CALVARY HEALTHCARE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CALVARY HEALTHCARE INC (EIN 52-2281384)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-09-17
IRS object ID
201822609349300742
Schema version
2017v2.2
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)
Return2018-09-17T11:39:40-07:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1NEWBY AND ASSOCIATESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11300 Caraway CtAddressLine1Txt
CityLargoCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20774ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN522281384EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CALVARY HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCALVBusinessNameControlTxt
Phone2028325200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1802 RHODE ISLAND AVE NEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20018ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARCUS SMITHPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone2028325200PhoneNum
Signature2018-09-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES NEWBY CPAPreparerPersonNm
PTINP01280453PTIN
Phone3013865722PhoneNum
Preparation2018-09-17PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1KATITIA PITTSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1802 RHODE ISLAND AVE NEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20018ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$364,258GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CALVARYCOMMUNITYCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionTHE MISSION IS TO PROVIDE SERVICES AND SUPPORT TO REVIVE AND RESTORE THE HEALTH AND WELL-BEING OF PEOPLE WE SERVE THE COMMUNITY THROUGH HIV/AIDS AWARENESS, SUBSTANCEActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers2TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$46,601PYContributionsGrantsAmt
CY Contributions Grants$72,717CYContributionsGrantsAmt
PY Program Service Revenue$332,053PYProgramServiceRevenueAmt
CY Program Service Revenue$291,541CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$378,654PYTotalRevenueAmt
CY Total Revenue$364,258CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$188,828PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$185,785CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$185,115PYOtherExpensesAmt
CY Other Expenses$177,206CYOtherExpensesAmt
PY Total Expenses$373,943PYTotalExpensesAmt
CY Total Expenses$362,991CYTotalExpensesAmt
PY Revenues Less Expenses$4,711PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,267CYRevenuesLessExpensesAmt
Total Assets BOY$2,182TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$9,424TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,975TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$7,242NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$5,975NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION IS TO PROVIDE SERVICESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$362,991ExpenseAmt
Grant$72,717GrantAmt
Revenue$364,258RevenueAmt
DescALL MONIES USED WERE FOR THE ORGANIZATIONS EXEMPT PURPOSE.Desc
Total Program Service Expenses$362,991TotalProgramServiceExpensesAmt
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 EquipmentfalseReportLandBuildingEquipmentInd
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 ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
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
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclYes (true)NondeductibleContriDisclInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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 FldDCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARCUS SMITHPersonNm
Phone2028325200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1802 RHODE ISLAND AVE NEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20018ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ALFRED A OWENS JR
BOARD CHAIRMAN2.00Yes (X)$0$0$0
ANDREW WOODHOUSE
VICE CHAIRMAN2.00Yes (X)$0$0$0
TYCLEY WILLIAMS
OFFICER2.00Yes (X)$0$0$0
TERRANCE BROWN
OFFICER2.00Yes (X)$0$0$0
ERNEST BURLEY
OFFICER2.00Yes (X)$0$0$0
MARCUS SMITH
EXECUTIVE DIRECTOR80.00Yes (X)$75,000$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$75,000TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$72,717GovernmentGrantsAmt
Total Contributions$72,717TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmt
CONTRIBUTIONS900099$156,347
IN-KIND REVENUE900099$135,194
FieldValueIRS element (for citing)
Total Program Service Revenue$291,541TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$364,258TotalRevenueColumnAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$185,785TotalAmt
Program Services$185,785ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,683TotalAmt
Program Services$4,683ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,963TotalAmt
Program Services$1,963ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$799TotalAmt
Program Services$799ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONSULTANT$198$198$0$0
DONATIONS$26,613$26,613$0$0
IN-KIND EXPENSES$135,194$135,194$0$0
MISC EXPENSES$1,484$1,484$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,272TotalAmt
Program Services$6,272ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$362,991TotalAmt
Program Services$362,991ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,182BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,182BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,424BOYAmt
EOY$5,975EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,424BOYAmt
EOY$5,975EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$7,242BOYAmt
EOY-$5,975EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$7,242BOYAmt
EOY-$5,975EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,182BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,267ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$484,062CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$533,175CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$378,528CurrentTaxYearMinus1YearAmt
Current Tax Year$364,258CurrentTaxYearAmt
Total$1,760,023TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$484,062CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$533,175CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$378,528CurrentTaxYearMinus1YearAmt
Current Tax Year$364,258CurrentTaxYearAmt
Total$1,760,023TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,760,023PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$1,760,023TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$364,258TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$364,258RevenueSubtotalAmt
Total Revenue Per Form990$364,258TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$362,991TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$362,991ExpensesSubtotalAmt
Total Expenses Per Form990$362,991TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bTHE CALVARY HEALTHCARE, INC BOARD OF DIRECTORS WILL RECEIVE A COMPLETED FORM 990 FOR REVIEW PRIOR TO IT'S FILING. IT WILL BE NOTED IN THE LAST QUARTER BOARD MINUTES, AND THE FULL BOARD SHALL RECEIVE A COPY OF IRS 990 WITHIN 30 DAYS OF ITS SUBMISSION.
Pt VI, Line 12cTHE CALVARY HEALTHCARE, INC BOARD OF DIRECTORS COMPLETES AN ANNUAL REVIEW AND SIGNATURE OF THE CONFLICT OF INTEREST POLICY AND OTHER POLICIES AT THE FIRST BOARD MEETINGS OF THE CALENDAR YEAR.
Pt VI, Line 15aTHE BOARD OF DIRECTORS HAS ESTABLISHED THE COMPENSATION COMMITTEE TO OVERSEE THE OVERALL COMPENSATION STRUCTURE, POLICY AND PROCEDURES TO ENSURE THAT EXECUTIVE DIRECTOR AND SENIOR MANAGEMENT/KEY EMPLOYEES COMPENSATION IS COMPARABLE TO CURRENT VALUE. THE COMPENSATION COMMITTEE WORKS WITH AN OUTSIDE CONSULTANT.
Pt VI, Line 15bTHE BOARD OF DIRECTORS HAS ESTABLISHED THE COMPENSATION COMMITTEE TO OVERSEE THE OVERALL COMPENSATION STRUCTURE, POLICY AND PROCEDURES TO ENSURE THAT EXECUTIVE DIRECTOR AND SENIOR MANAGEMENT/KEY EMPLOYEES COMPENSATION IS COMPARABLE TO CURRENT VALUE. THE COMPENSATION COMMITTEE WORKS WITH AN OUTSIDE CONSULTANT.
Pt VI, Line 19THE GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
OtherOTHER EXPENSES
Form 990, Part IX, Line 24eSUPPORTING EXPS- SECURITY 3460. 3460. 0. 0.
Form 990, Part IX, Line 24eSUPPORTING EXPS- BK FEES 2812. 2812. 0. 0.

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