FURP.ORG / PUBLIC DATA EXPLORER

HOFFMANN HOSPICE OF THE VALLEY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOFFMANN HOSPICE OF THE VALLEY INC (EIN 77-0386207)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-15
IRS object ID
201342889349300944
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)
Timestamp2013-10-15T14:54:43-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Williams Brown Parsons & CompanyBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15558 California Avenue Suite 208AddressLine1
CityBakersfieldCity
StateCAState
ZIP Code93309ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN770386207EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOFFMANN HOSPICE OF THE VALLEYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOFFNameControl
Phone6618333900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18501 BRIMHALL ROAD SUITE 100AddressLine1
CityBAKERSFIELDCity
StateCAState
ZIP Code93312ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameThomas HoffmannName
TitlePresidentTitle
Date Signed2013-10-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICK WILLIAMS CPAName
PTINP00530400PTIN
Phone6616339122Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts15684957GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.hoffmannhospice.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe Organization provides spiritual, physical and emotional support to terminally ill patients and their families.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees193TotalNbrEmployees
Total Nbr Volunteers120TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year260411ContributionsGrantsPriorYear
Contributions Grants Current Year285388ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13035469ProgramServiceRevenuePriorYear
Program Service Revenue CY14769770ProgramServiceRevenueCY
Investment Income Prior Year11758InvestmentIncomePriorYear
Investment Income Current Year28596InvestmentIncomeCurrentYear
Other Revenue Prior Year-159029OtherRevenuePriorYear
Other Revenue Current Year-1171OtherRevenueCurrentYear
Total Revenue Prior Year13148609TotalRevenuePriorYear
Total Revenue Current Year15082583TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7838053SalariesEtcPriorYear
Salaries Etc Current Year8760152SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4404602OtherExpensePriorYear
Other Expenses Current Year4885348OtherExpensesCurrentYear
Total Expenses Prior Year12242655TotalExpensesPriorYear
Total Expenses Current Year13645500TotalExpensesCurrentYear
Revenues Less Expenses Prior Year905954RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1437083RevenuesLessExpensesCY
Total Assets BOY11383256TotalAssetsBOY
Total Assets EOY13185072TotalAssetsEOY
Total Liabilities BOY2928783TotalLiabilitiesBOY
Total Liabilities EOY3141701TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8454473NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10043371NetAssetsOrFundBalancesEOY
Mission DescriptionThe Organization provides spiritual, physical and emotional support to terminally ill patients and their families.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9402756Expense
Revenue14769770Revenue
DescriptionThe organization provided hospice care to thousands of patients in 2012, many of whom could not otherwise afford such services.Description
Total Program Service Expense9402756TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 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 FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 RequiredfalseScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees193NumberOfEmployees
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 ContributionsfalseQuidProQuoContributions
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 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 CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDON LEONARDNamePerson
Telephone Number6614101010TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18501 BRIMHALL ROAD SUITE 100AddressLine1
CityBAKERSFIELDCity
StateCAState
ZIP Code93312ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Darlene Mohlke
Director1.000.00X000
Dr Edward Nichols
Director1.000.00X000
Beth Hoffmann
Exec. Director40.000.00X137558036762X
Jim Wren
Director1.000.00X000
Grover Waldon
Director1.000.00X000
Thomas Hoffmann
President20.000.0070703033315X
FELICIA CRAWFORD
RN40.000.0011542505610X
SHEILA FRYER
DIR PATIENT CARE40.000.00132898036457X
FieldValueIRS element (for citing)
Total Reportable Comp From Org456584TotalReportableCompFromOrg
Total Other Compensation112144TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events168459FundraisingEvents
All Other Contributions116929AllOtherContributions
Noncash Contributions6000NoncashContributions
Total Contributions285388TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Private Patient Fees62410011850241185024
Medicare/Medicaid Payment6241001358474613584746
FieldValueIRS element (for citing)
Total Program Service Revenue14769770TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23444TotalRevenueColumn
Exclusion$23,444ExclusionAmount

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

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities263655Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities258503Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5152Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5152TotalRevenueColumn
Exclusion$5,152ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events342700GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events168459CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses343871FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-1171TotalRevenueColumn
Exclusion-$1,171ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15082583TotalRevenueColumn
Related Or Exempt Function Income14769770RelatedOrExemptFunctionIncome
Exclusion$27,425ExclusionAmount

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)
Total278338Total
Management And General278338ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6817335Total
Program Services5630434ProgramServices
Management And General1186901ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1664479Total
Program Services730943ProgramServices
Management And General933536ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5172Total
Management And General5172ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total59590Total
Management And General59590ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total299610Total
Management And General299610ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total166325Total
Management And General166325ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total268608Total
Management And General268608ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total271599Total
Program Services85893ProgramServices
Management And General185706ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total118713Total
Management And General118713ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total296934Total
Management And General296934ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total105731Total
Management And General105731ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE104358104358
TELEPHONE1579127377084142
VEHICLE EXPENSES52933345922970104
PATIENT CARE EXPENSES22350302235030

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total266433Total
Program Services83099ProgramServices
Management And General183334ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13645500Total
Program Services9402756ProgramServices
Management And General4242744ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY409390BOY
EOY1375220EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2721423BOY
EOY381370EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY6350BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1869166BOY
EOY3656582EOY

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)
BOY125575BOY
EOY454229EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6935048LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec995172LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5352009BOY
EOY5939876EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY122414BOY
EOY580072EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

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)
BOY776929BOY
EOY797723EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11383256BOY
EOY13185072EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY605839BOY
EOY542237EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1787110BOY
EOY1588683EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY535834BOY
EOY1010781EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2928783BOY
EOY3141701EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7638293BOY
EOY8507700EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY816180BOY
EOY1535671EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8454473BOY
EOY10043371EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11383256BOY
EOY13185072EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1437083ReconcilationRevenueExpenses
Reconciliation Unrealized Invest122615ReconciliationUnrealizedInvest
Reconcilation Donated Services29200ReconcilationDonatedServices
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 Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86427CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years117841CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years106065CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year260411CurrentTaxYearMinus1Year
Current Tax Year285388CurrentTaxYear
Total856132Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86427CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years117841CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years106065CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year260411CurrentTaxYearMinus1Year
Current Tax Year285388CurrentTaxYear
Total856132Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170856132PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30998CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19816CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18826CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11758CurrentTaxYearMinus1Year
Current Tax Year23444CurrentTaxYear
Total104842Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support960974TotalSupport
Gross Receipts From Admissions Etc61185051GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.89090PublicSupportPertcentage170
Public Support Pertcent Prior Year0.79610PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis667815OtherCostOrOtherBasis
Book Value667815BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5160612OtherCostOrOtherBasis
Depreciation474922Depreciation
Book Value4685690BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis59156OtherCostOrOtherBasis
Depreciation7389Depreciation
Book Value51767BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis800908OtherCostOrOtherBasis
Depreciation368199Depreciation
Book Value432709BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis246557OtherCostOrOtherBasis
Depreciation144662Depreciation
Book Value101895BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5939876TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
EMPLOYEE ADVANCES1403
Deposits71398
Deferred Comp 457 Plan472585
501(C) Trust Account52337
FieldValueIRS element (for citing)
Total Book Value Other Assets797723TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
UNEARNED REVENUE$235,925
Rounding$1
ACCRUED PAYROLL$582,667
ACCRUED EXPENSES$192,188
FieldValueIRS element (for citing)
Total Of Amounts1010781TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt15234398TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments122615NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities29200DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990151815RevenueNotRptdF990
Revenue Subtotal15082583RevenueSubtotal
Total Revenue Per Form99015082583TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13645500TotExpensesEtcAuditedFinclStmt
Expenses Subtotal13645500ExpensesSubtotal
Total Expenses Per Form99013645500TotalExpensesPerForm990

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsAmount Retained By ContractorAmountRetainedByContractorGross ReceiptsGrossReceiptsNet To OrganizationNetToOrganization
CCS
300 MontgomerySan FranCA94104feasibilityfalse35000
CCS
300 MontgomerySan FranCA94104capital campaigfalse2250002349259925
FieldValueIRS element (for citing)
Total Gross Receipts234925TotalGrossReceipts
Total Retained By Contractors260000TotalRetainedByContractors
Total Net To Organization9925TotalNetToOrganization
Licensed StatesCALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1VOINameOfEvent1
Gross Receipts Event1466900GrossReceiptsEvent1
Charitable Contributions Event1124200CharitableContributionsEvent1
Gross Revenue Event1342700GrossRevenueEvent1
Rent Facility Costs Event129897RentFacilityCostsEvent1
Food And Beverage Event150415FoodAndBeverageEvent1
Entertainment Event1138500EntertainmentEvent1
Other Direct Expenses Event194497OtherDirectExpensesEvent1
Name Of Event2LUALNameOfEvent2
Gross Receipts Event244129GrossReceiptsEvent2
Charitable Contributions Event244129CharitableContributionsEvent2
Entertainment Event23500EntertainmentEvent2
Other Direct Expenses Event227019OtherDirectExpensesEvent2
Gross Receipts Total511029GrossReceiptsTotal
Charitable Contributions Total168329CharitableContributionsTotal
Gross Revenue Total Events342700GrossRevenueTotalEvents
Rent Facility Costs Total Events29897RentFacilityCostsTotalEvents
Food And Beverage Total Events50415FoodAndBeverageTotalEvents
Entertainment Total Events142000EntertainmentTotalEvents
Other Direct Expenses Total Events121516OtherDirectExpensesTotalEvents
Direct Expense Summary Events343828DirectExpenseSummaryEvents
Net Income Summary-1128NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
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 (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
SHEILA FRYER
DIR PATIENT CARE125480741836457169355
Beth Hoffmann
Exec. Director129846771236762174320

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonHOFFMANN HOMECARENamePerson
FieldValueIRS element (for citing)
RelationshipOwner/OfficerRelationship
Amount Of Transaction1066572AmountOfTransaction
Description Of TransactionPURCHASE MEDI SUPPLIESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationHOFFMANN HOMECARE IS OWNED BY THOMAS HOFFMANN, AN OFFICER OF THE ORGANIZATION. THE ORGANIZATION PURCHASES MEDICAL SUPPLIES FROM HOFFMANN HOMECARE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe President and Executive Director determine the salaries and maximum percentages for pay increases for key employees and other officers. Industry statistics are reviewed periodically to determine comparable salaries.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe Board discusses and approves the compensation of the Executive Director and President without the individuals present. The Board utilizes comprehensive industry statistics to determine the salary amounts.
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 at the quarterly board meetings. Identified conflicts of interest are reviewed by the Board, and a written plan of action is developed to address the potential conflicts.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessThe Controller of the Organization reviews the Form 990 prior to filing. Questions are directed to the preparing CPA firm or the CPA on the Board of Directors.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtBETH HOFFMANN (DIRECTOR AND OFFICER) AND TOM HOFFMANN (OFFICER) ARE SPOUSES.