FURP.ORG / PUBLIC DATA EXPLORER

CASA COLINA INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CASA COLINA INC (EIN 95-3655256)
Tax period
2019-04-01 to 2020-03-31
Filed
2021-02-16
IRS object ID
202130479349301028
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-02-16T11:49:28-06:00ReturnTs
Tax Period End2020-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110960 WILSHIRE BLVD SUITE 1100AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90024ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN953655256EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CASA COLINA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCASABusinessNameControlTxt
Phone9095967733PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 E BONITA AVE PO BOX 6001AddressLine1Txt
CityPOMONACityNm
State AbbreviationCAStateAbbreviationCd
ZIP917696001ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFELICE L LOVERSO PHDPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone9095967733PhoneNum
Signature2021-02-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAUREN A HAVERLOCKPreparerPersonNm
PTINP00545829PTIN
Phone3104770450PhoneNum
Preparation2021-02-12PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFELICE L LOVERSO PHDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 E BONITA AVE PO BOX 6001AddressLine1Txt
CityPOMONACityNm
State AbbreviationCAStateAbbreviationCd
ZIP917696001ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$71,595,051GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CASACOLINA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionCASA COLINA, INC.'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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1253TotalEmployeeCnt
Total Volunteers63TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$8,467,224PYProgramServiceRevenueAmt
CY Program Service Revenue$8,359,838CYProgramServiceRevenueAmt
PY Investment Income$17,699PYInvestmentIncomeAmt
CY Investment Income$87,658CYInvestmentIncomeAmt
PY Other Revenue$60,565,991PYOtherRevenueAmt
CY Other Revenue$63,147,555CYOtherRevenueAmt
PY Total Revenue$69,050,914PYTotalRevenueAmt
CY Total Revenue$71,595,051CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$66,769,459PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$69,258,731CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,281,455PYOtherExpensesAmt
CY Other Expenses$2,336,320CYOtherExpensesAmt
PY Total Expenses$69,050,914PYTotalExpensesAmt
CY Total Expenses$71,595,051CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$0CYRevenuesLessExpensesAmt
Total Assets BOY$9,216,706TotalAssetsBOYAmt
Total Assets EOY$9,559,043TotalAssetsEOYAmt
Total Liabilities BOY$8,364,486TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,706,823TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$852,220NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$852,220NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCASA COLINA, INC.'S MISSION IS TO OPTIMIZE MEDICAL RECOVERY ANDREHABILITATION OUTCOMES FOR ALL PATIENTS IN A SAFE ENVIRONMENTTHAT RESPECTS THEIR DIGNITY, DIVERSITY, AND INDIVIDUALITY.TO ACHIEVE THESE OBJECTIVES CASA COLINA, INC. MANAGES ITS RESOURCES IN TERMS OF STAFF, SERVICES AND QUALITY CARE BOTH EFFECTIVELY AND EFFICIENTLY. IN ORDER TO MAINTAIN FINANCIAL STRENGTH CASA COLINA, INC. CONTINUES TO STRATEGICALLY REPOSITION ITSELF AT THE FOREFRONT OF THE POST ACUTE CONTINUUM BY BECOMING THE CENTER OF EXCELLENCE IN THE PROVISION OF SERVICES TO PERSONS WHO CAN BENEFIT FROM SUCH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$63,067,062ExpenseAmt
Revenue$71,507,393RevenueAmt
DescSEE SCHEDULE ODURING THE FISCAL YEAR, CASA COLINA, INC. PROVIDED SUPPORT SERVICES TO ALL OF ITS AFFILIATES. SERVICES AND SUPPORT CONSISTED OF ACCOUNTING, PAYROLL, HUMAN RESOURCES, MANAGEMENT INFORMATION SYSTEMS, CONTRACTING, PUBLIC RELATIONS, AND BILLING AND COLLECTIONS SERVICES TO THESE SEVEN (7) AFFILIATES. IN SUPPORT TO THE AFFILIATES, CASA COLINA, INC. INCURRED $8,359,838 IN EXPENSES. THE EXPENSES ARE CHARGED TO THE AFFILIATES BASED ON A FORMULA AND UTILIZATION OF SERVICES. AS A RESULT OF THESE NECESSARY SUPPORT SERVICES, THE AFFILIATES WERE ABLE TO PROVIDE MEDICAL, RESIDENTIAL AND THERAPEUTIC SERVICES TO THE PATIENTS SERVED. THE RESULTS WERE THE FOLLOWING:HOSPITAL ACUTE REHABILITIATION = 22,131 INPATIENT DAYSHOSPITAL MEDICAL/SURGICAL AND ICU = 4,763 INPATIENT DAYSHOSPITAL OUTPATIENT = 100,500 VISITSOUTPATIENT SERVICES TO CHILDREN WITH VARIOUS DIAGNOSES = 12,265 VISITSRESIDENTIAL INPATIENT SERVICES TO SHORT TERM/LONG TERM CARE = 47,757 INPATIENT DAYSOTHER OUTPATIENT REHABILITATION SERVICES FOR PATIENTS WITH BRAIN INJURIES = 3,981 VISITSADULT DAY HEALTH CARE = 13,185 VISITSCASA COLINA, INC. AND ITS AFFILIATES HAD 241 BEDS DURING THE FISCAL YEAR CONSISTING OF: 68 HOSPITAL ACUTE REHABILITATION BEDS; 31 MEDICAL-SURGICAL AND ICU BEDS; 42 TRANSITIONAL LIVING CARE BEDS; 92 LONG-TERM RESIDENTIAL BEDS; AND 8 LONG-TERM SEMI-INDEPENDENT BEDS.THE SERVICES WHICH CASA COLINA, INC. SUPPORTED CONSISTED OF:MEDICAL-SURGICAL AND ICU SERVICES, CONSISTING OF 25 PRIVATE MEDICAL-SURGICAL BEDS AND SIX INTENSIVE CARE UNIT BEDS. BEGINNING IN APRIL 2016, CASA COLINA BEGAN SURGICAL PROCEDURES INCLUDING ORTHOPEDIC, GASTROENTEROLOGY, NEUROSURGERY, PODIATRY AND OTHERS.ADULT DAY HEALTH CARE WHICH PROVIDES A MEDICALLY DIRECTED PROGRAM FOR ADULTS WITH DISABILITY WHO CANNOT STAY AT HOME SAFELY ON THEIR OWN DURING THE DAY, WHILE FAMILY MEMBERS OR CAREGIVERS ARE NOT AVAILABLE. A FULL DAY PROGRAM OF PHYSICAL AND COGNITIVE ACTIVITIES IS PROVIDED WITH OPPORTUNITIES FOR SOCIALIZATION AND SELF EXPRESSION.BRAIN INJURY SERVICES PROVIDE A CONTINUUM OF CARE FOR INDIVIDUALS WITH BRAIN OR SEVERE HEAD INJURIES. THE CONTINUUM INCLUDES: (A) ACUTE REHABILITATION FOR INDIVIDUALS WHO RESPOND MORE CONSISTENTLY TO STIMULATION OR ENGAGE IN SOME FORM OF COMMUNICATION, (B) RESIDENTIAL OR DAY PROGRAM TRANSITIONAL LIVING FOR PATIENTS WHO HAVE FINISHED ACUTE THERAPY BUT STILL NEED ASSISTANCE IN LEARNING THE SKILLS NECESSARY TO RE-ENTER LIVING WITH FAMILY OR ANOTHER COMMUNITY SETTING OR RETURNING WORK, (C) OUTPATIENT THERAPY THAT FOCUSES ON RESTORING PHYSICAL, COMMUNICATIVE, PSYCHOSOCIAL OR NEUROPSYCHOLOGICAL SKILLS, AND (E) RESIDENTIAL PROGRAMS FOR THOSE WHO WILL CONTINUE TO NEED A SUPERVISED LIVING SITUATION.BURN OR WOUND CARE REHABILITATION SERVICES PROVIDES REHABILITATION FOR INDIVIDUALS WHO HAVE EXPERIENCED SEVERE BURNS. SERVICES VARY, AND MULTIDISCIPLINARY CLINICS AND SERVICES SUCH AS AMPUTEE, INTERNAL MEDICINE, FOOT AND GAIT, AND WOMEN'S HEALTH ARE COORDINATED.CHILDREN'S SERVICES PROVIDES OUTPATIENT REHABILITATION SERVICES FOR CHILDREN AGE THREE MONTHS TO 16 YEARS INCLUDING SPECIALIZED PROGRAMS FOR INFANT DEVELOPMENT, AUTISM AND PEDIATRIC ORTHOPEDICS AT THE CHILDREN'S SERVICES CENTER. THE AFTER SCHOOL ACTIVITIES PROGRAM PROVIDES SOCIALIZATION, ENRICHMENT AND OPPORTUNITIES FOR SUCCESS FOR CHILDREN WITH DISABILITIES ATTENDING REGULAR SCHOOLS. A HIGH DEGREE OF COOPERATION IS MAINTAINED WITH ALL LOCAL SCHOOL SYSTEMS. SPECIALIZED SERVICES ARE PROVIDED FOR SPECIFIC DIAGNOSIS, SUCH AS BRAIN INJURY, OSTEOGENESIS IMPERFECTA, CEREBRAL PALSY, MUSCULAR DYSTROPHY, SPINA BIFIDA AND SPINAL CORD INJURY, AS WELL AS THERAPIES FOR GENERAL REHABILITATION.GENERAL REHABILITATION PROVIDES CARE AND THERAPEUTIC INTERVENTION TO PATIENTS WHO NEED TO STRENGTHEN THEIR ABILITIES TO PERFORM ROUTINE AND WORK FUNCTIONS. THERAPIES FOCUS ON IMPROVING ENDURANCE, WORK CAPACITY, MOBILITY AND BALANCE. INDIVIDUAL REHABILITATION PROGRAMS ALSO ASSIST PEOPLE WITH DISABILITIES RESULTING FROM MULTIPLE SCLEROSIS, POST POLIO SYNDROME, CANCER AND CEREBRAL PALSY, ORTHOPEDIC AND NEUROLOGICAL DISORDERS.HAND THERAPY OFFERS THE SERVICES OF CERTIFIED HAND THERAPISTS WITH HIGHLY SPECIALIZED EXPERTISE TO WORK WITH PATIENTS TO RESTORE HAND FUNCTION AND UTILITY.Desc
Total Program Service Expenses$63,067,062TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document179IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1253EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FELICE L LOVERSO PHDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9095967733PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 E BONITA AVEAddressLine1Txt
CityPOMONACityNm
State AbbreviationCAStateAbbreviationCd
ZIP917671923ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
FELICE L LOVERSO PHD
PRESIDENT & CEO9.0041.00Yes (X)Yes (X)$1,033,962$0$24,159
DAVID MORONY
CHIEF FINANCIAL OFFICER9.0041.00Yes (X)$517,911$0$37,058
ROD PEEK
VP BRAIN INJURY1.0049.00$384,737$0$9,457Yes (X)
DR JALAL BADDAY
CMO (THRU 01/20)1.0049.00$325,992$0$39,764Yes (X)
BONNIE SCUDDER
DIRECTOR PROGRAM DEVELOPMENT1.0034.00$341,546$0$23,110Yes (X)
KURT STAUDER
FORMER COO1.0049.00$347,582$0$12,441Yes (X)
JENNYFER PODUSKA
EXEC DIR ADMISSIONS & REIMBURSEMENT35.000.00$301,527$0$11,989Yes (X)
DR DAVID PATTERSON
MEDICAL DIRECTOR10.0010.00$265,731$0$41,366Yes (X)
ROSS LESINS
CHIEF INFORMATION OFFICER50.000.00$280,539$0$24,440Yes (X)
STEPHANIE KAPLAN
HOSPITAL ADMINISTRATOR5.0045.00$277,059$0$26,702Yes (X)
ROBERT BARNES
DIRECTOR PROJECT DEVELOPMENT35.000.00$265,999$0$31,277Yes (X)
ELBERT CHANG MD
CHIEF OF MEDICAL STAFF (THRU 12/19)0.502.50Yes (X)$100,333$0$0
LEW DISNEY MD
CHIEF OF MEDICAL STAFF (FROM 01/20)0.502.50Yes (X)$12,500$0$0
RANDY BLACKMAN
CHAIRMAN0.502.50Yes (X)Yes (X)$0$0$0
GARY E CRIPE
VICE CHAIRMAN0.502.50Yes (X)Yes (X)$0$0$0
STEPHEN W GRAEBER
TREASURER0.502.50Yes (X)Yes (X)$0$0$0
THOMAS REH
SECRETARY0.502.50Yes (X)Yes (X)$0$0$0
FRANK S ALVAREZ
DIRECTOR/LARGE (THRU 03/20)0.502.50Yes (X)$0$0$0
GERARD J GALLIPEAU
DIRECTOR/LARGE0.502.50Yes (X)$0$0$0
STEVE NORIN
DIRECTOR/LARGE0.502.50Yes (X)$0$0$0
DEVORAH LIEBERMAN
DIRECTOR/LARGE0.502.50Yes (X)$0$0$0
TERRY JOHNSON
DIRECTOR/LARGE0.502.50Yes (X)$0$0$0
JOSE L RODRIGUEZ MD
DIRECTOR/LARGE0.502.50Yes (X)$0$0$0
DANIEL WILSON MD PHD
DIRECTOR/LARGE0.502.50Yes (X)$0$0$0
JOSEPH UNIS MD
DIRECTOR/LARGE (THRU 03/20)0.502.50Yes (X)$0$0$0
KIANA WEBB
DIRECTOR/LARGE0.502.50Yes (X)$0$0$0
STEVE BAST MD
DIRECTOR/LARGE0.502.50Yes (X)$0$0$0
LINDA LIAU MD
DIRECTOR/LARGE0.502.50Yes (X)$0$0$0
NANCY NIGHTINGALE
DIRECTOR/LARGE0.502.50Yes (X)$0$0$0
CATHY WATROUS
DIRECTOR/LARGE0.502.50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,455,418TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$281,763TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K105IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
JB SPECIALTY CONTRACTOR
22989 ROUND UP WAYAPPLE VALLEYCA92308CONSTRUCTION SERVICES$1,939,124
SAN ANTONIO REGIONAL HOSPITAL
999 SAN BERNARDINO ROADUPLANDCA91786PHARMACY AND LABORATORY SERVICES$459,841
PORTABLE DIALYSIS SERVICES
1121 E ARROW HIGHWAY SUITE DGLENDORACA91740DIALYSIS SERVICES$410,813
CAREFUSION SOLUTIONS LLC
25082 NETWORK PLACECHICAGOIL60673MEDICAL HARDWARE/SOFTWARE$385,325
NEIVEEN PETER MEDICAL CORPORATION
1121 AVONOAK TERRACEGLENDALECA91206PHYSICIAN SERVICES$298,069
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICESDesc
Business900099BusinessCd
Total Revenue Column$8,359,838TotalRevenueColumnAmt
Related Or Exempt Func Income$8,359,838RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,359,838TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,658TotalRevenueColumnAmt
Exclusion$87,658ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY SERVICES REIMBURSEMEDesc
Business900099BusinessCd
Total Revenue Column$63,147,555TotalRevenueColumnAmt
Related Or Exempt Func Income$63,147,555RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$63,147,555OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,595,051TotalRevenueColumnAmt
Related Or Exempt Func Income$71,507,393RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$87,658ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,834,015TotalAmt
Program Services$310,230ProgramServicesAmt
Management And General$2,523,785ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$48,499,367TotalAmt
Program Services$44,715,036ProgramServicesAmt
Management And General$3,784,331ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,059,198TotalAmt
Program Services$986,335ProgramServicesAmt
Management And General$72,863ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,906,164TotalAmt
Program Services$11,736,742ProgramServicesAmt
Management And General$1,169,422ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,959,987TotalAmt
Program Services$3,751,342ProgramServicesAmt
Management And General$208,645ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$454,851TotalAmt
Management And General$454,851ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$115,094TotalAmt
Management And General$115,094ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$211,651TotalAmt
Program Services$207,765ProgramServicesAmt
Management And General$3,886ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$160,775TotalAmt
Program Services$160,775ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,807TotalAmt
Program Services$13,807ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,722TotalAmt
Program Services$10,722ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,229TotalAmt
Program Services$4,229ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$140,578TotalAmt
Program Services$140,578ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$237,757TotalAmt
Program Services$237,757ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OUTSIDE SERVICES$458,147$454,808$3,339
MISCELLANEOUS$279,118$87,825$191,293
REPAIRS & MAINTENANCE$234,101$234,101
PRINTING/PUBLICATIONS$15,490$15,010$480

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$71,595,051TotalAmt
Program Services$63,067,062ProgramServicesAmt
Management And General$8,527,989ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,777,938BOYAmt
EOY$7,764,715EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$10,890EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$405,798BOYAmt
EOY$558,025EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,191,607LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,526,639LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$772,464BOYAmt
EOY$664,968EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,260,506BOYAmt
EOY$560,445EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,216,706BOYAmt
EOY$9,559,043EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,786,131BOYAmt
EOY$8,061,280EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$92,145BOYAmt
EOY$88,409EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$486,210BOYAmt
EOY$557,134EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,364,486BOYAmt
EOY$8,706,823EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$852,220BOYAmt
EOY$852,220EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$852,220BOYAmt
EOY$852,220EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,216,706BOYAmt
EOY$9,559,043EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$0ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations5SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
CASA COLINA HOSPITAL FOR REHAB MED
95164398930$0$6,321,772
CASA COLINA CENTERS FOR REHAB FDN
95365525570$0$759,726
CASA COLINA COMPREHENSIVE OUTPATIEN
95326601470$0$154,387
PADUA VILLAGE INC
95371317070$0$426,325
CASA COLINA REHABILITATION INC
95339221970$0$697,628
FieldValueIRS element (for citing)
Supported Organizations Total5SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$8,359,838OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (1)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART IV, SECTION A, LINE 1:ALL SUPPORTED ORGANIZATIONS ARE DESIGNATED BECAUSE THEY ARE RELATED BY CONTROL. ALL OF THE SUPPORTED ORGANIZATIONS ARE AFFILIATES OF THE FILING ORGANIZATION AND OPERATE UNDER THE SAME BOARD OF DIRECTORS WHICH IS DETERMINED BY THE FILING ORGANIZATION.
SCHEDULE A, PART IV, SECTION D, LINE 3:THE ORGANIZATION'S SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE BY VIRTUE OF AFFILIATION, ARE GOVERNED BY THE SAME MEMBERS AND HAVE BOARD OF DIRECTORS OVERLAP.
SCHEDULE A, PART IV, SECTION E, LINE 3A:THE ORGANIZATION IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND MAINTAINS CONTROL OF THE BOARD OF DIRECTORS.
SCHEDULE A, PART IV, SECTION E, LINE 3B:THE ORGANIZATION IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND MAINTAINS CONTROL OF THE BOARD OF DIRECTORS.

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$9,481AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$9,481AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$8,447,496FilingOrganizationsTotalAmt
Affiliated Group Total$116,817,253AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$8,447,496FilingOrganizationsTotalAmt
Affiliated Group Total$116,826,734AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$572,375FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$143,094FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$15,203CurrentYearMinus3Amt
Current Year Minus2$10,688CurrentYearMinus2Amt
Current Year Minus1$13,105CurrentYearMinus1Amt
Current Year$9,481CurrentYearAmt
Total$48,477TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,757,724BeginningYearBalanceAmt
Investment Earnings Or Losses$251,535InvestmentEarningsOrLossesAmt
Other Expenditures$251,535OtherExpendituresAmt
End Year Balance$5,757,724EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,757,724BeginningYearBalanceAmt
Investment Earnings Or Losses$300,488InvestmentEarningsOrLossesAmt
Other Expenditures$300,488OtherExpendituresAmt
End Year Balance$5,757,724EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,757,724BeginningYearBalanceAmt
Investment Earnings Or Losses$474,353InvestmentEarningsOrLossesAmt
Other Expenditures$474,353OtherExpendituresAmt
End Year Balance$5,757,724EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,757,724BeginningYearBalanceAmt
Investment Earnings Or Losses$299,535InvestmentEarningsOrLossesAmt
Other Expenditures$299,535OtherExpendituresAmt
End Year Balance$5,757,724EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,757,724BeginningYearBalanceAmt
Investment Earnings Or Losses$80,653InvestmentEarningsOrLossesAmt
Other Expenditures$80,653OtherExpendituresAmt
End Year Balance$5,757,724EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$313,961OtherCostOrOtherBasisAmt
Depreciation$69,577DepreciationAmt
Book Value$244,384BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,877,646OtherCostOrOtherBasisAmt
Depreciation$1,457,062DepreciationAmt
Book Value$420,584BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$664,968TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
CA HEALTH FACILITIES FINANCING AUTHORITY REV BONDS, SERIES 2013$3,311
LONG-TERM INSURANCE RECEIVABLES$557,134
FieldValueIRS element (for citing)
Total Book Value Other Assets$560,445TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLONG-TERM INSURANCE PAYABLESDesc
Amt$557,134Amt
FieldValueIRS element (for citing)
Total Liability$557,134TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENTS ARE HELD ON THE RELATED ORGANIZATION'S BOOKS, CASA COLINA CENTERS FOR REHABILITATION FOUNDATION, FOR THE BENEFIT OF CASA COLINA, INC. INTEREST EARNED ON PERMANENTLY RESTRICTED ASSETS IS UTILIZED BY THE RELATED ORGANIZATION AS PERMITTED BY ENDOWMENT AGREEMENTS. SOME INTEREST IS DESIGNATED FOR A SPECIFIC PURPOSE AND IS RELEASED WHEN SUCH PURPOSE RESTRICTIONS ARE MET.
PART X, LINE 2: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 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FELICE L LOVERSO PHD
PRESIDENT & CEO$617,388$0$307,467$0$109,107$0$10,062$0$14,097$0$1,058,121$0$0$0
DAVID MORONY
CHIEF FINANCIAL OFFICER$334,053$0$150,000$0$33,858$0$10,062$0$26,996$0$554,969$0$0$0
ROD PEEK
VP BRAIN INJURY$232,688$0$125,000$0$27,049$0$9,457$0$0$0$394,194$0$0$0
DR JALAL BADDAY
CMO (THRU 01/20)$284,854$0$0$0$41,138$0$10,062$0$29,702$0$365,756$0$0$0
BONNIE SCUDDER
DIRECTOR PROGRAM DEVELOPMENT$201,456$0$105,000$0$35,090$0$10,027$0$13,083$0$364,656$0$0$0
KURT STAUDER
FORMER COO$0$0$0$0$347,582$0$0$0$12,441$0$360,023$0$0$0
JENNYFER PODUSKA
EXEC DIR ADMISSIONS & REIMBURSEMENT$181,117$0$82,606$0$37,804$0$10,062$0$1,927$0$313,516$0$0$0
DR DAVID PATTERSON
MEDICAL DIRECTOR$237,798$0$26,691$0$1,242$0$6,289$0$35,077$0$307,097$0$0$0
ROSS LESINS
CHIEF INFORMATION OFFICER$199,157$0$50,000$0$31,382$0$10,062$0$14,378$0$304,979$0$0$0
STEPHANIE KAPLAN
HOSPITAL ADMINISTRATOR$220,018$0$50,000$0$7,041$0$6,914$0$19,788$0$303,761$0$0$0
ROBERT BARNES
DIRECTOR PROJECT DEVELOPMENT$255,637$0$0$0$10,362$0$8,639$0$22,638$0$297,276$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4ATHE ORGANIZATION PAID SEVERANCE TO AN EMPLOYEE DURING THE CURRENT FISCAL YEAR. DUE TO CONFIDENTIALITY, THE EMPLOYEE NAME AND SEVERANCE AMOUNT ARE NOT INCLUDED IN THIS DOCUMENT.
PART I, LINE 7THE BOARD OF DIRECTORS PERFORMS AN ANNUAL EVALUATION OF THE CEO BASED UPON QUALITY, PATIENT SATISFACTION AND FINANCIAL OUTCOMES IN ADDITION TO THE OVERALL OPERATING PERFORMANCE OF THE ORGANIZATION. THE CEO'S ANNUAL BONUS IS BASED ON A DISCRETIONARY DETERMINATION BY THE BOARD OF DIRECTORS. DURING FISCAL YEAR 2016, THE CEO SIGNED A NEW EMPLOYMENT AGREEMENT WITH A FIVE YEAR EXTENDED TERM. OFFICERS AND HIGHEST COMPENSATED EMPLOYEES RECEIVED NON FIXED BONUSES AT THE DISCRETION OF MANAGEMENT BASED UPON ACHIEVEMENT OF ESTABLISHED QUALITY, PATIENT SATISFACTION AND OPERATIONAL GOALS OF THE ORGANIZATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CALIF HLTH FACIL FIN AUTH
A52164382813033L2M82013-09-13$21,600,062SEE SCHEDULE K, PART VI000
CALIF HLTH FACIL FIN AUTH
B5216438282016-09-30$36,400,000SEE SCHEDULE K, PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,560,000$21,600,062$432,001$21,600,0622013Yes (1)0Yes (1)Yes (1)
B$1,880,000$36,400,000$228,909$36,400,0002016Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.000000.000000.0000000Yes (1)
B00Yes (1)Yes (1)00.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I SUPPLEMENTAL INFORMATION:TAX-EXEMPT BOND LIABILITIES INCLUDED IN SCHEDULE K CONSIST OF BORROWINGS BY CASA COLINA, INC. EACH OF THE FILING ORGANIZATION'S AFFILIATES REPORTED IN SCHEDULE R PART II IS A CO-OBLIGOR OF THE TAX-EXEMPT BOND LIABILITIES. THE TAX-EXEMPT BOND LIABILITY REPORTED IN THE FILING ORGANIZATION'S BALANCE SHEET CONSISTS ONLY OF THE PRO RATA SHARE OF TAX-EXEMPT BOND PROCEEDS UTILIZED FOR THE FILING ORGANIZATION'S CAPITAL PROJECTS AND OTHER PURPOSES. THE FILING ORGANIZATION'S AFFILIATES ALSO REPORT TAX EXEMPT BOND LIABILITIES FOR THEIR RESPECTIVE PRO-RATA PORTION OF THE OUTSTANDING TAX-EXEMPT BOND LIABILITIES AS OF MARCH 31, 2020.
SCHEDULE K, PART I, COLUMN F:THE PURPOSE OF THE BOND ISSUES ARE AS FOLLOWS: FOR BOND ISSUE A: THE PURPOSE OF THE ISSUE IS TO (A) TO PAY FOR, OR REIMBURSE THE BORROWER FOR ITS PRIOR PAYMENT OF THE ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, AND EQUIPPING OF CERTAIN HEALTH FACILITIES OWNED BY THE HOSPITAL; (B) TO REFINANCE CERTAIN EXISTING INDEBTEDNESS INCURRED BY THE HOSPITAL TO PAY FOR THE ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, AND EQUIPPING OF CERTAIN HEALTH FACILITIES OWNED BY THE HOSPITAL; (C) TO FUND INTEREST DURING CONSTRUCTION OF A 31 BED HEALTH FACILITY AND ACQUISITION OF AN ELECTRONIC MEDICAL RECORDS SYSTEM; AND (D) TO PAY CERTAIN COSTS OF ISSUING THE BONDS. FOR BOND ISSUE B: THE PURPOSE OF THE ISSUE IS TO USE THE PROCEEDS TO REFUND THE SERIES 2011 BONDS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE GOVERNANCE COMMITTEE OF THE BOARD REVIEWS DISCLOSURE FORMS ON AN ANNUAL BASIS. IN ADDITION, THE RATIO OF INTERESTED AND 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 15AON A REGULAR BASIS, THE COMPENSATION OF THE CEO IS REVIEWED BY AN OUTSIDE INDEPENDENT FIRM. THE FIRM'S FINDINGS ARE PRESENTED TO THE COMPENSATION COMMITTEE INDICATING THE COMPENSATION REASONABLENESS. THE COMPENSATION COMMITTEE DETERMINES ANY COURSE OF ACTION NECESSARY AND PRESENTS ITS FINDINGS/RECOMMENDATIONS TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENT INFORMATION IS MADE AVAILABLE TO THE PUBLIC FOR INSPECTION VIA THE GUIDESTAR 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 AVAILABE UPON REQUEST.
FORM 990, PART VIII, LINE 11ASTATEMENT OF REVENUE CASA COLINA INC., IS THE PARENT COMPANY AND AS SUCH ALL PAYROLL IS PAID BY THIS ENTITY. WHILE PAYROLL EXPENSES REMAIN WITHIN THE SUBSIDIARY ENTITY, ALL PAYMENTS PERTAINING TO THAT EXPENSE IS REFLECTED IN CASA COLINA INC.'S FORM 990 AS ALL RELATED PAYROLL TAX FILING INFORMATION IS FILED UNDER THE CASA COLINA INC'S TAX IDENTIFICATION NUMBER. AS A RESULT EACH ENTITY IS RESPONSIBLE FOR REIMBURSING CASA COLINA INC. FOR THEIR RELATED PAYROLL EXPENSES. THIS WAS REFLECTED ON FORM 990, PART VIII, LINE 11A AND IS LABELED AS INTERCOMPANY SERVICES IN THE AMOUNT OF $63,147,555.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CC HOSPITAL FOR REHABILITATIVE MEDICINE
255 E BONITA AVEPOMONACA91767951643989MEDICAL & REHABILITATION SERVICESCA501(C)(3)3CASA COLINA INCYes (1)
CC CENTERS FOR REHABILITATION FOUNDATION
255 E BONITA AVEPOMONACA91767953655255FUNDRAISINGCA501(C)(3)7CASA COLINA INCYes (1)
CC COMPREHENSIVE OUTPATIENT REHABILITATION
255 E BONITA AVEPOMONACA91767953266014OUTPATIENT REHABILITATION SERVICESCA501(C)(3)7CASA COLINA INCYes (1)
PADUA VILLAGE INC
255 E BONITA AVEPOMONACA91767953713170LONG TERM CARE FOR TBICA501(C)(3)7CASA COLINA INCYes (1)
CC REHABILITATION INC
255 E BONITA AVEPOMONACA91767953392219TRANSITIONAL LIVING CENTER FOR TRAUMATICALLY BRAIN INJUREDCA501(C)(3)7CASA COLINA INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COLINA MEDICAL ASSOCIATESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 EAST BONITA AVEAddressLine1Txt
CityPOMONACityNm
State AbbreviationCAStateAbbreviationCd
ZIP917671923ZIPCd
FieldValueIRS element (for citing)
EIN352473284EIN
Primary ActivitiesPATIENT CAREPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CASA COLINA HOSPITAL FOR REHAB MEDICINE
L$6,321,772BOOK VALUE
CASA COLINA REHABILITATION INC
L$697,628BOOK VALUE
PADUA VILLAGE INC
L$426,325BOOK VALUE
CASA COLINA OP REHAB SERVICES INC
L$154,387BOOK VALUE
CASA COLINA HOSPITAL FOR REHAB FNDN
L$759,726BOOK VALUE
CASA COLINA HOSPITAL FOR REHAB FNDN
K$148,010BOOK VALUE
CASA COLINA HOSPITAL FOR REHAB MEDICINE
Q$49,184,553BOOK VALUE
CASA COLINA REHABILITATION INC
Q$5,771,660BOOK VALUE
PADUA VILLAGE INC
Q$4,149,588BOOK VALUE
CASA COLINA OP REHAB SERVICES INC
Q$1,276,755BOOK VALUE
CASA COLINA HOSPITAL FOR REHAB FNDN
Q$1,935,734BOOK VALUE

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINElecting OrganizationElectingOrganizationIndTotal Grassroots LobbyTotalGrassrootsLobbyAmtTotal Direct LobbyTotalDirectLobbyAmtTotal Lobby ExpenditureTotalLobbyExpenditureAmtOther Exempt Purpose ExpendOtherExemptPurposeExpendAmtTotal Exempt Purpose ExpendTotalExemptPurposeExpendAmtLobby NontxLobbyNontxAmtGrassroots NontxGrassrootsNontxAmtTotal Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmtTot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmtShare Excess Lobby ExpendShareExcessLobbyExpendAmt
CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE
255 E BONITA AVEPOMONACA917696001951643989Yes (X)$0$9,481$9,481$89,107,332$89,116,813$1,000,000$250,000$0$0$0
PADUA VILLAGE INC
255 E BONITA AVEPOMONACA917696001953713170Yes (X)$0$0$0$5,596,601$5,596,601$429,830$107,458$0$0$0
CASA COLINA CENTER FOR REHABILITATION INC
255 E BONITA AVEPOMONACA917696001953392219Yes (X)$0$0$0$8,967,766$8,967,766$598,388$149,597$0$0$0
CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES INC
255 E BONITA AVEPOMONACA917696001953266014Yes (X)$0$0$0$1,946,995$1,946,995$247,350$61,838$0$0$0
CASA COLINA CENTERS FOR REHABILITATION FOUNDATION
255 E BONITA AVEPOMONACA917696001953655255Yes (X)$0$0$0$2,751,063$2,751,063$287,553$71,888$0$0$0
CASA COLINA INC
255 E BONITA AVEPOMONACA917696001953655256Yes (X)$0$0$0$8,447,496$8,447,496$572,375$143,094$0$0$0