WILSHIRE HEALTH AND COMMUNITY SERVICES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- WILSHIRE HEALTH AND COMMUNITY SERVICES INC (EIN 95-2374185)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202341359349310149
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule J
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T13:41:08-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 262350873 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIBER AUDIT & ATTEST LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 AEROVISTA PLACE SUITE 103 | AddressLine1Txt |
| City | SAN LUIS OBISPO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952374185 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILSHIRE HEALTH AND COMMUNITY | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WILS | BusinessNameControlTxt |
| Phone | 8055477025 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 285 SOUTH STREET J | AddressLine1Txt |
| City | SAN LUIS OBISPO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRICIA SMITH | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8055477025 | PhoneNum |
| Signature | 2023-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TRICIA | PersonFirstNm |
| Person Last | SMITH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KIMBERLYN SPILLER | PreparerPersonNm |
| PTIN | P01491937 | PTIN |
| Phone | 8058880242 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TRICIA SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 285 SOUTH STREET J | AddressLine1Txt |
| City | SAN LUIS OBISPO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,624,969 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WILSHIREHCS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO HELP PEOPLE LIVE A BETTER LIFE. WE DO SO WITH A FOCUS ON OUR PATIENTS, CLIENTS AND OUR COMMUNITIES AND WE SERVE WITH INTEGRITY, INNOVATION AND TRUST. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 128 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,796,710 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,950 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,915,550 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,422,862 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,373 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,212,352 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,032,041 | PYOtherRevenueAmt |
| CY Other Revenue | $2,164,315 | CYOtherRevenueAmt |
| PY Total Revenue | $9,751,674 | PYTotalRevenueAmt |
| CY Total Revenue | $10,814,479 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,924,641 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,227,539 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $270,311 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,507,965 | PYOtherExpensesAmt |
| CY Other Expenses | $2,590,395 | CYOtherExpensesAmt |
| PY Total Expenses | $8,432,606 | PYTotalExpensesAmt |
| CY Total Expenses | $8,817,934 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,319,068 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,996,545 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,786,738 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,269,505 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,607,986 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,320,896 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,178,752 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,948,609 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO HELP PEOPLE LIVE A BETTER LIFE. WE DO SO WITH A FOCUS ON OUR PATIENTS, CLIENTS AND OUR COMMUNITIES AND WE SERVE WITH INTEGRITY, INNOVATION AND TRUST. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,725,349 | ExpenseAmt |
| Revenue | $7,587,177 | RevenueAmt |
| Desc | OPERATION OF A HOME HEALTH AGENCY AND AN INVESTMENT IN A HEALTH CARE JOINT VENTURE - BOTH OF WHICH PROVIDE HEALTH CARE SERVICES TO THE PUBLIC. | Desc |
| Total Program Service Expenses | $5,725,349 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 128 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRICIA SMITH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8055477025 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 285 SOUTH STREET SUITE J | AddressLine1Txt |
| City | SAN LUIS OBISPO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TRICIA SMITH | ||||||||
| DIRECTOR/PRESIDENT/CEO | 25.00 | 15.00 | Yes (X) | Yes (X) | $375,678 | $0 | $15,425 | |
| IRA R ALPERT | ||||||||
| DIRECTOR/CHAIR | 2.50 | 2.50 | Yes (X) | Yes (X) | $2,000 | $0 | $0 | |
| TED J GREENBERG | ||||||||
| DIRECTOR/SECRETARY | 0.50 | 0.50 | Yes (X) | Yes (X) | $2,000 | $0 | $0 | |
| TOM SHERMAN | ||||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $2,000 | $0 | $0 | ||
| GARY HARKINS | ||||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $1,500 | $0 | $0 | ||
| LORI RICHARDSON PELLICCIONI | ||||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $1,500 | $0 | $0 | ||
| DAVID OLIVER | ||||||||
| VICE PRESIDENT - HR & CFO | 30.00 | 10.00 | Yes (X) | $183,065 | $0 | $34,225 | ||
| LAURIE SMITH | ||||||||
| VICE PRESIDENT - HOME HEALTH | 32.00 | 8.00 | Yes (X) | $171,833 | $0 | $32,225 | ||
| RONALD YUKELSON | ||||||||
| CHIEF OPERATIONS AND STRATEGY | 24.00 | 16.00 | Yes (X) | $199,476 | $0 | $27,725 | ||
| KEVIN PARZYCH | ||||||||
| CHIEF MEDICAL DIRECTOR | 24.00 | 16.00 | $319,372 | $0 | $33,372 | Yes (X) | ||
| JOEL K MEDINGER | ||||||||
| PHYSICAL THERAPIST | 40.00 | $132,265 | $0 | $15,425 | Yes (X) | |||
| JANICE SANDERFER | ||||||||
| DIRECTOR OF COMPLIANCE | 40.00 | $145,141 | $0 | $20,124 | Yes (X) | |||
| JUSTIN VICTOR | ||||||||
| PHYSICAL THERAPIST | 40.00 | $121,701 | $0 | $27,717 | Yes (X) | |||
| JOANN LABRUZZO | ||||||||
| REGISTERED NURSE | 40.00 | $119,451 | $0 | $20,311 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,776,982 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $226,549 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CROSSROADS TECHNOLOGIES INC | |||||
| PO BOX 6528 | WYOMISSING | PA | 19610 | IT SUPPORT, LICENSES, AND EQUIPMENT | $582,607 |
| NETSMART TECHNOLOGIES INC | |||||
| PO BOX 823519 | PHILADELPHIA | PA | 19182 | BILLING SOFTWARE | $196,371 |
| CONNECTED HOME LIVING | |||||
| 15405 LOS GATOS BLVD STE 203 | LOS GATOS | CA | 95032 | PATIENT SERVICES | $192,650 |
| FOLEY & LARDNER LLP | |||||
| 555 CALIFORNIA ST STE 1700 | SAN FRANCISCO | CA | 94104 | LEGAL COUNSEL | $182,675 |
| COMPHEALTH MEDICAL STAFFING | |||||
| 7259 BINGHAM JCT BLVD | MIDVALE | UT | 84047 | CONTRACTED STAFFING (RN, THERAPISTS) | $107,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $14,950 | AllOtherContributionsAmt |
| Total Contributions | $14,950 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $5,422,862 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,422,862 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,422,862 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,433 | TotalRevenueColumnAmt |
| Exclusion | $41,433 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,981,409 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,810,490 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,170,919 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,170,919 | TotalRevenueColumnAmt |
| Exclusion | $3,170,919 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGMENT FEE INCOME | 561000 | $1,784,871 | $1,784,871 |
| INCOME FROM JOINT VENTURE | 623000 | $389,387 | $389,387 |
| MISCELLANEOUS | 624100 | -$9,943 | -$9,943 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,164,315 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,814,479 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,587,177 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,212,352 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $890,313 | TotalAmt |
| Program Services | $89,103 | ProgramServicesAmt |
| Management And General | $801,210 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,384,952 | TotalAmt |
| Program Services | $3,385,216 | ProgramServicesAmt |
| Management And General | $783,539 | ManagementAndGeneralAmt |
| Fundraising | $216,197 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,251 | TotalAmt |
| Program Services | $32,891 | ProgramServicesAmt |
| Management And General | $100,360 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,897 | TotalAmt |
| Program Services | $355,604 | ProgramServicesAmt |
| Management And General | $81,913 | ManagementAndGeneralAmt |
| Fundraising | $16,380 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365,126 | TotalAmt |
| Program Services | $196,154 | ProgramServicesAmt |
| Management And General | $156,774 | ManagementAndGeneralAmt |
| Fundraising | $12,198 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,387 | TotalAmt |
| Management And General | $138,387 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,000 | TotalAmt |
| Management And General | $161,000 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,935 | TotalAmt |
| Program Services | $85,240 | ProgramServicesAmt |
| Management And General | $27,695 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,118 | TotalAmt |
| Program Services | $170,220 | ProgramServicesAmt |
| Management And General | $68,898 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,006 | TotalAmt |
| Program Services | $257,726 | ProgramServicesAmt |
| Management And General | $43,280 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,401 | TotalAmt |
| Program Services | $278,926 | ProgramServicesAmt |
| Management And General | $105,475 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,637 | TotalAmt |
| Program Services | $178,712 | ProgramServicesAmt |
| Management And General | $18,274 | ManagementAndGeneralAmt |
| Fundraising | $651 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,873 | TotalAmt |
| Program Services | $1,709 | ProgramServicesAmt |
| Management And General | $33,164 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,378 | TotalAmt |
| Program Services | $47,093 | ProgramServicesAmt |
| Management And General | $23,285 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,287 | TotalAmt |
| Program Services | $35,387 | ProgramServicesAmt |
| Management And General | $66,900 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| OUTSIDE SERVICES | $355,974 | $292,278 | $63,696 | |
| OUTSIDE THERAPISTS | $243,052 | $243,052 | ||
| SUPPLIES | $79,800 | $54,915 | $24,885 | |
| RECRUITMENT AND RETENTI | $64,206 | $2,992 | $61,214 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,341 | TotalAmt |
| Program Services | $18,131 | ProgramServicesAmt |
| Management And General | $87,210 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,817,934 | TotalAmt |
| Program Services | $5,725,349 | ProgramServicesAmt |
| Management And General | $2,822,274 | ManagementAndGeneralAmt |
| Fundraising | $270,311 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,366 | BOYAmt |
| EOY | $409,585 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $551,474 | BOYAmt |
| EOY | $6,475,898 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $872,162 | BOYAmt |
| EOY | $714,806 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,795 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,917 | BOYAmt |
| EOY | $68,026 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $602,020 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $462,253 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,506 | BOYAmt |
| EOY | $139,767 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,245 | BOYAmt |
| EOY | $219,868 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,696,273 | BOYAmt |
| EOY | $8,241,555 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,786,738 | BOYAmt |
| EOY | $16,269,505 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,623,855 | BOYAmt |
| EOY | $1,766,380 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,289 | BOYAmt |
| EOY | $20,289 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $89,148 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $963,842 | BOYAmt |
| EOY | $6,445,079 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,607,986 | BOYAmt |
| EOY | $8,320,896 | 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 | $6,096,799 | BOYAmt |
| EOY | $7,943,214 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,953 | BOYAmt |
| EOY | $5,395 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,178,752 | BOYAmt |
| EOY | $7,948,609 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,786,738 | BOYAmt |
| EOY | $16,269,505 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,996,545 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$226,688 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,171 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $119,907 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $52,508 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,910 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,950 | CurrentTaxYearAmt |
| Total | $243,446 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,751,384 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,190,657 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,913,364 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,915,550 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,422,862 | CurrentTaxYearAmt |
| Total | $30,193,817 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,786,555 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,310,564 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,965,872 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,936,460 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,437,812 | CurrentTaxYearAmt |
| Total | $30,437,263 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,985 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,070 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $4,000 | CurrentTaxYearAmt |
| Total | $18,555 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,985 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,070 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $4,000 | CurrentTaxYearAmt |
| Total | $18,555 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $30,418,708 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $805 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,859 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,109 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,373 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,215 | CurrentTaxYearAmt |
| Total | $63,361 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $805 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,859 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,109 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,373 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,215 | CurrentTaxYearAmt |
| Total | $63,361 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,666,881 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,699,021 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,560,952 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,037,898 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,159,156 | CurrentTaxYearAmt |
| Total | $13,123,908 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,454,241 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,016,444 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,530,933 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,981,731 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,641,183 | CurrentTaxYearAmt |
| Total | $43,624,532 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.69730 | PublicSupportCY509Pct |
| Public Support PY509 | 0.79570 | PublicSupportPY509Pct |
| Investment Income CY | 0.00150 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00050 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $136,790 | OtherCostOrOtherBasisAmt |
| Depreciation | $131,842 | DepreciationAmt |
| Book Value | $4,948 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $465,230 | OtherCostOrOtherBasisAmt |
| Depreciation | $330,411 | DepreciationAmt |
| Book Value | $134,819 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $139,767 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENT IN AFFILIATES | $8,213,618 |
| DEPOSITS | $27,937 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,241,555 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED RETIREMENT BENEFITS | $703,766 |
| ECONOMIC INJURY DISASTER LOAN | $150,000 |
| DUE TO AFFILIATE | $5,591,313 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,445,079 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FROM AUDITED FINANCIAL STATEMENTS FOOTNOTE: THE ORGANIZATION'S ACTIVITIES ARE GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA FRANCHISE TAX CODE. SINCE THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAX LIABILITY, NO PROVISION IS MADE FOR CURRENT OR DEFERRED INCOME TAX EXPENSE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION. MANAGEMENT IS NOT AWARE OF ANY TRANSACTIONS THAT WOULD IMPACT THE ORGANIZATION'S TAX-EXEMPT STATUS. FOR THE YEARS ENDED JUNE 30, 2022 AND 2021, MANAGEMENT OF THE ORGANIZATION IS NOT AWARE OF ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE ACCOUNTED FOR IN THE FINANCIAL STATEMENTS UNDER THE PRINCIPLES OF THE INCOME TAXES TOPIC OF THE FASB (ASC). THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE. ALL TAX EXEMPT ENTITIES ARE SUBJECT TO REVIEW AND AUDIT BY FEDERAL, STATE AND OTHER APPLICABLE AGENCIES. SUCH AGENCIES MAY REVIEW THE TAXABILITY OF UNRELATED BUSINESS INCOME OR THE QUALIFICATION OF THE TAX-EXEMPT ENTITY UNDER THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES. | ExplanationTxt |
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 | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRICIA SMITH | ||||||||||||||
| DIRECTOR/PRESIDENT/CEO | $375,678 | $0 | $0 | $0 | $0 | $0 | $7,200 | $0 | $8,225 | $0 | $391,103 | $0 | $0 | $0 |
| KEVIN PARZYCH | ||||||||||||||
| CHIEF MEDICAL DIRECTOR | $319,372 | $0 | $0 | $0 | $0 | $0 | $26,000 | $0 | $7,372 | $0 | $352,744 | $0 | $0 | $0 |
| RONALD YUKELSON | ||||||||||||||
| CHIEF OPERATIONS AND STRATEGY | $199,476 | $0 | $0 | $0 | $0 | $0 | $19,500 | $0 | $8,225 | $0 | $227,201 | $0 | $0 | $0 |
| DAVID OLIVER | ||||||||||||||
| VICE PRESIDENT - HR & CFO | $183,065 | $0 | $0 | $0 | $0 | $0 | $26,000 | $0 | $8,225 | $0 | $217,290 | $0 | $0 | $0 |
| LAURIE SMITH | ||||||||||||||
| VICE PRESIDENT - HOME HEALTH | $171,833 | $0 | $0 | $0 | $0 | $0 | $24,000 | $0 | $8,225 | $0 | $204,058 | $0 | $0 | $0 |
| JANICE SANDERFER | ||||||||||||||
| DIRECTOR OF COMPLIANCE | $145,141 | $0 | $0 | $0 | $0 | $0 | $11,899 | $0 | $8,225 | $0 | $165,265 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | THE CEO/PRESIDENT'S COMPENSATION IS SET BY THE BOARD OF DIRECTORS. A PERCENTAGE OF COMPENSATION IS BASED UPON A PRE-DETERMINED SET OF GOALS AND OBJECTIVES. FOLLOWING THE END OF THE FISCAL YEAR, THE BOARD OF DIRECTORS REVIEWS THESE GOALS AND OBJECTIVES TO SEE IF THEY HAVE BEEN MET AND TO DETERMINE INCENTIVE COMPENSATION, IF ANY. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURIE SMITH | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | MOTHER OF PRESIDENT/CEO | RelationshipDescriptionTxt |
| Transaction | $186,599 | TransactionAmt |
| Transaction | VICE PRESIDENT OF HOME HEALTH AND HOSPICE - SALARY & BENEFITS | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | 50 % SHARE IN COASTAL LLC | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2021-08-31 | DistributionDt |
| Fair Market Value Of Asset | $8,979,049 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | CONTRACTUAL SALE PRICE (PROCEEDS PLUS LIABILITIES) | MethodOfFMVDeterminationTxt |
| EIN | 770411900 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMPASS HOLDING INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 S 13TH ST 205 | AddressLine1Txt |
| City | GROVER BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93433 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | CORPORATION | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE VICE PRESIDENT OF HOME HEALTH AND HOSPICE IS THE MOTHER OF THE CEO. SEE SCHEDULE L. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE RETURNS IS PROVIDED TO ALL BOARD MEMBERS. THE BOARD MEMBERS REVIEW THE RETURNS AND ARE ENCOURAGED TO ASK THE PREPARER ANY QUESTIONS THEY MIGHT HAVE. ABSENT ANY OBJECTIONS, THE RETURNS ARE FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH THEIR CONFLICT OF INTEREST QUESTIONNAIRES PROVIDED TO ALL BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD HAS A SEPARATE COMPENSATION COMMITTEE MADE UP OF ALL EXTERNAL AND NON-INTERESTED PARTIES. THIS COMMITTEE OBTAINS INDUSTRY AVERAGE COMPENSATION DATA FOR THE CEO POSITION FROM AN INDEPENDENT CONSULTANT. THIS DATA IS THEN USED IN THE DECISION MAKING PROCESS OF THE COMPENSATION COMMITTEE TO SET THE CEO'S SALARY. OTHER FACTORS ARE ALSO CONSIDERED INCLUDING RESULTS OF OPERATIONS AND ACHIEVEMENT OF OTHER ORGANIZATION GOALS. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST |
| FORM 990, PART XII, LINE 2C: | THE PROCESS OF THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANTS HAS NOT CHANGED. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HOSPICE PARTNERS INC | ||||||||||
| 285 SOUTH STREET SUITE J | SAN LUIS OBISPO | CA | 93401 | 770475425 | OPERATES HOSPICE AGENCY & A THRIFT STORE | CA | 501(C)(3) | LINE 7 | N/A | 0 |
| WILSHIRE COMMUNITY SERVICES | ||||||||||
| 285 SOUTH STREET SUITE J | SAN LUIS OBISPO | CA | 93401 | 205885093 | SENIOR SERVICE PROGRAMS, MEDIATION, FACILITATION & TRAINING SERVICES | CA | 501(C)(3) | LINE 7 | N/A | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COASTAL LLC (SOLD INTEREST AUGUST 2021) | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 S 13TH ST 205 | AddressLine1Txt |
| City | GROVER BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93433 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770411900 | EIN |
| Primary Activities | OPERATES SKILLED NURSING FACILITIES | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $1,213,309 | ShareOfTotalIncomeAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILSHIRE MANAGEMENT SERVICES INC | ||||||||||||
| 285 SOUTH ST SUITE J | SAN LUIS OBISPO | CA | 93401 | 954570093 | BACK OFFICE SUPPORT FOR HEALTCHARE ORGANIZATIONS | CA | N/A | C | -$240,761 | $43,821 | 1.00000 | 0 |
| WILSHIRE CONNECTED CARE | ||||||||||||
| 285 SOUTH ST SUITE J | SAN LUIS OBISPO | CA | 93401 | 831348822 | MEDICAL SERVICES | CA | N/A | C | -$641,978 | $103,782 | 1.00000 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| HOSPICE PARTNERS INC | |
| N | $20,334 |
| HOSPICE PARTNERS INC | |
| O | $1,269,116 |
| HOSPICE PARTNERS INC | |
| Q | $12,738 |
| HOSPICE PARTNERS INC | |
| P | $1,780,967 |
| HOSPICE PARTNERS INC | |
| R | $150,000 |
| HOSPICE PARTNERS INC | |
| S | $300,000 |
| WILSHIRE COMMUNITY SERVICES | |
| N | $105,328 |
| WILSHIRE COMMUNITY SERVICES | |
| O | $1,232,255 |
| WILSHIRE COMMUNITY SERVICES | |
| P | $2,010,468 |
| WILSHIRE COMMUNITY SERVICES | |
| S | $1,188,757 |
| WILSHIRE MANAGEMENT SERVICES INC | |
| N | $46,983 |
| WILSHIRE MANAGEMENT SERVICES INC | |
| O | $224,610 |
| WILSHIRE MANAGEMENT SERVICES INC | |
| P | $121,758 |
| WILSHIRE MANAGEMENT SERVICES INC | |
| S | $243,000 |
| WILSHIRE CONNECTED CARE | |
| O | $513,213 |
| WILSHIRE CONNECTED CARE | |
| P | $210,184 |
| WILSHIRE CONNECTED CARE | |
| S | $375,000 |