EAST BAY INTEGRATED CARE INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- EAST BAY INTEGRATED CARE INC (EIN 94-2515405)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-07
- IRS object ID
- 202423139349300207
- Schema version
- 2023v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-07T23:12:31-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10681 FOOTHILL BLVD STE 300 | AddressLine1Txt |
| City | RANCHO CUCAMONGA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 917303831 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942515405 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST BAY INTEGRATED CARE INC | BusinessNameLine1Txt |
| Business Name Line2 | DBA HOSPICE OF THE EAST BAY | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EAST | BusinessNameControlTxt |
| Phone | 9258875678 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3470 BUSKIRK AVE | AddressLine1Txt |
| City | PLEASANT HILL | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94523 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM MUSICK | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9258875678 | PhoneNum |
| Signature | 2024-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CATHERINE L GRAY CPA | PreparerPersonNm |
| PTIN | P01294460 | PTIN |
| Phone | 9094664410 | PhoneNum |
| Preparation | 2024-11-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIAM MUSICK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3470 BUSKIRK AVE | AddressLine1Txt |
| City | PLEASANT HILL | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,106,807 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HOSPICEEASTBAY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HOSPICE AND PALLIATIVE CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 302 | TotalEmployeeCnt |
| Total Volunteers | 271 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,160,244 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,108,020 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,019,866 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $30,933,940 | CYProgramServiceRevenueAmt |
| PY Investment Income | $796,437 | PYInvestmentIncomeAmt |
| CY Investment Income | $849,519 | CYInvestmentIncomeAmt |
| PY Other Revenue | $255,946 | PYOtherRevenueAmt |
| CY Other Revenue | $192,270 | CYOtherRevenueAmt |
| PY Total Revenue | $34,232,493 | PYTotalRevenueAmt |
| CY Total Revenue | $33,083,749 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,781,514 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,817,805 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $571,409 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,891,496 | PYOtherExpensesAmt |
| CY Other Expenses | $10,112,587 | CYOtherExpensesAmt |
| PY Total Expenses | $33,673,010 | PYTotalExpensesAmt |
| CY Total Expenses | $32,930,392 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $559,483 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $153,357 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,397,973 | TotalAssetsBOYAmt |
| Total Assets EOY | $45,607,651 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,069,136 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,495,384 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,328,837 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $41,112,267 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HOSPICE AND PALLIATIVE CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES THROUGHOUT CONTRA COSTA, SOLANO, AND ALAMEDA COUNTIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,482,849 | ExpenseAmt |
| Revenue | $30,952,063 | RevenueAmt |
| Desc | EAST BAY INTEGRATED CARE INC., A NOT FOR PROFIT ORGANIZATION PROVIDING SERVICES THROUGH HOSPICE OF THE EAST BAY THAT INCLUDE MEDICAL, EMOTIONAL AND PRACTICAL SUPPORT FOR PATIENTS WITH LIFE THREATENING ILLNESS AND THEIR FAMILIES. MEDICALLY QUALIFIED PATIENTS ARE ACCEPTED REGARDLESS OF THEIR ABILITY TO PAY AND A SLIDING SCALE FEE IS AVAILABLE. BEREAVEMENT SUPPORT IS ALSO OFFERED TO THE ENTIRE COMMUNITY AT NO COST. A PALLIATIVE CARE PROGRAM MEETS THE NEEDS OF PATIENTS THAT DO NOT QUALIFY OR ARE NOT READY FOR HOSPICE SERVICES. THE PROGRAM SERVICES ARE SUPPORTED BY FUNDS RAISED THROUGH SOLICITING DONATIONS, GRANTS, EVENTS AND THE OPERATION OF 6 THRIFT STORES. | Desc |
| Total Program Service Expenses | $21,482,849 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 96 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 302 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | Yes (1) | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAHEL LEGESSE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9258875678 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3470 BUSKIRK AVE | AddressLine1Txt |
| City | PLEASANT HILL | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94523 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CYNTHIA HATTON | ||||||||
| PRESIDENT & CEO THROUGH MARCH | 40.00 | Yes (X) | Yes (X) | $129,578 | $0 | $4,760 | ||
| SUSAN BURROUGHS | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LINDSAY DUGGAN | ||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE LOPES | ||||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FRANK PUGLISI | ||||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ERIC RUDNEY | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CINDY SILVA | ||||||||
| PAST CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ERNIE WINTTER | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ANNEKE REZA | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN KOPCHIK JR | ||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARCIA GERG | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM MUSICK | ||||||||
| INTERIM PRESIDENT & CEO | 40.00 | Yes (X) | Yes (X) | $309,863 | $0 | $2,000 | ||
| DAVID CALDWELL | ||||||||
| SENIOR VP & CFO | 40.00 | Yes (X) | $292,620 | $0 | $10,271 | |||
| KIT YAN RUATHAIWAT | ||||||||
| SENIOR VP & COO | 40.00 | Yes (X) | $286,628 | $0 | $8,398 | |||
| SUSAN CRANDALL | ||||||||
| VICE PRESIDENT | 40.00 | $165,901 | $0 | $6,925 | Yes (X) | |||
| EMMA BARON | ||||||||
| VICE PRESIDENT | 40.00 | $209,621 | $0 | $16,264 | Yes (X) | |||
| MARLO JOHNSTON | ||||||||
| VP OF HR | 40.00 | $203,294 | $0 | $2,000 | Yes (X) | |||
| MATS WALLIN | ||||||||
| VICE PRESIDENT | 40.00 | $171,786 | $0 | $13,325 | Yes (X) | |||
| LAURA BAKER | ||||||||
| DIRECTOR | 40.00 | $206,266 | $0 | $2,000 | Yes (X) | |||
| ISSA FOUAD MOUSSA | ||||||||
| DIRECTOR INFORMATION TECHNOLOGY | 40.00 | $170,812 | $0 | $28,403 | Yes (X) | |||
| JOSEPH CARLO LUMELLO | ||||||||
| MANAGER | 40.00 | $164,692 | $0 | $13,325 | Yes (X) | |||
| SARAH ELIZABETH MACKLE | ||||||||
| TEAM MANAGER | 40.00 | $165,849 | $0 | $10,271 | Yes (X) | |||
| EILEEN ROSE OWEN | ||||||||
| RN CASE MANAGER | 40.00 | $175,597 | $0 | $16,264 | Yes (X) | |||
| CARRIE M SCHOFIELD | ||||||||
| TEAM MANAGER | 40.00 | $178,644 | $0 | $13,998 | Yes (X) | |||
| REGINA ANN SUSSEX | ||||||||
| RN CASE MANAGER | 40.00 | $171,259 | $0 | $34,054 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,002,410 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $182,258 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 72 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CMG CIT ACQUISITION | |||||
| PO BOX 306478 | NASHVILLE | TN | 372306478 | TEMP/CONTRACT NURSING STAFF | $792,960 |
| MANOR CARE OF WALNUT CREEK | |||||
| 1226 ROSSMOOR PARKWAY | WALNUT CREEK | CA | 94595 | ROOM & BOARD FOR PATIENTS | $689,022 |
| MANOR CARE TICE VALLEY | |||||
| PO BOX 183261 | COLUMBUS | OH | 432183261 | ROOM & BOARD FOR PATIENTS | $435,772 |
| SONJA KASSUBA MD PC | |||||
| 2413 FIFTH ST C | BERKELEY | CA | 94710 | PHYSICAN SERVICES | $275,836 |
| SALLY SAMPLE MD | |||||
| 4002 RAAP AVE | MARTINEZ | CA | 945533832 | PHYSICAN SERVICES | $192,524 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $74,013 | FundraisingAmt |
| All Other Contributions | $1,034,007 | AllOtherContributionsAmt |
| Noncash Contributions | $34,720 | NoncashContributionsAmt |
| Total Contributions | $1,108,020 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT FEES AND SERVICES | 623000 | $27,745,652 | $27,745,652 |
| THRIFT SHOPS | 623000 | $3,188,288 | $3,188,288 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $30,933,940 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $936,377 | TotalRevenueColumnAmt |
| Exclusion | $936,377 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,971 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,971 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,971 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,971 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,859,451 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,946,309 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$86,858 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$86,858 | TotalRevenueColumnAmt |
| Exclusion | -$86,858 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $250,896 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $74,013 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $76,749 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,147 | TotalRevenueColumnAmt |
| Exclusion | $174,147 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $152 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $152 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $152 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,083,749 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,952,063 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,023,666 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,046,017 | TotalAmt |
| Management And General | $1,046,017 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,073,690 | TotalAmt |
| Program Services | $13,428,316 | ProgramServicesAmt |
| Management And General | $4,236,252 | ManagementAndGeneralAmt |
| Fundraising | $409,122 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,634 | TotalAmt |
| Program Services | $193,658 | ProgramServicesAmt |
| Management And General | $76,984 | ManagementAndGeneralAmt |
| Fundraising | $6,992 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,023,805 | TotalAmt |
| Program Services | $1,494,630 | ProgramServicesAmt |
| Management And General | $485,935 | ManagementAndGeneralAmt |
| Fundraising | $43,240 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,396,659 | TotalAmt |
| Program Services | $998,168 | ProgramServicesAmt |
| Management And General | $369,284 | ManagementAndGeneralAmt |
| Fundraising | $29,207 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,455 | TotalAmt |
| Management And General | $374,455 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,120 | TotalAmt |
| Management And General | $42,120 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,526 | TotalAmt |
| Management And General | $51,526 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,985,239 | TotalAmt |
| Program Services | $2,170,941 | ProgramServicesAmt |
| Management And General | $814,298 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,969 | TotalAmt |
| Program Services | $50,674 | ProgramServicesAmt |
| Management And General | $90,535 | ManagementAndGeneralAmt |
| Fundraising | $18,760 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,170,873 | TotalAmt |
| Program Services | $202,140 | ProgramServicesAmt |
| Management And General | $1,968,733 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $604,512 | TotalAmt |
| Program Services | $174,193 | ProgramServicesAmt |
| Management And General | $430,319 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,725 | TotalAmt |
| Program Services | $686 | ProgramServicesAmt |
| Management And General | $291,039 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $1,211,893 | $1,211,893 | ||
| MISCELLANEOUS | $887,489 | $251,009 | $572,558 | $63,922 |
| PHARMACY COSTS | $794,631 | $794,631 | ||
| INPATIENT FACILITY | $251,535 | $251,535 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,620 | TotalAmt |
| Program Services | $260,375 | ProgramServicesAmt |
| Management And General | $26,079 | ManagementAndGeneralAmt |
| Fundraising | $166 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,930,392 | TotalAmt |
| Program Services | $21,482,849 | ProgramServicesAmt |
| Management And General | $10,876,134 | ManagementAndGeneralAmt |
| Fundraising | $571,409 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,814,765 | BOYAmt |
| EOY | $2,980,962 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,460 | BOYAmt |
| EOY | $208,013 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,329,858 | BOYAmt |
| EOY | $4,674,746 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $692,459 | BOYAmt |
| EOY | $915,821 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,388,671 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,263,678 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,364,542 | BOYAmt |
| EOY | $7,124,993 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,528,236 | BOYAmt |
| EOY | $24,480,752 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,325,892 | BOYAmt |
| EOY | $3,124,712 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,172,761 | BOYAmt |
| EOY | $2,097,652 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,397,973 | BOYAmt |
| EOY | $45,607,651 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,871,933 | BOYAmt |
| EOY | $2,369,094 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,197,203 | BOYAmt |
| EOY | $2,126,290 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,069,136 | BOYAmt |
| EOY | $4,495,384 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,737,660 | BOYAmt |
| EOY | $39,459,039 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,591,177 | BOYAmt |
| EOY | $1,653,228 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,328,837 | BOYAmt |
| EOY | $41,112,267 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,397,973 | BOYAmt |
| EOY | $45,607,651 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $153,357 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,591,520 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $38,553 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,756,772 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,319,371 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,694,181 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,160,244 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,108,020 | CurrentTaxYearAmt |
| Total | $13,038,588 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,756,772 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,319,371 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,694,181 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,160,244 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,108,020 | CurrentTaxYearAmt |
| Total | $13,038,588 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $190,161 | SubstantialContributorsTotAmt |
| Public Support Total170 | $12,848,427 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $590,062 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $674,441 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $593,178 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $807,259 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $936,377 | CurrentTaxYearAmt |
| Total | $3,601,317 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $133,561 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $136,517 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $143,205 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $63,071 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,123 | CurrentTaxYearAmt |
| Total | $494,477 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $17,134,382 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $153,987,203 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.74990 | PublicSupportCY170Pct |
| Public Support PY170 | 0.76650 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $500,000 | BeginningYearBalanceAmt |
| End Year Balance | $500,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $500,000 | BeginningYearBalanceAmt |
| End Year Balance | $500,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $500,000 | BeginningYearBalanceAmt |
| End Year Balance | $500,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $500,000 | BeginningYearBalanceAmt |
| End Year Balance | $500,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $500,000 | BeginningYearBalanceAmt |
| End Year Balance | $500,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,875,000 | OtherCostOrOtherBasisAmt |
| Book Value | $3,875,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,302,475 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,175,378 | DepreciationAmt |
| Book Value | $2,127,097 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,307,602 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,766,602 | DepreciationAmt |
| Book Value | $541,000 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $903,594 | OtherCostOrOtherBasisAmt |
| Depreciation | $321,698 | DepreciationAmt |
| Book Value | $581,896 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,124,993 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Book Value | $3,124,712 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $3,124,712 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITY | Desc |
| Amt | $2,126,290 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,126,290 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $35,662,296 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,591,520 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $38,553 | OtherRevenueAmt |
| Revenue Not Reported | $2,630,073 | RevenueNotReportedAmt |
| Revenue Subtotal | $33,032,223 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $51,526 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $51,526 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $33,083,749 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,878,866 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $32,878,866 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $51,526 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $51,526 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $32,930,392 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION BELIEVES THAT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN BENEFICIAL INTEREST IN CHARITABLE TRUST 38,553. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | EVENING IN MOROCCO | Event1Nm |
| Gross Receipts Event1 | $180,370 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $48,674 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $131,696 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $3,152 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $4,500 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $27,083 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $8,813 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $18,407 | OtherDirectExpensesEvent1Amt |
| Event2 | MOTOWN CONCERT AT ROSSMOOR | Event2Nm |
| Gross Receipts Event2 | $47,206 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $16,145 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $31,061 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $601 | NonCashPrizesEvent2Amt |
| Entertainment Event2 | $4,000 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $185 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 11 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $97,333 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $9,194 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $88,139 | GrossRevenueOtherEventsAmt |
| Food And Beverage Other Events | $6,179 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $500 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $3,329 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $324,909 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $74,013 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $250,896 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $3,753 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,500 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $33,262 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $13,313 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $21,921 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $76,749 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $174,147 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM MUSICK | ||||||||||||||
| INTERIM PRESIDENT & CEO | $309,863 | $0 | $0 | $0 | $0 | $0 | $2,000 | $0 | $0 | $0 | $311,863 | $0 | $0 | $0 |
| DAVID CALDWELL | ||||||||||||||
| SENIOR VP & CFO | $292,620 | $0 | $0 | $0 | $0 | $0 | $2,000 | $0 | $9,198 | $0 | $303,818 | $0 | $0 | $0 |
| KIT YAN RUATHAIWAT | ||||||||||||||
| SENIOR VP & COO | $286,628 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,157 | $0 | $295,785 | $0 | $0 | $0 |
| EMMA BARON | ||||||||||||||
| VICE PRESIDENT | $209,621 | $0 | $0 | $0 | $0 | $0 | $2,000 | $0 | $15,148 | $0 | $226,769 | $0 | $0 | $0 |
| LAURA BAKER | ||||||||||||||
| DIRECTOR | $206,266 | $0 | $0 | $0 | $0 | $0 | $2,000 | $0 | $925 | $0 | $209,191 | $0 | $0 | $0 |
| REGINA ANN SUSSEX | ||||||||||||||
| RN CASE MANAGER | $171,259 | $0 | $0 | $0 | $0 | $0 | $2,000 | $0 | $32,893 | $0 | $206,152 | $0 | $0 | $0 |
| MARLO JOHNSTON | ||||||||||||||
| VP OF HR | $202,450 | $0 | $844 | $0 | $0 | $0 | $2,000 | $0 | $169 | $0 | $205,463 | $0 | $0 | $0 |
| ISSA FOUAD MOUSSA | ||||||||||||||
| DIRECTOR INFORMATION TECHNOLOGY | $169,123 | $0 | $1,689 | $0 | $0 | $0 | $2,000 | $0 | $27,314 | $0 | $200,126 | $0 | $0 | $0 |
| CARRIE M SCHOFIELD | ||||||||||||||
| TEAM MANAGER | $178,644 | $0 | $0 | $0 | $0 | $0 | $2,000 | $0 | $12,884 | $0 | $193,528 | $0 | $0 | $0 |
| EILEEN ROSE OWEN | ||||||||||||||
| RN CASE MANAGER | $175,597 | $0 | $0 | $0 | $0 | $0 | $2,000 | $0 | $15,103 | $0 | $192,700 | $0 | $0 | $0 |
| MATS WALLIN | ||||||||||||||
| VICE PRESIDENT | $171,786 | $0 | $0 | $0 | $0 | $0 | $2,000 | $0 | $12,238 | $0 | $186,024 | $0 | $0 | $0 |
| JOSEPH CARLO LUMELLO | ||||||||||||||
| MANAGER | $164,692 | $0 | $0 | $0 | $0 | $0 | $2,000 | $0 | $12,230 | $0 | $178,922 | $0 | $0 | $0 |
| SARAH ELIZABETH MACKLE | ||||||||||||||
| TEAM MANAGER | $165,849 | $0 | $0 | $0 | $0 | $0 | $2,000 | $0 | $9,110 | $0 | $176,959 | $0 | $0 | $0 |
| SUSAN CRANDALL | ||||||||||||||
| VICE PRESIDENT | $165,901 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,660 | $0 | $173,561 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 6 | FormAndLineReferenceDesc |
| Explanation | ORGANIZATION HAS AN ESTABLISHED BONUS PROCESS FOR THE CEO AND SENIOR LEADERS. THE BONUS IS BASED ON TWO CRITERIA: 1) MEETING OVERALL DISTRIBUTION REQUIREMENT AND 2) ACHIEVEMENT OF ANNUAL GOALS. ANNUAL GOALS ARE WEIGHTED AND A DISTRIBUTION SCALE IS ESTABLISHED AND APPROVED BY THE EXECUTIVE AND HR COMMITTEES OF THE BOARD ANNUALLY. | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Miscellaneous SecuritiesMiscellaneousGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $34,720 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | TRADING VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER REPRESENTS THE NUMBER OF DONORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | LINE 11B EXPLANATION - REVIEWED BY CFO AND FINANCE COMMITTEE. PRESENTED TO BOARD FOR REVIEW AND FOR THEIR INFORMATION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ADMINISTRATIVE POLICIES AND PROCEDURES MANUAL AND THE EMPLOYEE MANUAL INCLUDE A POLICY THAT PROHIBITS DIRECTORS AND EMPLOYEES FROM INVOLVEMENT IN ANY ACTIVITY THAT WOULD BE CONSIDERED A CONFLICT OF INTEREST TO THE AGENCY, ITS PROGRAMS, OR ITS PATIENTS. THE POLICY INCLUDES GUIDELINES AND EXAMPLES OF PROHIBITED CONDUCT. DIRECTORS ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. DIRECTORS AND STAFF ARE REQUIRED TO DISCLOSE AS SOON AS POSSIBLE, THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST TO HUMAN RESOURCES, OR TO THE APPROPRIATE MEMBER OF THE SENIOR LEADERSHIP TEAM. CONFLICTS OF INTEREST ARE ALSO MONITORED THROUGH COMPLIANCE LINE REPORTS, UNUSUAL OCCURRENCE REPORTS, COMPLAINT REPORTS, AND FOLLOW UP INVESTIGATIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | MARKET STUDIES OF COMPARABLE POSITIONS, ANNUAL REVIEWS OF COMPENSATION LEVELS COMMENSURATE WITH JOB DESCRIPTIONS, REVIEW AND APPROVAL BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD. THE CEO'S SALARY IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE COMMITTEE OBTAINS INDEPENDENT SALARY DATA (SALARY RANGE)FOR THE COMPARABLE POSITIONS IN THE MARKET PLACE. THE COMMITTEE ALSO PREPARES A WRITTEN EVALUATION OF THE CEO'S PERFORMANCE AGAINST PREDETERMINED GOALS AND OBJECTIVES. BASED ON THE CEO'S PERFORMANCE DURING THE YEAR, THE COMMITTEE DETERMINES THE ANNUAL ADJUSTMENT FOR THE COMING YEAR. TOP MANAGEMENT SALARIES ARE RECOMMENDED BY THE CEO AND APPROVED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD. THE COMMITTEE OBTAINS INDEPENDENT SALARY DATA (SALARY RANGES) FROM COMPARABLE POSITIONS IN THE MARKET PLACE. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST IN CHARITABLE TRUST 38,553. |
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