COLLABRIA CARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COLLABRIA CARE (EIN 68-0393144)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-06
IRS object ID
201202199349301410
Schema version
2011v1.2
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)
Timestamp2012-08-06T14:26:01-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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
Phone7072589084Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameLINDA GIBSONName
TitleCEOTitle
Date Signed2012-08-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID C WILSONName
Phone9169225109Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts9247723GrossReceipts
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 Employees118TotalNbrEmployees
Total Nbr Volunteers110TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1818997ContributionsGrantsPriorYear
Contributions Grants Current Year2159167ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6386730ProgramServiceRevenuePriorYear
Program Service Revenue CY6955711ProgramServiceRevenueCY
Investment Income Prior Year12910InvestmentIncomePriorYear
Investment Income Current Year2512InvestmentIncomeCurrentYear
Other Revenue Prior Year-132915OtherRevenuePriorYear
Other Revenue Current Year1476OtherRevenueCurrentYear
Total Revenue Prior Year8085722TotalRevenuePriorYear
Total Revenue Current Year9118866TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5065755SalariesEtcPriorYear
Salaries Etc Current Year5018107SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year109500TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY123500TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year669244TotalFundrsngExpCurrentYear
Other Expense Prior Year2857994OtherExpensePriorYear
Other Expenses Current Year3189062OtherExpensesCurrentYear
Total Expenses Prior Year8033249TotalExpensesPriorYear
Total Expenses Current Year8330669TotalExpensesCurrentYear
Revenues Less Expenses Prior Year52473RevenuesLessExpensesPriorYear
Revenues Less Expenses CY788197RevenuesLessExpensesCY
Total Assets BOY10259210TotalAssetsBOY
Total Assets EOY10491955TotalAssetsEOY
Total Liabilities BOY7200494TotalLiabilitiesBOY
Total Liabilities EOY6645042TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3058716NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3846913NetAssetsOrFundBalancesEOY
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
Expense4940664Expense
Revenue5974515Revenue
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 28,671 PATIENT DAYS ATTRIBUTED TO THE HOSPICE DURING 2011.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1411323Expense
Revenue981196Revenue
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 2011.Description
FieldValueIRS element (for citing)
Total Program Service Expense6351987TotalProgramServiceExpense
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 With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees118NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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 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 (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
TRICIA WILLIAMS
Director1.00X000
VALERIE PEEBLES
Director1.00X000
JOALINE OLSON
Director1.00X000
CORBY KESSLER
Director1.00X000
DEBRA DOMMEN
Director1.00X000
EILEEN CRANE
Director1.00X000
DANA CODRON
Director1.00X000
BOB ANGEL
Director1.00X000
LINDA GIBSON
CEO/SEC40.00X170141015616X
JIM GLADFELTER
VICE CHAIRMAN10.00X000X
KATHLEEN O'DOWD
Treasurer10.00X000X
STEVE SILVA
Chairman10.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org170141TotalReportableCompFromOrg
Total Other Compensation15616TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
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 ServicesCONSULTANTDescriptionOfServices
Compensation123500Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events288758FundraisingEvents
All Other Contributions1870409AllOtherContributions
Noncash Contributions7500NoncashContributions
Total Contributions2159167TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column6955711TotalRevenueColumn
Related Or Exempt Function Income6955711RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6955711TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2512TotalRevenueColumn
Exclusion$2,512ExclusionAmount

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

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events128857GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events288758CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses128857FundraisingDirectExpenses

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

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column1476TotalRevenueColumn
Exclusion$1,476ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1476TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9118866TotalRevenueColumn
Related Or Exempt Function Income6955711RelatedOrExemptFunctionIncome
Exclusion$3,988ExclusionAmount

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)
Total185757Total
Program Services153284ProgramServices
Management And General22343ManagementAndGeneral
Fundraising10130Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4061338Total
Program Services3341356ProgramServices
Management And General502751ManagementAndGeneral
Fundraising217231Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total45869Total
Program Services39080ProgramServices
Management And General3761ManagementAndGeneral
Fundraising3028Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total404050Total
Program Services344251ProgramServices
Management And General33132ManagementAndGeneral
Fundraising26667Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total321093Total
Program Services273571ProgramServices
Management And General26330ManagementAndGeneral
Fundraising21192Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14186Total
Management And General14186ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total49511Total
Management And General49511ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1000Total
Program Services1000ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total123500Total
Fundraising123500Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total299688Total
Program Services129583ProgramServices
Management And General92936ManagementAndGeneral
Fundraising77169Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total35732Total
Program Services707ProgramServices
Management And General34181ManagementAndGeneral
Fundraising844Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total301242Total
Program Services57013ProgramServices
Management And General168883ManagementAndGeneral
Fundraising75346Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total43238Total
Program Services12588ProgramServices
Management And General23436ManagementAndGeneral
Fundraising7214Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total100161Total
Program Services1215ProgramServices
Management And General93717ManagementAndGeneral
Fundraising5229Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total11293Total
Program Services3617ProgramServices
Management And General6507ManagementAndGeneral
Fundraising1169Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total49056Total
Program Services27237ProgramServices
Management And General18261ManagementAndGeneral
Fundraising3558Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total446740Total
Program Services365614ProgramServices
Management And General40501ManagementAndGeneral
Fundraising40625Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total249574Total
Program Services224617ProgramServices
Fundraising24957Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total122855Total
Program Services66190ProgramServices
Management And General51538ManagementAndGeneral
Fundraising5127Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SKILLED NURSING FACILITY ROOM473658473658
MISCELLANEOUS932408473781706597
MAINTENANCE & REPAIRS36718775728961
DUES, LICENSES, SUBSCRIPTIONS71368363101539719661
DIRECT PATIENT CARE764974764974

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total24828Total
Program Services19892ProgramServices
Management And General4936ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8330669Total
Program Services6351987ProgramServices
Management And General1309438ManagementAndGeneral
Fundraising669244Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY459441BOY
EOY1800EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY1695709EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY229676BOY
EOY189933EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY971825BOY
EOY639482EOY

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)
BOY126840BOY
EOY91851EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8334794LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1677358LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6849199BOY
EOY6657436EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY20320BOY
EOY20182EOY

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)
BOY1601909BOY
EOY1195562EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10259210BOY
EOY10491955EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY984959BOY
EOY740138EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5520000BOY
EOY5520000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY695535BOY
EOY384904EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7200494BOY
EOY6645042EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY226382BOY
EOY579647EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2812334BOY
EOY3247266EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY20000BOY
EOY20000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3058716BOY
EOY3846913EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10259210BOY
EOY10491955EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses788197ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1818570CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1226331CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1895012CurrentTaxYearMinus1Year
Current Tax Year2159167CurrentTaxYear
Total7099080Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years6164911CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5974727CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6386730CurrentTaxYearMinus1Year
Current Tax Year6955711CurrentTaxYear
Total25482079Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

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 Minus3 Years7983481CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7201058CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8281742CurrentTaxYearMinus1Year
Current Tax Year9114878CurrentTaxYear
Total32581159Total

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 Total50932581159PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years58220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23506CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12910CurrentTaxYearMinus1Year
Current Tax Year2512CurrentTaxYear
Total97148Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years58220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23506CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12910CurrentTaxYearMinus1Year
Current Tax Year2512CurrentTaxYear
Total97148Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year1476CurrentTaxYear
Total1476Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years8041701CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7224564CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8294652CurrentTaxYearMinus1Year
Current Tax Year9118866CurrentTaxYear
Total32679783Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99700PublicSupportPercentage509
Prior Year Support Percentage0.99598PriorYearSupportPercentage
Investment Income Percentage0.00300InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00402PriorYrInvestIncomePercentage
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$1,000GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB1000TotalLobbyingExpendituresIIB
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$1,000 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 Balance20320BeginningOfYearBalance
Investment Earnings Or Losses-138InvestmentEarningsOrLosses
End Of Year Balance20182EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20229BeginningOfYearBalance
Investment Earnings Or Losses-255InvestmentEarningsOrLosses
End Of Year Balance19974EndOfYearBalance
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
Depreciation915260Depreciation
Book Value4164835BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis524621OtherCostOrOtherBasis
Depreciation197030Depreciation
Book Value327591BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis633983OtherCostOrOtherBasis
Depreciation378144Depreciation
Book Value255839BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis199263OtherCostOrOtherBasis
Depreciation186924Depreciation
Book Value12339BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6657436TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
RESTRICTED ASSETS735150
DEBT ISSUANCE COSTS460412
FieldValueIRS element (for citing)
Total Book Value Other Assets1195562TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLINE OF CREDITDescription
Amount$384,904Amount
FieldValueIRS element (for citing)
Total Of Amounts384904TotalOfAmounts
Total Revenue9118866TotalRevenue
Total Expenses8330669TotalExpenses
Excess Or Deficit For Year788197ExcessOrDeficitForYear
Excess Or Deficit Per FS788197ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9247723TotRevenueEtcAuditedFinclStmt
Revenue Subtotal9247723RevenueSubtotal
Other Revenues Not Included-128857OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-128857RevenueNotRptdOnFinStmt
Total Revenue Per Form9909118866TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8459526TotExpensesEtcAuditedFinclStmt
Other Expenses Included128857OtherExpensesIncluded
Expenses Not Rptd F990128857ExpensesNotRptdF990
Expenses Subtotal8330669ExpensesSubtotal
Total Expenses Per Form9908330669TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIII, Line 2dIdentifier
Return ReferencePart XIII, Line 2d: Other expenses and losses per audited F/SReturnReference
ExplanationEVENT EXPENSES $128857Explanation

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 Receipts1111172GrossReceipts
Amount Retained By Contractor123500AmountRetainedByContractor
Net To Organization987672NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts1111172TotalGrossReceipts
Total Retained By Contractors123500TotalRetainedByContractors
Total Net To Organization987672TotalNetToOrganization

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1411145GrossReceiptsEvent1
Charitable Contributions Event1287884CharitableContributionsEvent1
Gross Revenue Event1123261GrossRevenueEvent1
Food And Beverage Event134660FoodAndBeverageEvent1
Other Direct Expenses Event188601OtherDirectExpensesEvent1
Name Of Event2GOLFNameOfEvent2
Gross Receipts Event26470GrossReceiptsEvent2
Charitable Contributions Event2874CharitableContributionsEvent2
Gross Revenue Event25596GrossRevenueEvent2
Other Direct Expenses Event25596OtherDirectExpensesEvent2
Gross Receipts Total417615GrossReceiptsTotal
Charitable Contributions Total288758CharitableContributionsTotal
Gross Revenue Total Events128857GrossRevenueTotalEvents
Food And Beverage Total Events34660FoodAndBeverageTotalEvents
Other Direct Expenses Total Events94197OtherDirectExpensesTotalEvents
Direct Expense Summary Events128857DirectExpenseSummaryEvents

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
Base Compensation Filing Org170141BaseCompensationFilingOrg
Deferred Comp Filing Org5104DeferredCompFilingOrg
Nontaxable Benefits Filing Org10512NontaxableBenefitsFilingOrg
Total Compensation Filing Org185757TotalCompensationFilingOrg

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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)
Total Proceeds5520000TotalProceeds
Issuance Costs From Proceeds627894IssuanceCostsFromProceeds
Capital Expenditures4796100CapitalExpenditures
Other Spent Proceeds96006OtherSpentProceeds
Year Of Subst Completion2004YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 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 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 11Form 990, Part VI, Line 11: 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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