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MERCY RETIREMENT CARE CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MERCY RETIREMENT CARE CENTER (EIN 94-1156579)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-11
IRS object ID
201310429349300236
Schema version
2011v1.5
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)
Timestamp2013-02-11T10:52:35-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941156579EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY RETIREMENT AND CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JANICE WASHBURNInCareOfName
Name ControlMERCNameControl
Phone5107692700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 MARINA VILLAGE PARKWAYAddressLine1
CityALAMEDACity
StateCAState
ZIP Code94501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANICE WASHBURNName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2013-01-18DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJESSE JANTZENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11301 MARINA VILLAGE PKWY 210AddressLine1
CityALAMEDACity
StateCAState
ZIP Code94501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15128423GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MERCYRETIREMENTCENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1872YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionMERCY RETIREMENT & CARE CENTER SERVES AND ENRICHES THE LIVES OF OLDER ADULTS BY PROVIDING HOUSING AND SERVICES THROUGH ITS RETIREMENT & CARE CENTER, ASSISTED LIVING AND MEMORY CARE UNITS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees201TotalNbrEmployees
Total Nbr Volunteers522TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year654702ContributionsGrantsPriorYear
Contributions Grants Current Year1357534ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12268031ProgramServiceRevenuePriorYear
Program Service Revenue CY12920007ProgramServiceRevenueCY
Investment Income Prior Year241336InvestmentIncomePriorYear
Investment Income Current Year232571InvestmentIncomeCurrentYear
Other Revenue Prior Year362064OtherRevenuePriorYear
Other Revenue Current Year590820OtherRevenueCurrentYear
Total Revenue Prior Year13526133TotalRevenuePriorYear
Total Revenue Current Year15100932TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1499GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3086GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7289590SalariesEtcPriorYear
Salaries Etc Current Year7661163SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year9333TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year186001TotalFundrsngExpCurrentYear
Other Expense Prior Year5527948OtherExpensePriorYear
Other Expenses Current Year6146898OtherExpensesCurrentYear
Total Expenses Prior Year12828370TotalExpensesPriorYear
Total Expenses Current Year13811147TotalExpensesCurrentYear
Revenues Less Expenses Prior Year697763RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1289785RevenuesLessExpensesCY
Total Assets BOY17658998TotalAssetsBOY
Total Assets EOY18634039TotalAssetsEOY
Total Liabilities BOY1455298TotalLiabilitiesBOY
Total Liabilities EOY1924273TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16203700NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16709766NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionA NONPROFIT ORGANIZATION COMMITTED TO SERVING AND ENRICHING THE PHYSICAL, EMOTIONAL AND SPIRITUAL WELL-BEING OF OLDER ADULTS THROUGH A PROFESSIONAL, FAITH-CENTERED CARE COMMUNITY AND SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8111526Expense
Revenue6435149Revenue
DescriptionMERCY RETIREMENT & CARE CENTER IS LICENSED FOR 59 SKILLED NURSING RESIDENTS. THE CARE CENTER PROVIDES SKILLED NURSING CARE TO 54 OLDER ADULT RESIDENTS IN AN AVERAGE MONTH FOR AN ANNUAL TOTAL OF OVER 19,622 RESIDENT DAYS. 43% OF RESIDENTS ARE PRIVATE PAY, WHILE 35% HAVE MEDI-CAL, 20% HAVE MEDICARE AND 2% HAVE OTHER INSURANCE COVERAGE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2000102Expense
Revenue3579863Revenue
DescriptionMERCY'S ASSISTED LIVING UNIT PROVIDES HOUSING AND SERVICES FOR UP TO 84 OLDER ADULT RESIDENTS THAT REQUIRE SOME ASSISTANCE WITH MEDICATION OR DAILY ACTIVITIES. THIS YEAR WE PROVIDED ASSISTED LIVING HOUSING FOR 74 RESIDENTS EACH MONTH ON AVERAGE, EXCLUDING SECOND PERSONS IN EACH UNIT, FOR AN ANNUAL TOTAL OF 27,014 RESIDENT DAYS. THE ASSISTED LIVING RESIDENTS ARE OFFERED FOUR LEVELS OF CARE IN ADDITION TO THE BASE LEVEL OF CARE SO THAT THEIR INDIVIDUAL NEEDS CAN BE MET. THERE ARE MANY ACTIVITIES PROVIDED FOR OUR ASSISTED LIVING RESIDENTS, INCLUDING MANY THAT REFLECT OUR FAITH-BASED MISSION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense666701Expense
Revenue1105355Revenue
DescriptionMERCY'S MEMORY CARE UNIT PROVIDES HOUSING AND SERVICES FOR UP TO 22 OLDER ADULT RESIDENTS WHO HAVE DEMENTIA OR MEMORY LOSS. THIS YEAR WE PROVIDED MEMORY CARE HOUSING FOR 19 RESIDENTS EACH MONTH ON AVERAGE FOR A TOTAL OF 6,973 RESIDENT DAYS. THE MEMORY CARE UNIT HAS MANY DAILY ACTIVITIES DESIGNED FOR DEMENTIA OR MEMORY LOSS RESIDENTS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp333350TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt3086TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev1799640TotalOfOtherProgramServiceRev
Total Program Service Expense11111679TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
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 RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 With109660NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees201NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJANICE WASHBURNNamePerson
Telephone Number5107692727TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11301 MARINA VILLAGE PARKWAY SUITEAddressLine1
CityALAMEDACity
StateCAState
ZIP Code94501ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
REVEREND RONALD M RENTNER
CHAIRMAN THROUGH 11/20115.0XX000
PATRICIA CONOLLY MD
DIRECTOR THROUGH 11/20112.0X000
FRED WENTKER
SEC. THROUGH 11/2011/DIRECTOR3.0XX000
ROBERT JOHNSON
CHAIRMAN BEG. 12/20113.0XX000
CHARLES RUTHROFF
DIRECTOR2.0X000
REVEREND PAMELA GRIFFITH POND
DIRECTOR2.0X000
SISTER LINDA ORRICK
SECRETARY BEG. 12/20112.0XX000
SISTER KATHLEEN KEARNEY
VICE CHAIR BEG. 12/20112.0XX000
JOAN RYAN
DIRECTOR2.0X000
MICHAEL TELLEEN
DIRECTOR2.0X000
VERN STIGGE
DIRECTOR BEG. 12/20112.0X000
CHRISTINE WHELAN
DIRECTOR BEG. 12/20112.0X000
REV NOREEN MEGINNESS
DIRECTOR BEG. 11/20112.0X000
JESSE BEAN
DIRECTOR BEG. 11/20112.0X000
JESSE JANTZEN
CHIEF EXECUTIVE OFFICER40.0X02109962314
JANICE WASHBURN
CHIEF FINANCIAL OFFICER40.0X01378952771
ADRIENE IVERSON
ASSISTANT SECRETARY40.0X01487612635
SISTER PATTY CREEDON
EXECUTIVE DIRECTOR40.0171688011445X
FieldValueIRS element (for citing)
Total Reportable Comp From Org171688TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs497652TotalReportableCompFrmRltdOrgs
Total Other Compensation19165TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP INC
MEDICAL SERVICES582938
FLORES SAUL
PROPERTY MAINTENANCE279391
SISTER OF MERCY
NURSING SERVICES185126
GREENBRIER DEVELOPMENT LLC
CCRC DEVELOPMENT204309
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants21000GovernmentGrants
All Other Contributions1336534AllOtherContributions
Total Contributions1357534TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE62300071078387107838
RESIDENT SERVICES62300055085015508501
OTHER PROGRAM SERVICE REVENUE623000303668303668
FieldValueIRS element (for citing)
Total Program Service Revenue12920007TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column260062TotalRevenueColumn
Exclusion$260,062ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real21565Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real21565Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column21565TotalRevenueColumn
Exclusion$21,565ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other27491Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-27491Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-27491TotalRevenueColumn
Exclusion-$27,491ExclusionAmount

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

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionGAIN FROM INVESTMENT POOLSDescription
Business Code900099BusinessCode
Total Revenue Column569255TotalRevenueColumn
Exclusion$569,255ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue569255TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15100932TotalRevenueColumn
Related Or Exempt Function Income12920007RelatedOrExemptFunctionIncome
Exclusion$823,391ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3086Total
Program Services3086ProgramServices

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)
Total183133Total
Management And General183133ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6015325Total
Program Services5443112ProgramServices
Management And General445345ManagementAndGeneral
Fundraising126868Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total184188Total
Program Services168701ProgramServices
Management And General13145ManagementAndGeneral
Fundraising2342Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total840885Total
Program Services762132ProgramServices
Management And General64042ManagementAndGeneral
Fundraising14711Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total437632Total
Program Services394177ProgramServices
Management And General33436ManagementAndGeneral
Fundraising10019Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total993019Total
Management And General993019ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24275Total
Management And General22895ManagementAndGeneral
Fundraising1380Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45072Total
Management And General45072ManagementAndGeneral

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)
Total61111Total
Management And General61111ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1372404Total
Program Services1364785ProgramServices
Management And General7619ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total129078Total
Program Services8275ProgramServices
Management And General95069ManagementAndGeneral
Fundraising25734Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1188063Total
Program Services1050122ProgramServices
Management And General133295ManagementAndGeneral
Fundraising4646Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9278Total
Program Services4872ProgramServices
Management And General4406ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total462088Total
Program Services415066ProgramServices
Management And General47022ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total48278Total
Program Services25260ProgramServices
Management And General22933ManagementAndGeneral
Fundraising85Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total36264Total
Program Services4866ProgramServices
Management And General31398ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total918348Total
Program Services740679ProgramServices
Management And General177669ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total94093Total
Program Services75264ProgramServices
Management And General18829ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT6000060000
LICENSES, DUES & SUBSCRIPTIONS19011215216137951
EMPLOYEE EXPENSES1094603316676078216
MEDICAL SUPPLIES & DRUGS315361315361

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total90594Total
Program Services90594ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13811147Total
Program Services11111679ProgramServices
Management And General2513467ManagementAndGeneral
Fundraising186001Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY123559BOY
EOY616842EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1800469BOY
EOY425831EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY827030BOY
EOY727754EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY94BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY35486BOY
EOY60847EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18732918LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12686744LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5224896BOY
EOY6046174EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9647464BOY
EOY10756591EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17658998BOY
EOY18634039EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY857758BOY
EOY1271849EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY29153BOY
EOY26598EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY568387BOY
EOY625826EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1455298BOY
EOY1924273EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12194169BOY
EOY12620480EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1667248BOY
EOY1747003EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2342283BOY
EOY2342283EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16203700BOY
EOY16709766EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17658998BOY
EOY18634039EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1289785ReconcilationRevenueExpenses
Reconcilation Other Changes-783719ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2366763CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1004557CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years713930CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year654702CurrentTaxYearMinus1Year
Current Tax Year1357534CurrentTaxYear
Total6097486Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10094297CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10825687CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11396695CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12268031CurrentTaxYearMinus1Year
Current Tax Year12920007CurrentTaxYear
Total57504717Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12461060CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11830244CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12110625CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12922733CurrentTaxYearMinus1Year
Current Tax Year14277541CurrentTaxYear
Total63602203Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years154484CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years194813CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years130548CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year84071CurrentTaxYearMinus1Year
Current Tax Year10527CurrentTaxYear
Total574443Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years154484CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years194813CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years130548CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year84071CurrentTaxYearMinus1Year
Current Tax Year10527CurrentTaxYear
Total574443Total
FieldValueIRS element (for citing)
Public Support Total50963027760PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years129814CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13507CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years171171CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year262901CurrentTaxYearMinus1Year
Current Tax Year281627CurrentTaxYear
Total859020Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years129814CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13507CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years171171CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year262901CurrentTaxYearMinus1Year
Current Tax Year281627CurrentTaxYear
Total859020Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12590874CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11843751CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12281796CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13185634CurrentTaxYearMinus1Year
Current Tax Year14559168CurrentTaxYear
Total64461223Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97776PublicSupportPercentage509
Prior Year Support Percentage0.97859PriorYearSupportPercentage
Investment Income Percentage0.01333InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01132PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationTHE ORGANIZATION IS A MEMBER OF SEVERAL ORGANIZATIONS WHOSE PURPOSE IS TO DIRECT, DEVELOP, OR AFFECT PUBLIC POLICY AND LEGISLATION WITH REGARDS TO HEALTHCARE ISSUES. THE AMOUNT SPENT ON DUES ALLOCABLE TO LOBBYING ACTIVITIES IS NOT SPECIFICALLY KNOWN; HOWEVER, SUCH AMOUNTS ARE INSUBSTANTIAL.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3404078BeginningOfYearBalance
Investment Earnings Or Losses-70148InvestmentEarningsOrLosses
End Of Year Balance3333930EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2897352BeginningOfYearBalance
Investment Earnings Or Losses506726InvestmentEarningsOrLosses
End Of Year Balance3404078EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2626863BeginningOfYearBalance
Investment Earnings Or Losses270489InvestmentEarningsOrLosses
End Of Year Balance2897352EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2941907BeginningOfYearBalance
Investment Earnings Or Losses-315044InvestmentEarningsOrLosses
End Of Year Balance2626863EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.29740BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.70260PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis201489OtherCostOrOtherBasis
Book Value201489BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14391195OtherCostOrOtherBasis
Depreciation10180054Depreciation
Book Value4211141BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2895985OtherCostOrOtherBasis
Depreciation1803505Depreciation
Book Value1092480BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1244249OtherCostOrOtherBasis
Depreciation703185Depreciation
Book Value541064BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6046174TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ASSET RETIREMENT OBLIGATION$538,939
DUE TO RELATED PARTY$86,887
FieldValueIRS element (for citing)
Total Of Amounts625826TotalOfAmounts
Total Revenue15100932TotalRevenue
Total Expenses13811147TotalExpenses
Excess Or Deficit For Year1289785ExcessOrDeficitForYear
Net Unrealized GL On Investments-783719NetUnrealizedGLOnInvestments
Total Adjustments-783719TotalAdjustments
Excess Or Deficit Per FS506066ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14283593TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-783719NetUnrealizedGainsInvestments
Other Revenues-61111OtherRevenues
Revenue Not Rptd F990-844830RevenueNotRptdF990
Revenue Subtotal15128423RevenueSubtotal
Other Revenues Not Included-27491OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-27491RevenueNotRptdOnFinStmt
Total Revenue Per Form99015100932TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13777527TotExpensesEtcAuditedFinclStmt
Other Expenses Included27491OtherExpensesIncluded
Expenses Not Rptd F99027491ExpensesNotRptdF990
Expenses Subtotal13750036ExpensesSubtotal
Investment Expenses Not Included261111InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt61111ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013811147TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ESCROW ACCOUNT LIABILITYSCHEDULE D, PART IV, LINE 2BTHE ORGANIZATION HAS A SMALL SEPARATE TRUST BANK ACCOUNT AND CASH BOX HELD FOR RESIDENTS.
ENDOWMENT PURPOSESCHEDULE D, PART V, LINE 4THERE ARE SIX ENDOWMENT FUNDS, ALL OF WHICH REQUIRE THE INCOME FROM THE FUNDS TO BE USED FOR CHARITY CARE OF RESIDENTS.
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XII, LINE 2DINVESTMENT FEES $(61,111)
OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4BLOSS ON DISPOSAL OF ASSETS $(27,491)
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XIII, LINE 2DLOSS ON DISPOSAL OF ASSETS $ 27,491

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JESSE JANTZEN
017587203489302310002314021331000
SISTER PATTY CREEDON
1509830194020130309048023970183133000
ADRIENE IVERSON
01369330114220406026002375015139600

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION OF THE TOP MANAGEMENT OFFICIALSCHEDULE J, PART I, LINE 3THE MANAGEMENT COMPANY AND RELATED ORGANIZATION, ELDER CARE ALLIANCE (ECA), USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
BONUS PAYMENTSSCHEDULE J, PART I, LINE 6AOFFICERS AND CERTAIN EMPLOYEES OF THE ORGANIZATION ARE ELIGIBLE TO RECEIVE BONUS PAYMENTS BASED ON AN INDIVIDUAL INCENTIVE COMPENSATION PLAN THAT IS MADE AT THE BEGINNING OF THE FISCAL YEAR. THE BONUSES ARE BASED ON FINANCIAL, PERSONAL, AND VARIOUS OTHER GOALS, AND TARGETS AND POTENTIAL BONUS PERCENTAGES ARE DETERMINED WHEN THE INCENTIVE PLAN IS DEVELOPED EACH YEAR. THE FINANCIAL GOALS FOR MANY OF THE INDIVIDUALS INCLUDE MEETING OR EXCEEDING A NET EARNINGS AMOUNT.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4DTHE BROWN BAG PROGRAM PROVIDES APPROXIMATELY 4,525 ELDERLY PERSONS WITH A BAG OF GROCERIES EVERY WEEK IN OAKLAND. APPROXIMATELY 400 VOLUNTEERS ASSISTED WITH THIS PROGRAM.
DELEGATION OF MANAGEMENT DUTIESFORM 990, PART VI, SECTION A, LINE 3MERCY HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE, A NON-PROFIT PUBLIC BENEFIT CORPORATION THAT IS THE SOLE CORPORATE MEMBER OF MERCY, TO PROVIDE MANAGEMENT SERVICES INCLUDING, BUT NOT LIMITED TO, MARKETING, HUMAN RESOURCES, ACCOUNTING, INFORMATION TECHNOLOGY SERVICES, CLINICAL OVERSIGHT AND INSURANCE.
MEMBERSFORM 990, PART VI, SECTION A, LINE 6, 7A, & 7BTHE ORGANIZATION'S SOLE CORPORATE MEMBER IS ELDER CARE ALLIANCE. APPOINTED DIRECTORS: (A) THE BOARD OF DIRECTORS OF THE CORPORATION SHALL INCLUDE NO GREATER THAN TWELVE (12) INDIVIDUALS APPOINTED IN ACCORDANCE WITH THE FOLLOWING: (I) FIVE (5) INDIVIDUALS APPOINTED BY THE FACILITY AND PROGRAM SPONSOR, THE BURLINGAME REGIONAL COMMUNITY OF THE SISTERS OF MERCY OF THE AMERICAS, WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH; (II) FIVE (5) INDIVIDUALS APPOINTED BY THE CO-SPONSOR OF THE CORPORATE MEMBER, THE SIERRA PACIFIC SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA; (III) A MAXIMUM OF TWO (2) INDIVIDUALS JOINTLY APPOINTED BY THE FACILITY AND PROGRAM SPONSOR AND BY THE CO-SPONSOR OF THE CORPORATE MEMBER; AND THE BOARD OF DIRECTORS SHALL FURTHER INCLUDE THE EX OFFICIO DIRECTOR. NOMINATION OF DIRECTORS: THE BOARD DEVELOPMENT COMMITTEE OF THE CORPORATE MEMBER SHALL IDENTIFY AND EVALUATE QUALIFIED INDIVIDUALS TO SERVE AS DIRECTORS OF THE CORPORATION AND SHALL RECOMMEND THEM TO THE FACILITY AND PROGRAM SPONSOR AND THE CO-SPONSOR OF THE CORPORATE MEMBER FOR APPOINTMENT. THE FOLLOWING ACTIONS REGARDING MERCY RETIREMENT AND CARE CENTER ("MRCC") SHALL NOT BE IMPLEMENTED WITHOUT THE SPECIFIC APPROVAL OF ELDER CARE ALLIANCE'S CORPORATE MEMBER, THE SISTERS OF MERCY OF THE AMERICAS, WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH: (A) THE SALE, PURCHASE LEASE OR ENCUMBRANCE OF THE REAL PROPERTY OF MRCC; (B) ANY INCREMENT OR ADDITIONS TO THE CAPITAL DEBT LIMITATION OF MRCC OR ANY OTHER NEGOTIATION, MODIFICATION OR OTHER CHANGE IN THE EXISTING CAPITAL DEBT OF MRCC; (C) ANY ACTION SEEKING BANKRUPTCY OR OTHER DEBTOR PROTECTION FOR MRCC; AND (D) ANY OTHER MATTERS WHICH MAY BE REQUIRED BY CIVIL OR ROMAN CATHOLIC CANON LAW TO BE SUBMITTED TO THE SISTERS OF MERCY OF THE AMERICAS, WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH, OR WHICH THE BOARD OF DIRECTORS MAY REQUEST BE SUBMITTED.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. ELDER CARE ALLIANCE, MERCY'S SOLE CORPORATE MEMBER AND MANAGEMENT COMPANY, HAS AN AUDIT COMMITTEE ON ITS BOARD OF DIRECTORS THAT REVIEWS THE FORM 990 BEFORE FILING. ALSO, THE EXECUTIVE DIRECTOR, CEO, AND CFO ALL REVIEW THE FORM 990 BEFORE FILING. THE FINAL FORM 990 IS THEN PROVIDED BY E-MAIL TO ALL MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING.
CONFLICT OF INTEREST POLICY COMPLIANCEFORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE ASSISTANT SECRETARY OF ELDER CARE ALLIANCE REQUESTS UPDATED CONFLICT OF INTEREST DISCLOSURE FORMS FROM THE BOARD OF DIRECTORS, OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED AUTHORITY. THE ASSISTANT SECRETARY PREPARES A TABLE SUMMARIZING THE DISCLOSURES MADE AND PRESENTS THE TABLE TO THE BOARD OF DIRECTORS FOR THEIR INFORMATION. IF AN APPARENT CONFLICT OF INTEREST IS IDENTIFIED, THE MATTER IS REFERRED TO A COMMITTEE OF THE BOARD FOR REVIEW AND ACTION, IF DEEMED NECESSARY, SUCH AS REQUIRING AN INTERESTED DIRECTOR TO RECUSE HIMSELF OR HERSELF FROM A VOTE ON THE MATTER, OR TERMINATING A BUSINESS RELATIONSHIP ENTERED INTO IN VIOLATION OF THE POLICY.
COMPENSATION DETERMINATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BMERCY HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE. INCLUDED IN THE SERVICES PROVIDED UNDER THIS MANAGEMENT CONTRACT ARE THE SERVICES OF THE CEO AND CFO. THE COMPENSATION FOR THE CEO AND CFO WAS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF ELDER CARE ALLIANCE. COMPARABLE COMPENSATION INFORMATION WAS PROVIDED TO THE EXECUTIVE COMMITTEE BY THE VICE PRESIDENT OF HUMAN RESOURCES OF ELDER CARE ALLIANCE. THE COMPENSATION REVIEW OF THE EXECUTIVE DIRECTORS AND KEY EMPLOYEES WAS DONE FOR FISCAL YEAR 2012 BY THE FINANCE COMMITTEE OF ELDER CARE ALLIANCE AS PART OF THE BUDGET REVIEW PROCESS.
GOVERNING DOCUMENT AVAILABILITYFORM 990, PART VI, SECTION C, LINE 19FINANCIAL HIGHLIGHTS ARE DISCUSSED AND ACCESS TO ANY GOVERNING DOCUMENT, POLICY, AND FINANCIAL STATEMENTS IS OFFERED AT RESIDENT COUNCIL MEETINGS AND FAMILY NIGHTS. THE FINANCIAL STATEMENTS ARE ALSO PROVIDED TO ANY PROSPECTIVE RESIDENT OR RESPONSIBLE PARTY THAT REQUEST THEM. ALL REQUESTS MUST BE IN WRITING TO ELDER CARE ALLIANCE, MERCY'S MANAGEMENT COMPANY, AND WILL BE PROVIDED VIA EMAIL, US MAIL, OR BY FAX IF SO REQUESTED.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5NET UNREALIZED LOSS ON INVESTMENTS $(783,719)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ELDER CARE ALLIANCE
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943260975MANAGEMENTCA501(C)(3)11 B IINAfalse
SALEM LUTHERAN HOME ASSOC OF THE BAY CIT
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501940831870ELDERLY CARECA501(C)(3)9ECAfalse
ELDER CARE ALLIANCE OF CAMARILLO
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943351613ELDERLY CARECA501(C)(3)9ECAfalse
ELDER CARE ALLIANCE OF SAN FRANCISCO
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943351615ELDERLY CARECA501(C)(3)9ECAfalse
ELDER CARE ALLIANCE OF UNION CITY
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501943377985ELDERLY CARECA501(C)(3)9ECAfalse
ELDER CARE ALLIANCE OF SAN RAFAEL
1301 MARINA VILLAGE PKWY 210ALAMEDACA94501760730971ELDERLY CARECA501(C)(3)9ECAfalse
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 OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
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 OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg