FURP.ORG / PUBLIC DATA EXPLORER

CASA COLINA INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CASA COLINA INC (EIN 95-3655256)
Tax period
2016-04-01 to 2017-03-31
Filed
2018-02-15
IRS object ID
201830469349301633
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-02-15T17:10:46-06:00ReturnTs
Tax Period End2017-03-31TaxPeriodEndDt

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 Begin2016-04-01TaxPeriodBeginDt

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
Signature2018-02-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLauren A HaverlockPreparerPersonNm
PTINP00545829PTIN
Phone3104770450PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address172.90.17.200IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-02-15IPDt
IP Tm13:11:10IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id41F3D51277C721D7E64869098416E4BAA04E310DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$64,645,289GrossReceiptsAmt
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. provides individuals the opportunity to maximize their medical recovery and rehabilitation potential efficiently in an environment that recognizes their uniqueness, dignity and self-esteem.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee1248TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$9,432,138PYProgramServiceRevenueAmt
CY Program Service Revenue$7,528,681CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$43,181,501PYOtherRevenueAmt
CY Other Revenue$57,116,608CYOtherRevenueAmt
PY Total Revenue$52,613,639PYTotalRevenueAmt
CY Total Revenue$64,645,289CYTotalRevenueAmt
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$50,465,668PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$62,602,132CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,147,971PYOtherExpensesAmt
CY Other Expenses$2,043,157CYOtherExpensesAmt
PY Total Expenses$52,613,639PYTotalExpensesAmt
CY Total Expenses$64,645,289CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$0CYRevenuesLessExpensesAmt
Total Assets BOY$7,650,740TotalAssetsBOYAmt
Total Assets EOY$8,080,754TotalAssetsEOYAmt
Total Liabilities BOY$6,798,520TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,228,534TotalLiabilitiesEOYAmt
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. provides individuals the opportunity to maximize their medical recovery and rehabilitation potential efficiently in an environment that recognizes their uniqueness, dignity and self-esteem.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$58,236,661ExpenseAmt
Grant$0GrantAmt
Revenue$64,645,289RevenueAmt
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 $7,528,681 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 = 22,022 INPATIENT DAYSHOSPITAL MEDICAL/SURGICAL AND ICU = 4,820 INPATIENT DAYSHOSPITAL OUTPATIENT = 84,435 VISITSOUTPATIENT SERVICES TO CHILDREN WITH VARIOUS DIAGNOSES = 12,751 VISITSRESIDENTIAL INPATIENT SERVICES TO SHORT TERM/LONG TERM CARE = 45,981 INPATIENT DAYSOTHER OUTPATIENT REHABILITATION SERVICES FOR PATIENTS WITH BRAIN INJURIES = 2,913 VISITSADULT DAY HEALTH CARE = 13,623 VISITSCASA COLINA, INC. AND ITS AFFILIATES HAD 229 BEDS DURING THE FISCAL YEAR CONSISTING OF: 68 HOSPITAL ACUTE REHABILITATION BEDS; 31 MEDICAL-SURGICAL AND ICU BEDS; 42 TRANSITIONAL LIVING CARE BEDS; 80 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 GAIN, 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$58,236,661TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document223IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1248EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
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 (29 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
STEVE NORIN
CHAIRMAN0.502.50Yes (X)Yes (X)$0$0$0
Randy Blackman
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
Mary Lou Jensen
Secretary (thru 4/16)0.502.50Yes (X)Yes (X)$0$0$0
Elmer Pineda MD
Chief Med Staff0.502.50Yes (X)$0$0$0
FRANK S ALVAREZ
Director-At-Large0.502.50Yes (X)$0$0$0
GARY CRIPE
Director-At-Large0.502.50Yes (X)$0$0$0
SAMUEL P CROWE ESQ
Director-At-Large0.502.50Yes (X)$0$0$0
DONALD DRIFTMIER
Director-At-Large0.502.50Yes (X)$0$0$0
WILLIAM P DWRYE
Director-At-Large0.502.50Yes (X)$0$0$0
GERALD GALIPEAU
Director-At-Large0.502.50Yes (X)$0$0$0
Devorah Lieberman PhD
Director-At-Large0.502.50Yes (X)$0$0$0
JOSE RODRIGUEZ
Director-At-Large0.502.50Yes (X)$0$0$0
GENE TANZEY
Director-At-Large0.502.50Yes (X)$0$0$0
JOSEPH UNIS MD
Director-At-Large0.502.50Yes (X)$0$0$0
MARK WARREN
Director-At-Large0.502.50Yes (X)$0$0$0
Dan Parke
Director-At-Large0.502.50Yes (X)$0$0$0
Kiana Webb
Director-at-large0.502.50Yes (X)$0$0$0
James Henwood
Director-At-Large (thru 12/16)0.502.50Yes (X)$0$0$0
FELICE L LOVERSO PHD
President/CEO9.0041.00Yes (X)Yes (X)$960,686$0$29,928
DAVID MORONY
Chief Financial Officer9.0041.00Yes (X)$458,225$0$27,442
ROD PEEK
VP BRAIN INJURY1.0044.00$322,151$0$7,803Yes (X)
JENNYFER PODUSKA
DIRECTOR/ADMISSION1.0044.00$360,725$0$10,127Yes (X)
ROBERT BARNES
DIRECTOR PROJECT DEV.45.00$278,018$0$29,928Yes (X)
ROSS LESINS
Chief Information Officer45.00$295,055$0$20,522Yes (X)
Christopher Chalian MD
Former Medical Director0.00$150,000$0$0Yes (X)
Bonnie Scudder
Director Program Developer1.0034.00$302,135$0$11,116Yes (X)
DEBBIE WALSH
COO (thru 2/21/17)1.0044.00$332,474$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,459,469TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$136,866TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K72IndivRcvdGreaterThan100KCnt
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
Carefusion Solutions
25082 Network PlaceChicagoIL60673Medical equipment and supplies$1,262,450
San Antonio Community Hospital
999 San Bernardino RoadUplandCA91786Pharmacy services$488,720
Premier Hospitalist
8816 W Foothill Blvd Ste 103Rancho CucamongaCA91730Medical services$488,000
Citrus Valley Anesthesiology
457 W Allen Ave Suite 118San DimasCA91773Anesthesiology services$415,739
Specialized Drywall
21545 Como StreetWildomarCA92595Construction services$376,519
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescProgram ServicesDesc
Business900099BusinessCd
Total Revenue Column$7,528,681TotalRevenueColumnAmt
Related Or Exempt Func Income$7,528,681RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,528,681TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescIntercompany services ReimbursemeDesc
Business900099BusinessCd
Total Revenue Column$57,116,608TotalRevenueColumnAmt
Related Or Exempt Func Income$57,116,608RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$57,116,608OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,645,289TotalRevenueColumnAmt
Related Or Exempt Func Income$64,645,289RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,823,021TotalAmt
Program Services$263,550ProgramServicesAmt
Management And General$1,559,471ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$44,717,922TotalAmt
Program Services$41,536,364ProgramServicesAmt
Management And General$3,181,558ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$862,854TotalAmt
Program Services$804,275ProgramServicesAmt
Management And General$58,579ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,528,772TotalAmt
Program Services$10,486,416ProgramServicesAmt
Management And General$1,042,356ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,669,563TotalAmt
Program Services$3,328,269ProgramServicesAmt
Management And General$341,294ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$99,223TotalAmt
Management And General$99,223ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$106,135TotalAmt
Management And General$106,135ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$420TotalAmt
Program Services$420ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$142,151TotalAmt
Program Services$139,353ProgramServicesAmt
Management And General$2,798ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$206,326TotalAmt
Program Services$206,326ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,509TotalAmt
Program Services$8,888ProgramServicesAmt
Management And General$1,621ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$926TotalAmt
Program Services$926ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,841TotalAmt
Program Services$4,841ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$53,287TotalAmt
Program Services$53,287ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$197,877TotalAmt
Program Services$197,877ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Miscellaneous$616,454$609,154$7,300
OUTSIDE SERVICES$562,501$559,847$2,654
PRINTING/PUBLICATIONS$20,624$20,624
Telephone$15,575$10,188$5,387

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,308TotalAmt
Program Services$6,056ProgramServicesAmt
Management And General$252ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$64,645,289TotalAmt
Program Services$58,236,661ProgramServicesAmt
Management And General$6,408,628ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,854,816BOYAmt
EOY$2,110,462EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY-$3,083BOYAmt
EOY-$3,483EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$82,917BOYAmt
EOY$144,321EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,648,610LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,199,461LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$279,512BOYAmt
EOY$449,149EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,436,578BOYAmt
EOY$5,380,305EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,650,740BOYAmt
EOY$8,080,754EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,962,347BOYAmt
EOY$6,452,564EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,543BOYAmt
EOY$101,234EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$730,630BOYAmt
EOY$674,736EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,798,520BOYAmt
EOY$7,228,534EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

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$7,650,740BOYAmt
EOY$8,080,754EOYAmt
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$5,397,185$0
Casa Colina Centers for Rehab Fdn
95365525570$846,094$0
Casa Colina Comprehensive Outpatien
95326601470$210,297$0
Padua Village Inc
95371317070$365,633$0
Casa Colina Rehabilitation Inc
95339221970$709,472$0
FieldValueIRS element (for citing)
Supported Organizations Total5SupportedOrganizationsTotalCnt
Support Sum$7,528,681SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

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$15,203AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$15,203AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$58,236,661FilingOrganizationsTotalAmt
Affiliated Group Total$110,587,323AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$58,236,661FilingOrganizationsTotalAmt
Affiliated Group Total$110,602,526AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
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$11,426CurrentYearMinus3Amt
Current Year Minus2$13,304CurrentYearMinus2Amt
Current Year Minus1$13,625CurrentYearMinus1Amt
Current Year$15,203CurrentYearAmt
Total$53,558TotalAmt

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,842OtherCostOrOtherBasisAmt
Depreciation$4,021DepreciationAmt
Book Value$155,821BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,488,768OtherCostOrOtherBasisAmt
Depreciation$1,195,440DepreciationAmt
Book Value$293,328BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$449,149TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Ca Health Facilities Financing Authority Rev Bonds, Series 2001$3,227
Receivable due from related affiliates$4,702,342
Long-term insurance receivables$674,736
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,380,305TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
Desclong-term insurance payablesDesc
Amt$674,736Amt
FieldValueIRS element (for citing)
Total Liability$674,736TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationIn 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.ExplanationTxt

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 (9 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$564,696$0$281,372$0$114,618$0$11,116$0$18,812$0$990,614$0$0$0
DAVID MORONY
Chief Financial Officer$254,834$0$173,714$0$29,677$0$11,116$0$16,326$0$485,667$0$0$0
ROD PEEK
VP BRAIN INJURY$224,994$0$75,000$0$22,157$0$7,803$0$0$0$329,954$0$0$0
JENNYFER PODUSKA
DIRECTOR/ADMISSION$219,006$0$101,768$0$39,951$0$10,127$0$0$0$370,852$0$0$0
ROBERT BARNES
DIRECTOR PROJECT DEV.$267,536$0$0$0$10,482$0$11,116$0$18,812$0$307,946$0$0$0
ROSS LESINS
Chief Information Officer$185,425$0$75,000$0$34,630$0$11,116$0$9,406$0$315,577$0$0$0
Christopher Chalian MD
Former Medical Director$0$0$0$0$150,000$0$0$0$0$0$150,000$0$0$0
Bonnie Scudder
Director Program Developer$179,666$0$95,490$0$26,979$0$11,116$0$0$0$313,251$0$0$0
DEBBIE WALSH
COO (thru 2/21/17)$325,000$0$0$0$7,474$0$0$0$0$0$332,474$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
Part I, Line 4Christopher Chalian - Other Compensation includes Severance Payment of $150,000

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 ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$21,600,062$432,001$21,600,0622013Yes (1)0Yes (1)Yes (1)
B$36,400,000$228,909$36,400,000Yes (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, 2017.
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 990 was reviewed by an independent accounting firm for accuracy and completeness. After which time, a paper copy of the 990 is made available for review by the Board of Directors. Each member of the Board of Directors is encouraged to review the 990 prior to filing with the Internal Revenue Service.
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 $57,116,608.

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)
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 Org0PerformOfServicesForOthOrgInd
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 (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Casa Colina Hospital for Rehab Medicine
Q$5,397,185book value
Casa Colina Rehabilitation Inc
Q$709,472book value
Padua Village Inc
Q$365,633book value
Casa Colina OP Rehab Services Inc
Q$210,297book value
Casa Colina Hospital for Rehab Fndn
Q$846,094book value
Casa Colina Hospital for Rehab Fndn
K$198,354book 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 for Rehabilitative Medicine
255 E Bonita AvePomonaCA917696001951643989Yes (X)$0$15,203$15,203$80,327,069$80,342,272$1,000,000$250,000$0$0$0
Padua Village Inc
255 E Bonita AvePomonaCA917696001953713170Yes (X)$0$0$0$4,280,511$4,280,511$364,026$91,007$0$0$0
Casa Colina Center for Rehabilitation Inc
255 E Bonita AvePomonaCA917696001953392219Yes (X)$0$0$0$8,777,005$8,777,005$588,850$147,213$0$0$0
Casa Colina Comprehensive Outpatient Rehabilitation Services Inc
255 E Bonita AvePomonaCA917696001953266014Yes (X)$0$0$0$1,943,719$1,943,719$247,186$61,797$0$0$0
Casa Colina Centers for Rehabilitation
255 E Bonita AvePomonaCA917696001953655255Yes (X)$0$0$0$8,497,517$8,497,517$574,876$143,719$0$0$0
Casa Colina Inc
255 E Bonita AvePomonaCA917696001953655256Yes (X)$0$0$0$6,761,502$6,761,502$488,075$122,019$0$0$0