2022-06-14T16:15:56-05:00 2021-07-31 410746749 CLIFTONLARSONALLEN LLP 2210 EAST ROUTE 66 GLENDORA CA 91740 990 2020-08-01 951708771 MARYCREST MANOR MARY 3108382778 10664 ST JAMES DRIVE CULVER CITY CA 90230 SR VERONICA MALDONADO PRESIDENT 3108382778 2022-06-14 1 SR VERONICA MALDONADO 999009999 GEMA PTASINSKI P00635846 6268577300 2022-06-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SR VERONICA MALDONADO 10664 ST JAMES DRIVE CULVER CITY CA 90230 8213560 0 X WWW MARYCRESTCULVERCITY.COM X 1956 CA 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, C) TO MANAGE OUR FINANCIAL RESOURCES RESPONSIBLY AND 3 3 109 14 0 0 838780 1440894 6139590 6626472 76963 36982 41653 103829 7096986 8208177 0 0 0 0 3317218 3601619 0 0 21210 3159012 3370248 6476230 6971867 620756 1236310 12111993 12815857 1416012 814903 10695981 12000954 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. 0 0 5711353 6735684 MARYCREST OPERATES A 57-BED CONVALESCENT HOME IN CULVER CITY, CALIFORNIA. 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. 5711353 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 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 1 17 0 1 109 1 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 0 0 0 CA X GLENN FORTICH 6265575848 931 BUENA VISTA STREET DUARTE CA 91010 X SISTER MARY CLARE MANCINI PRESIDENT/DIRECTOR 40.00 X X 0 0 0 SISTER JUDITH ZUNIGA SECRETARY/DIRECTOR 2.00 X X 0 0 0 SISTER MARINA ESPARZA TREASURER/DIRECTOR 2.00 X X 0 0 0 0 0 0 0 0 0 0 HEALTHCARE SERVICES GROUP INC PO BOX 829677 PHILADELPHIA PA 191829677 HOUSEKEEPING AND LAUNDRY SERVICES 425013 MOUNT CARMEL HEALTH MINISTRIES 931 BUENA VISTA STREET SUITE 402 DUARTE CA 91010 MANAGEMENT SERVICES 421475 GENESIS ELDERCARE REHABILITIATION SERVIC PO BOX 821322 PHILADELPHIA PA 191821322 THERAPY SERVICES 325752 BRASCIA BUILDERS INC 2801 E ANAHEIM STREET LONG BEACH CA 90804 CONSTRUCTION SERVICES 201802 HHS SENIOR LIVING LLC 12495 SILVER CREEK ROAD DRIPPING SPRINGS TX 78620 MANAGEMENT/CULINARY SERVICES 193990 7 199708 799327 441859 1440894 NET PATIENT SERVICE RE 623000 6616469 6616469 OTHER PATIENT REVENUE 623000 10003 10003 6626472 36982 36982 0 199708 5383 -5383 -5383 MEDI-CAL QUALITY AND A 900099 46555 46555 NON PATIENT ROOM RENTA 900099 27018 27018 MISCELLANEOUS 900099 23066 23066 12573 12573 109212 8208177 6735684 0 31599 X 2851267 2517253 317014 17000 5039 4567 472 524366 452170 72196 220947 200293 20654 423768 423768 4247 4247 37554 37554 9096 9096 1295580 1186075 109505 9603 4214 5389 14544 14544 221993 164488 57505 612 612 440044 333209 106835 70831 45611 25220 SUPPLIES 431752 405939 21603 4210 LICENSES AND TAXES 380494 376697 3797 BAD DEBT 17727 17727 LEASES AND RENTALS 12403 3110 9293 6971867 5711353 1239304 21210 2924128 3420771 1683913 1755319 35714 430760 330745 62053 37006 12714521 6668372 5922913 6046149 1086088 1190153 2138 0 12111993 12815857 502811 441284 439264 297756 473937 0 75863 1416012 814903 X 10571246 11803455 124735 197499 10695981 12000954 12111993 12815857 1236310 68663 0 X X 0 1 X 1 0 X 432092 842357 388249 838780 1440894 3942372 432092 842357 388249 838780 1440894 3942372 1058460 2883912 21487 63683 73349 76963 36982 272464 99770 5280 5520 110570 4325406 30772168 0.66670 0.56670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30000 30000 30000 30000 30000 30000 30000 30000 30000 30000 1.00000 0 0 29728 29728 9503328 4596241 4907087 1566602 1348906 217696 1614863 723225 891638 6046149 DUE TO AFFILIATES 75863 75863 X 8267744 68663 68663 8199081 9096 9096 8208177 6962771 0 6962771 9096 9096 6971867 PART V, LINE 4: THE EARNINGS FROM THE ORGANIZATION'S PERMANENTLY RESTRICTED ENDOWMENT FUND IS FOR GENERAL OPERATIONS. PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS RULED THAT THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION IS EXEMPT FROM CALIFORNIA STATE TAXES UNDER SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE FINANCIAL STATEMENTS. MOTHER LUSITA LUNCHEON 127850 127850 4841 FALL APPEAL 71858 71858 542 199708 199708 5383 5383 -5383 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 MEMBERS HAVE THE POWER TO APPOINT NEW MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B ALL OF THE BUSINESS AND AFFAIRS OF THE CORPORATION ARE MANAGED AND CONTROLLED BY THE BOARD OF DIRECTORS, EXCEPT THAT CERTAIN POWERS ARE RESERVED TO THE MEMBER. AS DEFINED BY THE BYLAWS, THE POWERS RESERVED TO THE MEMBER MAY BE INITIATED AND EXERCISED BY THE MEMBER OR, IF INITIATED BY THE BOARD OF DIRECTORS OF THE ORGANIZATION, MUST BE SUBMITTED TO AND RECEIVE THE APPROVAL OF THE MEMBER, AND THE ACTION OF THE MEMBER ON SUCH MATTERS SHALL BE FINAL. 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 11B THE ADMINISTRATOR AND BOARD OF DIRECTORS REVIEW THE 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT HAVE A CEO OR EXECUTIVE DIRECTOR. ALL THE OFFICERS AND THE MAJORITY OF KEY PERSONNEL ARE RELIGIOUS PERSONNEL WHO DO NOT RECEIVE COMPENSATION. HOWEVER, FOR NON-RELIGIOUS KEY PERSONNEL, A SALARY SURVEY IS CONDUCTED AND ARE PAID COMPARABLE TO THE PREVAILING WAGE IN THE HEALTHCARE INDUSTRY. A SALARY COMPARISON TO THE SURROUNDING MARKET IS COMPLETED BY THE HUMAN RESOURCES DEPARTMENT PRIOR TO THE HIRING OF ANY KEY PERSONNEL. ALL PERSONNEL GO THROUGH A THREE-PART INTERVIEW PROCESS WITH THREE INDEPENDENT PERSONS WITHIN THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G DIETARY: PROGRAM SERVICE EXPENSES 265,329. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 265,329. THERAPIST SERVICES: PROGRAM SERVICE EXPENSES 355,506. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 355,506. HOUSEKEEPING/LINEN SERVICES: PROGRAM SERVICE EXPENSES 147,817. MANAGEMENT AND GENERAL EXPENSES 22,255. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 170,072. OTHER SERVICES: PROGRAM SERVICE EXPENSES 417,423. MANAGEMENT AND GENERAL EXPENSES 87,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 504,673. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND TEH SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. CARMELITE SISTERS OF THE MOST SACRED HEART OF LOS ANGELES 920 E ALHAMBRA ROAD ALHAMBRA CA 91801 952564138 RELIGIOUS ORDER CA 501(C)(3) LINE 1 N/A 0 LITTLE FLOWER CENTER INC 920 E ALHAMBRA ROAD ALHAMBRA CA 91801 956122864 CHILDCARE CA 501(C)(3) LINE 2 FLOS CARMELI FORMATION CENTERS INC 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 0 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 0 MOUNT CARMEL IN THE DESERT INC 920 E ALHAMBRA ROAD ALHAMBRA CA 91801 113835561 OPERATE CHILDCARE SCHOOLS, RELIGIOUS EDUCATION CA 501(C)(3) LINE 2 FLOS CARMELI FORMATION CENTERS INC 0 FLOS CARMELI FORMATION CENTERS INC 920 E ALHAMBRA ROAD ALHAMBRA CA 91801 113835566 OPERATE CHILDCARE SCHOOLS, RELIGIOUS EDUCATION CA 501(C)(3) LINE 12C, III-FI CARMELITE SISTERS OF THE MOST SACRED HEART OF LOS ANGELES 0 CARMELITE SISTERS OF THE MOST SACRED HEART OF MONROVIA 1210 ROYAL OAKS DRIVE DUARTE CA 91010 753253412 RELIGIOUS CA 501(C)(3) LINE 1 CARMELITE SISTERS OF THE MOST SACRED HEART OF LOS ANGELES 0 CARMELITE SISTERS OF THE MOST SACRED HEART OF LOS ANGELES EDUCATION INC 920 E ALHAMBRA ROAD ALHAMBRA CA 91801 392075615 OPERATE CHILDCARE SCHOOLS, RELIGIOUS EDUCATION CA 501(C)(3) LINE 2 FLOS CARMELI FORMATION CENTERS INC 0 CARMELITE SISTERS FOUNDATION INC 920 E ALHAMBRA ROAD ALHAMBRA CA 91801 392075616 RELIGIOUS CA 501(C)(3) LINE 12A, I CARMELITE SISTERS OF THE MOST SACRED HEART OF LOS ANGELES 0 SACRED HEART RETREAT HOUSE INC 920 E ALHAMBRA ROAD ALHAMBRA CA 91801 113835568 SPIRITUAL AND EDUCATION RESOURCE CENTER CA 501(C)(3) LINE 10 FLOS CARMELI FORMATION CENTERS INC 0 AVILA GARDENS INC 1171 ENCANTO PARKWAY DUARTE CA 91010 300468751 INDEPENDENT LIVING FACILITY CA 501(C)(3) LINE 10 MOUNT CARMEL HEALTH MINISTRIES INC 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0