COLLABRIA CARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COLLABRIA CARE (EIN 68-0393144)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201323189349308772
Schema version
2012v2.0
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)
Timestamp2013-11-14T16:50:45-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT BENNETT ASSOCIATESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11375 EXPOSITION BLVD STE 230AddressLine1
CitySACRAMENTOCity
StateCAState
ZIP Code958155115ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN680393144EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NAPA VALLEY HOSPICE & ADULT DAY SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNAPANameControl
Phone7072589080Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1414 SOUTH JEFFERSON STREETAddressLine1
CityNAPACity
StateCAState
ZIP Code94559ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLINDA GIBSONName
TitleCEO/SECTitle
Date Signed2013-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID C WILSONName
PTINP00125006PTIN
Phone9169225109Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLINDA GIBSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1414 SOUTH JEFFERSON STREETAddressLine1
CityNAPACity
StateCAState
ZIP Code94559ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9181453GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteNVHADS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPROVIDES SERVICES TO PERSONS FACING AN ILLNESS WITH LIMITED LIFE EXPECTANCY AND THOSE WITH CHRONIC CONDITIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees112TotalNbrEmployees
Total Nbr Volunteers124TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2159167ContributionsGrantsPriorYear
Contributions Grants Current Year1618667ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6955711ProgramServiceRevenuePriorYear
Program Service Revenue CY7224685ProgramServiceRevenueCY
Investment Income Prior Year2512InvestmentIncomePriorYear
Investment Income Current Year1695InvestmentIncomeCurrentYear
Other Revenue Prior Year1476OtherRevenuePriorYear
Other Revenue Current Year154758OtherRevenueCurrentYear
Total Revenue Prior Year9118866TotalRevenuePriorYear
Total Revenue Current Year8999805TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5018107SalariesEtcPriorYear
Salaries Etc Current Year5441601SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year123500TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY136500TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year941292TotalFundrsngExpCurrentYear
Other Expense Prior Year3189062OtherExpensePriorYear
Other Expenses Current Year3032882OtherExpensesCurrentYear
Total Expenses Prior Year8330669TotalExpensesPriorYear
Total Expenses Current Year8610983TotalExpensesCurrentYear
Revenues Less Expenses Prior Year788197RevenuesLessExpensesPriorYear
Revenues Less Expenses CY388822RevenuesLessExpensesCY
Total Assets BOY10491955TotalAssetsBOY
Total Assets EOY9746129TotalAssetsEOY
Total Liabilities BOY6645042TotalLiabilitiesBOY
Total Liabilities EOY5510394TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3846913NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4235735NetAssetsOrFundBalancesEOY
Mission DescriptionTHE EXEMPT ORGANIZATION'S STAFF AND VOLUNTEERS ARE COMMITTED TO PROVIDING EXCEPTIONAL, PROFESSIONAL HEALTH CARE AND EXPERT RESOURCES TOWARDS THE HOSPICE AND ADULT DAY CARE SERVICES TO ACCOMPLISH ITS MISSION TO OFFER CARE FOR THE WHOLE PERSON AND FAMILY THAT ARE COPING WITH CHRONIC CONDITIONS, ILLNESS, DEATH AND BEREAVEMENT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5076816Expense
Revenue6226097Revenue
DescriptionHOSPICE OF NAPA VALLEY WAS INCORPORATED IN JULY 1997 AS A NOT-FOR-PROFIT CORPORATION FOR THE PURPOSE OF PROVIDING A PROGRAM TO MEET THE NEEDS OF THE TERMINALLY ILL PATIENTS WHO SEEK COMFORT AND QUALITY OF LIFE AND DO NOT WISH FURTHER AGGRESSIVE TREATMENT OR PROLONGING INTERVENTION. THERE WERE A TOTAL OF 29,522 PATIENT DAYS ATTRIBUTED TO THE HOSPICE DURING 2012.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1529997Expense
Revenue998588Revenue
DescriptionADULT DAY SERVICES (ADS) OFFERS A MEDICAL MODEL OF ADULT DAY PROGRAMMING THAT PROVIDES SPECIALTY CARE TO PEOPLE LIVING WITH CHRONIC CONDITIONS AND LONG-TERM DISABILITIES, INCLUDING SERVICES FOR INDIVIDUALS WITH ALZEIMER'S DISEASE AND RELATED TYPES OF DEMENTIA. THERE WERE A TOTAL OF 11,869 PATIENT DAYS ATTRIBUTED TO THE ADS PROGRAM DURING 2012.Description
FieldValueIRS element (for citing)
Total Program Service Expense6606813TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees112NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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 PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDIRECTOR OF FINANCENamePerson
Telephone Number7072589084TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1414 SOUTH JEFFERSON STREETAddressLine1
CityNAPACity
StateCAState
ZIP Code94559ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
TRICIA WILLIAMS
Director1.000.00X000
VALERIE PEEBLES
Director1.000.00X000
JOALINE OLSON
Director1.000.00X000
CORBY KESSLER
Director1.000.00X000
DEBRA DOMMEN
Director1.000.00X000
EILEEN CRANE
Director1.000.00X000
DANA CODRON
Director1.000.00X000
BOB ANGEL
Director1.000.00X000
LINDA GIBSON
CEO/SEC40.000.00X17775105221X
DON LOGAN
Director1.000.00X000
KATHLEEN O'DOWD
Treasurer10.000.00X000X
STEVE SILVA
Chair10.000.00X000X
JOANNE SUTRO
DIR OF DEVELOPMENT40.000.0012991703890X
CAROL WILLIAMS
DIR OF OUTREACH40.000.0010076900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org408437TotalReportableCompFromOrg
Total Other Compensation9111TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1NANCY BRIMHALLBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12307 KELTON AVENUEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90064ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesFUNDRAISINGDescriptionOfServices
Compensation136500Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events220838FundraisingEvents
All Other Contributions1397829AllOtherContributions
Total Contributions1618667TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column7224685TotalRevenueColumn
Related Or Exempt Function Income7224685RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7224685TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2143TotalRevenueColumn
Exclusion$2,143ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities448Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-448Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-448TotalRevenueColumn
Exclusion-$448ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events147821GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events220838CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses147821FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory183761GrossSalesOfInventory
Cost Of Goods Sold33379CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column150382TotalRevenueColumn
Exclusion$150,382ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column4376TotalRevenueColumn
Exclusion$4,376ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4376TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8999805TotalRevenueColumn
Related Or Exempt Function Income7224685RelatedOrExemptFunctionIncome
Exclusion$156,453ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total182972Total
Program Services157584ProgramServices
Management And General22233ManagementAndGeneral
Fundraising3155Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4429895Total
Program Services3455318ProgramServices
Management And General620185ManagementAndGeneral
Fundraising354392Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total43388Total
Program Services32829ProgramServices
Management And General8483ManagementAndGeneral
Fundraising2076Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total459146Total
Program Services347574ProgramServices
Management And General89992ManagementAndGeneral
Fundraising21580Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total326200Total
Program Services246933ProgramServices
Management And General63935ManagementAndGeneral
Fundraising15332Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total30269Total
Management And General30269ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14812Total
Management And General14812ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1200Total
Program Services1200ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total136500Total
Fundraising136500Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total269963Total
Program Services125181ProgramServices
Management And General55540ManagementAndGeneral
Fundraising89242Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total40389Total
Program Services650ProgramServices
Management And General38295ManagementAndGeneral
Fundraising1444Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total322249Total
Program Services124468ProgramServices
Management And General108080ManagementAndGeneral
Fundraising89701Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total26053Total
Program Services16006ProgramServices
Management And General9824ManagementAndGeneral
Fundraising223Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total138764Total
Program Services3746ProgramServices
Management And General107265ManagementAndGeneral
Fundraising27753Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total30564Total
Program Services16996ProgramServices
Management And General10583ManagementAndGeneral
Fundraising2985Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total27785Total
Program Services16709ProgramServices
Management And General8391ManagementAndGeneral
Fundraising2685Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total360206Total
Program Services320345ProgramServices
Management And General4240ManagementAndGeneral
Fundraising35621Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total216426Total
Program Services34023ProgramServices
Management And General181292ManagementAndGeneral
Fundraising1111Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total203192Total
Program Services203192ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MISCELLANEOUS783373757640761
THRIFT STORE START UP COSTS8152081520
SKILLED NURSING FACILITY ROOM315495315495
DIRECT PATIENT CARE766137766137

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total109521Total
Program Services384851ProgramServices
Management And General-351302ManagementAndGeneral
Fundraising75972Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8610983Total
Program Services6606813ProgramServices
Management And General1062878ManagementAndGeneral
Fundraising941292Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1800BOY
EOY1800EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1695709BOY
EOY1009594EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY189933BOY
EOY237311EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY639482BOY
EOY796587EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY91851BOY
EOY52291EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8378391LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1870187LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6657436BOY
EOY6508204EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY20182BOY
EOY20793EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1195562BOY
EOY1119549EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10491955BOY
EOY9746129EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY740138BOY
EOY865394EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5520000BOY
EOY4445000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY384904BOY
EOY200000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6645042BOY
EOY5510394EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY579647BOY
EOY2368901EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3247266BOY
EOY1846834EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY20000BOY
EOY20000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3846913BOY
EOY4235735EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10491955BOY
EOY9746129EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses388822ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1818570CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1226331CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1895012CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2159167CurrentTaxYearMinus1Year
Current Tax Year1618667CurrentTaxYear
Total8717747Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6164911CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5974727CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6386730CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6955711CurrentTaxYearMinus1Year
Current Tax Year7224685CurrentTaxYear
Total32706764Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year183761CurrentTaxYear
Total183761Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7983481CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7201058CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8281742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9114878CurrentTaxYearMinus1Year
Current Tax Year9027113CurrentTaxYear
Total41608272Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50941608272PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58220CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23506CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12910CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2512CurrentTaxYearMinus1Year
Current Tax Year2143CurrentTaxYear
Total99291Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58220CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23506CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12910CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2512CurrentTaxYearMinus1Year
Current Tax Year2143CurrentTaxYear
Total99291Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year1476CurrentTaxYearMinus1Year
Current Tax Year4376CurrentTaxYear
Total5852Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8041701CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7224564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8294652CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9118866CurrentTaxYearMinus1Year
Current Tax Year9033632CurrentTaxYear
Total41713415Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99750PublicSupportPercentage509
Prior Year Support Percentage0.99700PriorYearSupportPercentage
Investment Income Percentage0.00240InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00300PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$1,200GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB1200TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
Explanation$1,200 PAID TO AN ADVOCACY GROUP TO CONDUCT LOBBYING ACTIVITIES AGAINST PROPOSED LEGISLATION TO ELIMINATE ALL STATE SUPPORT FOR ADULT DAY CARE PROGRAMS IN CALIFORNIA.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance20182BeginningOfYearBalance
Investment Earnings Or Losses611InvestmentEarningsOrLosses
End Of Year Balance20793EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance20320BeginningOfYearBalance
Investment Earnings Or Losses-138InvestmentEarningsOrLosses
End Of Year Balance20182EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance19974BeginningOfYearBalance
Investment Earnings Or Losses346InvestmentEarningsOrLosses
End Of Year Balance20320EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20229BeginningOfYearBalance
Investment Earnings Or Losses-255InvestmentEarningsOrLosses
End Of Year Balance19974EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20229BeginningOfYearBalance
End Of Year Balance20229EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1896832OtherCostOrOtherBasis
Book Value1896832BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5080095OtherCostOrOtherBasis
Depreciation1045237Depreciation
Book Value4034858BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis517121OtherCostOrOtherBasis
Depreciation230817Depreciation
Book Value286304BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis675080OtherCostOrOtherBasis
Depreciation395562Depreciation
Book Value279518BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis209263OtherCostOrOtherBasis
Depreciation198571Depreciation
Book Value10692BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6508204TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
RESTRICTED ASSETS679079
DEBT ISSUANCE COSTS440470
FieldValueIRS element (for citing)
Total Book Value Other Assets1119549TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLINE OF CREDITDescription
Amount$200,000Amount
FieldValueIRS element (for citing)
Total Of Amounts200000TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt9181005TotRevenueEtcAuditedFinclStmt
Revenue Subtotal9181005RevenueSubtotal
Other Revenues Not Included-181200OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-181200RevenueNotRptdOnFinStmt
Total Revenue Per Form9908999805TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8792183TotExpensesEtcAuditedFinclStmt
Other Expenses Included181200OtherExpensesIncluded
Expenses Not Rptd F990181200ExpensesNotRptdF990
Expenses Subtotal8610983ExpensesSubtotal
Total Expenses Per Form9908610983TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XII, Line 2dIdentifier
Return ReferencePart XII, Line 2d: Other expenses and losses per audited F/SReturnReference
ExplanationEVENT EXPENSES $147821 COST OF GOODS SOLD $33379Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualNANCY BRIMHALLNameOfIndividual

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12307 KELTON AVEAddressLine1
CityLACity
StateCAState
ZIP Code90064ZIPCode
FieldValueIRS element (for citing)
ActivityGEN FUNDRAISINGActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Gross Receipts40582GrossReceipts
Amount Retained By Contractor136500AmountRetainedByContractor
FieldValueIRS element (for citing)
Total Gross Receipts40582TotalGrossReceipts
Total Retained By Contractors136500TotalRetainedByContractors

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1332550GrossReceiptsEvent1
Charitable Contributions Event1207256CharitableContributionsEvent1
Gross Revenue Event1125294GrossRevenueEvent1
Food And Beverage Event131434FoodAndBeverageEvent1
Other Direct Expenses Event193860OtherDirectExpensesEvent1
Name Of Event2GOLFNameOfEvent2
Gross Receipts Event236109GrossReceiptsEvent2
Charitable Contributions Event213582CharitableContributionsEvent2
Gross Revenue Event222527GrossRevenueEvent2
Food And Beverage Event27293FoodAndBeverageEvent2
Other Direct Expenses Event215234OtherDirectExpensesEvent2
Gross Receipts Total368659GrossReceiptsTotal
Charitable Contributions Total220838CharitableContributionsTotal
Gross Revenue Total Events147821GrossRevenueTotalEvents
Food And Beverage Total Events38727FoodAndBeverageTotalEvents
Other Direct Expenses Total Events109094OtherDirectExpensesTotalEvents
Direct Expense Summary Events147821DirectExpenseSummaryEvents

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonLINDA GIBSONNamePerson
TitleCEO/SECTitle
Base Compensation Filing Org151351BaseCompensationFilingOrg
Bonus Filing Org26400BonusFilingOrg
Deferred Comp Filing Org5221DeferredCompFilingOrg
Total Compensation Filing Org182972TotalCompensationFilingOrg

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CA STATEWIDE COMM DEVBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521598225IssuerEIN
CUSIP Number130911UR9CUSIPNumber
Date Issued2004-01-08DateIssued
Issue Price5520000IssuePrice
Description Of PurposePROVIDE FINANCING FOR FACILITYDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds5520000TotalProceeds
Issuance Costs From Proceeds627894IssuanceCostsFromProceeds
Capital Expenditures4796100CapitalExpenditures
Other Spent Proceeds96006OtherSpentProceeds
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableDOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE BOARD OF DIRECTORS REVIEWS AVAILABLE MARKET DATA FOR COMPENSATION AND APPROVES THE COMPENSATION OF THE CEO, TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementTHE BOARD OF DIRECTORS REVIEWS AVAILABLE MARKET DATA FOR COMPENSATION AND APPROVES THE COMPENSATION OF THE CEO, TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED ON A REGULAR BASIS WITH ALL MEMBERS OF THE ORGANIZATION (INCLUDING, BUT NOT LIMITED TO, AN EMPLOYEE HANDBOOK, STAFF MEETINGS AND ANNUAL QUESTIONNAIRES TO BOARD MEMBERS).
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessTHE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS A COPY OF THE 990 BEFORE IT IS FILED. THE AMOUNTS ARE COMPARED TO AUDITED FINANCIAL STATEMENTS.

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