CALIFORNIA HOSPITAL ASSESSMENT AND REPORTING TASK FORCE CHART: Form 990, tax year 2010
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- Organization
- CALIFORNIA HOSPITAL ASSESSMENT AND REPORTING TASK FORCE CHART (EIN 36-4616681)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-10-12
- IRS object ID
- 201132859349300248
- Schema version
- 2010v3.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-10-12T19:15:33-07:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHELLE E PHILLIPS CPA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 531 OAK STREET SUITE 4 | AddressLine1 |
| City | ROSEVILLE | City |
| State | CA | State |
| ZIP Code | 95678 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364616681 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA HOSPITAL ASSESSMENT AND REPORTING TASK FORCE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CALI | NameControl |
| Phone | 9167726090 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1688 ORVIETTO DRIVE | AddressLine1 |
| City | ROSEVILLE | City |
| State | CA | State |
| ZIP Code | 95661 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRUCE SPURLOCK | Name |
| Title | CHAIR | Title |
| Phone | 9167726090 | Phone |
| Date Signed | 2011-08-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHELLE E PHILLIPS | Name |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BRUCE SPURLOCK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1688 ORVIETTO DRIVE | AddressLine1 |
| City | ROSEVILLE | City |
| State | CA | State |
| ZIP Code | 95661 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1802941 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2007 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF CHART IS: TO PUBLICALLY REPORT CALIFORNIA HOSPITAL QUALITY PERFORMANCE USING BROADLY AGREED UPON MEASURES, DATA COLLECTION/SUBMISSION METHODS AND A CONSUMER FRIENDLY REPORTING FORMAT. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 2041970 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1801600 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 643 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1341 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2042613 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1802941 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1796495 | OtherExpensePriorYear |
| Other Expenses Current Year | 1499479 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1796495 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1499479 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 246118 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 303462 | RevenuesLessExpensesCY |
| Total Assets BOY | 300599 | TotalAssetsBOY |
| Total Assets EOY | 805732 | TotalAssetsEOY |
| Total Liabilities BOY | 207319 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 408990 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 93280 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 396742 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PUBLICALLY REPORT CALIFORNIA HOSPITAL QUALITY PERFORMANCE USING BROADLY | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1485849 | Expense |
| Grants | 9600 | Grants |
| Revenue | 1792000 | Revenue |
| Description | CHART IS COLLECTING, ANALYZING AND PUBLISHING QUALITY INFORMATION FROM CALIFORNIA ACUTE CARE HOSPITALS. WE HAVE BEEN ABLE TO SUCESSFULLY ADD MEASURES FOR MATERNITY QUALITY PERFORMANCE AND INCREASED THE NUMBER OF HOSPITALS WHO VOLUNTARILY SUBMIT DATA. DURING 2008, WE NOW REPORT ON 85% OF THE AVERAGE DAILY CENSUS IN CALIFORNIA. PERFORMANCE IMPROVED AMONG PARTICIPATING HOSPITALS IN EVERY DIMENSION AND BLUE CROSS OF CALIFORNIA BEGAN USING CHART INFORMATION IN THEIR HOSPITAL PAY-FOR-PERFORMANCE PROGRAM DURING 2008. | Description |
| Total Program Service Expense | 1485849 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BRUCE SPURLOCK | NamePerson |
| Telephone Number | 9167726090 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1688 ORVIETTO DRIVE | AddressLine1 |
| City | ROSEVILLE | City |
| State | CA | State |
| ZIP Code | 95661 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| ULRIKE STEINBACH | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KATHY HARREN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| BARBARA CRAWFORD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| SKIP WALKER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LARK GALLOWAY-GILLIAM | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DAVE SCHWEPPE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARGE GINSBURG | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DAVID HOPKINS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| GORDON HUNT | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DODI KELLEHER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| GEORGE MCGREGOR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DAVID PERROT | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| BARRY SHEPPARD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TRACY SKLAR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| GEORGE LOUIE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DOUG MCKEEVER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| STEPHANIE TELEKI | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ELLEN WU | ||||||
| DIRECTOR | 1 | X | ||||
| BRUCE SPURLOCK | ||||||
| PRESIDENT | 10 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UCSF | |||||
| SUNDRY DEBTOR REMITTANCE | SAN FRANCISCO | CA | 94143 | CONSULTING SERVICES | 1074216 |
| CONVERGENCE | |||||
| 1688 ORVIETTO DRIVE | ROSEVILLE | CA | 95661 | CONSULTING SERVICES | 118500 |
| WESTAT | |||||
| PO BOX 1004 | ROCKVILLE | MD | 20850 | CONSULTING SERVICES | 120000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| All Other Contributions | 1801600 | AllOtherContributions |
| Total Contributions | 1801600 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1341 | TotalRevenueColumn |
| Exclusion | $1,341 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1802941 | TotalRevenueColumn |
| Exclusion | $1,341 | ExclusionAmount |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1413 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1413 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8545 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 8545 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1724 | Total |
| Program Services | 1724 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 981 | Total |
| Program Services | 981 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15338 | Total |
| Program Services | 15338 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3540 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 3540 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BANK FEES | 85 | 0 | 85 | 0 |
| BAD DEBT | 7455 | 7455 | 0 | 0 |
| CONTRACT SERVICES - OTHER | 118500 | 118500 | 0 | 0 |
| CONTRACT SERVICES - UCSF | 1074216 | 1074216 | 0 | 0 |
| POSTAGE | 47 | 0 | 47 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 267635 | Total |
| Program Services | 267635 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1499479 | Total |
| Program Services | 1485849 | ProgramServices |
| Management And General | 13630 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300599 | BOY |
| EOY | 801491 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 4241 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300599 | BOY |
| EOY | 805732 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207319 | BOY |
| EOY | 408990 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207319 | BOY |
| EOY | 408990 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93280 | BOY |
| EOY | 396742 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93280 | BOY |
| EOY | 396742 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300599 | BOY |
| EOY | 805732 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 303462 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | true | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1772898 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2041970 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1801600 | CurrentTaxYear |
| Total | 5616468 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1772898 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2041970 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1801600 | CurrentTaxYear |
| Total | 5616468 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 5616468 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 6682 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 643 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1341 | CurrentTaxYear |
| Total | 8666 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 6682 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 643 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1341 | CurrentTaxYear |
| Total | 8666 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5625134 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue | 1802941 | TotalRevenue |
| Total Expenses | 1499479 | TotalExpenses |
| Excess Or Deficit For Year | 303462 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 303462 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1802941 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 1802941 | RevenueSubtotal |
| Total Revenue Per Form990 | 1802941 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1499479 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 1499479 | ExpensesSubtotal |
| Total Expenses Per Form990 | 1499479 | TotalExpensesPerForm990 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BRUCE SPURLOCK - CONVERGENCE HEALTH | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | OFFICER | Relationship |
| Amount Of Transaction | 118500 | AmountOfTransaction |
| Description Of Transaction | CONSULTING SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI-B, Line 11a | CHART BOARD OF DIRECTORS REVIEWS THE FORM 990 PRIOR TO SUBMISSION. |
| Pt VI-B, Line 12c | CONFLICTS OF INTEREST ARE REQUIRED TO BE DISCLOSED ON A YEARLY BASIS. |
| Pt VI-B, Line 15 | CHART CONDUCTS A COMPETITIVE RFP PROCESS EVERY 2 YEARS FOR THE DATA |
| ANALYTIC VENDOR AND THE BOARD SELECTS THE VENDOR AND NEGOTIATES THE OPTIMAL RATE. | |
| UCSF WON THE BID FOR 2010 - 2011. FOR CONVERGENCE, THE BUDGET | |
| IS NEGOTIATED EVERY 2 YEARS AND THE BOARD REVIEWS THE PERFORMANCE OF | |
| CONVERGENCE ON AN ANNUAL BASIS. | |
| Pt VI-C, Line 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIALS |
| ARE AVAILABLE UPON REQUEST. | |
| Form 990, Part IX, Line 24f | CONTRACT SERVICES - AUDIT 77540. 77540. 0. 0. CONTRACT SERVICES - CALNOC 70095. 70095. 0. 0. CONTRACT SERVICES - WESTAT 120000. 120000. 0. 0. |
Comments