COLLABRIA CARE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
COLLABRIA CARE (EIN 68-0393144)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201813189349310211
Schema version
2017v2.3
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)
Return2018-11-14T14:13:51-08:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN942692073PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT BENNETT ASSOCIATESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11375 EXPOSITION BLVD STE 230AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP958155143ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680393144EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COLLABRIA CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOLLBusinessNameControlTxt
Phone7072589080PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1414 SOUTH JEFFERSON STREETAddressLine1Txt
CityNAPACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94559ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDA GIBSONPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone7072589080PhoneNum
Signature2018-10-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID C WILSONPreparerPersonNm
PTINP00125006PTIN
Phone9169225109PhoneNum
Preparation2018-10-31PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.69.91.98IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-14IPDt
IP Tm16:13:51IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD3567814B9073E62005B7016C6D4730E45E4B73DAtSubmissionCreationDeviceId
At Submission Filing Device Id3DF5E0679639487A8FD9BDC50D3D00700E492F11AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLINDA GIBSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1414 SOUTH JEFFERSON STREETAddressLine1Txt
CityNAPACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94559ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,365,835GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCOLLABRIACARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDES SERVICES TO PERSONS FACING AN ILLNESS WITH LIMITED LIFE EXPECTANCY AND THOSE WITH CHRONIC CONDITIONS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee184TotalEmployeeCnt
Total Volunteers133TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,112,205PYContributionsGrantsAmt
CY Contributions Grants$1,601,363CYContributionsGrantsAmt
PY Program Service Revenue$13,681,489PYProgramServiceRevenueAmt
CY Program Service Revenue$13,325,380CYProgramServiceRevenueAmt
PY Investment Income$5,132PYInvestmentIncomeAmt
CY Investment Income$3,539CYInvestmentIncomeAmt
PY Other Revenue$242,387PYOtherRevenueAmt
CY Other Revenue$249,174CYOtherRevenueAmt
PY Total Revenue$16,041,213PYTotalRevenueAmt
CY Total Revenue$15,179,456CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,786,464PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,355,773CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,142,848CYTotalFundraisingExpenseAmt
PY Other Expenses$6,697,959PYOtherExpensesAmt
CY Other Expenses$5,830,249CYOtherExpensesAmt
PY Total Expenses$15,484,423PYTotalExpensesAmt
CY Total Expenses$15,186,022CYTotalExpensesAmt
PY Revenues Less Expenses$556,790PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,566CYRevenuesLessExpensesAmt
Total Assets BOY$13,239,400TotalAssetsBOYAmt
Total Assets EOY$13,123,098TotalAssetsEOYAmt
Total Liabilities BOY$4,228,057TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,111,246TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,011,343NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,011,852NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE EXEMPT ORGANIZATION'S STAFF AND VOLUNTEERS ARE COMMITTED TO PROVIDING EXCEPTIONAL, PROFESSIONAL HEALTH CARE AND EXPERT RESOURCES TOWARDS THE HOSPICE AND ADULT DAY CARE SERVICES TO ACCOMPLISH ITS MISSION TO OFFER CARE FOR THE WHOLE PERSON AND FAMILY THAT ARE COPING WITH CHRONIC CONDITIONS, ILLNESS, DEATH AND BEREAVEMENT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,811,057ExpenseAmt
Revenue$11,502,214RevenueAmt
DescCOLLABRIA CARE WAS INCORPORATED IN JULY 1997 AS A NOT-FOR-PROFIT CORPORATION FOR THE PURPOSE OF PROVIDING A PROGRAM TO MEET THE NEEDS OF THE TERMINALLY ILL PATIENTS WHO SEEK COMFORT AND QUALITY OF LIFE AND DO NOT WISH FURTHER AGGRESSIVE TREATMENT OR PROLONGING INTERVENTION. THERE WERE A TOTAL OF 43,578 PATIENT DAYS ATTRIBUTED TO THE HOSPICE DURING 2017.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,260,250ExpenseAmt
Revenue$1,560,470RevenueAmt
DescADULT DAY SERVICES (ADS) OFFERS A MEDICAL MODEL OF ADULT DAY PROGRAMMING THAT PROVIDES SPECIALTY CARE TO PEOPLE LIVING WITH CHRONIC CONDITIONS AND LONG-TERM DISABILITIES, INCLUDING SERVICES FOR INDIVIDUALS WITH ALZEIMER'S DISEASE AND RELATED TYPES OF DEMENTIA. THERE WERE A TOTAL OF 16,788 PATIENT DAYS ATTRIBUTED TO THE ADS PROGRAM DURING 2017.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$778,601ExpenseAmt
Revenue$262,696RevenueAmt
DescPALLIATIVE SERVICES PROVIDES AN EXTRA LAYER OF SUPPORT FOR INDIVIDUALS EXPERIENCING A SERIOUS ILLNESS, WITH THE GOAL OF IMPROVING THE QUALITY OF LIFE FOR ELIGIBLE PATIENTS AND THEIR FAMILIES. THE PROGRAM FOCUSES ON RELIEF FROM THE SYMPTOMS AND STRESS RELATED TO SERIOUS ILLNESS, WHATEVER THE DIAGNOSIS, AND CAN BE PROVIDED IN CONJUNCTION WITH CURATIVE CARE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$11,849,908TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document84IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee184EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLINDA GIBSONPersonNm
Phone7072589080PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1414 SOUTH JEFFERSON STREETAddressLine1Txt
CityNAPACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94559ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVE SILVA
CHAIR10.00Yes (X)Yes (X)$0$0$0
DAN DWYER
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
DEBORAH MACDONALD
SECRETARY1.00Yes (X)Yes (X)$0$0$0
KATHI METRO
TREASURER1.00Yes (X)Yes (X)$0$0$0
LINDA GIBSON
PRESIDENT/CE40.00Yes (X)Yes (X)$238,445$0$6,517
MARTHA DAMERON
DIRECTOR1.00Yes (X)$0$0$0
EILEEN CRANE
DIRECTOR1.00Yes (X)$0$0$0
DEBRA DOMMEN
DIRECTOR1.00Yes (X)$0$0$0
MARY STEPHENSON
DIRECTOR1.00Yes (X)$0$0$0
ANDREW J NICKS
DIRECTOR1.00Yes (X)$0$0$0
NIA LENDARIS
DIRECTOR1.00Yes (X)$0$0$0
TRISHA ARNOLD
HOSPICE PROG40.00$197,926$0$3,320Yes (X)
JOANNE SUTRO
DIR OF DEVEL40.00$169,744$0$4,817Yes (X)
CELINE REGALIA
DIR OF OPERA40.00$169,087$0$3,738Yes (X)
CAROL WILLIAMS
CLINICAL OUT40.00$161,182$0$1,886Yes (X)
RENEE NORRIS
DIR OF FINAN40.00$155,247$0$4,475Yes (X)
ANDREW CULWELL
HOSPICE MGR40.00$140,476$0$3,782Yes (X)
SHERRY TINDEL
RN CASE MANA40.00$124,867$0$3,037Yes (X)
RENA ROBINSON
HOSPICE MGR40.00$115,890$0$2,659Yes (X)
JAMIE MCNAMRA
PALLIATIVE N40.00$110,268$0$2,922Yes (X)
CATHERN KIPSEY
HOSPICE MGR40.00$108,638$0$3,245Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,691,770TotalReportableCompFromOrgAmt
Total Other Compensation$40,398TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GREG MILLER MD
PO BOX 3349NAPACA94558MEDICAL DIR$173,884
MARK SINGER MD
3334 STERLING COURTNAPACA94558ALT MEDICAL DIR$150,875
HH&H BILLING PLUS
PO BOX 1187CROWLEYLA70527BILLING SVC$114,751
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Fundraising$439,624FundraisingAmt
All Other Contributions$1,161,739AllOtherContributionsAmt
Noncash Contributions$17,000NoncashContributionsAmt
Total Contributions$1,601,363TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$13,325,380TotalRevenueColumnAmt
Related Or Exempt Func Income$13,325,380RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,325,380TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,539TotalRevenueColumnAmt
Exclusion$3,539ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$152,629FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$439,624ContriRptFundraisingEventAmt
Fundraising Direct Expenses$186,327FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$33,698TotalRevenueColumnAmt
Exclusion-$33,698ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$283,307GrossSalesOfInventoryAmt
Cost Of Goods Sold$52CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$283,255TotalRevenueColumnAmt
Exclusion$283,255ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column-$383TotalRevenueColumnAmt
Exclusion-$383ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$383OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,179,456TotalRevenueColumnAmt
Related Or Exempt Func Income$13,325,380RelatedOrExemptFuncIncomeAmt
Exclusion$252,713ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,116,383TotalAmt
Program Services$852,730ProgramServicesAmt
Management And General$169,701ManagementAndGeneralAmt
Fundraising$93,952FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,723,655TotalAmt
Program Services$5,159,434ProgramServicesAmt
Management And General$990,511ManagementAndGeneralAmt
Fundraising$573,710FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$84,348TotalAmt
Program Services$48,890ProgramServicesAmt
Management And General$31,484ManagementAndGeneralAmt
Fundraising$3,974FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$795,494TotalAmt
Program Services$621,995ProgramServicesAmt
Management And General$129,022ManagementAndGeneralAmt
Fundraising$44,477FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$635,893TotalAmt
Program Services$489,596ProgramServicesAmt
Management And General$96,771ManagementAndGeneralAmt
Fundraising$49,526FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$48,111TotalAmt
Management And General$48,111ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$36,300TotalAmt
Management And General$36,300ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,065,225TotalAmt
Program Services$765,113ProgramServicesAmt
Management And General$211,503ManagementAndGeneralAmt
Fundraising$88,609FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$31,844TotalAmt
Program Services$2,496ProgramServicesAmt
Management And General$3,581ManagementAndGeneralAmt
Fundraising$25,767FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$427,233TotalAmt
Program Services$135,933ProgramServicesAmt
Management And General$198,200ManagementAndGeneralAmt
Fundraising$93,100FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$159,756TotalAmt
Program Services-$3,193ProgramServicesAmt
Management And General$162,837ManagementAndGeneralAmt
Fundraising$112FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$202,549TotalAmt
Program Services$391ProgramServicesAmt
Management And General$109,407ManagementAndGeneralAmt
Fundraising$92,751FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$35,380TotalAmt
Program Services$17,914ProgramServicesAmt
Management And General$12,891ManagementAndGeneralAmt
Fundraising$4,575FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$35,192TotalAmt
Program Services$20,734ProgramServicesAmt
Management And General$12,179ManagementAndGeneralAmt
Fundraising$2,279FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$147,410TotalAmt
Management And General$147,410ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$297,018TotalAmt
Management And General$297,018ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$94,145TotalAmt
Program Services$412ProgramServicesAmt
Management And General$93,733ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SNF ROOM AND BOARD$1,618,178$1,618,178
DIRECT PATIENT CARE$1,246,612$1,246,612
MISCELLANEOUS$421,486$47,649$214,303$159,534
DUES AND SUBSCRIPTIONS$101,565$28,043$45,808$27,714

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$137,755TotalAmt
Program Services$796,981ProgramServicesAmt
Management And General-$817,504ManagementAndGeneralAmt
Fundraising-$117,232FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,186,022TotalAmt
Program Services$11,849,908ProgramServicesAmt
Management And General$2,193,266ManagementAndGeneralAmt
Fundraising$1,142,848FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,200BOYAmt
EOY$2,462EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,559,883BOYAmt
EOY$1,850,535EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$907,045BOYAmt
EOY$535,123EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,460,543BOYAmt
EOY$3,593,172EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$95,082BOYAmt
EOY$708,556EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,355,813LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,997,895LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,159,546BOYAmt
EOY$6,357,918EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$55,101BOYAmt
EOY$75,332EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,239,400BOYAmt
EOY$13,123,098EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$991,623BOYAmt
EOY$964,369EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,236,434BOYAmt
EOY$3,146,877EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,228,057BOYAmt
EOY$4,111,246EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,656,545BOYAmt
EOY$8,828,133EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$354,798BOYAmt
EOY$183,719EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,011,343BOYAmt
EOY$9,011,852EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,239,400BOYAmt
EOY$13,123,098EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$6,566ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,075NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,501,643CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,916,488CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,143,406CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,112,205CurrentTaxYearMinus1YearAmt
Current Tax Year$1,601,363CurrentTaxYearAmt
Total$12,275,105TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,511,435CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,242,975CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,018,256CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,960,613CurrentTaxYearMinus1YearAmt
Current Tax Year$13,325,380CurrentTaxYearAmt
Total$53,058,659TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$290,182CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$298,196CurrentTaxYearMinus3YearsAmt
Current Tax Year$283,307CurrentTaxYearAmt
Total$871,685TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,303,260CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,457,659CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,161,662CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,072,818CurrentTaxYearMinus1YearAmt
Current Tax Year$15,210,050CurrentTaxYearAmt
Total$66,205,449TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$66,205,449PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$287CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$198CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$328CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,132CurrentTaxYearMinus1YearAmt
Current Tax Year$3,539CurrentTaxYearAmt
Total$8,828TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$287CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$198CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$328CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,132CurrentTaxYearMinus1YearAmt
Current Tax Year$3,539CurrentTaxYearAmt
Total$8,828TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$286CurrentTaxYearMinus2YearsAmt
Total$286TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,042CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,600CurrentTaxYearMinus3YearsAmt
Total$26,642TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,315,589CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,472,457CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,161,620CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,077,950CurrentTaxYearMinus1YearAmt
Current Tax Year$15,213,589CurrentTaxYearAmt
Total$66,241,205TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99950PublicSupportCY509Pct
Public Support PY5090.99940PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
Explanation26,642ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,896,832OtherCostOrOtherBasisAmt
Book Value$1,896,832BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,070,873OtherCostOrOtherBasisAmt
Depreciation$1,684,650DepreciationAmt
Book Value$3,386,223BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,001,062OtherCostOrOtherBasisAmt
Depreciation$490,178DepreciationAmt
Book Value$510,884BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,079,619OtherCostOrOtherBasisAmt
Depreciation$659,243DepreciationAmt
Book Value$420,376BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$307,427OtherCostOrOtherBasisAmt
Depreciation$163,824DepreciationAmt
Book Value$143,603BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,357,918TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$15,372,910TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$7,075NetUnrealizedGainsInvstAmt
Revenue Not Reported$7,075RevenueNotReportedAmt
Revenue Subtotal$15,365,835RevenueSubtotalAmt
Other Revenues Not Included-$186,379OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$186,379RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,179,456TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,372,401TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$186,379OtherExpensesIncludedAmt
Expenses Not Reported$186,379ExpensesNotReportedAmt
Expenses Subtotal$15,186,022ExpensesSubtotalAmt
Total Expenses Per Form990$15,186,022TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 4, PART XI, LINE 4BFUNDRAISING EVENT COSTS -186,327 COST OF GOODS SOLD -52
SCHEDULE D, PAGE 4, PART XII, LINE 2DFUNDRAISING EVENT COSTS 186,327 COST OF GOODS SOLD 52

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$529,767GrossReceiptsEvent1Amt
Charitable Contri Event1$419,592CharitableContriEvent1Amt
Gross Revenue Event1$110,175GrossRevenueEvent1Amt
Rent Facility Costs Event1$36,791RentFacilityCostsEvent1Amt
Food And Beverage Event1$41,785FoodAndBeverageEvent1Amt
Entertainment Event1$2,599EntertainmentEvent1Amt
Other Direct Expenses Event1$73,465OtherDirectExpensesEvent1Amt
Event2GOLFEvent2Nm
Gross Receipts Event2$62,486GrossReceiptsEvent2Amt
Charitable Contri Event2$20,032CharitableContriEvent2Amt
Gross Revenue Event2$42,454GrossRevenueEvent2Amt
Rent Facility Costs Event2$16,001RentFacilityCostsEvent2Amt
Entertainment Event2$300EntertainmentEvent2Amt
Other Direct Expenses Event2$15,386OtherDirectExpensesEvent2Amt
Gross Receipts Total$592,253GrossReceiptsTotalAmt
Charitable Contributions Tot$439,624CharitableContributionsTotAmt
Gross Revenue Total Events$152,629GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$52,792RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$41,785FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,899EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$88,851OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$186,327DirectExpenseSummaryEventsAmt
Net Income Summary-$33,698NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
LINDA GIBSON
PRESIDENT/CEO$221,022$17,423$6,517$244,962
TRISHA ARNOLD
HOSPICE PROGRAM DIR$177,590$20,336$3,320$201,246
JOANNE SUTRO
DIR OF DEVELOPMENT$163,218$6,526$4,817$174,561
CELINE REGALIA
DIR OF OPERATIONS$162,814$6,273$3,738$172,825
CAROL WILLIAMS
CLINICAL OUTREACH$155,092$6,090$1,886$163,068
RENEE NORRIS
DIR OF FINANCE$149,183$6,064$4,475$159,722

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTHE EXEMPT ORGANIZATION'S STAFF AND VOLUNTEERS ARE COMMITTED TO PROVIDING EXCEPTIONAL, PROFESSIONAL HEALTH CARE AND EXPERT RESOURCES TOWARDS THE HOSPICE AND ADULT DAY CARE SERVICES TO ACCOMPLISH ITS MISSION TO OFFER CARE FOR THE WHOLE PERSON AND FAMILY THAT ARE COPING WITH CHRONIC CONDITIONS, ILLNESS, DEATH AND BEREAVEMENT.
FORM 990, PAGE 6, PART VI, LINE 11BTHE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS A COPY OF THE 990 BEFORE IT IS FILED. THE AMOUNTS ARE COMPARED TO AUDITED FINANCIAL STATEMENTS.
FORM 990, PAGE 6, PART VI, LINE 12CCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED ON A REGULAR BASIS WITH ALL MEMBERS OF THE ORGANIZATION (INCLUDING, BUT NOT LIMITED TO AN EMPLOYEE HANDBOOK, STAFF MEETINGS AND ANNUAL QUESTIONNAIRES TO BOARD MEMBERS).
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS REVIEWS AVAILABLE MARKET DATA FOR COMPENSATION AND APPROVES THE COMPENSATION OF THE CEO, TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES.
FORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD OF DIRECTORS REVIEWS AVAILABLE MARKET DATA FOR COMPENSATION AND APPROVES THE COMPENSATION OF THE CEO, TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9FUNDRAISING EVENT COSTS 186,327 COST OF GOODS SOLD 52 FUNDRAISING EVENT COSTS -186,327 COST OF GOODS SOLD -52

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