INTER COMMUNITY CARE CENTERS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
INTER COMMUNITY CARE CENTERS INC (EIN 95-2413249)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201223209349300617
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)
Timestamp2012-11-14T17:52:04-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1940 S COAST DR STE 178AddressLine1
CityCOSTA MESACity
StateCAState
ZIP Code926261780ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN952413249EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJ MICHAEL HUGHESName
TitlePRESIDENT/CEOTitle
Phone5624261368Phone
Date Signed2012-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSAMUEL V ORTIZ JR CPAName
Phone7145494444Phone
Date Prepared2012-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12660 GRAND AVEAddressLine1
CityLONG BEACHCity
StateCAState
ZIP Code90815ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6747949GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPROVIDING CONTINUING NURSING CARE FOR CONALESCENT AND EXTENDED CARE PATIENTSActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees180TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6454330ProgramServiceRevenuePriorYear
Program Service Revenue CY6736421ProgramServiceRevenueCY
Investment Income Current Year13483InvestmentIncomeCurrentYear
Other Revenue Prior Year8185OtherRevenuePriorYear
Other Revenue Current Year-1955OtherRevenueCurrentYear
Total Revenue Prior Year6462515TotalRevenuePriorYear
Total Revenue Current Year6747949TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4492937SalariesEtcPriorYear
Salaries Etc Current Year4520967SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2107712OtherExpensePriorYear
Other Expenses Current Year2111230OtherExpensesCurrentYear
Total Expenses Prior Year6600649TotalExpensesPriorYear
Total Expenses Current Year6632197TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-138134RevenuesLessExpensesPriorYear
Revenues Less Expenses CY115752RevenuesLessExpensesCY
Total Assets BOY7567394TotalAssetsBOY
Total Assets EOY7660370TotalAssetsEOY
Total Liabilities BOY591171TotalLiabilitiesBOY
Total Liabilities EOY568395TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6976223NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7091975NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDING CONTINUING NURSING CARE FOR CONALESCENT AND EXTENDED CARE PATIENTSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6159954Expense
Revenue6736421Revenue
DescriptionSUPPORTED THE CONTINUING NURSING CARE OF APPROXIMATELY 147 CONVALESCENT AND EXTENDED CARE PATIENTSDescription
Total Program Service Expense6159954TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees180NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
J MICHAEL HUGHES
CHAIRMAN/CEO40.00XX176208011147
EMILIO NUNEZ
DIRECTOR0.00X120000
PAUL BERNHARD
DIRECTOR0.00X120000
THOMAS YOCUM
DIRECTOR/SEC0.00XX120000
AL KEIR
DIRECTOR/TRE0.00XX120000
JOHN M HUGHES III
CFO40.00X116140018081
RUSSELL BOYDSTON
ADMINISTRATO40.00134608011160X
JACQUELINE HUNTER
DIR OF NURSI40.0010245004800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org534206TotalReportableCompFromOrg
Total Other Compensation45188TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNURSING SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column6736421TotalRevenueColumn
Related Or Exempt Function Income6736421RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6736421TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13483TotalRevenueColumn
Related Or Exempt Function Income13483RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPERSONAL ANCILLARY SVCDescription
Business Code623000BusinessCode
Total Revenue Column-1955TotalRevenueColumn
Related Or Exempt Function Income-1955RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue-1955TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6747949TotalRevenueColumn
Related Or Exempt Function Income6747949RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total297148Total
Management And General297148ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3899091Total
Program Services3809591ProgramServices
Management And General89500ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9712Total
Program Services9712ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total315016Total
Program Services290643ProgramServices
Management And General24373ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total57461Total
Program Services57461ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16109Total
Program Services16109ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4404Total
Program Services4404ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total3045Total
Program Services3045ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total12876Total
Program Services10374ProgramServices
Management And General2502ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1603Total
Program Services1603ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total194185Total
Program Services194185ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total352216Total
Program Services352216ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES649375649375
WORKERS COMP INS213588213588
UTILITIES11549710430611191
PURCHASED SERVICES9589495894

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total394977Total
Program Services347448ProgramServices
Management And General47529ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6632197Total
Program Services6159954ProgramServices
Management And General472243ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY739579BOY
EOY1004324EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1174444BOY
EOY1187923EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY922215BOY
EOY854786EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3500BOY
EOY3500EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY48610BOY
EOY55999EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6582782LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2028944LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4679046BOY
EOY4553838EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7567394BOY
EOY7660370EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY591171BOY
EOY568395EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY591171BOY
EOY568395EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6976223BOY
EOY7091975EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6976223BOY
EOY7091975EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7567394BOY
EOY7660370EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses115752ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3401237OtherCostOrOtherBasis
Depreciation958640Depreciation
Book Value2442597BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis742027OtherCostOrOtherBasis
Depreciation597517Depreciation
Book Value144510BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis680238OtherCostOrOtherBasis
Depreciation472787Depreciation
Book Value207451BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4553838TotalOfBookValueLandBuildings

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJ MICHAEL HUGHESNamePerson
Base Compensation Filing Org175008BaseCompensationFilingOrg
Other Compensation Filing Org1200OtherCompensationFilingOrg
Nontaxable Benefits Filing Org11147NontaxableBenefitsFilingOrg
Total Compensation Filing Org187355TotalCompensationFilingOrg

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

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

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