2023-10-23T11:09:01-05:00 2022-12-31 450250958 EIDE BAILLY LLP 10681 FOOTHILL BLVD STE 300 RANCHO CUCAMONGA CA 917303831 990 2022-01-01 942515405 EAST BAY INTEGRATED CARE INC DBA HOSPICE OF THE EAST BAY EAST 9258875678 3470 BUSKIRK AVE PLEASANT HILL CA 94523 WILLIAM MUSICK CEO 9258875678 2023-10-05 1 WILLIAM MUSICK 999009999 1 CATHERINE L GRAY CPA P01294460 9094664410 2023-10-05 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z WILLIAM MUSICK 3470 BUSKIRK AVE PLEASANT HILL CA 94523 40693148 0 X HOSPICEEASTBAY.ORG X 1977 CA TO PROVIDE HOSPICE AND PALLIATIVE CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 13 13 316 149 0 0 5694181 1160244 33550435 32019866 603798 796437 83489 255946 39931903 34232493 0 0 0 0 24240303 23781514 0 0 508456 8953750 9891496 33194053 33673010 6737850 559483 43545697 43397973 2626337 5069136 40919360 38328837 TO PROVIDE HOSPICE AND PALLIATIVE CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES THROUGHOUT CONTRA COSTA, SOLANO, AND ALAMEDA COUNTIES. 0 0 23363274 32034489 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. 23363274 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 88 0 1 316 1 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 X 13 13 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 CA X DAVID CALDWELL 9258875678 3470 BUSKIRK AVE PLEASANT HILL CA 94523 CYNTHIA HATTON PRESIDENT & CEO 40.00 X X 373958 0 15657 SUSAN BURROUGHS DIRECTOR 2.00 X 0 0 0 LINDSAY DUGGAN SECRETARY 2.00 X X 0 0 0 JULIE FREEDMAN DIRECTOR 2.00 X 0 0 0 MICHELLE LOPES VICE CHAIR 2.00 X X 0 0 0 FRANK PUGLISI CHAIR 2.00 X X 0 0 0 ERIC RUDNEY DIRECTOR 2.00 X 0 0 0 CINDY SILVA PAST CHAIR 2.00 X X 0 0 0 ERNIE WINTTER TREASURER 2.00 X X 0 0 0 PHILIP ARNOLD DIRECTOR 2.00 X 0 0 0 ANNEKE REZA DIRECTOR 2.00 X 0 0 0 JOHN KOPCHIK JR DIRECTOR 2.00 X 0 0 0 MARCIA GERG DIRECTOR 2.00 X 0 0 0 DAVID CALDWELL SENIOR VP & CFO 40.00 X 335902 0 11974 SUSAN LEVITT SENIOR VP & COO THROUGH APRIL 2022 40.00 X 176911 0 6939 KIT YAN RUATHAIWAT SENIOR VP & COO 40.00 X 124764 0 4032 SUSAN CRANDALL VICE PRESIDENT 40.00 X 219279 0 10853 EMMA BARON VICE PRESIDENT 40.00 X 215705 0 14983 MARLO JOHNSTON VP OF HR 40.00 X 209383 0 2882 MATS WALLIN VICE PRESIDENT 40.00 X 171773 0 14489 LAURA BAKER DIRECTOR 40.00 X 188795 0 3629 RAPHAELA DENICOLA TEAM MANAGER 40.00 X 166858 0 16560 DELAYNE ZOLLARS RN CASE MANAGER 40.00 X 168541 0 13031 MARISABEL GUEVARA RN CASE MANAGER 40.00 X 192071 0 2073 JODELIE CALL CONTROLLER 40.00 X 166372 0 14360 JEANETTE TRASK MANAGER 40.00 X 164330 0 16540 2874642 0 148002 63 0 1 0 CMG CIT ACQUISITION PO BOX 306478 NASHVILLE TN 372306478 TEMP/CONTRACT NURSING STAFF 950481 MANOR CARE OF WALNUT CREEK 1226 ROSSMOOR PARKWAY WALNUT CREEK CA 94595 ROOM & BOARD FOR PATIENTS 674173 STONEBROOK CONVALESCENT CENTER 4367 CONCORD BLVD CONCORD CA 94521 ROOM & BOARD FOR PATIENTS 394733 MANOR CARE TICE VALLEY PO BOX 183261 COLUMBUS OH 432183261 ROOM & BOARD FOR PATIENTS 287714 SONJA KASSUBA MD PC 2413 FIFTH ST C BERKELEY CA 94710 PHYSICAN SERVICES 261100 18 26193 1134051 69549 1160244 PATIENT FEES AND SERVICES 623000 28777320 28777320 THRIFT SHOPS 623000 3242546 3242546 32019866 807259 807259 63029 48448 14581 14581 14581 6387799 6398621 -10822 -10822 -10822 254909 26193 13586 241323 241323 OTHER 623000 42 42 42 34232493 32034489 0 1037760 1052329 1052329 18605078 14330227 3915491 359360 282275 223347 52928 6000 2429579 2006014 380076 43489 1412253 1125455 262127 24671 41879 41879 41955 41955 41027 41027 2945666 2303703 641963 183106 78195 78838 26073 2156187 178662 1977525 553140 113595 439545 233367 686 232681 MEDICAL SUPPLIES 1404104 1404104 MISCELLANEOUS 832241 216304 567074 48863 PHARMACY COSTS 824570 824570 PATIENT RELATED TRANSPO 268350 268350 365904 290062 75842 33673010 23363274 9801280 508456 5437120 2814765 3316120 311127 169460 3600781 4329858 743461 692459 12032342 4667800 7150093 7364542 19892715 23528236 3094280 2325892 0 2172761 43545697 43397973 2604463 2871933 21874 0 2197203 2626337 5069136 X 39192479 36737660 1726881 1591177 40919360 38328837 43545697 43397973 X 559483 -3108339 -41667 X 0 1 X 1 0 X 1140962 1756772 3319371 5694181 1160244 13071530 1140962 1756772 3319371 5694181 1160244 13071530 196924 12874606 462045 590062 674441 593178 807259 3126985 121359 133561 136517 143205 63071 597713 16796228 147616708 0.76650 0.77370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 500000 500000 500000 500000 500000 500000 500000 500000 500000 500000 1.00000 0 0 3875000 3875000 5250535 2915923 2334612 2032235 1556981 475254 874572 194896 679676 7364542 OTHER 2325892 F 2325892 RIGHT-OF-USE ASSET 2172761 2172761 OPERATING LEASE LIABILITY 2197203 2197203 X 31103494 -3108339 20367 -3087972 34191466 41027 41027 34232493 33694017 62034 62034 33631983 41027 41027 33673010 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: RENTAL EXPENSE 48,448. CHANGE IN BENEFICIAL INTEREST IN CHARITABLE TRUST -41,667. SPECIAL EVENTS 13,586. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 48,448. SPECIAL EVENTS 13,586. GIVING IN THE GARDEN 102827 21183 81644 604 3072 MOTOWN CONCERT AT ROSSMOOR 23854 5010 18844 4000 11 154421 154421 1436 4474 281102 26193 254909 1436 604 4000 7546 13586 241323 X X X 0 0 0 0 0 1 0 0 0 CYNTHIA HATTON PRESIDENT & CEO 306727 0 67231 0 0 0 2000 0 15850 0 391808 0 0 0 DAVID CALDWELL SENIOR VP & CFO 281830 0 54072 0 0 0 2000 0 9974 0 347876 0 0 0 EMMA BARON VICE PRESIDENT 202448 0 13257 0 0 0 2000 0 14670 0 232375 0 0 0 SUSAN CRANDALL VICE PRESIDENT 192494 0 26785 0 0 0 2000 0 8853 0 230132 0 0 0 MARLO JOHNSTON VP OF HR 193560 0 15823 0 0 0 2000 0 882 0 212265 0 0 0 MARISABEL GUEVARA RN CASE MANAGER 191261 0 810 0 0 0 2000 0 73 0 194144 0 0 0 LAURA BAKER DIRECTOR 186774 0 2021 0 0 0 2000 0 1629 0 192424 0 0 0 MATS WALLIN VICE PRESIDENT 159032 0 12741 0 0 0 2000 0 12489 0 186262 0 0 0 SUSAN LEVITT SENIOR VP & COO THROUGH APRIL 2022 135317 0 41594 0 0 0 2000 0 4939 0 183850 0 0 0 RAPHAELA DENICOLA TEAM MANAGER 164583 0 2275 0 0 0 2000 0 14560 0 183418 0 0 0 DELAYNE ZOLLARS RN CASE MANAGER 168033 0 508 0 0 0 2000 0 11031 0 181572 0 0 0 JEANETTE TRASK MANAGER 162704 0 1626 0 0 0 2000 0 14540 0 180870 0 0 0 JODELIE CALL CONTROLLER 164072 0 2300 0 0 0 2000 0 12360 0 180732 0 0 0 PART I, LINE 6 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. X 2 57049 X FOOD 1 12500 0 0 0 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 -41,667.