY
Total Assets EOY32298952TotalAssetsEOY
Total Liabilities BOY1056651TotalLiabilitiesBOY
Total Liabilities EOY1207688TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY31138754NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY31091264NetAssetsOrFundBalancesEOY
Mission DescriptionThe St. John of God Retirement and Care Center (the Center) is a California not-for-profit corporation which operates 156 bed skilled nursing, 60 unit assisted living and residential care, and 51 unit independent living facilities, and 31 beds for Alzheimer's or related diseases. The Center is under the direction of the Brothers of St. John of God, Inc. (the Province), a religious order.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13681518Expense
Revenue17829880Revenue
DescriptionTO OPERATE A SKILLED NURSING, LONG TERM CARE, INDEPENDENT LIVING, RESIDENTIAL CARE FACILITY AND PROVIDE ANCILLARY SERVICES TO RESIDENTS BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF ALL THE PEOPLE WE SERVE THE 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 VALUE OF HOSPITALITY, RESPECT AND HEALING.Description
Total Program Service Expense13681518TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
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 RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees372NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSANTIAGO LOPEZNamePerson
Telephone Number3237310641TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12468 S ST ANDREWS PLACEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90018ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirector
SANTIAGO LOPEZ
President & CEO0.00X000
RITA YOKOYAMA
Trustee1.00000X
PHIL DEVIN
Trustee1.00000X
PATRICK OKEKE
President & CEO40.00X4287900
MELVIN DAIGNAULT
President & CEO40.00X9312800
HON RICHARD P BYRNE
Trustee1.00000X
FAYE MONTEGRANDE MD JD
Trustee1.00400000X
BRO MICHAEL BASSEMIER DH
Trustee1.00000X
BRO GEORGE TECKU OH
Trustee1.00000X
BRO STEPHEN DE LA ROSA
CHAIRPERSON1.00X000X
BOLANILE AKINWOLE MD
Trustee1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org140007TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHAB ALLIANCE
22995 MILL CREEK DR SUITE ALAGUNA HILLSCA92653THERAPY782432
JOHN WILLIAMS
2468 S ST ANDREWS PLACELOS ANGELESCA90018PENSION PLAN146103
CALIFORNIA UNIQUE SECURITY
PO BOX 455NORCOCA92860SECURITY144200
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations291364RelatedOrganizations
All Other Contributions1380AllOtherContributions
Total Contributions292744TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SERVICES623000626078626078
PATIENT & RESIDENTIAL62300074469757446975
MEDICARE/MEDICAL PAYMENTS62300097568269756826
FieldValueIRS element (for citing)
Total Program Service Revenue17829879TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4030TotalRevenueColumn
Exclusion$4,030ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 Column18126653TotalRevenueColumn
Related Or Exempt Function Income17829879RelatedOrExemptFunctionIncome
Exclusion$4,030ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total140007Total
Management And General140007ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7050244Total
Program Services6078870ProgramServices
Management And General971374ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1849721Total
Program Services1849721ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total536151Total
Program Services536151ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total69342Total
Management And General69342ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43079Total
Management And General43079ManagementAndGeneral

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)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total124990Total
Management And General124990ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total15029Total
Management And General15029ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total146868Total
Management And General146868ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total13285Total
Management And General13285ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3096Total
Management And General3096ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1363938Total
Program Services1282102ProgramServices
Management And General81836ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total219480Total
Management And General219480ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
UTILITIES758187758187
SUPPLIES2624039260902915010
PURCHASED SERVICES790292300763489529
BAD DEBTS705761705761
ASSURANCE FEE662649662649

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total702374Total
Program Services266695ProgramServices
Management And General435679ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17818532Total
Program Services13681518ProgramServices
Management And General4137014ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY33040BOY
EOY357894EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY851317BOY
EOY833727EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1653727BOY
EOY2062106EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY85614BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY21155BOY
EOY61894EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49477505LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21171626LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY29212587BOY
EOY28305879EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY176082BOY
EOY176082EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY161883BOY
EOY501370EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY32195405BOY
EOY32298952EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY878200BOY
EOY1002596EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY144953BOY
EOY188329EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY33498BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY16763EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1056651BOY
EOY1207688EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY31138754BOY
EOY31091264EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31138754BOY
EOY31091264EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32195405BOY
EOY32298952EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses308121ReconcilationRevenueExpenses
Reconcilation Other Changes-355611ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Church170b1 AiXChurch170b1Ai

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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis507991OtherCostOrOtherBasis
Book Value507991BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis44063707OtherCostOrOtherBasis
Depreciation17128822Depreciation
Book Value26934885BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis413084OtherCostOrOtherBasis
Depreciation362047Depreciation
Book Value51037BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2587120OtherCostOrOtherBasis
Depreciation1818127Depreciation
Book Value768993BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1905603OtherCostOrOtherBasis
Depreciation1862630Depreciation
Book Value42973BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28305879TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRESIDENTS' TRUST FUNDDescription
Amount$16,763Amount
FieldValueIRS element (for citing)
Total Of Amounts16763TotalOfAmounts
Total Revenue18126653TotalRevenue
Total Expenses17818532TotalExpenses
Excess Or Deficit For Year308121ExcessOrDeficitForYear
Investment Expenses-355611InvestmentExpenses
Total Adjustments-355611TotalAdjustments
Excess Or Deficit Per FS-47490ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18126653TotRevenueEtcAuditedFinclStmt
Revenue Subtotal18126653RevenueSubtotal
Total Revenue Per Form99018126653TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17818532TotExpensesEtcAuditedFinclStmt
Expenses Subtotal17818532ExpensesSubtotal
Total Expenses Per Form99017818532TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 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 HTTP://WWW.GUIDESTAR.ORG
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE 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 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE OF THE CONFLICT OF INTEREST POLICY. THESE POLICIES ARE DISCUSSED AND DOCUMENTED IN MANAGEMENT MEETINGS AND THOSE CONFLICTS THAT REQUIRE A HIGHER LEVEL OF REVIEW ARE MONITORED BY THE CHIEF EXECUTIVE OFFICER.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessTHE FORM 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE AND THEN APPROVED BY THE BOARD AT LARGE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BROTHERS OF ST JOHN OF GOD
2425 S WESTERN AVELONG ANGELESCA90018952399225RELIGIOUS ORGANIZATIONCA501(C)31NAfalse
ST JOSEPHS HEALTH AND RETIREMENT CENTER
2464 EAST OJAI AVENUEOJAICA93024953265311HEALTH AND RETIREMENT CENTER501(C)33NAfalse
ST JOHN OF GOD HEALTH CARE SERVICES
PO BOX 2457VICTORVILLECA92392953806996SUBSTANCE ABUSE TREATMENT AND RECOVERYCA501(C)33NAfalse
HOSPITALLER BROTHERS HEALTHCARE CORP
2425 SOUTH WESTERN AVENUELOS ANGELESCA90018954334552HANDLES THE BROTHERS/ASSOCIATES AUTO AND HEALTH CARE INSURANCA501(C)33NAfalse
THE HOSPITALLER FOUNDATION OF CALIF INC
2468 SOUTH ST ANDREWS PLACELOS ANGELESCA90018953299706RELIGIOUS ORGANIZATIONCA501(C)311 (TYPE II)NAfalse
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST JOSEPHS HEALTH AND RETIREMENT CENTER
d336585FMV
ST JOHN OF GOD HEALTH CARE SERVICES
d147980FMV
THE HOSPITALLER FOUNDATION OF CALIF INC
c291364FMV

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