CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE (EIN 95-1643989)
- Tax period
- 2022-04-01 to 2023-03-31
- Filed
- 2023-10-16
- IRS object ID
- 202322899349300847
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-16T08:07:25-07:00 | ReturnTs |
| Tax Period End | 2023-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10960 WILSHIRE BLVD SUITE 1100 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90024 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951643989 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Casa Colina Hospital and Centers | BusinessNameLine1Txt |
| Business Name Line2 | for Healthcare | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CASA | BusinessNameControlTxt |
| Phone | 9095967733 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6001 | AddressLine1Txt |
| City | Pomona | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91769 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David Morony | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2023-10-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | David | PersonFirstNm |
| Person Last | Morony | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAUREN A HAVERLOCK | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 3104770450 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Kelly M Linden | PrincipalOfficerNm |
| Gross Receipts | $94,852,394 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.casacolina.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1936 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Casa Colina Hospital and Centers for Healthcare's mission is to optimize medical recovery and rehabilitation outcomes for all patients in a safe environment that respects their dignity, diversity, and individuality. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 960 | TotalEmployeeCnt |
| Total Volunteers | 80 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,026,880 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,864,575 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $100,541,297 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $90,851,524 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $243,395 | PYOtherRevenueAmt |
| CY Other Revenue | $219,657 | CYOtherRevenueAmt |
| PY Total Revenue | $102,811,572 | PYTotalRevenueAmt |
| CY Total Revenue | $92,935,756 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $442,173 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $319,334 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,000 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $52,049 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $97,923,613 | PYOtherExpensesAmt |
| CY Other Expenses | $101,714,286 | CYOtherExpensesAmt |
| PY Total Expenses | $98,390,786 | PYTotalExpensesAmt |
| CY Total Expenses | $102,085,669 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,420,786 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$9,149,913 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $87,824,424 | TotalAssetsBOYAmt |
| Total Assets EOY | $90,211,237 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $65,955,425 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $77,009,522 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,868,999 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,201,715 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Casa Colina Hospital and Centers for Healthcare's mission is to optimize medical recovery and rehabilitation outcomes for all patients in a safe environment that respects their dignity, diversity, and individuality. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $95,602,857 | ExpenseAmt |
| Grant | $319,334 | GrantAmt |
| Revenue | $91,071,181 | RevenueAmt |
| Desc | During the fiscal year ended March 31, 2023, Casa Colina Hospital had a total of 22,043 inpatient rehabilitation and 3,973 medical/surgical patient days. Also, the Hospital provided 135,762 outpatient visits plus an additional 11,420 Children's Services visits. The Organization seeks to enhance the dignity and quality of life of every person served by providing the highest level of care and that no individual in need of physical rehabilitation care shall be refused because of his/her inability to pay. It is the policy of Casa Colina Hospital to provide charity care (uncompensated care) for those who demonstrate such inability to pay. Casa Colina Hospital community benefits analysis consisted of benefits provided to patients for medical services and on a broader basis to the community at large. The cost of such broader community support included salaries, supplies, equipment and outside services. Refer to schedule H for additional discussion of Financial assistance and other community services provided. | Desc |
| Total Program Service Expenses | $95,602,857 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 87 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 960 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kelly M Linden | PersonNm |
| Phone | 9095967733 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6001 | AddressLine1Txt |
| City | Pomona | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 917696001 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| Felice Loverso thru 223 | |||||||
| President & CEO | 9.00 | 41.00 | Yes (X) | Yes (X) | $0 | $2,605,871 | $24,176 |
| David Morony | |||||||
| CFO | 9.00 | 41.00 | Yes (X) | $0 | $530,341 | $41,690 | |
| Debbie Walsh | |||||||
| COO | 9.00 | 41.00 | Yes (X) | $0 | $449,667 | $8,622 | |
| Stephanie Kaplan | |||||||
| Executive Director TLC | 13.00 | 37.00 | $0 | $297,130 | $30,459 | ||
| Rommel Baronia | |||||||
| Charge Nurse | 49.00 | 1.00 | $0 | $269,589 | $30,138 | ||
| Kathy Hwang | |||||||
| Registered Nurse | 50.00 | 0.00 | $0 | $275,590 | $19,495 | ||
| Sandi Plotkin | |||||||
| Dir. Inpatient Adm | 50.00 | 0.00 | $0 | $259,192 | $6,451 | ||
| K Alawode | |||||||
| Registered Nurse | 50.00 | 0.00 | $0 | $228,731 | $22,636 | ||
| Cynthia Meneses | |||||||
| House Supervisor | 50.00 | 0.00 | $0 | $231,624 | $14,594 | ||
| Azhar Majeed MD | |||||||
| Chf. Med. Staff | 6.00 | 2.50 | Yes (X) | $58,583 | $0 | $0 | |
| Randy Blackman | |||||||
| Chairman | 0.50 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Gary E Cripe Vice Chairman | |||||||
| Director | 0.50 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Stephen W Graeber | |||||||
| Treasurer | 0.50 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Thomas Reh | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Linda Liau MD PhD | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| N Nightingale thru 1122 | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Gerard Gallipeau Jr | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Steve Norin former Chairman | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Devorah Lieberman PhD | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Terrance Johnson | |||||||
| Secretary | 0.50 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Cathy Watrous | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Veronica Diaz Cutler Esq | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Phillip Feghali | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Bruce Pasqua | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Jose L Rodriguez MD | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Daniel Wilson MD PhD | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Kiana Webb thru 522 | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Steven Bast MD | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Kelly Lindenstarted 223 | |||||||
| President & CEO | 9.00 | 41.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $58,583 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,147,735 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $198,261 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Fittante & Son | |||||
| 1042 N Mountain Ave Ste B-487 | Upland | CA | 91786 | Landscaping | $302,369 |
| Portable Dialysis Services | |||||
| 1121 E Arrow Hghwy Suite D | Glendora | CA | 91740 | Dialysis services | $430,902 |
| San Antonio Regional Hospital | |||||
| 999 San Antonio Rd | Upland | CA | 91786 | Pharmacy & lab | $415,928 |
| Ali Alktaifi MD Inc | |||||
| 327 Canterbury Ct | Upland | CA | 91874 | Physician services | $271,800 |
| Pomona Valley Hospital Medical Center | |||||
| PO Box 840960 | Los Angeles | CA | 90084 | Lab Services | $338,356 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,864,575 | RelatedOrganizationsAmt |
| Total Contributions | $1,864,575 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Audiology Hlthcr Srvcs | 621400 | $1,518,984 | $1,518,984 |
| Children's Hlthcr Srvcs | 621400 | $1,664,529 | $1,664,529 |
| Inpatient Hlthcr Srvcs | 623000 | $53,698,737 | $53,698,737 |
| Outpatient Hlthcr Srvcs | 621400 | $32,081,506 | $32,081,506 |
| Specialty Clinic Hlthcr | 621400 | $1,835,568 | $1,835,568 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,200 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,200 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $90,851,524 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,136,295 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,916,638 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $219,657 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $219,657 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $219,657 | RelatedOrExemptFuncIncomeAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,935,756 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $91,071,181 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,619 | TotalAmt |
| Program Services | $258,619 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,715 | TotalAmt |
| Program Services | $60,715 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,049 | TotalAmt |
| Program Services | $52,049 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,844 | TotalAmt |
| Management And General | $24,844 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,709,654 | TotalAmt |
| Program Services | $10,709,654 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,634 | TotalAmt |
| Program Services | $42,634 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,193,229 | TotalAmt |
| Program Services | $3,193,229 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,289,316 | TotalAmt |
| Program Services | $2,289,316 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,998 | TotalAmt |
| Program Services | $32,998 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,512 | TotalAmt |
| Program Services | $44,512 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $944,846 | TotalAmt |
| Program Services | $944,846 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,115,056 | TotalAmt |
| Program Services | $7,115,056 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $719,816 | TotalAmt |
| Program Services | $719,816 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Salary & Benefits Transfer | $55,993,520 | $55,762,766 | $230,754 |
| Surgical implants | $7,619,629 | $7,619,629 | |
| Corporate General & Admin | $6,227,136 | $6,227,136 | |
| Medical Supplies | $3,181,375 | $3,181,375 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,575,721 | TotalAmt |
| Program Services | $3,575,643 | ProgramServicesAmt |
| Management And General | $78 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,085,669 | TotalAmt |
| Program Services | $95,602,857 | ProgramServicesAmt |
| Management And General | $6,482,812 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,985,608 | BOYAmt |
| EOY | $13,525,597 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $845,918 | BOYAmt |
| EOY | $772,671 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,330,325 | BOYAmt |
| EOY | $1,350,047 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $154,693,828 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $80,882,281 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,725,904 | BOYAmt |
| EOY | $73,811,547 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $936,669 | BOYAmt |
| EOY | $751,375 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,824,424 | BOYAmt |
| EOY | $90,211,237 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,668,415 | BOYAmt |
| EOY | $6,203,860 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,182,917 | BOYAmt |
| EOY | $32,856,867 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,104,093 | BOYAmt |
| EOY | $37,948,795 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,955,425 | BOYAmt |
| EOY | $77,009,522 | 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 | $21,868,999 | BOYAmt |
| EOY | $13,201,715 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,868,999 | BOYAmt |
| EOY | $13,201,715 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,824,424 | BOYAmt |
| EOY | $90,211,237 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$9,149,913 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $482,629 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $24,844 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $24,844 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $24,844 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $24,844 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $101,829,106 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $130,802,462 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $101,853,950 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $130,827,306 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed | false | Form4720FiledInd |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $9,481 | CurrentYearMinus3Amt |
| Current Year Minus2 | $11,440 | CurrentYearMinus2Amt |
| Current Year Minus1 | $13,813 | CurrentYearMinus1Amt |
| Current Year | $24,844 | CurrentYearAmt |
| Total | $59,578 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $232,995 | OtherCostOrOtherBasisAmt |
| Book Value | $232,995 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $101,896,565 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,836,135 | DepreciationAmt |
| Book Value | $60,060,430 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,205,288 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,046,146 | DepreciationAmt |
| Book Value | $6,159,142 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,358,980 | OtherCostOrOtherBasisAmt |
| Book Value | $7,358,980 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $73,811,547 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Lease Deposits | $62,583 |
| Lease Liabilities | $29,203 |
| Long-Term Insurance Payables | $469,773 |
| Payables due to affiliates | $37,387,236 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $37,948,795 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES, THE COMPANY RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION DID NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF THE END OF THE FISCAL YEAR. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,715 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $60,715 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,923,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,090,857 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,832,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02770 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,984,029 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,090,857 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,893,172 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02830 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $218,877 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $218,877 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,120,042 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,120,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,663,624 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,694,011 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $969,613 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $196,982 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $196,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $96,101 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $96,101 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,295,626 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,694,011 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,601,615 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,279,655 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,784,868 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,494,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06350 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $30,691 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,831 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $23,769,312 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $24,858,869 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,089,557 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Casa Colina Hospital & Centers | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 255 E Bonita Ave | AddressLine1Txt |
| City | Pomona | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91767 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.casacolina.org | WebsiteAddressTxt |
| State License | 930000020 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Casa Colina Hospital & Centers | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.casacolina.org/chna | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.casacolina.org/ImpStrat | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.0000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.casacolina.org/FAP | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.casacolina.org/FA-App | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | casacolina.org/FAPSummary | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Selling Debt | Yes (X) | PermitSellingDebtInd |
| Permit Defer Deny Rqr Payment | Yes (X) | PermitDeferDenyRqrPaymentInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Selling Debt | Yes (X) | EngagedSellingDebtInd |
| Engage Defer Deny Rqr Payment | Yes (X) | EngageDeferDenyRqrPaymentInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Facility: Casa Colina Hospital & Centers - Part V, Section B, Line 5 | Information and opinions were gathered directly from persons who represent the broad interests and perspectives of the community served by the hospital. Collection methods included telephone and paper interviews as well as on line surveys targeted towards patients and community stakeholders.In addition to reviewing the secondary data available, the CHNA team collected primary data through 10 interviews and 418 community surveys in an effort to identify the key issues that most impact the health of the communities served by Casa Colina Hospital. The interviews and surveys engaged a spectrum of local health experts, community leaders, and residents.Secondary data were collected from a wide range of local, county, and state sources to present indicators on demographics, mortality, morbidity, health behaviors, clinical care, social and economic factors, and physical environment. |
| Facility: Casa Colina Hospital & Centers - Part V, Section B, Line 7d | The Community Benefit Reports with the CHNA as attachment is submitted to the California Department of Healthcare Access and Information (HCAI), which was formerly the Office of Statewide Health Planning and Development (OSHPD) and all submissions are published on the HCAI website. |
| Facility: Casa Colina Hospital & Centers - Part V, Section B, Line 11 | Refer to the community benefits report and needs assessment which details activities and goals based on the needs identified in the CHNA. The report also discusses the specialized nature of the hospital and the patients that are served and how they do and do not overlap with the identified needs. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | In evaluating the collectability of patient accounts receivable, the Company analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowances for both contractual adjustments and the provision for bad debts. |
| Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | In order to calculate the estimate of bad debt expense attributable to charity care, the Company reviewed household income statistics from the 2007-2012 American Community Survey for all cities within a 10 mile radius of the hospital campus and calculated the number of household that would qualify for charity care based on a 200% of the Federal Poverty Limit threshhold.The calculated amount was not included in the community benefit summary above as the Company requires a sucessfully completed charity care application for an account to be included in the charity care at cost line above. |
| Part III, Line 4 - Bad Debt Expense | The Organization estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by an contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of the adverse change in the patient's ability to pay are recorded as bad debt expense. |
| Part VI, Line 2 - Needs Assessment | The Community Health Needs Assessment (CHNA) is the primary method of assessing the needs of the Organizations community. The CHNA is intended to be a resource for the Organization to continue developing and maintaining activities and programs that can help improve the health and well-being of the community. Casa Colina must complete comprehensive data collection and analysis to identify and address key community health priorities. With the help of these assessments, we can better identify, plan for, and respond to evolving community healthcare needs and act as a more responsible and productive member of our local healthcare network.We understand that the health needs of our community extend far beyond specialized medical and rehabilitative interventions. As such, we are dedicated to identifying and working to decrease the prevalence of disease processes that increase the likelihood for adverse health outcomes in our underserved community, such as individuals with diabetes and cardiovascular disease. Over the past several decades, Casa Colina has continually expanded its services to develop a continuum of care that better addresses the healthcare issues facing our diverse community, including barriers to care for multiple medical conditions including obesity, senior health, amputation, and more. The Community Health Needs Assessment offers a timely, critical birds-eye view that not only helps us identify those at risk for a medical disabilityit allows us to better understand how broadly unmet healthcare needs impact overall health outcomes. It is an essential exercise toward the development and implementation of services that meet the needs of our growing, dynamic community. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | Upon arrival, each patient is provided with a patient's handbook that outlines what they can expect during their stay at Casa Colina. A portion of the handbook describes the process by which patients are authorized for treatment and the possible funding resources as follows:Prior to admission, department coordinators inform patients of funding sources and receive authorization for admissions. Throughout the patient's stay, case managers regularly keep funding sources informed about the patient's progress and future rehabilitation needs. Services provided are covered by most health insurance and Worker's Compensation plans. Some services may be eligible for Medicare or Medi-cal reimbursement.Per Casa Colina's charity care policy, the Casa Colina Foundation provides funds for uncompensated care to economically disadvantaged patients. |
| Part VI, Line 4 - Community Information | The Casa Colina Hospital Service area population includes 31 zip codes and 15 cities or communities within the Los Angeles and San Bernardino counties. In Los Angeles County, the hospital is located in Service Planning Area 3. In 2021, there were 1,268,987 people living in the Casa Colina Hospital service area.Nearly half of residents are between the ages of 20-44 (48.8%), over half of the population is white (55.1%), and about half of residents are Hispanic or Latino (51.5%). While the median household income for the service area is $80,803, over one-quarter of households are food insecure (27.4%), and about one in five residents fall below 150 percent of the federal poverty level (19.9%). Overall, the majority (90.5%) of Casa Colina service area residents have health insurance. Within the Casa Colina service area, 18.7 percent of residents report fair health, and 3.0 percent of residents report poor health. In Casa Colina Hospitals service area, 10.8 percent of adults reported serious psychological distress, and 10.2 percent of teens reported needing help for mental health problems in the past year. In the service area, 35.5 percent of adults are reportedly overweight (Body Mass Index, or BMI, of 25.0-29.99) and 23.4 percent are obese (BMI of 30.0 or higher). A complete breakdown of service area demographics, social and economic factors, and health indicators data, as well as community input on health issues, are available within the Community Health Profile and Description and the Key Findings sections of the report. |
| Part VI, Line 4 - Community Building Activities | As part of coalition and capacity building for community organizations pertaining to health care and the needs of persons with or at risk of disability, Casa Colina sponsors or participates in events for a range of other charitable, non-profit and educational organizations. During the current fiscal year, Casa Colina as a organization made significant contributions to organizations through direct sponsorships and events. In addition to direct support through sponsorship, and as part of its own citizenship in the non-profit community, Casa Colina makes donations available to other organizations, particularly in cases where their overall mission or particular goal is aligned with Casa Colina's mission of service to persons with or at risk of disability. Community benefit in this sense was provided in forms ranging from sponsorships to donations of equipment, financial support, technical assistance, and the use of certain equipment.Finally, Casa Colina staff members participate in many local organizations that have individuals with disproportionate unmet health care needs (DUHN)as their focus. These range from organizations that focus on Down's Syndrome, autism, spinal cord injury, brain injury, MS, Parkinson's and many other diagnostic and disability related areas. A significant amount of staff time paid for by Casa Colina was utilized for the benefit of these local organizations in the current fiscal year. |
| Part VI, Line 5 - Promotion of Community Health | Casa Colina's focus, paraphrasing from the Mission Statement, is to provide individuals the opportunity to maximize their medical recovery and rehabilitation potential, thus promoting the health and well-being of the community and continually fulfilling Casa Colina's exempt purposes. Although most direct care services are reimbursed, there are many ways in which Casa Colina provides benefits to the community toward these ends on a subsidized or no-cost basis. |
| Part VI, Line 7 - States Filing of Community Benefit Report | CA |
| Part VI - Additional Information | Schedule H Part V Line 21The organization does not provide emergency medical services. The organization has a written policy and procedures for referring patients who may need emergency medical care to a nearby hospital facility which provides emergency services. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| American Medical Rehab Provid | ||||||||
| 529 14th St NW 1280 | Washington | DC | 20045 | 364184771 | 501(c)(6) | $15,000 | $0 | Support community charitable |
| San Antonio Regional Hospital | ||||||||
| 999 San Bernardino Rd | Upland | CA | 91786 | 330042666 | 501(c)(3) | $5,400 | $0 | Support community charitable |
| UCLA Foundation | ||||||||
| 300 Stein Plaza Ste 562 | Los Angeles | CA | 90095 | 952250801 | 501(c)(3) | $12,942 | $0 | Support community charitable |
| Upland Chamber of Commerce | ||||||||
| 215 N Second Ave Ste D | Upland | CA | 91786 | 951400799 | 501(c)(6) | $22,500 | $0 | Support community charitable |
| USC Care Medical Group Inc | ||||||||
| 1510 San Pablo St 6th Floor | Los Angeles | CA | 90033 | 954540991 | 501(c)(3) | $159,436 | $0 | Support community charitable |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Charity assistance to low income | GrantTypeTxt |
| Recipient | 48 | RecipientCnt |
| Cash Grant | $60,715 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | The organization evaluates requests for financial assistance in accordance with the written charity care policy. Patients may be eligible for charity care if family income is below certain thresholds relative to the Federal Poverty Level. The Organizations monitoring of funds utilized for charity care includes approval of patients charity care applications by several individuals within the organization to ensure funds are properly allocated and awarded.Other organizations are evaluated prior to and subsequent to the grant to determine if they are aligned with the Organization's mission and values. We maintain relationships with community partners to monitor the use of funds. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt |
|---|---|---|---|---|---|---|
| Cynthia Meneses | ||||||
| House Supervisor | $216,325 | $15,299 | $6,381 | $8,213 | $246,218 | |
| David Morony | ||||||
| CFO | $358,589 | $21,752 | $10,091 | $31,599 | $572,031 | $150,000 |
| Debbie Walsh | ||||||
| COO | $379,500 | $30,167 | $8,622 | $458,289 | $40,000 | |
| Felice Loverso thru 223 | ||||||
| President & CEO | $673,872 | $126,743 | $10,091 | $14,085 | $2,630,047 | $1,805,256 |
| K Alawode | ||||||
| Registered Nurse | $210,932 | $17,799 | $7,719 | $14,917 | $251,367 | |
| Kathy Hwang | ||||||
| Registered Nurse | $258,755 | $16,835 | $7,590 | $11,905 | $295,085 | |
| Rommel Baronia | ||||||
| Charge Nurse | $264,053 | $5,336 | $8,530 | $21,608 | $299,727 | $200 |
| Sandi Plotkin | ||||||
| Dir. Inpatient Adm | $210,352 | $27,090 | $6,451 | $265,643 | $21,750 | |
| Stephanie Kaplan | ||||||
| Executive Director TLC | $225,025 | $22,105 | $10,091 | $20,368 | $327,589 | $50,000 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Calif Hlth Facil Fin Auth | ||||||||
| A | 521643828 | 13033L2MB | 2013-09-13 | $21,600,062 | See Schedule K, Part VI | false | false | false |
| Calif Hlth Facil Fin Auth | ||||||||
| B | 521643828 | 2016-09-30 | $36,400,000 | See Schedule K, Part VI | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $7,550,000 | $21,600,062 | $432,001 | $21,600,062 | 2013 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $4,300,000 | $36,400,000 | $228,909 | $36,400,000 | 2016 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | false | false | false | Yes (true) |
| B | false | Yes (true) | false | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | FOR BOND ISSUE A: THE PURPOSE OF THE ISSUE IS TO MAKE A LOAN TO THE BORROWER (CASA COLINA, INC., THE PARENT OF THE ORGANIZATION) FOR THE PURPOSE OF PROVIDING FUNDS TO REFUND ON A CURRENT BASIS ALL OUTSTANDING CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY REVENUE BONDS (CASA COLINA), SERIES 2001, WHICH WERE ISSUED TO FINANCE OR REFINANCE CONSTRUCTION, EXPANSION AND EQUIPPING OF THE ACUTE CARE HOSPITAL FACILITIES OWNED AND OPERATED BY CASA COLINA HOSPITAL FOR REHABILITATIVE MEDICINE AND HEALTH CARE FACILITIES OWNED AND OPERATED BY CASA COLINA CENTERS FOR REHABILITATION FOUNDATION AND CASA COLINA CENTERS FOR REHABILITATION, INC.Bond Issue B: The purpose of the issue was to refinance certain exising indebtedness incurred by Casa Colina, Inc., the organization's parent entity. The refunded indebtedness was previously usd to pay certain costs of issuance, reimburse certain capital projects and to pay off the bank line of credit applicable to previous capital project costs.02. General Explanation AttachmentTax-exempt bond liabilities included in Part X and Schedule K represent borrowings by Casa Colina, Inc., the parent of the organization. The liability reported in the organization's balance sheet consists of the pro rata share of tax-exempt bond proceeds utilized for the organization's capital projects. The organization is a Member of the Obligated Group for Casa Colina, Inc.'s tax-exempt bonds.Part IV 2cThe most recent interim arbitrage rebate analysis was completed as of September 13, 2018. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 6 | Casa Colina Inc. is the Sole Member of the organization. |
| Form 990, Part VI, Section B, Line 11b | The Form 990 was reviewed by an independent accounting firm for accuracy and completeness. A paper copy of the Form 990 is made available for review by the Board of Directors prior to filing with the Internal Revenue Service. Each member of the Board of Directors is encouraged to review the Form 990. |
| Form 990, Part VI, Section B, Line 12c | The Governance Committe of the Board reviews disclosure forms on an annual basis. Inaddition, the ratio of interested versus disinterested directors is closely monitored. Interested directors are not allowed to hold office or serve on the audit committee. Finally, a protocol has been established that prevents the conversion of a current disinterested director to an interested director. |
| Form 990, Part VI, Section B, Line 15a | The filing organization relied on a related organization's methods to establish the top management official's compensation. The related organization, Casa Colina Inc., used the following methods to establish compensation for the CEO:The board maintains a compensation committee that conducted an independent compensation consultation and a compensation study. Once approved by the Board of Directors the CEO is then offered a written employment contract. |
| Form 990, Part VI, Section C, Line 19 | Financial statement information is made available to the public for inspection via the Electronic Municipal Market Access website. In addition, audited financial information is provided to the public for the purpose of grant awards upon request as necessary. The organization's governing documents and conflict of interest policy are available upon request. |
| Form 990, Part XI, Line 9 | Release from Restriction = $482629 |
| Form 990, Part III, Line 1 - Organization Mission | Casa Colina Hospital and Centers for Healthcare's mission is to optimize medical recovery and rehabilitation outcomes for all patients in a safe environment that respects their dignity, diversity, and individuality.To achieve these objectives Casa Colina manages its resources in terms of staff, services and quality care both effectively and efficiently. In order to maintain financial strength Casa Colina continues to strategically reposition itself at the forefront of the post-acute continuum by becoming the excellence of excellence in the provision of services to persons who can benefit from such care. |
| Form 990, Part IX, Line 9 | Independent contractors were paid by Casa Colina, Inc., FEIN 95-3655256, a related organization and are therefore listed on the Casa Colina, Inc. Form 990. |
| Form 990, Part V, Line 1a | Form 1096 was filed by Casa Colina, Inc., FEIN 95-3655256, a related organization. |
| Form 990, Part V, Line 2a | The number of employees listed in line 2a represents workers employed by Casa Colina, Inc., a related organization, on behalf of Casa Colina Hospital and Centers for Healthcare. Form W-3 was filed by Casa Colina, Inc. FEIN 95-3655256. |
| Part X - Balance Sheet | Tax-exempt bond liabilities included in Part X represent borrowings by Casa Colina, Inc.,the parent of the organization. The liability reported in the organization's balance sheet consists of the pro rata share of tax-exempt bond proceeds utilized for the organization's capital projects. The organization is a Member of the Obligated Group for Casa Colina, Inc.'s tax-exempt bonds. |
| Schedule J, Part I, Line 3 | Compensation for the organization's top management official is based on several criteria including but not limited to, compensation committee review, independent compensation consultant, written employment contract and approval by the board of directors. The compensation is recorded by a related organization (Casa Colina Inc.). As such, the filing organization relied on a related organization's method to establish the top management official's compensation. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Casa Colina Medical Office Building | |||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 900751108 | Medical Office Rental | CA | -$90,206 | $9,589,624 | Casa Colina Hospital and Centers for Hea |
| Diagnostic Imaging Center LLC | |||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 134286907 | Radiology | CA | $2,575,840 | $442,011 | Casa Colina Hospital and Centers for Hea |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Casa Colina Inc | ||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953655256 | Admin Support for Related Organizations | CA | 501(c)(3) | 12c | NA | false |
| Casa Colina Center for Rehab Fndtn | ||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953655255 | Fundraising | CA | 501(c)(3) | 7 | Casa Colina Inc | false |
| Casa Colina Comprhnsv OP Rehab | ||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953266014 | Outpatient Rehabilitation | CA | 501(c)(3) | 7 | Casa Colina Inc | false |
| Casa Colina Centers for Rehab Inc | ||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953392219 | Transitional Living Center | CA | 501(c)(3) | 7 | Casa Colina Inc | false |
| Padua Village Inc | ||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953713170 | Long-Term Care for TBI | CA | 501(c)(3) | 7 | Casa Colina Inc | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Colina Medical Associates | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 255 E Bonita Ave | AddressLine1Txt |
| City | Pomona | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91767 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352473284 | EIN |
| Primary Activities | Patient Care | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corp | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Casa Colina Inc | ||||||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953655256 | $0 | $0 | $0 | $9,708,217 | $9,708,217 | $635,411 | $158,853 | $158,853 | $635,411 | $0 |
| Casa Colina Cntrs for Rehab Foundat | ||||||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953655255 | $0 | $0 | $0 | $2,376,203 | $2,376,203 | $268,810 | $67,203 | $67,203 | $268,810 | $0 |
| Casa Colina Cntrs for Rehab Inc | ||||||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953392219 | $0 | $0 | $0 | $9,468,830 | $9,468,830 | $623,442 | $155,861 | $155,861 | $623,442 | $0 |
| Casa Colina Comprehensive Outpatien | ||||||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953266014 | $0 | $0 | $0 | $869,905 | $869,905 | $155,486 | $38,872 | $38,872 | $155,486 | $0 |
| Padua Village Inc | ||||||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953713170 | $0 | $0 | $0 | $6,550,201 | $6,550,201 | $477,510 | $119,378 | $119,378 | $477,510 | $0 |