GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST (EIN 95-3867863)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-19
- IRS object ID
- 201503239349300400
- Schema version
- 2014v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-19T00:03:55-08:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953867863 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Western Health Resources | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 9167812000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Douglas Blvd | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Bill Wiedemann | PersonNm |
| Person Title | Controller | PersonTitleTxt |
| Signature | 2015-11-19 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Stan Berry | PrincipalOfficerNm |
| Gross Receipts | $42,355,011 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | To share God's love by providing physical, mental and spiritual healing. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 960 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,257 | PYContributionsGrantsAmt |
| CY Contributions Grants | $35,804 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $35,075,995 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $42,273,378 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$40,882 | PYInvestmentIncomeAmt |
| CY Investment Income | -$40,593 | CYInvestmentIncomeAmt |
| PY Other Revenue | $126,957 | PYOtherRevenueAmt |
| CY Other Revenue | $12,457 | CYOtherRevenueAmt |
| PY Total Revenue | $35,164,327 | PYTotalRevenueAmt |
| CY Total Revenue | $42,281,046 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,005,963 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,205,036 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,591,314 | PYOtherExpensesAmt |
| CY Other Expenses | $9,181,314 | CYOtherExpensesAmt |
| PY Total Expenses | $36,597,277 | PYTotalExpensesAmt |
| CY Total Expenses | $44,386,350 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,432,950 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,105,304 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,081,216 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,238,036 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,876,375 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,145,949 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,204,841 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$907,913 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To share God's love by providing physical, mental and spiritual healing. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $41,582,183 | ExpenseAmt |
| Revenue | $42,240,846 | RevenueAmt |
| Desc | Home care services primarily for the elderly who are then able to retain their independence, creating a better quality of life. | Desc |
| Total Program Service Expenses | $41,582,183 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 960 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Bill Wiedemann | PersonNm |
| Phone | 9167812000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Douglas Blvd | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Beaman John | ||||||||
| Director | 0.50 | 50.00 | Yes (X) | $0 | $437,022 | $93,257 | ||
| Reiner Scott | ||||||||
| Dir/Chairman | 0.50 | 50.00 | Yes (X) | $0 | $1,256,086 | $211,057 | Yes (X) | |
| Rebok Douglas | ||||||||
| Director | 0.50 | 50.00 | Yes (X) | $0 | $800,609 | $156,007 | ||
| Soderblom Alan | ||||||||
| Director | 0.50 | 50.00 | Yes (X) | $0 | $533,253 | $112,548 | ||
| Wehtje Rodney | ||||||||
| Director | 0.50 | 50.00 | Yes (X) | $0 | $1,607,163 | $97,250 | ||
| Wing Bill | ||||||||
| Director | 0.50 | 50.00 | Yes (X) | $0 | $903,909 | $198,325 | ||
| Carmen Robert | ||||||||
| Dir/Chairman | 0.50 | 50.00 | Yes (X) | $0 | $440,880 | $14,928 | Yes (X) | |
| Ashlock Mark | ||||||||
| Dir/V Chairman | 0.50 | 50.00 | Yes (X) | $0 | $747,848 | $158,851 | Yes (X) | |
| McKague Kirby | ||||||||
| Director/CFO | 10.00 | 40.00 | Yes (X) | $0 | $439,177 | $87,761 | Yes (X) | |
| Wagner Jack | ||||||||
| Director | 0.50 | 50.00 | Yes (X) | $0 | $535,352 | $123,442 | ||
| Berry Stanley | ||||||||
| President | 50.00 | 0.00 | $0 | $290,935 | $28,964 | Yes (X) | ||
| Botting Margaret | ||||||||
| Secretary | 0.50 | 40.00 | $0 | $32,176 | $4,244 | Yes (X) | ||
| Wiedemann William | ||||||||
| Controller | 50.00 | 0.00 | $0 | $118,868 | $38,071 | Yes (X) | ||
| Xu Xueyu | ||||||||
| PT-Home Care Serv | 40.00 | 0.00 | $266,716 | $0 | $31,393 | Yes (X) | ||
| De Pietro Wendy | ||||||||
| Admin. Director | 40.00 | 0.00 | $152,487 | $0 | $33,604 | Yes (X) | ||
| Kallio Brian | ||||||||
| Progr Director-HH | 40.00 | 0.00 | $150,729 | $0 | $34,781 | Yes (X) | ||
| Runyan Nancy | ||||||||
| Home Care Prog Dir | 40.00 | 0.00 | $149,035 | $0 | $29,360 | Yes (X) | ||
| Karp Susan | ||||||||
| Case Manager | 40.00 | 0.00 | $157,607 | $0 | $14,825 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $876,574 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,143,278 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,468,668 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AHSA LLC | |||||
| 10126 E Cherry Bend Rd Ste 101 | Traverse City | MI | 49684 | HomeCare Registry | $870,501 |
| Lifespan Physical Therapy | |||||
| 3435 Camino Del Rio | San Diego | CA | 92108 | HomeCare Registry | $790,815 |
| Outcome Resources LLC | |||||
| PO Box 63383 | Charlotte | NC | 28263 | Pharm Benefits Mgmt | $231,334 |
| Seyfarth Shaw LLP | |||||
| 131 S Dearborn Ste 2400 | Chicago | IL | 60603 | Legal Services | $166,304 |
| Paula Badasci | |||||
| 2007 Valleywood Dr | Bakersfield | CA | 93311 | PT Registry | $106,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $35,304 | FundraisingAmt |
| All Other Contributions | $500 | AllOtherContributionsAmt |
| Total Contributions | $35,804 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Home care services | 621300 | $42,214,897 | $42,214,897 | |
| Hosp sitters emp lease | 900099 | $24,482 | $24,482 | |
| Other revenue | 900099 | $1,467 | $1,467 | |
| Rental inc-Hanford lobby | 531120 | $32,532 | $32,532 | |
| Rental inc-Tillamook MOB | 531120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $42,273,378 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,335 | TotalRevenueColumnAmt |
| Exclusion | $14,335 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,450 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $62,378 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,450 | SecuritiesAmt |
| Other | -$62,378 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$54,928 | TotalRevenueColumnAmt |
| Exclusion | -$54,928 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $14,636 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $35,304 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $9,106 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,530 | TotalRevenueColumnAmt |
| Exclusion | $5,530 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $9,408 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $2,481 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,927 | TotalRevenueColumnAmt |
| Exclusion | $6,927 | ExclusionAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,281,046 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,240,846 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,396 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,349,433 | TotalAmt |
| Program Services | $26,963,138 | ProgramServicesAmt |
| Management And General | $386,295 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $630,306 | TotalAmt |
| Program Services | $630,306 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,171,681 | TotalAmt |
| Program Services | $5,089,399 | ProgramServicesAmt |
| Management And General | $82,282 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,053,616 | TotalAmt |
| Program Services | $2,053,616 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,053 | TotalAmt |
| Management And General | $49,053 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,175,553 | TotalAmt |
| Program Services | $2,139,359 | ProgramServicesAmt |
| Management And General | $36,194 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,073 | TotalAmt |
| Program Services | $9,231 | ProgramServicesAmt |
| Management And General | $66,842 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,922 | TotalAmt |
| Program Services | $566,117 | ProgramServicesAmt |
| Management And General | $18,805 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,719 | TotalAmt |
| Program Services | $216,719 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $856,137 | TotalAmt |
| Program Services | $856,137 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $777,204 | TotalAmt |
| Program Services | $761,288 | ProgramServicesAmt |
| Management And General | $15,916 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,300 | TotalAmt |
| Program Services | $466,300 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,472 | TotalAmt |
| Program Services | $18,472 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,649 | TotalAmt |
| Program Services | $76,649 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased services | $2,660,553 | $516,183 | $2,144,370 |
| Patient care supplies | $780,927 | $780,927 | |
| Payments to AH hospitals | $242,645 | $242,645 | |
| Rental/lease equip costs | $96,442 | $96,442 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,665 | TotalAmt |
| Program Services | $99,255 | ProgramServicesAmt |
| Management And General | $4,410 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,386,350 | TotalAmt |
| Program Services | $41,582,183 | ProgramServicesAmt |
| Management And General | $2,804,167 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,106 | BOYAmt |
| EOY | $23,825 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $506,562 | BOYAmt |
| EOY | $513,677 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,027,069 | BOYAmt |
| EOY | $13,426,971 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,580 | BOYAmt |
| EOY | $148,452 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $272,403 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $188,752 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,891 | BOYAmt |
| EOY | $83,651 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,801 | BOYAmt |
| EOY | $97,801 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $850,000 | BOYAmt |
| EOY | $850,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,207 | BOYAmt |
| EOY | $93,659 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,081,216 | BOYAmt |
| EOY | $15,238,036 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,130,397 | BOYAmt |
| EOY | $12,789,533 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $932 | BOYAmt |
| EOY | $451 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $850,000 | BOYAmt |
| EOY | $850,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,895,046 | BOYAmt |
| EOY | $2,505,965 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,876,375 | BOYAmt |
| EOY | $16,145,949 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,199,875 | BOYAmt |
| EOY | -$912,877 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,966 | BOYAmt |
| EOY | $4,964 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,204,841 | BOYAmt |
| EOY | -$907,913 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,081,216 | BOYAmt |
| EOY | $15,238,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,105,304 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$7,450 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Church | Yes (X) | ChurchInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,966 | BeginningYearBalanceAmt |
| Contributions | $500 | ContributionsAmt |
| Other Expenditures | $502 | OtherExpendituresAmt |
| End Year Balance | $4,964 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,068 | BeginningYearBalanceAmt |
| Other Expenditures | $102 | OtherExpendituresAmt |
| End Year Balance | $4,966 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,332 | BeginningYearBalanceAmt |
| Other Expenditures | $264 | OtherExpendituresAmt |
| End Year Balance | $5,068 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,768 | BeginningYearBalanceAmt |
| Other Expenditures | $10,436 | OtherExpendituresAmt |
| End Year Balance | $5,332 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,584 | BeginningYearBalanceAmt |
| Other Expenditures | $2,816 | OtherExpendituresAmt |
| End Year Balance | $15,768 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $272,403 | OtherCostOrOtherBasisAmt |
| Depreciation | $188,752 | DepreciationAmt |
| Book Value | $83,651 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $83,651 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Western Physician Services, Inc | Desc |
| Book Value | $97,801 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Workers Comp Payable | Desc |
| Amt | $2,505,965 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,505,965 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: Intended uses of the endowment fund. | FormAndLineReferenceDesc |
| Explanation | Funds will be used for capital and operations as donors restricted. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Misc. Other Events | Event1Nm |
| Gross Receipts Event1 | $40,350 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $35,304 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $5,046 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $872 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $3,677 | OtherDirectExpensesEvent1Amt |
| Event2 | Light Up a Life | Event2Nm |
| Gross Receipts Event2 | $9,590 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $9,590 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $350 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $4,207 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $49,940 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $35,304 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $14,636 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $350 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $872 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,884 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $9,106 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $5,530 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | Yes (true) | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ashlock Mark | |||||||||||
| Dir/V Chairman | $588,772 | $159,076 | $136,435 | $22,416 | $906,699 | $113,768 | |||||
| Beaman John | |||||||||||
| Director | $356,622 | $80,400 | $56,930 | $36,327 | $530,279 | $51,509 | |||||
| Berry Stanley | |||||||||||
| President | $254,232 | $36,703 | $16,091 | $12,873 | $319,899 | ||||||
| Carmen Robert | |||||||||||
| Dir/Chairman | $327,030 | $113,850 | $14,928 | $455,808 | |||||||
| De Pietro Wendy | |||||||||||
| Admin. Director | $144,775 | $7,712 | $8,556 | $25,048 | $186,091 | ||||||
| Kallio Brian | |||||||||||
| Progr Director-HH | $133,942 | $16,787 | $8,233 | $26,548 | $185,510 | ||||||
| Karp Susan | |||||||||||
| Case Manager | $157,307 | $300 | $8,765 | $6,060 | $172,432 | ||||||
| McKague Kirby | |||||||||||
| Director/CFO | $342,167 | $97,010 | $65,365 | $22,396 | $526,938 | $48,484 | |||||
| Rebok Douglas | |||||||||||
| Director | $588,532 | $212,077 | $131,335 | $24,672 | $956,616 | $122,223 | |||||
| Reiner Scott | |||||||||||
| Dir/Chairman | $880,711 | $375,375 | $181,681 | $29,376 | $1,467,143 | $273,487 | |||||
| Runyan Nancy | |||||||||||
| Home Care Prog Dir | $139,278 | $9,757 | $8,236 | $21,124 | $178,395 | ||||||
| Soderblom Alan | |||||||||||
| Director | $421,104 | $112,149 | $83,172 | $29,376 | $645,801 | $75,245 | |||||
| Wagner Jack | |||||||||||
| Director | $433,694 | $101,658 | $106,630 | $16,812 | $658,794 | ||||||
| Wehtje Rodney | |||||||||||
| Director | $376,932 | $1,230,231 | $74,835 | $22,415 | $1,704,413 | $1,192,595 | |||||
| Wiedemann William | |||||||||||
| Controller | $107,658 | $11,210 | $6,273 | $31,798 | $156,939 | ||||||
| Wing Bill | |||||||||||
| Director | $740,333 | $163,576 | $168,721 | $29,604 | $1,102,234 | $118,557 | |||||
| Xu Xueyu | |||||||||||
| PT-Home Care Serv | $266,666 | $50 | $15,860 | $15,533 | $298,109 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4: Participated or recieved pay from an equity based compensation arrangement | FormAndLineReferenceDesc |
| Explanation | CARMEN,ROBERT $39,315 REINER,SCOTT $273,487REBOK DOUGLAS $122,223 WEHTJE,RODNEY $67,592 WING,BILL $118,557ASHLOCK,MARK $113,768BEAMAN,JOHN $51,509McKAGUE,KIRBY $48,484SODERBLOM,ALAN $75,245 A flexible benefits plan (CAA) is offered to groups of highly-compensated employees meeting certain criteria. The participants are provided with an amount equivalent to 41 percent of their base compensation, less the value of their corporate provided benefits. The balance is set aside for nonvested deferred compensation that is subject to substantial risk of forfeiture and is at risk to the creditors of Adventist Health. Payouts occur according to the participants' payment elections after all substantial risks of forfeiture have lapsed.WEHTJE,RODNEY $1,125,003The Supplemental Executive Retirement Plan (SERP) is a defined contribution plan designed to encourage the participants continued employment with Adventist Health and is subject to the participants satisfying specified substantial risks of forfeiture. The SERP benefit distribution occurs when the executive achieves 30 years of Adventist health care service, 20 of which are to be as an executive and at least 10 are to be with Adventist Health System/West, and reaches age 60. Until that time, the SERP benefit is at risk to the creditors of Adventist Health. The SERP benefit is designed to help the executive receive employer-provided retirement benefit income equal to 60% of pre-retirement income. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Individuals representing the Seventh-day Adventist Church and its health care operations serve as members of Western Health Resources. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Annually the members meet for the purpose of conducting the business of the membership. Actions are taken as required to enable Western Health Resources to continue operating in concert with its Articles and Bylaws. Board appointments are approved by the membership. Also, the membership approves all amendments to the Articles and Bylaws. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | The Form 990 was not provided to the Board prior to filing. The Board may review it at their discretion after filing. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members and officers for completion and signature. A letter of explanation accompanies the questionnaire. The letter illustrates examples of a conflict and reminds the recipient that if any perceived conflict should arise before the next annual questionnaire, the individual is to notify the CEO immediately. The internal audit staff reviews these questionnaires and disclosures each year during the audit process. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The Articles of Incorporation are available from the California Secretary of State. The reporting organization does not make policies or financial statements available to the public. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfers to related organizations = -$7450 |
| Form 990, Part VI, Lines 15a - b | The corporation does not compensate its board or officers. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Feather River Health Foundation | |||||||||||
| 5974 Pentz Rd | Paradise | CA | 95969 | 680002188 | Fundraising for Hospital | CA | 501(c)(3) | 11, Type I | N/A | false | |
| Glendale Adventist Medical Center Fnd | |||||||||||
| 1509 Wilson Ter | Glendale | CA | 91206 | 953899682 | Fundraising for Hospital | CA | 501(c)(3) | 11, Type I | N/A | false | |
| Kings Regional Health Foundation | |||||||||||
| 1021 N Douty St | Hanford | CA | 93232 | 770578450 | Fundraising for Hospital | CA | 501(c)(3) | 11, Type I | N/A | false | |
| North America Community Benefit Corp | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 113698591 | Supporting Charitable Activities of WHR | CA | 501(c)(3) | 11, III-FI | N/A | false | |
| Simi Valley Hospital Foundation | |||||||||||
| 2975 N Sycamore Dr | Simi Valley | CA | 93065 | 912135595 | Fundraising for Hospital | CA | 501(c)(3) | 11, Type I | N/A | false | |
| White Memorial Med Ctr Charitable Fnd | |||||||||||
| 1720 Cesar E Chavez Ave | Los Angeles | CA | 90033 | 953760201 | Fundraising for Hospital | CA | 501(c)(3) | 11, Type I | N/A | false | |
| White Memorial Community Benefit Corp | |||||||||||
| 1720 Cesar E Chavez Ave | Los Angeles | CA | 90033 | 731674378 | Administering Grants for Public Charity Purposes | CA | 501(c)(3) | 7 | false | North America Community Benefit Corp | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Western Physician Services Inc | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 942536300 | Inactive | CA | N/A | 1.00000 | false | ||
| Adventist Health Plan Inc | |||||||||||
| 2100 Douglas Blvd | Roseville | CA | 95661 | 463833261 | Insurance | CA | false | NA | C Corp | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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