ST JOHN OF GOD RETIREMENT AND CARE CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ST JOHN OF GOD RETIREMENT AND CARE CENTER (EIN 95-1660824)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-01
IRS object ID
201102139349300630
Schema version
2009v1.7
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)
Timestamp2011-08-01T12:01:55-07:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SOARES SANDALL BERNACCHI AND PETROVICH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1405 E ESPLANADE DR STE 300AddressLine1
CityOXNARDCity
StateCAState
ZIP Code930362116ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

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)
NameMELVIN DAIGNAULTName
TitlePresident & CEOTitle
Date Signed2011-08-01DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameSharon Iler RobertsName
Phone8054857965Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMELVIN DAIGNAULTNameOfPrincipalOfficerPerson
Gross Receipts14565929GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.stjohnofgodseniors.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO OPERATE A SKILLED NURSING, LONG-TERM CARE, RESIDENTIAL CARE, INDEPENDENT LIVING FACILITY AND PROVIDE ANCILLARY SERVICES TO PATIENTS UNDER THE DIRECTION OF THE BROTHERS OF ST JOHN OF GOD, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees336TotalNbrEmployees
Total Nbr Volunteers103TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year531563ContributionsGrantsPriorYear
Contributions Grants Current Year221048ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14565499ProgramServiceRevenuePriorYear
Program Service Revenue CY14334121ProgramServiceRevenueCY
Investment Income Prior Year8008InvestmentIncomePriorYear
Investment Income Current Year10760InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15105070TotalRevenuePriorYear
Total Revenue Current Year14565929TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8105787SalariesEtcPriorYear
Salaries Etc Current Year9035401SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6571738OtherExpensePriorYear
Other Expenses Current Year6388204OtherExpensesCurrentYear
Total Expenses Prior Year14677525TotalExpensesPriorYear
Total Expenses Current Year15423605TotalExpensesCurrentYear
Revenues Less Expenses Prior Year427545RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-857676RevenuesLessExpensesCY
Total Assets BOY32911284TotalAssetsBOY
Total Assets EOY32195405TotalAssetsEOY
Total Liabilities BOY914854TotalLiabilitiesBOY
Total Liabilities EOY1056651TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY31996430NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY31138754NetAssetsOrFundBalancesEOY
Mission DescriptionTO OPERATE A SKILLED NURSING, LONG-TERM CARE, RESIDENTIAL CARE, INDEPENDENT LIVING FACILITY AND PROVIDE ANCILLARY SERVICES TO PATIENTS UNDER THE DIRECTION OF THE BROTHERS OF ST JOHN OF GOD, INC.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13384749Expense
Revenue14334121Revenue
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 Expense13384749TotalProgramServiceExpense
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
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees336NumberOfEmployees
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
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
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 ApprovalfalseDecisionsSubjectToApproval
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 PersonMELVIN DAIGNAULTNamePerson
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 (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
HON RICHARD P BYRNE
Trustee1.00X000
RITA YOKOYAMA
Trustee1.00X000
BOLANILE AKINWOLE MD
Trustee1.00X000
BRO GEORGE TECKU OH
Trustee1.00X000
FAYE MONTEGRANDE MD JD
Trustee1.00X000
PHIL DEVIN
Trustee1.00X000
PATRICK OKEKE
President & CEO40.0010703800X
BRO STEPHEN DE LA ROSA
CHAIRPERSON1.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org107038TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OMNICARE PHARMACY
8220 REMMET AVECANOGA PARKCA91343PHARMACEUTICALS181728
CALIFORNIA UNIQUE SECURITY
PO BOX 455NORCOCA92860SECURITY170989
REHAB ALLIANCE
22995 MILL CREEK DR SUITE ALAGUNA HILLSCA92653THERAPY405678
JASSOS CONSTRUCTION CO
5733 BENNER ST 12aLOS ANGELESCA90042GENERAL CONTRACTORS221066
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations219579RelatedOrganizations
All Other Contributions1469AllOtherContributions
Total Contributions221048TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS SERVICES6230004987649876
OTHER PATIENT SERVICES62300012829711282971
MEDICARE/MEDICAL PAYMENTS62300063604776360477
PATIENT & RESIDENTIAL62300066407976640797
FieldValueIRS element (for citing)
Total Program Service Revenue14334121TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10760TotalRevenueColumn
Exclusion$10,760ExclusionAmount

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 Column14565929TotalRevenueColumn
Related Or Exempt Function Income14334121RelatedOrExemptFunctionIncome
Exclusion$10,760ExclusionAmount

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)
Total107038Total
Management And General107038ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6719910Total
Program Services6371074ProgramServices
Management And General348836ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1638561Total
Program Services1314026ProgramServices
Management And General324535ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total569892Total
Program Services486480ProgramServices
Management And General83412ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total28174Total
Management And General28174ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total41404Total
Management And General41404ManagementAndGeneral

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)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total642165Total
Program Services642165ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total9362Total
Management And General9362ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19042Total
Management And General19042ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total28187Total
Program Services28187ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1350468Total
Program Services1350468ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total253144Total
Program Services69755ProgramServices
Management And General183389ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BAD DEBTS167598167598
BROTHERS SPONSORSHIP408341408341
REPAIR AND MAINTENANCE49284925819467030
PURCHASED SERVICES68214724625657522
SUPPLIES1771743381031733640

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total493580Total
Program Services264402ProgramServices
Management And General229178ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15423605Total
Program Services13384749ProgramServices
Management And General2038856ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY193496BOY
EOY33040EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1046491BOY
EOY851317EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1049827BOY
EOY1653727EOY

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
EOY85614EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY21155EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49020274LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19807687LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30312532BOY
EOY29212587EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

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)
BOY223324BOY
EOY337965EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY32911284BOY
EOY32195405EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY795445BOY
EOY878200EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY144953EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY119409BOY
EOY33498EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY914854BOY
EOY1056651EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY31996430BOY
EOY31138754EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31996430BOY
EOY31138754EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32911284BOY
EOY32195405EOY
FieldValueIRS element (for citing)
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
Depreciation15908150Depreciation
Book Value28155557BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis413084OtherCostOrOtherBasis
Depreciation357033Depreciation
Book Value56051BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2129889OtherCostOrOtherBasis
Depreciation1702749Depreciation
Book Value427140BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1905603OtherCostOrOtherBasis
Depreciation1839755Depreciation
Book Value65848BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29212587TotalOfBookValueLandBuildings
Total Revenue14565929TotalRevenue
Total Expenses15423605TotalExpenses
Excess Or Deficit For Year-857676ExcessOrDeficitForYear
Excess Or Deficit Per FS-857676ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14565929TotRevenueEtcAuditedFinclStmt
Revenue Subtotal14565929RevenueSubtotal
Total Revenue Per Form99014565929TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15423605TotExpensesEtcAuditedFinclStmt
Expenses Subtotal15423605ExpensesSubtotal
Total Expenses Per Form99015423605TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationOn October 1, 2009, the Center adopted the recognition requirements for uncertain income tax positions as required by generally accepted accounting principles, with no cumulative effect adjustment required. Income tax benefits are recognized for income tax positions taken or expected to be taken in a tax return, only when it is determined that the income tax position will more-likely-than-not be sustained upon examination by taxing authorities. The Center has analyzed tax positions taken for filing with the Internal Revenue Service and State of California. The Center believes that income tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse affect on the Center's financial condition, results of operations or cash flows. Accordingly, the Center has not recorded any reserves, or related accruals for interest and penalties for uncertain income tax positions at September 30, 2010. The Center's policy is to classify income tax related interest and penalties as interest expense on the financial statements.Explanation

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://www2.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/BusinessNameLine1
THE HOSPITALLER FOUNDATION OF CALIF INC
2468 SOUTH ST ANDREWS PLACELOS ANGELESCA90018953299706RELIGIOUS ORGANIZATIONCA501(C)311 (TYPE II)NA
HOSPITALLER BROTHERS HEALTHCARE CORP
2425 SOUTH WESTERN AVENUELOS ANGELESCA90018954334552HANDLES THE BROTHERS/ASSOCIATES AUTO AND HEALTH CARE INSURANCA501(c)33NA
ST JOHN OF GOD HEALTH CARE SERVICES
PO BOX 2457VICTORVILLECA92392953806996SUBSTANCE ABUSE TREATMENT AND RECOVERYCA501(C)33NA
ST JOSEPHS HEALTH AND RETIREMENT CENTER
2464 EAST OJAI AVENUEOJAICA93024953265311HEALTH AND RETIREMENT CENTERCA501(c)33NA
BROTHERS OF ST JOHN OF GOD
2425 S WESTERN AVELOS ANGELESCA90018952399225RELIGIOUS ORGANIZATIONCA501(C)31NA
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 OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
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

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