INTER COMMUNITY CARE CENTERS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
INTER COMMUNITY CARE CENTERS INC (EIN 95-2413249)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201303189349308150
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T16:14:54-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SAMUEL V ORTIZ JR ACCOUNTANCY CORPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1940 S COAST DR STE 178AddressLine1
CityCOSTA MESACity
StateCAState
ZIP Code926261780ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN952413249EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INTERCOMMUITY CARE CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINTENameControl
Phone5624261368Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12660 GRAND AVEAddressLine1
CityLONG BEACHCity
StateCAState
ZIP Code90815ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJ MICHAEL HUGHESName
TitlePRESIDENT/CEOTitle
Phone5624261368Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSAMUEL V ORTIZ JR CPAName
Phone7145494444Phone
Date Prepared2013-11-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ MICHAEL HUGHESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12660 GRAND AVEAddressLine1
CityLONG BEACHCity
StateCAState
ZIP Code90815ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7787743GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPROVIDING CONTINUING NURSING CARE FOR CONVALESCENT AND EXTENDED CARE PATIENTSActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees155TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6736421ProgramServiceRevenuePriorYear
Program Service Revenue CY7783201ProgramServiceRevenueCY
Investment Income Prior Year13483InvestmentIncomePriorYear
Investment Income Current Year10750InvestmentIncomeCurrentYear
Other Revenue Prior Year-1955OtherRevenuePriorYear
Other Revenue Current Year-6208OtherRevenueCurrentYear
Total Revenue Prior Year6747949TotalRevenuePriorYear
Total Revenue Current Year7787743TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4520967SalariesEtcPriorYear
Salaries Etc Current Year4594848SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2111230OtherExpensePriorYear
Other Expenses Current Year3061322OtherExpensesCurrentYear
Total Expenses Prior Year6632197TotalExpensesPriorYear
Total Expenses Current Year7656170TotalExpensesCurrentYear
Revenues Less Expenses Prior Year115752RevenuesLessExpensesPriorYear
Revenues Less Expenses CY131573RevenuesLessExpensesCY
Total Assets BOY7660370TotalAssetsBOY
Total Assets EOY7765035TotalAssetsEOY
Total Liabilities BOY568395TotalLiabilitiesBOY
Total Liabilities EOY541486TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7091975NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7223549NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDING CONTINUING NURSING CARE FOR CONVALESCENT AND EXTENDED CARE PATIENTSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6890743Expense
Revenue7783201Revenue
DescriptionSUPPORTED THE CONTINUING NURSING CARE OF APPROXIMATELY 147 CONVALESCENT AND EXTENDED CARE PATIENTSDescription
Total Program Service Expense6890743TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees155NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJ MICHAEL HUGHESNamePerson
Telephone Number5624261368TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12660 GRAND AVEAddressLine1
CityLONG BEACHCity
StateCAState
ZIP Code90815ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
J MICHAEL HUGHES
CHAIRMAN/CEO40.00XX176808015660
EMILIO NUNEZ
DIRECTOR0.00X180000
PAUL BERNHARD
DIRECTOR0.00X180000
THOMAS YOCUM
DIRECTOR/SEC0.00XX180000
AL KEIR
DIRECTOR/TRE0.00XX180000
JOHN M HUGHES III
CFO40.00X137880018439
RUSSELL BOYDSTON
ADMINISTRATO40.00130100011160X
JACQUELINE HUNTER
DIR OF NURSI40.0010210004800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org554088TotalReportableCompFromOrg
Total Other Compensation50059TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNURSING SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column7783201TotalRevenueColumn
Related Or Exempt Function Income7783201RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7783201TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10750TotalRevenueColumn
Related Or Exempt Function Income10750RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPERSONAL ANCILLARY SVCDescription
Business Code623000BusinessCode
Total Revenue Column-6208TotalRevenueColumn
Related Or Exempt Function Income-6208RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue-6208TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7787743TotalRevenueColumn
Related Or Exempt Function Income7787743RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total321888Total
Management And General321888ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3946239Total
Program Services3754389ProgramServices
Management And General191850ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15475Total
Program Services15475ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total311246Total
Program Services278380ProgramServices
Management And General32866ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total50705Total
Program Services47847ProgramServices
Management And General2858ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total64174Total
Program Services16314ProgramServices
Management And General47860ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total32400Total
Program Services32400ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total2751Total
Program Services2751ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total108900Total
Program Services99488ProgramServices
Management And General9412ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total13153Total
Program Services10619ProgramServices
Management And General2534ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2708Total
Program Services2708ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total201709Total
Program Services194365ProgramServices
Management And General7344ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total673658Total
Program Services600226ProgramServices
Management And General73432ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
QA FEE EXPENSE740669740669
SUPPLIES343199343199
DIETARY FOOD EXPENSE285285285285
PURCHASED SERVICES121119121119

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total420892Total
Program Services345509ProgramServices
Management And General75383ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7656170Total
Program Services6890743ProgramServices
Management And General765427ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1004324BOY
EOY1034815EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1187923BOY
EOY1198597EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY854786BOY
EOY788354EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3500BOY
EOY3500EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY55999BOY
EOY75715EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6894706LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2230652LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4553838BOY
EOY4664054EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7660370BOY
EOY7765035EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY568395BOY
EOY541486EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY568395BOY
EOY541486EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7091975BOY
EOY7223549EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7091975BOY
EOY7223549EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7660370BOY
EOY7765035EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses131573ReconcilationRevenueExpenses
Reconcilation Other Changes1ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1759280OtherCostOrOtherBasis
Book Value1759280BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3658087OtherCostOrOtherBasis
Depreciation1086526Depreciation
Book Value2571561BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis820470OtherCostOrOtherBasis
Depreciation634205Depreciation
Book Value186265BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis656869OtherCostOrOtherBasis
Depreciation509921Depreciation
Book Value146948BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4664054TotalOfBookValueLandBuildings

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
J MICHAEL HUGHES
CHAIRMANCEO175008180015660192468
JOHN M HUGHES III
CFO13788018439156319

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2JOHN M HUGHES III J MICHAEL HUGHES CFO CEO SON
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BCOPY OF FORM 990 PROVIDED TO PRESIDENT/CEO, PRIOR TO FILING, FOR REVIEW AND APPROVAL
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CPOLICY IS REVIEWED ANNUALLY AND DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST DISCLOSURE FORM.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION OF CEO IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND ANY INCREASES ARE APPROVED BY THE BOARD. THE CHARIMAN WHO IS ALSO THE CEO DOES NOT PARTICIPATE IN THE REVIEW AND APPROVAL PROCESS.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION FOR ALL CORPORATE EMPLOYEES AND FACILITY DEPARTMENT HEADS ARE REVIEWED ANNUALLY BY THE PRESIDENY/CEO AND THE CFO. ALL OTHER EMPLOYEES COMPENSATION IS CONTROLLED BY RATE RANGE SCHEDULES BY JOB CLASSIFICATION AND YEARS OF SERVICE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL PUBLIC DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9BOOK / TAX DEPRECIATION DIFFERENCE 1

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