CALVARY HEALTHCARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CALVARY HEALTHCARE INC (EIN 52-2281384)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201343179349302594
Schema version
2012v2.1
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)
Timestamp2013-11-13T13:02:50-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN521147566EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1NEWBY AND ASSOCIATESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11300 CARAWAY COURT STE 206AddressLine1
CityLARGOCity
StateMDState
ZIP Code207745462ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN522281384EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CALVARY HEALTHCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCALVNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1802 RHODE ISLAND AVE NEAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20018ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKATITIA PTTSName
TitleDIRECTORTitle
Phone2028325200Phone
Date Signed2013-11-13DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES NEWBY CPAName
PTINP01280453PTIN
Phone3013865722Phone
Date Prepared2013-11-13DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts708589GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CALVARYCOMMUNITYCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileDCStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION IS TO PROVIDE SERVICES AND SUPPORT TO REVIVE AND RESTORE THE HEALTH AND WELL-BEING OF PEOPLE WE SERVE THE COMMUNITY THROUGH HIV/AIDS AWARENESS, SUBSTANCE ABUSE TREATMENT AND EX-OFFENDERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year345588ContributionsGrantsPriorYear
Contributions Grants Current Year442664ContributionsGrantsCurrentYear
Program Service Revenue Prior Year319460ProgramServiceRevenuePriorYear
Program Service Revenue CY258568ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year7357OtherRevenueCurrentYear
Total Revenue Prior Year665048TotalRevenuePriorYear
Total Revenue Current Year708589TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year289818SalariesEtcPriorYear
Salaries Etc Current Year276488SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year362136OtherExpensePriorYear
Other Expenses Current Year432734OtherExpensesCurrentYear
Total Expenses Prior Year651954TotalExpensesPriorYear
Total Expenses Current Year709222TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13094RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-633RevenuesLessExpensesCY
Total Assets BOY101622TotalAssetsBOY
Total Assets EOY116875TotalAssetsEOY
Total Liabilities BOY32627TotalLiabilitiesBOY
Total Liabilities EOY48513TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY68995NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY68362NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION IS TO PROVIDE SERVICES AND SUPPORT TO REVIVE AND RESTORE THE HEALTH AND WELL-BEING OF PEOPLE WE SERVE THE COMMUNITY THROUGH HIV/AIDS AWARENESS, SUBSTANCE ABUSE TREATMENT AND EX-OFFENDERS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense709222Expense
DescriptionALL MONIES USED WERE FOR THE ORGANIZATIONS EXEMPT PURPOSE.Description
Total Program Service Expense709222TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
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 ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionstrueNonDeductibleContributions
Non Deductible DisclosuretrueNonDeductibleDisclosure
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledDCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNOVIA DAVISNamePerson
Telephone Number2028325200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1802 RHODE ISLAND AVE NEAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20018ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
ALFRED OWENS
BISHOP2.00X000
ANDREW WOODHOUSE
2.00X000
DELVATO SCRUGG
2.00X000
NOVIA DAVIS
2.00X000
NOVIA DAVIS
2.00X000
TERRANCE BROWN
ADMINISTRATOR2.00X000
KATITIA PTTS
DIRECTOR80.009295300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org92953TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants442664GovernmentGrants
Total Contributions442664TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTRIBUTIONS90009988298829
IN-KIND REVENUE900099249739249739
FieldValueIRS element (for citing)
Total Program Service Revenue258568TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column7357TotalRevenueColumn
Related Or Exempt Function Income7357RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue7357TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column708589TotalRevenueColumn
Related Or Exempt Function Income265925RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total92953Total
Program Services92953ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total183535Total
Program Services183535ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total26480Total
Program Services26480ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total7626Total
Program Services7626ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES3253832538
COMMUNICATIONS31333133
MISC7181771817
IN KIND EXPENSES249739249739

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total41401Total
Program Services41401ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total709222Total
Program Services709222ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY66944BOY
EOY41865EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY34678BOY
EOY75010EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY101622BOY
EOY116875EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY32627BOY
EOY31468EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY17045EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32627BOY
EOY48513EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY68995BOY
EOY68362EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68995BOY
EOY68362EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY101622BOY
EOY116875EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-633ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years79539CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years235688CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years288363CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year345588CurrentTaxYearMinus1Year
Current Tax Year442664CurrentTaxYear
Total1391842Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years79539CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years235688CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years288363CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year345588CurrentTaxYearMinus1Year
Current Tax Year442664CurrentTaxYear
Total1391842Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total221902AmountsSubstContributorsTotal
Public Support Total1701169940PublicSupportTotal170
Total Support1391842TotalSupport
Public Support Pertcentage1700.84060PublicSupportPertcentage170
Public Support Pertcent Prior Year0.22870PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationQualifies for Public Charity Status Multiple Reasons THE MISSION IS TO PROVIDE SERVICES AND SUPPORT TO REVIVE AND RESTORE THE HEALTH AND WELL-BEING OF PEOPLE. WE SERVE THE COMMUNITY THROUGH HIV/AIDS AWARENESS, SUBSTANCE ABUSE TREATMENT AND EX-OFFENDER9S RE-INTERGRATION SERVICES THAT STRENGTHEN INDIVIDUALS, FAMILIES AND COMMUNITIES.GeneralExplanation

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

FieldValueIRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt708589TotRevenueEtcAuditedFinclStmt
Revenue Subtotal708589RevenueSubtotal
Total Revenue Per Form990708589TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt709222TotExpensesEtcAuditedFinclStmt
Expenses Subtotal709222ExpensesSubtotal
Total Expenses Per Form990709222TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
O01Form 990 governing body review Part VI line 11THE CALVARY HEALTHCARE,INC BOARD OF DIRECTORS WILL RECEIVE A COMPLETED FORM 990 FOR REVIEW PRIOR TO IT9S FILING. IT WILL BE NOTED IN THE LAST QUARTER BOARD MINUTES, AND THE FULL BOARD SHALL RECEIVE A COPY OF IRS 990 WITHIN 30 DAYS OF ITS SUBMISSION.
O02Conflict of interest policy compliance Part VI line 12cTHE CALVARY HEALTHCARE, INC BOARD OF DIRECTORS COMPLETES AN ANNUAL REVIEW AND SIGNATURE OF THE CONFLICT OF INTEREST POLICY AND OTHER POLICIES AT THE FIRST BOARD MEETING OF THE CALENDAR YEAR.
O03CEO executive director top management comp Part VI line 15aCEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT COMP (PART VI, LINE 15A) THE BOARD OF DIRECTORS HAS ESTABLISHED THE COMPENSATION COMMITTEE TO OVERSEE THE OVERALL COMPENSATION STRUCTURE, POLICY, AND PROCEDURES TO ENSURE THAT EXECUTIVE DIRECTOR AND SENIOR MANAGEMENT/KEY EMPLOYEES COMPENSATION IS COMPARABLE TO CURRENT VALUE. THE COMPENSATION COMMITTEE WORKS WITH AN OUTSIDE CONSULTANT.
O04Other officer or key employee compensation Part VI line 15bTHE BOARD OF DIRECTORS HAS ESTABLISHED THE COMPENSATION COMMITTEE TO OVERSEE THE OVERALL COMPENSATION STRUCTURE, POLICY AND PROCEDURES TO ENSURE THAT THE EXECUTIVE DIRECTOR AND SENIOR MANAGEMENT/KEY EMPLOYEE COMPENSATION IS COMPARABLE TO CURRENT VALUE. THE COMPENSATION COMMITTEE WORKS WITH AN OUTSIDE CONSULTANT.
O05Governing documents etc available to public Part VI line 19THE GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

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