2011-10-11T11:29:57-05:00 2010-12-31 STANISLAWSKI & HARRISON CPAS 301 N LAKE AVE SUITE 900 PASADENA CA 91101 990 2010-01-01 951708771 MARYCREST MANOR MARY 3108382778 10664 ST JAMES DRIVE CULVER CITY CA 90230 SISTER NOELLA CHANCE OCD 3108382778 2011-10-07 1 ALAN HARRISON 6267933600 2011-10-07 2010 2016-03-07 17:11:31Z SISTER NOELLA CHANCE OCD 10664 ST JAMES DRIVE CULVER CITY CA 90230 5427911 0 X HTTP://WWW.MARYCREST-MANOR.ORG/ X 1956 CA SEE PART III LINE 1 3 3 76 50 0 0 234001 335178 4600892 5074474 689 2199 46032 11104 4881614 5422955 0 0 0 0 2298820 1949035 0 0 39761 2230652 2716247 4529472 4665282 352142 757673 4162756 4879817 399662 358154 3763094 4521663 X PLEASE SEE MISSION STATEMENT ON SCHEDULE O. 0 0 4211852 5074474 MARYCREST PROVIDES SHORT-TERM AND LONG-TERM SKILLED NURSING CARE FOR THE RESIDENTS OF CULVER CITY AND ITS SURROUNDING AREA AS WELL AS ENHANCING ITS PASTORAL CARE SERVICES. MARYCREST OPERATES A 57-BED SKILLED NURSING HOME IN CULVER CITY, CALIFORNIA. DURING 2010, MARYCREST PROVIDED 6,477 DAYS OF CARE TO PRIVATE PATIENTS, 11,100 DAYS OF CARE TO PATIENTS UNDER MEDI-CAL, AND 2,139 DAYS OF CARE TO PATIENTS UNDER MEDICARE. 4211852 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 22 0 1 76 1 0 0 0 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 1 1 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 4 0 0 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DR 300 BENSALEM PA 19020 DIETARY, LAUNDRY, HOUSEKEEPING 485071 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 328928 MT CARMEL HEALTH MINISTRIES INC 819 BUENA VISTA ST DUARTE CA 91010 FINANCIAL SERVICES 103230 4 2000 333178 335178 PATIENT SERVICE REVENU 623000 5027801 5027801 OTHER RESIDENT REVENUE 623000 46673 46673 5074474 2199 2199 16060 2000 4956 11104 11104 5422955 5074474 0 13303 1656513 1597406 59107 163192 151439 11594 159 129330 124990 4340 4929 4929 17728 17728 51280 51280 4503 4503 45897 20189 24439 1269 12972 12972 166578 160643 5935 1741 1306 348 87 183 183 463231 236279 189467 37485 186208 177435 8399 374 55870 48416 7067 387 NURSING 591376 591376 DIETARY 424321 424321 HOUSEKEEPING & LAUNDRY 274536 274536 TAXES AND LICENSES 254558 254558 MAINTENANCE AND GROUNDS 140395 140395 19941 4060 15881 4665282 4211852 413669 39761 817393 993638 1944718 2447239 20000 140000 247734 209440 45032 27339 5662700 4619168 1071113 1043532 16766 18629 4162756 4879817 368100 331008 31562 27146 399662 358154 X 3251821 3983948 381273 407715 130000 130000 3763094 4521663 4162756 4879817 X 757673 895 X 0 1 0 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30000 100000 130000 30000 100000 130000 30000 100000 130000 1.00000 0 0 757288 757288 3444229 3381526 62703 1318116 1115861 202255 143067 121781 21286 1043532 5422955 4665282 757673 895 895 758568 5428806 895 895 5427911 -4956 -4956 5422955 4670238 4956 4956 4665282 0 4665282 PART XII, LINE 4B AND PART XIII, LINE 2D REPRESENTS FUNDRAISING EXPENSE. FUNDRAISING EVENT 16873 2000 14873 4764 16873 2000 14873 4764 4764 10109 MISSION STATEMENT PART III LINE 1 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, FAMILIES, VISITORS AND CO-WORKERS C) TO MANAGE OUR FINANCIAL RESOURCES RESPONSIBLY AND PRUDENTLY IN ORDER TO PROVIDE HIGH QUALITY SKILLED NURSING CARE. 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 FOR 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 SEE EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A. 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 ARE RELIGIOUS PERSONNEL NOT RECEIVING COMPENSATION. A SALARY SURVEY IS CONDUCTED FOR ALL MANAGEMENT OFFICIALS ARE PAID COMPARABLE TO THE PREVAILING WAGE. 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: 895. 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 YES 0 SANTA TERESITA INC 819 BUENA VISTA STREET DUARTE CA 91010 951878859 SKILLED NURSING/ASSISTED LIVING CA 501(C)3 LINE 3 NO 0 LITTLE FLOWER CENTER INC 2434 GATES ST LOS ANGELES CA 90031 956122864 CHILD CARE CA 501(C)3 LINE 2 NO 0 SACRED HEART RETREAT HOUSE INC 920 EAST ALHAMBRA ROAD ALHAMBRA CA 91801 113835568 SPIRITUAL AND EDUCATIONAL RESOURCE CENTERS CA 501(C)3 LINE 9 NO 0 AVILA GARDENS INC 1171 ENCANTO PARKWAY DUARTE CA 91010 300468751 INDEPENDENT LIVING FACILITY CA 501(C)3 LINE 1 NO 0 MOUNT CARMEL HEALTH MINISTRIES INC 819 BUENA VISTA STREET DUARTE CA 91010 113835563 RELIGIOUS CA 501(C)3 LINE 1 YES 0 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 NO 0 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 NO 0 CARMELITE SISTERS OF THE SACRED HEART OF MONROVIA INC 1210 ROYAL OAKS DR DUARTE CA 91010 753253412 RELIGIOUS CA 501(C)3 LINE 1 NO 0 CARMELITE EDUCATION CENTER INC 920 E ALHAMBRA ROAD DUARTE CA 91801 954712229 OPERATE CHILDCARE, SCHOOLS, AND RELIGIOUS EDUCATION CA 501(C)3 LINE 1 NO 0 CARMELITE SISTERS FOUNDATION INC 920 E ALHAMBRA ROAD DUARTE CA 91801 392075616 RELIGIOUS CA 501(C)3 LINE 1 NO 0 MLJ HOLDING CORPORATION 920 EAST ALHAMBRA ROAD ALHAMBRA CA 91801 550826217 MEDICAL OFFICE RENTALS CA NO C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0