CASA COLINA INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CASA COLINA INC (EIN 95-3655256)
- Tax period
- 2021-04-01 to 2022-03-31
- Filed
- 2023-02-14
- IRS object ID
- 202300459349302140
- Schema version
- 2021v4.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule K
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-02-14T16:22:44-08:00 | ReturnTs |
| Tax Period End | 2022-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10960 WILSHIRE BLVD SUITE 1100 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90024 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953655256 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Casa Colina Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CASA | BusinessNameControlTxt |
| Phone | 9095967733 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6001 | AddressLine1Txt |
| City | Pomona | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91769 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Felice Loverso PhD | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Signature | 2023-02-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Felice | PersonFirstNm |
| Person Last | Loverso | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAUREN A HAVERLOCK | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 3104770450 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Felice Loverso PhD | PrincipalOfficerNm |
| Gross Receipts | $77,523,248 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.casacolina.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | CASA COLINA, INC.'S MISSION IS TO OPTIMIZE MEDICAL RECOVERY AND REHABILITATION OUTCOMES FOR ALL PATIENTS IN A SAFE ENVIRONMENT THAT RESPECTS THEIR DIGNITY, DIVERSITY, AND INDIVIDUALITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 1302 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,025,575 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,990,353 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,460,256 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,711,589 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,570 | PYInvestmentIncomeAmt |
| CY Investment Income | $44 | CYInvestmentIncomeAmt |
| PY Other Revenue | $60,049,401 | PYOtherRevenueAmt |
| CY Other Revenue | $66,821,262 | CYOtherRevenueAmt |
| PY Total Revenue | $70,540,802 | PYTotalRevenueAmt |
| CY Total Revenue | $77,523,248 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $67,277,703 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $74,082,692 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,263,099 | PYOtherExpensesAmt |
| CY Other Expenses | $3,440,556 | CYOtherExpensesAmt |
| PY Total Expenses | $70,540,802 | PYTotalExpensesAmt |
| CY Total Expenses | $77,523,248 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,575,654 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,643,601 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,723,434 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,791,381 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $852,220 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $852,220 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CASA COLINA, INC.'S MISSION IS TO OPTIMIZE MEDICAL RECOVERY AND REHABILITATION OUTCOMES FOR ALL PATIENTS IN A SAFE ENVIRONMENT THAT RESPECTS THEIR DIGNITY, DIVERSITY, AND INDIVIDUALITY. TO ACHIEVE THESE OBJECTIVES, CASA COLINA, INC. MANAGES ITS RESOURCES IN TERMS OF STAFF, SERVICES AND QUALITY CARE BOTH EFFECTIVELY AND EFFICIENTLY. IN ORDER TO MAINTAIN FINANCIAL STRENGTH CASA COLINA, INC. CONTINUES TO STRATEGICALLY REPOSITION ITSELF AT THE FOREFRONT OF THE ACUTE AND POST-ACUTE CONTINUUM BY BECOMING THE CENTER OF EXCELLENCE IN THE PROVISION OF SERVICES TO PERSONS WHO CAN BENEFIT FROM SUCH CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $68,173,018 | ExpenseAmt |
| Revenue | $75,532,851 | RevenueAmt |
| Desc | DURING THE FISCAL YEAR, CASA COLINA, INC. PROVIDED SUPPORT SERVICES TO ALL OF ITS AFFILIATES. SERVICES AND SUPPORT CONSISTED OF ACCOUNTING, PAYROLL, HUMAN RESOURCES, MANAGEMENT INFORMATION SYSTEMS, CONTRACTING, PUBLIC RELATIONS, AND BILLING AND COLLECTIONS SERVICES TO THESE SEVEN (7) AFFILIATES. IN SUPPORT TO THE AFFILIATES, CASA COLINA, INC. INCURRED $8,711,589 IN EXPENSES. THE EXPENSES ARE CHARGED TO THEAFFILIATES BASED ON A FORMULA AND UTILIZATION OF SERVICES. AS A RESULT OF THESE NECESSARY SUPPORT SERVICES, THE AFFILIATES WERE ABLE TO PROVIDE MEDICAL, RESIDENTIAL AND THERAPEUTIC SERVICES TO THE PATIENTS SERVED. THE RESULTS WERE THE FOLLOWING:HOSPITAL ACUTE REHABILITIATION = 22,415 INPATIENT DAYSHOSPITAL MEDICAL/SURGICAL AND ICU = 4,819 INPATIENT DAYSHOSPITAL OUTPATIENT = 119,536 VISITSOUTPATIENT SERVICES TO CHILDREN WITH VARIOUS DIAGNOSES = 11,286 VISITSRESIDENTIAL INPATIENT SERVICES TO SHORT TERM/LONG TERM CARE = 47,758 INPATIENT DAYSOTHER OUTPATIENT REHABILITATION SERVICES FOR PATIENTS WITH BRAIN INJURIES = 4,192 VISITSCASA COLINA, INC. AND ITS AFFILIATES HAD 245 BEDS DURING THE FISCAL YEAR CONSISTING OF: 68 HOSPITAL ACUTE REHABILITATION BEDS; 31 MEDICAL-SURGICAL AND ICU BEDS; 46 TRANSITIONAL LIVING CARE BEDS; 92 LONG-TERM RESIDENTIAL BEDS; AND 8 LONG-TERM SEMI-INDEPENDENT BEDS. THE SERVICES WHICH CASA COLINA, INC. SUPPORTED CONSISTED OF:MEDICAL-SURGICAL AND ICU SERVICES, CONSISTING OF 25 PRIVATE MEDICAL-SURGICAL BEDS AND SIX INTENSIVE CARE UNIT BEDS. BEGINNING IN APRIL 2016, CASA COLINA BEGAN SURGICAL PROCEDURES INCLUDING ORTHOPEDIC, GASTROENTEROLOGY, NEUROSURGERY, PODIATRY, GENERAL SURGERY, AND OTHERS.BRAIN INJURY SERVICES PROVIDE A CONTINUUM OF CARE FOR INDIVIDUALS WITH BRAIN OR SEVERE HEAD INJURIES. THE CONTINUUM INCLUDES: (A) ACUTE REHABILITATION FOR INDIVIDUALS WHO RESPOND MORE CONSISTENTLY TO STIMULATION OR ENGAGE IN SOME FORM OF COMMUNICATION, (B) RESIDENTIAL OR DAY PROGRAM TRANSITIONAL LIVING FOR PATIENTS WHO HAVE FINISHED ACUTE THERAPY BUT STILL NEED ASSISTANCE IN LEARNING THE SKILLS NECESSARY TO RE-ENTER LIVING WITH FAMILY OR ANOTHER COMMUNITY SETTING OR RETURNINGWORK, (C) OUTPATIENT THERAPY THAT FOCUSES ON RESTORING PHYSICAL, COMMUNICATIVE, PSYCHOSOCIAL OR NEUROPSYCHOLOGICAL SKILLS, AND (E) RESIDENTIAL PROGRAMS FOR THOSE WHO WILL CONTINUE TO NEED A SUPERVISED LIVING SITUATION.BURN OR WOUND CARE REHABILITATION SERVICES PROVIDES REHABILITATION FOR INDIVIDUALS WHO HAVE EXPERIENCED SEVERE BURNS. SERVICES VARY, AND MULTIDISCIPLINARY CLINICS AND SERVICES SUCH AS AMPUTEE, INTERNAL MEDICINE, FOOT AND GAIT, AND WOMEN'S HEALTH ARE COORDINATED.CHILDREN'S SERVICES PROVIDES OUTPATIENT REHABILITATION SERVICES FOR CHILDREN AGE THREE MONTHS TO 16 YEARS INCLUDING SPECIALIZED PROGRAMS FOR INFANT DEVELOPMENT, AUTISM AND PEDIATRIC ORTHOPEDICS AT THE CHILDREN'S SERVICES CENTER. THE AFTER SCHOOL ACTIVITIES PROGRAM PROVIDES SOCIALIZATION, ENRICHMENT AND OPPORTUNITIES FOR SUCCESS FOR CHILDREN WITH DISABILITIES ATTENDING REGULAR SCHOOLS. A HIGH DEGREE OFCOOPERATION IS MAINTAINED WITH LOCAL SCHOOL SYSTEMS. SPECIALIZED SERVICES ARE PROVIDED FOR SPECIFIC DIAGNOSIS, SUCH AS BRAIN INJURY, OSTEOGENESIS IMPERFECTA, CEREBRAL PALSY, MUSCULAR DYSTROPHY, SPINA BIFIDA AND SPINAL CORD INJURY, AS WELL AS THERAPIES FOR GENERAL REHABILITATION.GENERAL REHABILITATION PROVIDES CARE AND THERAPEUTIC INTERVENTION TO PATIENTS WHO NEED TO STRENGTHEN THEIR ABILITIES TO PERFORM ROUTINE AND WORK FUNCTIONS. THERAPIES FOCUS ON IMPROVING ENDURANCE, WORK CAPACITY, MOBILITY AND BALANCE. INDIVIDUAL REHABILITATION PROGRAMS ALSO ASSIST PEOPLE WITH DISABILITIES RESULTING FROM MULTIPLE SCLEROSIS, POST POLIO SYNDROME, CANCER AND CEREBRAL PALSY, ORTHOPEDIC AND NEUROLOGICAL DISORDERS.HAND THERAPY OFFERS THE SERVICES OF CERTIFIED HAND THERAPISTS WITH HIGHLY SPECIALIZED EXPERTISE TO WORK WITH PATIENTS TO RESTORE HAND FUNCTION AND UTILITY. | Desc |
| Total Program Service Expenses | $68,173,018 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 131 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1302 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Felice Loverso PhD | PersonNm |
| Phone | 9095967733 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6001 | AddressLine1Txt |
| City | Pomona | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 917696001 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| Felice L Loverso PhD | |||||||
| President & CEO | 9.00 | 41.00 | Yes (X) | Yes (X) | $1,106,476 | $0 | $24,281 |
| David Morony | |||||||
| CFO | 9.00 | 41.00 | Yes (X) | $517,476 | $0 | $40,539 | |
| Rodney Peek | |||||||
| VP Brain Injury | 1.00 | 49.00 | $418,729 | $0 | $9,742 | ||
| Jalal Badday MD | |||||||
| Former Chief Medical Officer | 0.00 | 0.00 | $400,000 | $0 | $0 | ||
| Jennyfer Poduska | |||||||
| Exec Dir Admission | 35.00 | 0.00 | $335,651 | $0 | $12,069 | ||
| Debbie Walsh | |||||||
| COO | 9.00 | 41.00 | Yes (X) | $346,315 | $0 | $0 | |
| Bonnie Scudder | |||||||
| Chf. P & D Officer | 1.00 | 34.00 | $320,269 | $0 | $25,521 | ||
| Stephanie Kaplan | |||||||
| Hospital Administrator | 5.00 | 45.00 | $306,875 | $0 | $29,951 | ||
| Ross Lesins | |||||||
| Chief Info Officer | 50.00 | 0.00 | $292,217 | $0 | $25,415 | ||
| David Patterson MD | |||||||
| Medical Director | 10.00 | 10.00 | $240,531 | $0 | $44,143 | ||
| Rommel Baronia | |||||||
| Charge Nurse | 1.00 | 49.00 | $254,542 | $0 | $12,754 | ||
| Lew Disney MD thru 1221 | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $54,167 | $0 | |
| Azhar Majeed MDChf Med Staff | |||||||
| Director | 0.50 | 6.00 | Yes (X) | $0 | $25,000 | $0 | |
| Bruce Pasqua | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Cathy Watrous | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Daniel Wilson MD PhD | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Devorah Lieberman PhD | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Gary E Cripe Vice Chairman | |||||||
| Director | 0.50 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Gerard Gallipeau Jr | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Jose L Rodriguez MD | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Linda Liau MD PhD | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Nancy Nightingale | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Philip Feghali | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Randy Blackman | |||||||
| Chairman | 0.50 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Stephen W Graeber | |||||||
| Treasurer | 0.50 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Steve Norin former Chairman | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Steven Bast MD | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Terrance Johnson | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Thomas Reh | |||||||
| Secretary | 0.50 | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Veronica Diaz Cutler Esq | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Kiana Webb | |||||||
| Director | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,539,081 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $79,167 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $224,415 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 123 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| San Antonio Regional Hospital | |||||
| 999 San Bernardino Road | Upland | CA | 91786 | Pharmacy & Lab services | $514,634 |
| Neiveen Peter Medical Corporation | |||||
| 1121 Avonoak Terrace | Glendale | CA | 91206 | Physician services | $329,820 |
| Aguirre Brothers Construction Inc | |||||
| 8255 Orchard St | Rancho Cucamonga | CA | 91701 | Construction Services | $317,873 |
| Portable Dialysis Services | |||||
| 1121 E Arrow Highway Suite D | Glendora | CA | 91740 | Dialysis services | $572,585 |
| Sheppard Mullin Richter & Hampton LLP | |||||
| 333 S Hope Street 43rd Floor | Los Angeles | CA | 90071 | Legal Services | $325,407 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,990,353 | RelatedOrganizationsAmt |
| Total Contributions | $1,990,353 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Program Services | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,711,589 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,711,589 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,711,589 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44 | TotalRevenueColumnAmt |
| Exclusion | $44 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Intercompany Services Reimbursement | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $66,821,262 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $66,821,262 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $66,821,262 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,523,248 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $75,532,851 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $44 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,966,499 | TotalAmt |
| Program Services | $657,264 | ProgramServicesAmt |
| Management And General | $2,309,235 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,498,911 | TotalAmt |
| Program Services | $47,633,030 | ProgramServicesAmt |
| Management And General | $3,865,881 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,043,976 | TotalAmt |
| Program Services | $984,131 | ProgramServicesAmt |
| Management And General | $59,845 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,377,068 | TotalAmt |
| Program Services | $13,051,446 | ProgramServicesAmt |
| Management And General | $1,325,622 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,196,238 | TotalAmt |
| Program Services | $4,009,639 | ProgramServicesAmt |
| Management And General | $186,599 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,243,068 | TotalAmt |
| Management And General | $1,243,068 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,272 | TotalAmt |
| Management And General | $121,272 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,541 | TotalAmt |
| Program Services | $2,541 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,335 | TotalAmt |
| Program Services | $228,934 | ProgramServicesAmt |
| Management And General | $7,401 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,833 | TotalAmt |
| Program Services | $139,833 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,277 | TotalAmt |
| Program Services | $3,277 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,411 | TotalAmt |
| Program Services | $8,411 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,742 | TotalAmt |
| Program Services | $3,742 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,357 | TotalAmt |
| Program Services | $134,357 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,007 | TotalAmt |
| Program Services | $212,007 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Miscellaneous | $551,226 | $379,655 | $171,571 |
| Outside Services | $418,298 | $415,556 | $2,742 |
| Repairs & Maintenance | $257,147 | $257,147 | |
| Loss on disposal of assets | $53,440 | $53,440 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,602 | TotalAmt |
| Program Services | $52,048 | ProgramServicesAmt |
| Management And General | $3,554 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,523,248 | TotalAmt |
| Program Services | $68,173,018 | ProgramServicesAmt |
| Management And General | $9,350,230 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,648,930 | BOYAmt |
| EOY | $4,018,318 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $412,171 | BOYAmt |
| EOY | $470,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,666,744 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,319,433 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $536,349 | BOYAmt |
| EOY | $347,311 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,978,204 | BOYAmt |
| EOY | $5,807,591 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,575,654 | BOYAmt |
| EOY | $10,643,601 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,367,247 | BOYAmt |
| EOY | $8,610,828 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,324 | BOYAmt |
| EOY | $76,897 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,275,863 | BOYAmt |
| EOY | $1,103,656 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,723,434 | BOYAmt |
| EOY | $9,791,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $852,220 | BOYAmt |
| EOY | $852,220 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $852,220 | BOYAmt |
| EOY | $852,220 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,575,654 | BOYAmt |
| EOY | $10,643,601 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 5 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (5 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| Casa Colina Hospital and Centers | ||||
| 951643989 | 3 | false | $0 | $6,702,909 |
| Casa Colina Centers for Rehab Fdn | ||||
| 953655255 | 7 | false | $0 | $807,753 |
| Casa Colina Comprehensive Outpatien | ||||
| 953266014 | 7 | false | $0 | $76,754 |
| Padua Village Inc | ||||
| 953713170 | 7 | false | $0 | $473,702 |
| Casa Colina Rehabilitation Inc | ||||
| 953392219 | 7 | false | $0 | $650,470 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 5 | SupportedOrganizationsTotalCnt |
| Other Support Sum | $8,711,588 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | false | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (true) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (true) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (true) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (true) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (true) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Section A, Line 1: Description Of How Supported Organizations Are Desigated | ALL SUPPORTED ORGANIZATIONS ARE DESIGNATED BECAUSE THEY ARE RELATED BYCONTROL. ALL OF THE SUPPORTED ORGANIZATIONS ARE AFFILIATES OF THEFILING ORGANIZATION AND OPERATE UNDER THE SAME BOARD OF DIRECTORS WHICHIS DETERMINED BY THE FILING ORGANIZATION. |
| Part IV, Section D, Line 3: Role The Organization's Supported Orgs. Played | THE ORGANIZATION'S SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE BYVIRTUE OF AFFILIATION, ARE GOVERNED BY THE SAME MEMBERS AND HAVE BOARDOF DIRECTORS OVERLAP. |
| Part IV, Section E, Line 3a: Organization Has Power to Appoint Or Elect Governing Persons | THE ORGANIZATION IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS ANDMAINTAINS CONTROL OF THE BOARD OF DIRECTORS. |
| Part IV, Section E, Line 3b: Role Played in Management of Policies, Programs, & Activities | THE ORGANIZATION IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS ANDMAINTAINS CONTROL OF THE BOARD OF DIRECTORS. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $13,813 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Affiliated Group Total | $13,813 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $10,701,986 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $125,835,148 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $10,701,986 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $125,848,961 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $685,099 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $171,275 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed | false | Form4720FiledInd |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $13,105 | CurrentYearMinus3Amt |
| Current Year Minus2 | $9,481 | CurrentYearMinus2Amt |
| Current Year Minus1 | $11,440 | CurrentYearMinus1Amt |
| Current Year | $13,813 | CurrentYearAmt |
| Total | $47,839 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,757,724 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $141,511 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $141,511 | OtherExpendituresAmt |
| End Year Balance | $5,757,724 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,757,724 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $151,394 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $151,394 | OtherExpendituresAmt |
| End Year Balance | $5,757,724 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,757,724 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $251,535 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $251,535 | OtherExpendituresAmt |
| End Year Balance | $5,757,724 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,757,724 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $300,488 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $300,488 | OtherExpendituresAmt |
| End Year Balance | $5,757,724 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,757,724 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $474,353 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $474,353 | OtherExpendituresAmt |
| End Year Balance | $5,757,724 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $313,961 | OtherCostOrOtherBasisAmt |
| Depreciation | $132,369 | DepreciationAmt |
| Book Value | $181,592 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,352,783 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,187,064 | DepreciationAmt |
| Book Value | $165,719 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $347,311 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Lease Right of Use | $691,100 |
| Long-term Insurance Receivables | $414,147 |
| Related Affiliate Receivable | $4,702,344 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,807,591 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Leases | $689,509 |
| Long-Term Insurance Payables | $414,147 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,103,656 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: Intended uses of the endowment fund. | THE ENDOWMENTS ARE HELD ON THE RELATED ORGANIZATION'S BOOKS, CASA COLINA CENTERS FOR REHABILITATION FOUNDATION, FOR THE BENEFIT OF CASA COLINA,INC.INTEREST EARNED ON PERMANENTLY RESTRICTED ASSETS IS UTILIZED BY THE RELATED ORGANIZATION AS PERMITTED BY ENDOWMENT AGREEMENTS. SOME INTEREST IS DESIGNATED FOR A SPECIFIC PURPOSE AND IS RELEASED WHEN SUCH PURPOSE RESTRICTIONS ARE MET. |
| Part X : FIN48 Footnote | IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES, THE COMPANY RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION DID NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF THE END OF THE FISCAL YEAR. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| Bonnie Scudder | ||||||
| Chf. P & D Officer | $208,473 | $75,000 | $36,796 | $9,859 | $15,662 | $345,790 |
| David Morony | ||||||
| CFO | $346,799 | $150,000 | $20,677 | $10,179 | $30,360 | $558,015 |
| David Patterson MD | ||||||
| Medical Director | $238,298 | $2,233 | $6,617 | $37,526 | $284,674 | |
| Debbie Walsh | ||||||
| COO | $318,962 | $27,353 | $346,315 | |||
| Felice L Loverso PhD | ||||||
| President & CEO | $654,939 | $326,196 | $125,341 | $10,179 | $14,102 | $1,130,757 |
| Jalal Badday MD | ||||||
| Former Chief Medical Officer | $400,000 | $400,000 | ||||
| Jennyfer Poduska | ||||||
| Exec Dir Admission | $191,297 | $115,000 | $29,354 | $10,179 | $1,890 | $347,720 |
| Rodney Peek | ||||||
| VP Brain Injury | $250,000 | $125,000 | $43,729 | $9,742 | $428,471 | |
| Rommel Baronia | ||||||
| Charge Nurse | $236,970 | $300 | $17,272 | $7,419 | $5,335 | $267,296 |
| Ross Lesins | ||||||
| Chief Info Officer | $217,560 | $40,000 | $34,657 | $9,433 | $15,982 | $317,632 |
| Stephanie Kaplan | ||||||
| Hospital Administrator | $225,291 | $55,000 | $26,584 | $10,179 | $19,772 | $336,826 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7: Non-Fixed payments not listed above | FormAndLineReferenceDesc |
| Explanation | THE BOARD OF DIRECTORS PERFORMS AN ANNUAL EVALUATION OF THE CEO BASED UPON QUALITY, PATIENT SATISFACTION AND FINANCIAL OUTCOMES IN ADDITION TO THE OVERALL OPERATING PERFORMANCE OF THE ORGANIZATION. THE CEO'S ANNUAL BONUS IS BASED ON A DISCRETIONARY DETERMINATION BY THE BOARD OF DIRECTORS. DURING FISCAL YEAR 2021, THE CEO SIGNED A NEW EMPLOYMENT AGREEMENT WITH A THREE YEAR EXTENDED TERM.OFFICERS AND HIGHEST COMPENSATED EMPLOYEES RECEIVED NON FIXED BONUSES ATTHE DISCRETION OF MANAGEMENT BASED UPON ACHIEVEMENT OF ESTABLISHED QUALITY, PATIENT SATISFACTION AND OPERATIONAL GOALS OF THE ORGANIZATION. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CALIF HLTH FACIL FIN AUTH | ||||||||
| A | 521643828 | 13033L2M8 | 2013-09-13 | $21,600,062 | See Schedule K, Part VI | false | false | false |
| CALIF HLTH FACIL FIN AUTH | ||||||||
| B | 521643828 | 2016-09-30 | $36,400,000 | See Schedule K, Part VI | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $6,505,000 | $21,600,062 | $432,001 | $21,600,062 | 2013 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $3,425,000 | $36,400,000 | $228,909 | $36,400,000 | 2016 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | false | false | false | Yes (true) |
| B | false | Yes (true) | false | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | TAX-EXEMPT BOND LIABILITIES INCLUDED IN SCHEDULE K CONSIST OF BORROWINGS BY CASA COLINA, INC. EACH OF THE FILING ORGANIZATION'S AFFILIATES REPORTED IN SCHEDULE R PART II IS A CO-OBLIGOR OF THE TAX-EXEMPT BOND LIABILITIES. THE TAX-EXEMPT BOND LIABILITY REPORTED IN THE FILING ORGANIZATION'S BALANCE SHEET CONSISTS ONLY OF THE PRO RATASHARE OF TAX-EXEMPT BOND PROCEEDS UTILIZED FOR THE FILING ORGANIZATION'S CAPITAL PROJECTS AND OTHER PURPOSES. THE FILING ORGANIZATION'S AFFILIATES ALSO REPORT TAX EXEMPT BOND LIABILITIES FOR THEIR RESPECTIVE PRO-RATA PORTION OF THE OUTSTANDING TAX-EXEMPT BOND LIABILITIES AS OF THE END OF THE FISCAL YEAR. SCHEDULE K, PART I, COLUMN F:THE PURPOSE OF THE BOND ISSUES ARE AS FOLLOWS:FOR BOND ISSUE A: THE PURPOSE OF THE ISSUE IS TO (A) TO PAY FOR, OR REIMBURSE THE BORROWER FOR ITS PRIOR PAYMENT OF THE ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, AND EQUIPPING OF CERTAIN HEALTH FACILITIES OWNED BY THE HOSPITAL; (B) TO REFINANCE CERTAIN EXISTING INDEBTEDNESS INCURRED BY THE HOSPITAL TO PAY FOR THE ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION, AND EQUIPPING OF CERTAIN HEALTH FACILITIES OWNED BY THE HOSPITAL; (C) TO FUND INTEREST DURING CONSTRUCTION OF A 31 BED HEALTH FACILITY AND ACQUISITION OF AN ELECTRONIC MEDICAL RECORDS SYSTEM; AND (D) TO PAY CERTAIN COSTS OF ISSUING THE BONDS.FOR BOND ISSUE B: THE PURPOSE OF THE ISSUE IS TO USE THE PROCEEDS TO REFUND THE SERIES 2011 BONDS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | THE FORM 990 WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM FOR ACCURACY AND COMPLETENESS. A PAPER COPY OF THE FORM 990 IS MADE AVAILABLE FOR REVIEW BY THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. EACH MEMBER OF THE BOARD OF DIRECTORS IS ENCOURAGED TO REVIEW THE 990. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | THE GOVERNANCE COMMITTEE OF THE BOARD REVIEWS DISCLOSURE FORMS ON AN ANNUAL BASIS. IN ADDITION, THE RATIO OF INTERESTED AND DISINTERESTED DIRECTORS IS CLOSELY MONITORED. INTERESTED DIRECTORS ARE NOT ALLOWED TO HOLD OFFICE OR SERVE ON THE AUDIT COMMITTEE. FINALLY, A PROTOCOL HAS BEEN ESTABLISHED THAT PREVENTS THE CONVERSION OF A CURRENT DISINTERESTED DIRECTOR TO AN INTERESTED DIRECTOR. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | ON A REGULAR BASIS, THE COMPENSATION OF THE CEO IS REVIEWED BY AN OUTSIDE INDEPENDENT FIRM. THE FIRM'S FINDINGS ARE PRESENTED TO THE COMPENSATION COMMITTEE INDICATING THE COMPENSATION REASONABLENESS. THE COMPENSATION COMMITTEE DETERMINES ANY COURSE OF ACTION NECESSARY AND PRESENTS ITS FINDINGS/RECOMMENDATIONS TO THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | FINANCIAL STATEMENT INFORMATION IS MADE AVAILABLE TO THE PUBLIC FOR INSPECTION VIA THE GUIDESTAR WEBSITE. IN ADDITION, AUDITED FINANCIAL INFORMATION IS PROVIDED TO THE PUBLIC FOR THE PURPOSE OF GRANT AWARDS UPON REQUEST AS NECESSARY. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABE UPON REQUEST. |
| Form 990, Part VIII, Line 11a | STATEMENT OF REVENUECASA COLINA INC., IS THE PARENT COMPANY AND AS SUCH ALL PAYROLL IS PAID BY THE REPORTING ENTITY. WHILE PAYROLL EXPENSES ARE ALLOCATED TO THE SUBSIDIARY ENTITIES, ALL PAYROLL EXPENSE IS REFLECTED IN CASA COLINA INC.'S FORM 990 AS CASA COLINA INC. FILES ALL PAYROLL TAX INFORMATION UNDER CASA COLINA INC'S TAX IDENTIFICATION NUMBER. EACH SUBSIDIARY ENTITY IS RESPONSIBLE FOR REIMBURSING CASA COLINA INC. FOR THEIR ALLOCATED PAYROLL EXPENSES. THIS ALLOCATED PAYROLL AND BENEFITS EXPENSE IS REPORTED ON FORM 990, PART VIII, LINE 11A AND IS LABELED AS INTERCOMPANY SERVICES IN THE AMOUNT OF $66,821,262. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CC Hospital for Rehabilitative Medicine | ||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 951643989 | Medical & Rehabilitative Services | CA | 501(c)(3) | 3 | Casa Colina Inc | Yes (true) |
| CC Centers for Rehabilitation Foundation | ||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953655255 | Fundraising | CA | 501(c)(3) | 7 | Casa Colina Inc | Yes (true) |
| CC Comprehensive Outpatient Rehabilitati | ||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953266014 | Outpatient Rehabilitation Services | CA | 501(c)(3) | 7 | Casa Colina Inc | Yes (true) |
| CC Rehabilitation Inc | ||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953392219 | Transitional Living Center for TBI | CA | 501(c)(3) | 7 | Casa Colina Inc | Yes (true) |
| Padua Village Inc | ||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953713170 | Long term care for TBI | CA | 501(c)(3) | 7 | Casa Colina Inc | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Colina Medical Associates | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 255 E Bonita Ave | AddressLine1Txt |
| City | Pomona | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91767 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352473284 | EIN |
| Primary Activities | Patient Care | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Casa Colina Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C corp | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CC Hospital for Rehabilitative Medicine | ||
| l | $6,702,909 | Book Value |
| CC Hospital for Rehabilitative Medicine | ||
| o | $52,484,616 | Book Value |
| CC Centers for Rehabilitation Foundation | ||
| c | $1,990,353 | Book Value |
| CC Centers for Rehabilitation Foundation | ||
| k | $133,387 | Book Value |
| CC Centers for Rehabilitation Foundation | ||
| l | $807,753 | Book Value |
| CC Centers for Rehabilitation Foundation | ||
| o | $1,938,954 | Book Value |
| CC Comprehensive Outpatient Rehabilitati | ||
| l | $76,754 | Book Value |
| CC Comprehensive Outpatient Rehabilitati | ||
| o | $905,877 | Book Value |
| CC Rehabilitation Inc | ||
| l | $650,470 | Book Value |
| CC Rehabilitation Inc | ||
| o | $5,750,767 | Book Value |
| Padua Village Inc | ||
| l | $473,702 | Book Value |
| Padua Village Inc | ||
| o | $4,908,490 | Book Value |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part IV Identification of Related Organizations Taxable as Corp or Trust | FormAndLineReferenceDesc |
| Explanation | NAME OF RELATED ORGANIZATION:COLINA MEDICAL ASSOCIATESDIRECT CONTROLLING ENTITY: CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE | ExplanationTxt |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Casa Colina Hospital | ||||||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 951643989 | $0 | $0 | $0 | $97,350,416 | $97,350,416 | $1,000,000 | $250,000 | $0 | $0 | $13,813 |
| Padua Village Inc | ||||||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953713170 | $0 | $0 | $0 | $6,590,587 | $6,590,587 | $479,529 | $119,882 | $0 | $0 | $0 |
| Casa Colina Cntrs for Rehab Inc | ||||||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953392219 | $0 | $0 | $0 | $9,115,397 | $9,115,397 | $605,770 | $151,443 | $0 | $0 | $0 |
| Casa Colina Comprehensive Outpaiten | ||||||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953266014 | $0 | $0 | $0 | $1,109,785 | $1,109,785 | $185,979 | $46,495 | $0 | $0 | $0 |
| Casa Colina Cntrs for Rehab Foundat | ||||||||||||||
| 255 E Bonita Ave | Pomona | CA | 91767 | 953655255 | $0 | $0 | $0 | $980,789 | $980,789 | $172,118 | $43,030 | $0 | $0 | $0 |