FURP.ORG / PUBLIC DATA EXPLORER

UNI CARE HOSPICE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
UNI CARE HOSPICE INC (EIN 46-5370628)
Tax period
2022-01-01 to 2022-12-31
Filed
2024-11-07
IRS object ID
202403129349303655
Schema version
2022v5.0
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)
Return2024-11-07T11:54:09-08:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN452079664PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1For Purpose Law GroupBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1408 Nutmeg StreetAddressLine1Txt
CitySan DiegoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN465370628EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Uni Care Hospice IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNICBusinessNameControlTxt
Phone7605663345PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11510 S Escondido Blvd 104AddressLine1Txt
CityEscondidoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92025ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAlbert KeshavarziPersonNm
Person TitlePresident & CEOPersonTitleTxt
Phone7605663345PhoneNum
Signature2024-11-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMay L Harris EsqPreparerPersonNm
PTINP01700045PTIN
Phone6197803839PhoneNum
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerAlbert KeshavarziPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11510 S Escondido Blvd 104AddressLine1Txt
CityEscondidoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92025ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,685,944GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.unicare247.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionThe Organization's mission is to provide comprehensive individual care for the terminally ill, grief support to the related families, and education to the community predominantly through patient care and bereavement support.ActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee65TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,585PYContributionsGrantsAmt
CY Contributions Grants$70,481CYContributionsGrantsAmt
PY Program Service Revenue$6,517,748PYProgramServiceRevenueAmt
CY Program Service Revenue$6,276,066CYProgramServiceRevenueAmt
CY Investment Income$339,397CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$6,521,333PYTotalRevenueAmt
CY Total Revenue$6,685,944CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,642,367PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,835,015CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,128,087PYOtherExpensesAmt
CY Other Expenses$3,454,301CYOtherExpensesAmt
PY Total Expenses$5,770,454PYTotalExpensesAmt
CY Total Expenses$7,289,316CYTotalExpensesAmt
PY Revenues Less Expenses$750,879PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$603,372CYRevenuesLessExpensesAmt
Total Assets BOY$3,526,274TotalAssetsBOYAmt
Total Assets EOY$4,767,299TotalAssetsEOYAmt
Total Liabilities BOY$202,193TotalLiabilitiesBOYAmt
Total Liabilities EOY$708,039TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,324,081NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,059,260NetAssetsOrFundBalancesEOYAmt
MissionThe Organization's mission is to provide comprehensive individual care for the terminally ill, grief support to the related families, and education to the community predominantly through patient care and bereavement support.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,588,332ExpenseAmt
DescUni Care Hospice is a nonprofit organization helping patients manage their serious illness care near the end of life by providing compassionate end-of-life care that focuses on physical, social, and spiritual needs as well as grief support. Licensed by the California Department of Public Health, Uni Care Hospice is accredited by The Joint Commission and has been recognized as "Best Hospice" in 2021, 2023 and 2024 by the readers of the Imperial Valley Press. Since 2017, Uni Care Hospice has been a member of the National Hospice and Palliative Care organization and the We Honor Veterans Program as a Level 3 partner.Desc
Total Program Service Expenses$5,588,332TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransYes (true)PYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee65EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members2GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyfalseMinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonColin BushPersonNm
Phone7605663345PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11510 S Escondido Blvd 104AddressLine1Txt
CityEscondidoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92025ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Albert Keshavarzi
President & CEO33.0017.00Yes (X)Yes (X)$108,750$708,458$0
Bahram Manoocheri
CFO22.0018.00Yes (X)Yes (X)$87,000$230,000$0
Patricia Shader
Director of Clinical Services40.000.00$168,120$0$0
Michael Manoocheri
CFO40.000.00Yes (X)$151,289$0$0
Sara Keshavarzi
Nurse Practitioner40.000.00$140,000$0$0
Marco Correa
Clinical Manager40.000.00$119,947$0$0
Jodi Schloss
Clinical Manager40.000.00$103,581$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$878,687TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$938,458TotReportableCompRltdOrgAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$55,954GovernmentGrantsAmt
All Other Contributions$14,527AllOtherContributionsAmt
Total Contributions$70,481TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Service RevenueDesc
Business623000BusinessCd
Total Revenue Column$6,276,066TotalRevenueColumnAmt
Related Or Exempt Func Income$6,276,066RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,276,066TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$339,397TotalRevenueColumnAmt
Exclusion$339,397ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,685,944TotalRevenueColumnAmt
Related Or Exempt Func Income$6,276,066RelatedOrExemptFuncIncomeAmt
Exclusion$339,397ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$515,159TotalAmt
Program Services$428,159ProgramServicesAmt
Management And General$87,000ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,552,407TotalAmt
Program Services$2,170,197ProgramServicesAmt
Management And General$382,210ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$518,265TotalAmt
Program Services$501,246ProgramServicesAmt
Management And General$17,019ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$249,184TotalAmt
Program Services$211,806ProgramServicesAmt
Management And General$37,378ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$77,797TotalAmt
Management And General$77,797ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$96,639TotalAmt
Management And General$96,639ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$278,329TotalAmt
Management And General$278,329ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$414,322TotalAmt
Management And General$414,322ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$153,022TotalAmt
Program Services$115,441ProgramServicesAmt
Management And General$37,581ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$893,560TotalAmt
Program Services$757,032ProgramServicesAmt
Management And General$136,528ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$166,292TotalAmt
Program Services$139,738ProgramServicesAmt
Management And General$26,554ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,697TotalAmt
Management And General$11,697ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$143,137TotalAmt
Program Services$121,666ProgramServicesAmt
Management And General$21,471ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$109,707TotalAmt
Program Services$96,203ProgramServicesAmt
Management And General$13,504ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$363,659$363,659
Medical Equipment - Lease$266,805$266,805
Medical Consultant Fee$231,301$231,301
Auto Expense$186,807$149,221$37,586

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$61,227TotalAmt
Program Services$35,858ProgramServicesAmt
Management And General$25,369ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,289,316TotalAmt
Program Services$5,588,332ProgramServicesAmt
Management And General$1,700,984ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$258,062BOYAmt
EOY$570,349EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$743,395EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$643,447BOYAmt
EOY$624,808EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,341,030BOYAmt
EOY$2,448,023EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$774,861LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$436,130LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$233,644BOYAmt
EOY$338,731EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$50,091BOYAmt
EOY$41,993EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,526,274BOYAmt
EOY$4,767,299EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$184,640EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$343,622EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$202,193BOYAmt
EOY$179,777EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$202,193BOYAmt
EOY$708,039EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,324,081BOYAmt
EOY$4,059,260EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,324,081BOYAmt
EOY$4,059,260EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,526,274BOYAmt
EOY$4,767,299EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$603,372ReconcilationRevenueExpnssAmt
Prior Period Adjustments$1,338,551PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,294CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,036CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$612,122CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,585CurrentTaxYearMinus1YearAmt
Current Tax Year$70,481CurrentTaxYearAmt
Total$707,518TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,294CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,036CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$612,122CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,585CurrentTaxYearMinus1YearAmt
Current Tax Year$70,481CurrentTaxYearAmt
Total$707,518TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$707,518PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$11,153CurrentTaxYearMinus2YearsAmt
Current Tax Year$339,397CurrentTaxYearAmt
Total$350,550TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$1,058,068TotalSupportAmt
Gross Receipts Rltd Activities$28,652,375GrossReceiptsRltdActivitiesAmt
Public Support CY1700.66870PublicSupportCY170Pct
Public Support PY1700.98280PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$729,980OtherCostOrOtherBasisAmt
Depreciation$436,130DepreciationAmt
Book Value$293,850BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,881OtherCostOrOtherBasisAmt
Book Value$44,881BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$338,731TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Accrued wages, taxes and benefits$157,385
Lease liabilities - financing$22,392
FieldValueIRS element (for citing)
Total Liability$179,777TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$6,685,944TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$6,685,944RevenueSubtotalAmt
Total Revenue Per Form990$6,685,944TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,289,316TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$7,289,316ExpensesSubtotalAmt
Total Expenses Per Form990$7,289,316TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Albert Keshavarzi
President & CEO$108,750$708,458$108,750$708,458
Bahram Manoocheri
CFO$87,000$230,000$87,000$230,000
Michael Manoocheri
CFO$151,289$151,289
Patricia Shader
Director of Clinical Services$168,120$168,120

Schedule L IRS990ScheduleL

Disqualified Person Ex Bnft Tr DisqualifiedPersonExBnftTrGrp (5 entries)

Rln Disqualified Person OrgRlnDisqualifiedPersonOrgTxtTransactionTransactionDescTransaction CorrectedTransactionCorrectedInd
Albert Keshavarzi
Director and OfficerBelow market loansYes (true)
Bahram Manoocheri
Director and OfficerBelow market loansYes (true)
Sun City Enterprises LLC
Related PartyBelow market loansYes (true)
Unicare Healthcare Inc
Related PartyBelow market loansYes (true)
Unicare Hospice Inc
Related PartyBelow market loansYes (true)
FieldValueIRS element (for citing)
Tax Imposed$243,139TaxImposedAmt

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
Albert Keshavarzi
OfficerPersonalYes (X)$661,034$378,839falsefalseYes (true)
Bahram Manoocheri
OfficerPersonalYes (X)$799,352$245,969Yes (true)falseYes (true)
FieldValueIRS element (for citing)
Total Balance Due$624,808TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 2Albert Keshavarzi, Board Member/President & CEO and Sara Keshavarzi, Nurse Practitioner, have a family relationship. Bahram Manoocheri, Board Member/former CFO, and Michael Manoocheri, subsequent CFO, have a family relationship. Albert Keshavarzi, Board Member/President & CEO, and Bahram Manoocheri, Board Member/former CFO, have a business relationship.
Form 990, Part VI, Section A, Line 8bThe governing body was not aware at the time of their responsibility to contemporaneously document the meetings held or written actions undertaken. There were no committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, Line 11bThe Form 990 is reviewed by the President & CEO, as well as the CFO, prior to filing.
Form 990, Part VI, Section C, Line 19The organization's governing documents and financials are not made publicly available. Form 990 is available upon request.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Sun City Enterprise LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11507 E Valley Pkway Ste 3 601AddressLine1Txt
CityEscondidoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92027ZIPCd
FieldValueIRS element (for citing)
EIN843148951EIN
Primary Activitieshome health carePrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Uni Care Hospice Inc
105 West 16th Street Suite AYumaAZ85364842652519hospice careAZNAS Corpfalse
Uni Care Healthcare Inc
105 West 16th Street Suite BYumaAZ85364842524409home health careAZNAS Corpfalse
Uni Care Hospice Management
1510 S Escondido Blvd Ste 104EscondidoCA92025882107471management companyCANAS Corpfalse
Uni Care At Home Inc
1520 S ESCONDIDO BLVDEscondidoCA92025822038466Private duty health careCANAS Corpfalse
Uni Care Home Care Inc
1594 S IMPERIAL AVEEl CentroCA92243471637996home health careCANAS Corpfalse
Uni Care Home Health
1510 S Escondido Blvd Ste 101EscondidoCA92025331165611home health careCANAS Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Sun City Enterprise LLC
d-$658,359loan payments
Uni Care Hospice Inc
d$268,940loan increase
Uni Care Healthcare Inc
d$473,131loan increase
Uni Care Hospice Management
m$195,431acct. records