CALVARY HEALTHCARE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CALVARY HEALTHCARE INC (EIN 52-2281384)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-10-05
IRS object ID
201522789349300022
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

FieldValueIRS element (for citing)
Return2015-10-05T09:59:00-07:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1NEWBY AND ASSOCIATESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11300 Caraway CtAddressLine1Txt
CityUpper MarlboroCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20774ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN522281384EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATITIA PITTSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2028325200PhoneNum
Signature2015-10-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES NEWBY CPAPreparerPersonNm
Phone3013865722PhoneNum
Preparation2015-10-05PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1KATITIA PITTSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1802 RHODE ISLAND AVE NEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20018ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$804,757GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CALVARYCOMMUNITYCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionTHE MISSION IS TO PROVIDE SERVICES AND SUPPORT TO REVIVE AND RESTORE THE HEALTH AND WELL-BEING OF PEOPLE WE SERVE THE COMMUNITY THROUGH HIV/AIDS AWARENESS, SUBSTANCE ABUSE TREATMENT AND EX-OFFENDERS.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers2TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$484,062PYContributionsGrantsAmt
CY Contributions Grants$533,175CYContributionsGrantsAmt
PY Program Service Revenue$252,904PYProgramServiceRevenueAmt
CY Program Service Revenue$271,582CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$736,966PYTotalRevenueAmt
CY Total Revenue$804,757CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$265,618PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$429,924CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$446,363PYOtherExpensesAmt
CY Other Expenses$417,093CYOtherExpensesAmt
PY Total Expenses$711,981PYTotalExpensesAmt
CY Total Expenses$847,017CYTotalExpensesAmt
PY Revenues Less Expenses$24,985PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$42,260CYRevenuesLessExpensesAmt
Total Assets BOY$204,276TotalAssetsBOYAmt
Total Assets EOY$60,290TotalAssetsEOYAmt
Total Liabilities BOY$110,931TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,208TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$93,345NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$51,082NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION IS TO PROVIDE SERVICESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$847,017ExpenseAmt
Revenue$804,757RevenueAmt
DescALL MONIES USED WERE FOR THE ORGANIZATIONS EXEMPT PURPOSE.Desc
Total Program Service Expenses$847,017TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclYes (true)NondeductibleContriDisclInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKATITIA PITTSPersonNm
Phone2028325200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1802 RHODE ISLAND AVE NEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20018ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ALFRFED A OWENS JR
BOARD CHAIRMAN2.00Yes (X)$0$0$0
ANDREW WOODHOUSE
VICE CHAIRMAN2.00Yes (X)$0$0$0
TYCLEY WILLIAMS
OFFICER2.00Yes (X)$0$0$0
TERRANCE BROWN
TREASURER2.00Yes (X)$0$0$0
ERNEST BURLEY
OFFICER2.00Yes (X)$0$0$0
KATITIA PITTS
EXECUTIVE DIRECTOR80.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$533,175GovernmentGrantsAmt
Total Contributions$533,175TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmt
CONTRIBUTIONS900099$125,690
IN-KIND REVENUE900099$145,892
FieldValueIRS element (for citing)
Total Program Service Revenue$271,582TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$804,757TotalRevenueColumnAmt
Related Or Exempt Func Income$271,582RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$429,924TotalAmt
Program Services$429,924ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$22,031TotalAmt
Program Services$22,031ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONSULTANT$11,213$11,213$0$0
DONATIONS$31,033$31,033$0$0
RENT$19,083$19,083$0$0
POSTAGE$10$10$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$333,723TotalAmt
Program Services$333,723ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$847,017TotalAmt
Program Services$847,017ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$34,502BOYAmt
EOY$28,839EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$107,774BOYAmt
EOY$31,451EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$62,000BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$204,276BOYAmt
EOY$60,290EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$48,931BOYAmt
EOY$7,137EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$62,000BOYAmt
EOY$2,071EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$110,931BOYAmt
EOY$9,208EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$93,345BOYAmt
EOY$51,082EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$93,345BOYAmt
EOY$51,082EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$204,276BOYAmt
EOY$60,290EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$42,260ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

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

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$288,363CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$345,588CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$442,664CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$484,062CurrentTaxYearMinus1YearAmt
Current Tax Year$533,175CurrentTaxYearAmt
Total$2,093,852TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$288,363CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$345,588CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$442,664CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$484,062CurrentTaxYearMinus1YearAmt
Current Tax Year$533,175CurrentTaxYearAmt
Total$2,093,852TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,093,852PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$2,093,852TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRESTRICTED CASHDesc

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bTHE CALVARY HEALTHCARE, INC BOARD OF DIRECTORS WILL RECEIVE A COMPLETED FORM 990 FOR REVIEW PRIOR TO IT'S FILING. IT WILL BE NOTED IN THE LAST QUARTER BOARD MINUTES, AND THE FULL BOARD SHALL RECEIVE A COPY OF IRS 990 WITHIN 30 DAYS OF ITS SUBMISSION.
Pt VI, Line 12cTHE CALVARY HEALTHCARE, INC BOARD OF DIRECTORS COMPLETES AN ANNUAL REVIEW AND SIGNATURE OF THE CONFLICT OF INTEREST POLICY AND OTHER POLICIES AT THE FIRST BOARD MEETINGS OF THE CALENDAR YEAR.
Pt VI, Line 15aTHE BOARD OF DIRECTORS HAS ESTABLISHED THE COMPENSATION COMMITTEE TO OVERSEE THE OVERALL COMPENSATION STRUCTURE, POLICY AND PROCEDURES TO ENSURE THAT EXECUTIVE DIRECTOR AND SENIOR MANAGEMENT/KEY EMPLOYEES COMPENSATION IS COMPARABLE TO CURRENT VALUE. THE COMPENSATION COMMITTEE WORKS WITH AN OUTSIDE CONSULTANT.
Pt VI, Line 15bTHE BOARD OF DIRECTORS HAS ESTABLISHED THE COMPENSATION COMMITTEE TO OVERSEE THE OVERALL COMPENSATION STRUCTURE, POLICY AND PROCEDURES TO ENSURE THAT EXECUTIVE DIRECTOR AND SENIOR MANAGEMENT/KEY EMPLOYEES COMPENSATION IS COMPARABLE TO CURRENT VALUE. THE COMPENSATION COMMITTEE WORKS WITH AN OUTSIDE CONSULTANT.
Pt VI, Line 19THE GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
OtherOTHER EXPENSES
Form 990, Part IX, Line 24fSUPPLIES 14854. 14854. TELEPHONE 5782. 5782. MISC 59203. 59203. IN-KIND EXPENSES 145892. 145892. SUPPORTING EXPENSES 107992. 107992.

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